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.
Pediatric Pulmonology Utilization Reviewer – Texas Licensed
🔥 15 hours ago
Where this job comes from
Posted on Medical Review Institute of America, LLC's careers page, not through a job board
First seen by Remote Rocketship 15 hours ago
Still open on Medical Review Institute of America, LLC's site. Checked 1 hour ago.
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 • Participate in peer-to-peer conversations during daytime availability • Review patient records while complying with HIPAA regulations and confidentiality, privacy, and security policies
🎯 Requirements
• Must have a Medical Degree MD or DO • Must have a current Texas medical license • Current Board Certification in Pediatrics • Fellowship trained in Pulmonology • Must have 5 years of clinical experience, residency to be included • Daytime availability is required for peer-to-peer conversations • Must adhere to all applicable HIPAA regulations and company policies and procedures regarding confidentiality, privacy, and security of sensitive health information
🏖️ Benefits
• Flexible independent contractor (1099) opportunity • Fully remote work opportunity • No minimum commitment • Covered under MRIoA's Errors and Omissions policy
Apply Now📊 Check your resume score for this job
Improve your chances of getting an interview by checking your resume score before you apply.
Similar Jobs
🕒 5 days ago
Product Reviewer assessing medical device software documentation for Scarlet, which combines regulatory expertise with AI and software. Reviewing SaMD and AI-enabled devices under EU and UK standards.
🕒 6 days ago
Independent cardiac and thoracic surgery physician reviewer conducting remote, evidence-based medical chart reviews for MMRO. Producing defensible opinions on treatment, disability, impairment, and medical necessity.
🕒 6 days ago
Online Sweepstakes Reviewer testing online sweepstakes platforms and writing compliant reviews for Signup Expert’s publishing partner. Building digital publishing experience in the iGaming industry.
🕒 6 days ago
Online sweepstakes reviewer testing platforms and writing compliant reviews for Signup Expert’s iGaming publishing partner. Building published digital content experience remotely.
🕒 6 days ago
Online Sweepstakes Reviewer testing online sweepstakes platforms and writing structured iGaming reviews. Building published content while supporting Signup Expert’s publishing partner.
