Medical Review Institute of America

Remote - Nephrology - Utilization Review - Contract (1099)

REMOTEPosted 30+ days ago

Job summary

  • Job post source

    This job is directly from Medical Review Institute of America

  • Job overview

    This Remote Nephrology Utilization Review contract role involves providing expert medical reviews to support utilization management, impacting healthcare compliance and treatment authorization.

  • Responsibilities and impact

    The physician will review prior authorizations applying medical guidelines, ensure compliance with regulations, and complete cases remotely with flexible hours averaging 1-2 hours per week.

  • Compensation and benefits

    This is a 1099 independent contractor position with flexible hours and coverage under MRIoA's Errors and Omissions policy; specific salary details are not provided.

  • Experience and skills

    Candidates must be MD or DO, Board Certified in Nephrology, have 5 years of patient care experience including residency, hold an unrestricted Minnesota medical license, and be a US Citizen or Green Card holder.

  • Work environment and culture

    The role is remote with a flexible schedule, requiring basic office equipment and adherence to HIPAA and privacy regulations, reflecting a technology-driven and compliance-focused culture.

  • Company information

    Medical Review Institute of America, founded in 1983, is a nationally recognized Independent Review Organization specializing in utilization management and clinical medical review solutions.

  • Job location and travel

    Remote work from anywhere in the US is allowed, but patient records cannot leave the US due to HIPAA regulations; Minnesota license required.

  • Unique job features

    Flexible remote work with minimal weekly hours, coverage under Errors and Omissions insurance, and involvement in nationally recognized utilization review processes.

Company overview

Medical Review Institute of America, LLC (MRIoA) specializes in providing independent medical peer reviews and utilization management services to healthcare organizations, insurance companies, and government agencies. They generate revenue by offering expert medical opinions that assist in determining the necessity and appropriateness of medical treatments and services. Founded in 1983, MRIoA has established itself as a trusted partner in the healthcare industry, known for its commitment to evidence-based reviews and high standards of clinical excellence.

How to land this job

  • Position your resume to highlight your Board Certification in Nephrology, your unrestricted Minnesota medical license, and your 5+ years of patient care experience, as these are key requirements for the role at Medical Review Institute of America.

  • Emphasize your experience with utilization review or prior authorization processes, your ability to apply nationally accepted medical guidelines, and your knowledge of ERISA/DOL and state regulations to demonstrate your fit for this flexible, remote contract position.

  • Apply through multiple platforms including the Medical Review Institute of America corporate website and LinkedIn to maximize your chances of being noticed for this independent contractor opportunity.

  • Connect with professionals in the utilization review or nephrology divisions at MRIoA on LinkedIn; use ice breakers like referencing the company’s reputation for technology-driven clinical review solutions or asking about their experience working remotely in this role to start conversations.

  • Optimize your resume for ATS by including keywords such as 'Board Certified Nephrology,' 'utilization review,' 'prior authorization,' 'ERISA compliance,' 'remote medical review,' and 'independent contractor' to ensure your resume passes initial automated screenings.

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