Physician Reviewer Jobs
Physician Reviewer jobs are open across health insurance, managed care, utilization management, and workers' compensation, from entry-level to medical director roles, with specializations in utilization review, claims review, and quality assurance. Find a role that fits from the openings below and apply directly.
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Showing 5 of 50+ Physician Reviewer jobs
Must-Have Qualifications:
- Clinical background is required (e.g., Physician, MD, DO, or equivalent clinical experience).
- Hands-on Epic EMR experience is required.
- Outpatient Epic experience is strongly preferred. Candidates with both outpatient and inpatient Epic experience will also be considered; however, outpatient-focused candidates will be prioritized for interviews.
- ECFMG Certification is required only for candidates with a foreign medical degree. Candidates with a U.S. medical degree do not require ECFMG certification.
Preferred qualifications include:
· Medical degree (foreign-trained or U.S.-trained physicians are both acceptable). Approximately 99% of their current team consists of foreign-trained physicians.
· Strong clinical foundation with the ability to quickly learn new processes.
· Excellent written and verbal communication skills.
Experience with:
· Medical risk adjustment
· HCC (Hierarchical Condition Categories)
· Clinical documentation
· Medical terminology
· Risk adjustment experience is highly preferred.
· CDI experience is a plus but is not required.
· This team supports an outpatient patient population, so candidates with outpatient clinical experience are preferred, although an outpatient background is not required.
· ECFMG certification is required for foreign-trained physicians.
Pay: $36.00 - $50.00 per hour
Work Location: Remote
Physician Reviewer Jobs by Experience Level
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Find Physician Reviewer JobsPhysician Reviewer Job Market
Who's Hiring
- ChenMed10
- Evolent8
- Dane Street8
- Broadway Ventures7
- Oscar Health3
Top Industries Hiring
- Insurance
- Non-Profit & Social Services
- Healthcare & Medical Services
What Employers Look For
The qualifications that appear most often in physician reviewer jobs.
- Active, unrestricted medical license in at least one U.S. state
- Board certification in a relevant clinical specialty such as internal medicine or orthopedics
- Minimum two to five years of direct patient care experience post-residency
- Working knowledge of InterQual or MCG medical necessity criteria
- Experience with ICD-10 coding and clinical documentation review
- Familiarity with utilization management processes and regulatory compliance standards
Tips for Your Physician Reviewer Job Search
Tailor your resume for non-clinical reviewers
Highlight your clinical specialty, years of direct patient care, and any experience with ICD-10 coding or medical necessity criteria. Reviewers with UM or UR background get screened in faster, so name those credentials explicitly rather than burying them in job duties.
Earn an InterQual or MCG certification first
Many physician reviewer postings list InterQual or MCG criteria knowledge as a requirement, not a preference. Completing a vendor training course before you apply signals readiness and shortens your ramp time, which hiring managers value in high-volume review environments.
Apply early to roles that fit
Migrate Mate lists physician reviewer openings from across the United States in one place, so you can find roles that match and apply directly to each listing.
Filter openings by your specialty credential
Payers often post separate openings for reviewers with specific board certifications such as internal medicine, psychiatry, or orthopedics. Search by your specialty rather than the generic title to surface roles where your clinical background directly matches the case volume the team reviews.
Prepare for a case simulation interview
Many hiring panels ask you to walk through a real or anonymized case and explain your medical necessity rationale aloud. Practice articulating your clinical reasoning against a specific criteria set, such as InterQual, so your answer follows the structure reviewers actually use on the job.
Negotiate your hours and on-call structure clearly
Physician reviewer roles vary widely in whether evening, weekend, or on-call coverage is expected. Ask directly about the rotation schedule and turn-around-time expectations before accepting an offer, since these details rarely appear in the job posting and materially affect workload.
Physician Reviewer Jobs: Frequently Asked Questions
Which companies are hiring the most physician reviewers?
The companies hiring the most physician reviewers right now include ChenMed, Evolent, and Dane Street, with the largest share of openings in Florida, New York, and California, based on current listings on Migrate Mate as of August 2026. Managed care organizations and third-party review vendors consistently maintain the highest volume of open roles.
How many physician reviewer jobs are remote?
About 95% of physician reviewer openings are fully remote or hybrid as of August 2026, making it one of the more flexible physician roles available. Utilization management and independent medical review positions are most likely to be fully remote, while peer-to-peer review roles tied to a specific health plan often require some on-site presence.
How do you become a physician reviewer?
You become a physician reviewer by completing medical school and residency, obtaining board certification in a clinical specialty, and gaining direct patient care experience. From there, you pursue roles in utilization management or independent review, learn the criteria sets employers use such as InterQual or MCG, and build familiarity with payer policies and medical necessity standards through on-the-job training or targeted coursework.
Can you get a physician reviewer job with little review experience?
Yes, you can get a physician reviewer job with limited formal review experience if your clinical background is strong and matches the case types the employer handles. Many payers hire physicians directly from clinical practice and train them on criteria application internally. Emphasizing your documentation habits, coding familiarity, and any peer review or quality committee work in your application improves your chances significantly.
What does the physician reviewer interview process look like?
The physician reviewer interview process typically includes an initial screening call with a recruiter, a clinical interview with a medical director or peer reviewer, and a case review exercise where you walk through your medical necessity reasoning aloud. Some employers add a compliance or credentialing review step before extending an offer. The entire process usually runs from a recruiter call through a final decision in two to four stages.
Where can I find and apply to physician reviewer jobs?
You can find and apply to physician reviewer jobs on Migrate Mate, which lists current openings from across the United States. Find roles that match your specialty and experience level, then apply directly to each listing. No steps beyond the application are needed to get your materials in front of the hiring team.
See All 50 Physician Reviewer Jobs
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