About the role
Review medical-necessity, level-of-care, utilization-management, and physician-advisor reasoning using de-identified clinical cases. Evaluate whether AI-generated determinations accurately connect clinical facts, treatment intensity, expected course, and applicable review criteria. Identify missing documentation, unsafe assumptions, inappropriate status recommendations, and cases that require peer-to-peer or specialist escalation. Explain corrections using clear physician reasoning while preserving uncertainty and avoiding unsupported clinical conclusions. Remote, project-based contract work. Scope and hours depend on project matching; the listed hourly range applies to matched work.
What we're looking for
- MD or DO with active or recently active US medical licensure
- Board certification and 7+ years of post-residency clinical experience
- Utilization review, physician-advisor, payer, or hospital case-management experience preferred