H-1B Visa Physician Reviewer Jobs
Physician Reviewer roles sit at the intersection of clinical expertise and administrative decision-making, making them a strong fit for H-1B specialty occupation classification. Employers filing LCAs for these positions typically list them under healthcare management or utilization review SOC codes, and sponsorship is common at health plans, managed care organizations, and third-party review firms.
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Get Access To All JobsINTRODUCTION
Hi, we're Oscar. We're hiring a Physician Reviewer to join our Utilization Management team.
Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family.
ABOUT THE ROLE
You will determine the medical appropriateness of inpatient, outpatient, and pharmacy services by reviewing clinical information and applying evidence-based guidelines.
Hours: 8am - 5pm in your local time zone
Call rotation - 1 weekend every 16 weeks
You will report into the Associate Medical Director, Utilization Management.
LOCATION
Work Location: This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; or Texas. While your daily work will be completed from your home office, occasional travel may be required for team meetings and company events. #LI-Remote
PAY TRANSPARENCY
The base pay for this role is: $211,200 - $ 277,200 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation, and annual performance bonuses.
Responsibilities
- Provide timely medical reviews that meet Oscar's stringent quality parameters.
- Provide clinical determinations based on evidence-based criteria and Oscar internal guidelines and policies, while utilizing clinical acumen.
- Clearly and accurately document all communication and decision-making in Oscar workflow tools, ensuring a member could easily reference and understand your decision (Flesch-Kincaid grade level).
- Use correct templates for documenting decisions during case review.
- Meet the appropriate turn-around times for clinical reviews.
- Receive and review escalated reviews.
- Conduct timely peer-to-peer discussions with treating providers to clarify clinical information and to explain review outcome decisions, including feedback on alternate treatment based on medical necessity criteria and evidence-based research.
- Compliance with all applicable laws and regulations
- Other duties as assigned
BASIC QUALIFICATIONS
- Board certification as an MD or DO
- Licensed in FL or NC and/or active Interstate Medical Licensure Compact (IMLCC) or eligible to apply for IMLCC.
- 6+ years of clinical practice
- 1+ years of utilization review experience in a managed care plan (health care industry)
PREFERRED QUALIFICATIONS
- Licensure in multiple Oscar states
- BC in Cardiology, Radiation/Oncology, or Neurology
- Experience with care management within the health insurance industry.
- Willing and able to obtain additional state licensure as needed, with Oscar's support
This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here.
At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives.
Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.
Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.
Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant’s disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team (accommodations@hioscar.com) to make the need for an accommodation known.
California Residents: For information about our collection, use, and disclosure of applicants’ personal information as well as applicants’ rights over their personal information, please see our Privacy Policy.
INTRODUCTION
Hi, we're Oscar. We're hiring a Physician Reviewer to join our Utilization Management team.
Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family.
ABOUT THE ROLE
You will determine the medical appropriateness of inpatient, outpatient, and pharmacy services by reviewing clinical information and applying evidence-based guidelines.
Hours: 8am - 5pm in your local time zone
Call rotation - 1 weekend every 16 weeks
You will report into the Associate Medical Director, Utilization Management.
LOCATION
Work Location: This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; or Texas. While your daily work will be completed from your home office, occasional travel may be required for team meetings and company events. #LI-Remote
PAY TRANSPARENCY
The base pay for this role is: $211,200 - $ 277,200 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation, and annual performance bonuses.
Responsibilities
- Provide timely medical reviews that meet Oscar's stringent quality parameters.
- Provide clinical determinations based on evidence-based criteria and Oscar internal guidelines and policies, while utilizing clinical acumen.
- Clearly and accurately document all communication and decision-making in Oscar workflow tools, ensuring a member could easily reference and understand your decision (Flesch-Kincaid grade level).
- Use correct templates for documenting decisions during case review.
- Meet the appropriate turn-around times for clinical reviews.
- Receive and review escalated reviews.
- Conduct timely peer-to-peer discussions with treating providers to clarify clinical information and to explain review outcome decisions, including feedback on alternate treatment based on medical necessity criteria and evidence-based research.
- Compliance with all applicable laws and regulations
- Other duties as assigned
BASIC QUALIFICATIONS
- Board certification as an MD or DO
- Licensed in FL or NC and/or active Interstate Medical Licensure Compact (IMLCC) or eligible to apply for IMLCC.
- 6+ years of clinical practice
- 1+ years of utilization review experience in a managed care plan (health care industry)
PREFERRED QUALIFICATIONS
- Licensure in multiple Oscar states
- BC in Cardiology, Radiation/Oncology, or Neurology
- Experience with care management within the health insurance industry.
- Willing and able to obtain additional state licensure as needed, with Oscar's support
This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here.
At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives.
Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.
Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.
Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant’s disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team (accommodations@hioscar.com) to make the need for an accommodation known.
California Residents: For information about our collection, use, and disclosure of applicants’ personal information as well as applicants’ rights over their personal information, please see our Privacy Policy.
See all Physician Reviewer jobs
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Get Access To All JobsTips for Finding H-1B Visa Sponsorship in Physician Reviewer
Verify your SOC code before applying
Physician Reviewer positions are filed under varying SOC codes depending on the employer. Check O*NET to confirm whether your target role maps to a clinical or administrative occupation, since the code affects your prevailing wage tier and LCA filing.
Target managed care and utilization review employers
Health plans, pharmacy benefit managers, and third-party utilization review organizations file LCAs for Physician Reviewers far more consistently than hospital systems. Filtering your search to these employer categories reduces time spent on sponsors unlikely to file.
Confirm your medical license covers the work state
Many Physician Reviewer roles are remote, but your employer's LCA must list the actual work location. If you'll review cases for patients in multiple states, check whether your license covers those jurisdictions before the offer stage, not after.
Use Migrate Mate to find verified H-1B sponsors
Search Migrate Mate to identify employers with active LCA filing history for Physician Reviewer roles. DOL Labor Condition Application data shows which organizations have actually sponsored this position, not just which ones say they're open to it.
Request premium processing if your start date is firm
Physician Reviewer offers tied to a credentialing or contract start date leave little room for USCIS standard processing timelines. Ask your employer to file with premium processing so you get a decision within 15 business days, per USCIS guidelines.
Clarify board certification requirements before the LCA is filed
Some employers require active board certification as a condition of the H-1B petition, not just the offer letter. If your certification is pending renewal, confirm with your employer whether USCIS will flag it during adjudication before the LCA is submitted to DOL.
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Find Physician Reviewer JobsPhysician Reviewer H-1B Visa: Frequently Asked Questions
Does a Physician Reviewer role qualify as an H-1B specialty occupation?
Yes, Physician Reviewer positions generally qualify because they require a medical degree and clinical judgment to evaluate treatment authorization requests. USCIS looks for a direct relationship between the degree and the duties. Since the role requires applying clinical knowledge to coverage decisions, it typically meets the specialty occupation standard, though the employer's job description must clearly reflect those requirements.
How do I find employers who actively sponsor H-1B visas for Physician Reviewer roles?
The most reliable method is reviewing DOL Labor Condition Application disclosure data, which shows which employers have actually filed for this position. Migrate Mate surfaces this data by employer and role so you can identify health plans, utilization management firms, and managed care organizations with a real history of sponsoring Physician Reviewers, rather than relying on job posting language alone.
Can I work remotely as a Physician Reviewer on an H-1B visa?
Remote work is permitted, but the LCA must reflect the actual location where you perform your duties. If you work from home, your home address becomes the worksite. Your employer must post the LCA notice at that location and ensure the listed prevailing wage matches the wage level for your home area, not the employer's headquarters. This distinction matters at the time of filing.
Does my medical specialty affect H-1B sponsorship for Physician Reviewer jobs?
It can. Some utilization review employers hire only physicians with specific board certifications relevant to the lines of business they review, such as internal medicine, orthopedics, or behavioral health. If your specialty doesn't match the employer's case mix, you may face a narrower pool of sponsors. Reviewing the SOC code and job duties on the LCA helps confirm whether your background aligns with what USCIS will evaluate.
What happens to my H-1B status if my Physician Reviewer role becomes fully remote after I'm approved?
A permanent shift to a new work location requires an amended H-1B petition with an updated LCA reflecting the new worksite. USCIS and DOL treat a change in work location as a material change to the petition. Your employer must file the amendment before you begin working from the new location to keep your status compliant. Short-term remote work within the same metropolitan statistical area may not require an amendment, but confirm with your employer's immigration counsel.
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