Rheumatology Utilization Reviewer – Oregon Licensed, 1099 Contractor

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🌲 Oregon – Remote

🌲 Oregon – Remote

⏳ Contract/Temporary

🟡 Mid-level

🟠 Senior

👻 Ghost score 10%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Medical Review Institute of America, LLC

WebsiteLinkedInAll Job Openings

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 Rheumatology • Perform peer-to-peer conversations during daytime availability • Review sensitive health information in compliance with HIPAA regulations • Follow company policies and procedures regarding confidentiality, privacy, and security

🎯 Requirements

• Medical Degree (MD or DO) • Current Oregon medical license • Current Board Certification in Rheumatology • 5 years of clinical experience, including residency • Daytime availability for peer-to-peer conversations • Adherence to applicable HIPAA regulations and company confidentiality, privacy, and security policies • Must be based in the United States because patient records cannot leave the US

🏖️ Benefits

• Flexible independent contractor (1099) opportunity • Fully remote work opportunity • Covered under MRIoA's Errors and Omissions policy • No minimum weekly commitment • 1–2 hours per week • Work remotely from anywhere in the US • Daytime availability arrangement for peer-to-peer conversations