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.
Orthopedic Surgery Utilization Reviewer – Maryland Licensed
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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 for MRIoA • Participate in peer-to-peer conversations during daytime hours • Review sensitive health information in compliance with HIPAA and company policies
🎯 Requirements
• Medical Degree (MD or DO) • Current Maryland medical license • Current Board Certification in Orthopedic Surgery • 5 years of clinical experience, including residency • Daytime availability for peer-to-peer conversations • Board-certified physician in Orthopedic Surgery • Ability to work remotely from anywhere in the US • Patient records must remain in the US under HIPAA regulations
🏖️ Benefits
• Flexible independent contractor (1099) opportunity • Fully remote work opportunity • No minimum commitment • Covered under MRIoA's Errors and Omissions policy • Workers required to adhere to HIPAA regulations and company confidentiality, privacy, and security policies
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