Genetics Utilization Reviewer – MN Licensed, 1099 Contractor

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🔥 3 minutes ago

⛷️ Utah – 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 • Perform peer and utilization reviews as a Medical Genetics physician • Participate in peer-to-peer conversations during daytime availability • Review sensitive health information in compliance with HIPAA and company policies • Work approximately 1–2 hours per week with no minimum commitment

🎯 Requirements

• Required State Medical License in Minnesota • Board-Certified physician in Medical Genetics • Medical Degree MD or DO • Current medical license (the posting also states Indiana medical license, conflicting with the Minnesota requirement) • Current Board Certification in Medical Genetics • 5 years of clinical experience, residency included • Daytime availability for peer-to-peer conversations • Adherence to applicable HIPAA regulations and company confidentiality, privacy, and security policies • Patient records must remain within the US per HIPAA regulations

🏖️ Benefits

• Flexible, fully remote opportunity requiring just 1–2 hours per week—with no minimum commitment • Covered under MRIoA's Errors and Omissions policy • Independent Contractor (1099) opportunity • Remote work arrangement

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