Dermatology Utilization Reviewer – Nevada Licensed

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🔥 2 minutes ago

🎰 Nevada – Remote

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⏳ Contract/Temporary

🟡 Mid-level

🟠 Senior

👻 Ghost score 10%

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Logo of Medical Review Institute of America, LLC

Medical Review Institute of America, LLC

501 - 1000 employees

Founded 1983

🛡️ Insurance

💼 Consulting

⚖️ Legal

Insurance • Consulting • Legal

Medical Review Institute of America, LLC is a company specializing in clinical and utilization review services. They offer a comprehensive suite of data-driven solutions, including prior authorization optimization, second opinions, and specialty drug reviews, aimed at ensuring the right care is delivered at the right time and in the right place. MRIoA provides services to health plans, pharmacy benefit managers, government entities, and self-insured employers, among others. They leverage technology and a network of professionals to streamline clinical decisions, enhance provider performance, and ensure compliance with regulatory requirements across all 50 states. Their tools and platforms are designed to optimize clinical reviews, reduce costs, and improve patient outcomes through evidence-based care pathways and telehealth solutions.

📋 Description

• Conduct independent Utilization Reviews in dermatology • Perform approximately 1–2 hours of review work per week • Participate in daytime peer-to-peer conversations • Maintain confidentiality, privacy, and security of sensitive health information • Conduct work remotely from anywhere in the United States

🎯 Requirements

• Must have a Medical Degree MD or DO • Must have a current Nevada unencumbered medical license • Current Board Certification in Dermatology • Must have 5 years of clinical experience, residency to be included • Daytime availability is required for peer-to-peer conversations • Workers are required to adhere to all applicable HIPAA regulations and company policies and procedures regarding the confidentiality, privacy, and security of sensitive health information

🏖️ Benefits

• Flexible, fully remote opportunity • No minimum commitment • Covered under MRIoA's Errors and Omissions policy • Independent Contractor (1099) opportunity

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