Oncology Utilization Review - Remote - 1099 (contract)
Boost your chances before you apply.
MRIoA
Pacifica, CA, US
Summary
The role involves conducting independent Utilization Reviews for oncology cases. It requires adherence to HIPAA regulations and company policies regarding sensitive health information.
Job Description
Oncology Utilization Review State Medical Licenses required: Arizona, Florida, Minnesota, North Dakota, Oregon or Tennessee
Flexible Independent Contractor (1099) Opportunity
ABOUT MRIoA
Founded in 1983, Medical Review Institute of America (MRIoA) is a nationally recognized Independent Review Organization (IRO) specializing in technology-driven utilization management and clinical medical review solutions. We’re a leader in Peer and Utilization Reviews, known for excellence and continuous improvement.
THE OPPORTUNITY:
We are currently seeking Board-Certified physicians in Oncology to conduct independent Utilization Reviews. This is a flexible, fully remote opportunity requiring just 1–2 hours per week—with no minimum commitment.
ADDITIONAL INFORMATION:
- Work remotely from anywhere in the US (Per HIPAA Regulations, patient records cannot leave the US).
- Covered under MRIoA's Errors and Omissions policy.
- Independent Contractor (1099) opportunity.
- Workers are required to adhere to all applicable HIPAA regulations and company policies and procedures regarding the confidentiality, privacy, and security of sensitive health information
Requirements
- Must have a Medical Degree MD or DO
- Must have a current State Medical License in one of the above listed states.
- Current Board Certification in Medical Oncology
- Must have 5 years of clinical experience, residency can be included
- Daytime availability is required for peer-to-peer conversations
----------------------------------------
California Consumer Privacy Act (CCPA) Information (California Residents Only):
- Sensitive Personal Info: MRIoA may collect sensitive personal info such as real name, nickname or alias, postal address, telephone number, email address, Social Security number, signature, online identifier, Internet Protocol address, driver’s license number, or state identification card number, and passport number.
- Data Access and Correction: Applicants can access their data and request corrections. For questions and/or requests to edit, delete, or correct data, please email the Medical Review Institute at [email protected].
Medical Review Institute of America (MRIoA) is a leading, tech-enabled utilization management company that delivers high-quality, expert clinical reviews, regulatory guidance, and actionable insights. MRIoA supports health plans, pharmacy benefit managers (PBMs), third-party administrators, and other healthcare organizations to deliver timely, appropriate care, reduce unnecessary costs, navigate complex regulatory and compliance requirements, and improve provider and member satisfaction. Leveraging the largest panel of actively practicing, same-specialty physicians and clinical experts with licenses in all 50 states, MRIoA offers configurable solutions that leverage innovative ways to boost efficiency and improve outcomes. MRIoA has the clinical and regulatory expertise to ensure clients stay compliant and has certifications from HITRUST, NCQA, URAC, and UR licensing in all states where required.
Founded
1983
Company size
501-1,000 employees
Industry
Hospitals and Health Care
Org type
Privately Held
Headquarters
Salt Lake City, Utah
Medical Review Institute of America (MRIoA) is a leading, tech-enabled utilization management company that delivers high-quality, expert clinical reviews, regulatory guidance, and actionable insights. MRIoA supports health plans, pharmacy benefit managers (PBMs), third-party administrators, and other healthcare organizations to deliver timely, appropriate care, reduce unnecessary costs, navigate complex regulatory and compliance requirements, and improve provider and member satisfaction. Leveraging the largest panel of actively practicing, same-specialty physicians and clinical experts with licenses in all 50 states, MRIoA offers configurable solutions that leverage innovative ways to boost efficiency and improve outcomes. MRIoA has the clinical and regulatory expertise to ensure clients stay compliant and has certifications from HITRUST, NCQA, URAC, and UR licensing in all states where required.
Founded
1983
Company size
501-1,000 employees
Industry
Hospitals and Health Care
Org type
Privately Held
Headquarters
Salt Lake City, Utah
