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Physician Peer Reviewer - Remote

Posted 2 weeks ago
All others
Contract
Worldwide
$100 - $450/case

Overview

At Commence, we’re the start of a new age of data-centric transformation, elevating health outcomes and powering better, more efficient process to program and patient health. We combine quality data-driven solutions that fuel answers, technology that advances performance, and clinical expertise that builds trust to create a more efficient path to quality care.

With human-centered, healthcare-relevant, and value-based solutions, we create new possibilities with data. We provide proof beyond the concept and performance beyond the scope with a focus on efficiencies that transform the lives of those we serve. With a culture driven by purpose, straightforward communication and clinical domain expertise, Commence cuts straight to better care.

In Short

  • Conduct independent, remote case reviews evaluating medical necessity, appropriateness, or quality of care.
  • Provide evidence-based assessments and written determinations following established clinical guidelines and review criteria.
  • Support case types including: Utilization review, Appeals and hearings, Quality of care and standard of care concerns.
  • Uphold the highest standard of clinical integrity, neutrality, and objectivity.
  • Hold an active, unrestricted U.S. license as an MD/DO.
  • Board certified in your specialty by an ABMS or AOA-recognized board.
  • Minimum of 5 years of clinical experience in your specialty.
  • Currently practicing and seeing patients an average of at least 20 hours per week.
  • Fully remote, contract-based (1099).
  • Flexible workload – cases assigned based on your availability and specialty.

Requirements

  • Experience with QIO, peer review, utilization review, or appeals work.
  • Familiarity with military or federal healthcare programs (e.g., TRICARE, Medicare).
  • Previous experience with legal or regulatory case reviews.

Benefits

  • Impactful work that contributes to high-quality care and oversight.
  • Per-case pay ranging from $100–$450 depending on case complexity.
  • Most cases take 1–3 hours to complete; shorter reviews may take less than 1 hour.
  • Strong written communication skills and attention to detail.
  • Ability to review cases objectively and meet turnaround deadlines.
  • Comfortable working independently in a secure, remote environment.
Commence logo

Commence

Commence is a forward-thinking technology company focused on developing scalable web applications that enhance data and workflow solutions within the healthcare ecosystem. With a commitment to delivering secure, high-performance, and user-friendly features, Commence supports its product and platform teams through innovative full-stack development. The company values collaboration, adherence to industry standards, and continuous improvement, making it an ideal workplace for skilled engineers looking to make a significant impact in the healthcare sector.

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