Green Card Physician Reviewer Jobs
Physician Reviewer roles qualify for EB-2 and EB-3 green card sponsorship through PERM labor certification, which requires your employer to document that no qualified U.S. worker is available for the position. Clinical background, medical licensure, and utilization management experience all strengthen your sponsorship case with hiring organizations.
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Get Access To All JobsJOB PROFILE SUMMARY
A vital role of the CMO Administration team, the Medical Peer Reviewer plays a critical role in consulting on medical necessity in the context of utilization management and ensuring adherence to internal Healthfirst and external regulations.
DUTIES/RESPONSIBILITIES:
- The Medical Peer Reviewer will assess/review requests for authorization, and claims payment, based on medical records and internal Healthfirst information and make informed clinical judgments and recommendations.
- The Medical Peer Reviewer will render determinations in the format and within timeframes to follow Regulatory and Operational policies.
- The Medical Peer Reviewer will:
- Maintain productivity standards.
- Collaborate with Utilization Management and Care Management and medical departments as needed, reviews and manages cases/caseload from multiple lines of businesses.
- Demonstrate the ability to be flexible when case load volume fluxes and when Leadership requests changes in case priorities to support our members/internal medical departments as needed.
- Complete mandatory Company compliance training and training in new systems and software.
- Enter each day’s hours worked in Workday, on the same day.
- Perform other duties as assigned.
- Responsibilities may be adjusted based on changing needs of the organization.
WEEKDAY REQUIREMENTS:
- The Medical reviewer requires 25 hours a week of coverage. The configuration of the 25 hours may change with the business needs, with a minimum of 3 days a week, 2 days at 8 hours and one day at 9 hours. Maximum of 5 days a week of coverage.
- The Medical Reviewer will take 8 hours off during the week after being primary coverage for a weekend, usually the following Friday.
- Each Medical Reviewer will cover one legal holiday/year and will be compensated Holiday pay and straight hours worked.
- The Medical Reviewer is eligible for Paid Time Off (PTO) and is required to plan and schedule time off with their direct supervisor following the Company policy.
WEEKEND REQUIREMENTS:
- Each Medical Reviewer is required to be primary coverage one weekend a month.
- Each Medical Reviewer is required to be available as back up, if needed, one weekend a month.
- Dental Reviewers have a fixed schedule.
MINIMUM QUALIFICATIONS:
Licensed M.D. or D.O. or D.M.D. or D.D.S.
Board Certified in a specialty recognized by the American Board of Medical Specialties.
PREFERRED QUALIFICATIONS:
- Board Certified in Internal Medicine, Family Practice, Emergency Medicine.
- Previous, relevant experience in utilization management and clinical practice.
- Knowledge of Medicare, Medicaid, and MLTC plans.
- Time management, critical thinking, communication, and problem-solving skills.
- Knowledge of UM/QM case philosophies and reporting requirements to state and federal agencies.
- Knowledge of member satisfaction/incident management and regulations.
- Knowledge of quality improvement methodologies.
COMPLIANCE & REGULATORY RESPONSIBILITIES: Ensures compliance to internal Healthfirst and external regulations.
- Licensed M.D. or D.O. or D.M.D. or D.D.S.
- Annual Compliance and other training as assigned, may include but not limited to hardware, software, and system training upgrades.
- Annual Inter-Rater Reliability (IRR) Testing.
- Complies with the Healthfirst Conflict of Interest Policy for Professionals.
HIRING RANGE:
- Greater New York City Area (NY, NJ, CT residents): $122,907 - $188,020.
As a candidate for this position, your salary and related elements of compensation will be contingent upon your work experience, education, licenses and certifications, and any other factors Healthfirst deems pertinent to the hiring decision.
In addition to your salary, Healthfirst offers employees a full range of benefits such as, medical, dental and vision coverage, incentive and recognition programs, life insurance, and 401k contributions (all benefits are subject to eligibility requirements). Healthfirst believes in providing a competitive compensation and benefits package wherever its employees work and live.
The hiring range is defined as the lowest and highest salaries that Healthfirst in “good faith” would pay to a new hire, or for a job promotion, or transfer into this role.
JOB PROFILE SUMMARY
A vital role of the CMO Administration team, the Medical Peer Reviewer plays a critical role in consulting on medical necessity in the context of utilization management and ensuring adherence to internal Healthfirst and external regulations.
DUTIES/RESPONSIBILITIES:
- The Medical Peer Reviewer will assess/review requests for authorization, and claims payment, based on medical records and internal Healthfirst information and make informed clinical judgments and recommendations.
- The Medical Peer Reviewer will render determinations in the format and within timeframes to follow Regulatory and Operational policies.
- The Medical Peer Reviewer will:
- Maintain productivity standards.
- Collaborate with Utilization Management and Care Management and medical departments as needed, reviews and manages cases/caseload from multiple lines of businesses.
- Demonstrate the ability to be flexible when case load volume fluxes and when Leadership requests changes in case priorities to support our members/internal medical departments as needed.
- Complete mandatory Company compliance training and training in new systems and software.
- Enter each day’s hours worked in Workday, on the same day.
- Perform other duties as assigned.
- Responsibilities may be adjusted based on changing needs of the organization.
WEEKDAY REQUIREMENTS:
- The Medical reviewer requires 25 hours a week of coverage. The configuration of the 25 hours may change with the business needs, with a minimum of 3 days a week, 2 days at 8 hours and one day at 9 hours. Maximum of 5 days a week of coverage.
- The Medical Reviewer will take 8 hours off during the week after being primary coverage for a weekend, usually the following Friday.
- Each Medical Reviewer will cover one legal holiday/year and will be compensated Holiday pay and straight hours worked.
- The Medical Reviewer is eligible for Paid Time Off (PTO) and is required to plan and schedule time off with their direct supervisor following the Company policy.
WEEKEND REQUIREMENTS:
- Each Medical Reviewer is required to be primary coverage one weekend a month.
- Each Medical Reviewer is required to be available as back up, if needed, one weekend a month.
- Dental Reviewers have a fixed schedule.
MINIMUM QUALIFICATIONS:
Licensed M.D. or D.O. or D.M.D. or D.D.S.
Board Certified in a specialty recognized by the American Board of Medical Specialties.
PREFERRED QUALIFICATIONS:
- Board Certified in Internal Medicine, Family Practice, Emergency Medicine.
- Previous, relevant experience in utilization management and clinical practice.
- Knowledge of Medicare, Medicaid, and MLTC plans.
- Time management, critical thinking, communication, and problem-solving skills.
- Knowledge of UM/QM case philosophies and reporting requirements to state and federal agencies.
- Knowledge of member satisfaction/incident management and regulations.
- Knowledge of quality improvement methodologies.
COMPLIANCE & REGULATORY RESPONSIBILITIES: Ensures compliance to internal Healthfirst and external regulations.
- Licensed M.D. or D.O. or D.M.D. or D.D.S.
- Annual Compliance and other training as assigned, may include but not limited to hardware, software, and system training upgrades.
- Annual Inter-Rater Reliability (IRR) Testing.
- Complies with the Healthfirst Conflict of Interest Policy for Professionals.
HIRING RANGE:
- Greater New York City Area (NY, NJ, CT residents): $122,907 - $188,020.
As a candidate for this position, your salary and related elements of compensation will be contingent upon your work experience, education, licenses and certifications, and any other factors Healthfirst deems pertinent to the hiring decision.
In addition to your salary, Healthfirst offers employees a full range of benefits such as, medical, dental and vision coverage, incentive and recognition programs, life insurance, and 401k contributions (all benefits are subject to eligibility requirements). Healthfirst believes in providing a competitive compensation and benefits package wherever its employees work and live.
The hiring range is defined as the lowest and highest salaries that Healthfirst in “good faith” would pay to a new hire, or for a job promotion, or transfer into this role.
See all 55+ Green Card Physician Reviewer Jobs
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Get Access To All JobsTips for Finding Green Card Sponsorship in Physician Reviewer
Verify your licensure meets PERM requirements
PERM job descriptions often list state medical licensure as a minimum requirement. Confirm your foreign medical degree has been evaluated and that your U.S. licensure or board eligibility is documented before applications reach the labor certification stage.
Target payers and managed care organizations
Health insurers, utilization management firms, and integrated health systems regularly sponsor Physician Reviewer roles because qualified candidates are scarce. These employers have established PERM workflows and legal teams familiar with EB-2 and EB-3 petitions for clinicians.
Search for sponsoring employers on Migrate Mate
Use Migrate Mate to filter Physician Reviewer openings by employers with active green card sponsorship history. Seeing a company's PERM filing record before you apply tells you whether sponsorship is a realistic outcome, not just a recruiter talking point.
Request EB-2 classification if you hold an advanced degree
A Doctor of Medicine or Doctor of Osteopathic Medicine qualifies you for EB-2 classification, which can shorten your green card timeline compared to EB-3 for many nationalities. Ask prospective employers whether their immigration counsel files under EB-2 for physician roles.
Check the prevailing wage before salary negotiations
DOL sets a prevailing wage for each PERM case using the OFLC Wage Search tool. Your offered salary must meet or exceed that wage level throughout the sponsorship process, so knowing the benchmark prevents offers that would later fail DOL review.
Understand the PERM recruitment timeline before accepting an offer
Employers must complete mandatory recruitment steps over roughly 30 to 60 days before filing a PERM application with DOL. Factoring in I-140 adjudication and priority date wait times, ask about where the employer is in the process when you receive an offer.
Green Card Physician Reviewer: Frequently Asked Questions
Do Physician Reviewer roles typically qualify for EB-2 or EB-3 green card sponsorship?
Most Physician Reviewer positions qualify for EB-2 because the role requires an M.D. or D.O., which is an advanced degree under USCIS definitions. Employers can also file under EB-3 if the position is classified as a skilled worker role. Your employer's immigration counsel will determine which category fits the job description and your credentials.
How does green card sponsorship differ from H-1B sponsorship for this role?
Green card sponsorship through PERM leads to permanent residency rather than a temporary status. Unlike the H-1B visa, there is no annual lottery for EB-2 or EB-3 petitions, so your employer files directly with DOL and USCIS without a random selection step. The process is longer overall, but the outcome is lawful permanent residence, not a two- or three-year work authorization window.
Which types of employers sponsor green cards for Physician Reviewers?
Health insurance companies, third-party utilization management firms, integrated delivery networks, and large hospital systems are the most consistent sponsors. These organizations employ Physician Reviewers at scale and have established relationships with immigration attorneys experienced in PERM for clinical roles. Remote-eligible positions from national payers have also broadened the sponsoring employer pool.
How can I find Physician Reviewer jobs with confirmed green card sponsorship?
Migrate Mate lets you search Physician Reviewer openings filtered by employers with documented green card sponsorship history, pulling directly from PERM filing records. This means you can see which organizations have actually completed the PERM process for similar roles rather than relying on job postings that mention sponsorship without a track record behind it.
What credentials should I have ready before a sponsoring employer begins the PERM process?
You'll need a credential evaluation confirming your foreign medical degree is equivalent to a U.S. M.D. or D.O., documentation of any U.S. medical licensure or board certification, and records of your utilization management or clinical review experience. PERM requires the employer to define minimum qualifications that match your background, so having these materials organized early prevents delays in the labor certification filing.