Remote Physician Reviewer Jobs
Remote physician reviewer jobs are open across the U.S. at remote-first insurers, distributed utilization management firms, and health tech companies, with demand concentrated in managed care, workers' compensation, and independent review organizations. Employers hiring remotely right now include Dane Street, ChenMed, and Toney HealthCare Consulting. Find a role that fits below and apply directly.
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Showing 5 of 26+ Remote Physician Reviewer jobs
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.
Work Location: This is a remote position, open to candidates who reside in the United States. 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: $275,000 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation, and annual performance bonuses.
Responsibilities:
- Provide 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
Requirements:
- Board certification as an MD or DO
- Licensed in one of these states: FL, NC, AZ OR possess an active Interstate Medical Licensure Compact (IMLC).
- 6+ years of clinical practice
Bonus points:
- Licensure in multiple Oscar states
- 1+ years of utilization review experience in a managed care plan (health care industry)
- 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.
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.
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.
Work Location: This is a remote position, open to candidates who reside in the United States. 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: $275,000 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation, and annual performance bonuses.
Responsibilities:
- Provide 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
Requirements:
- Board certification as an MD or DO
- Licensed in one of these states: FL, NC, AZ OR possess an active Interstate Medical Licensure Compact (IMLC).
- 6+ years of clinical practice
Bonus points:
- Licensure in multiple Oscar states
- 1+ years of utilization review experience in a managed care plan (health care industry)
- 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.
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.
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Find JobsRemote Physician Reviewer Job Market
Who's Hiring
Top Industries Hiring
- Insurance
What Employers Look For
The qualifications that appear most often in remote 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 Remote Physician Reviewer Job Search
Prove async clinical communication in your materials
Remote physician reviewer employers screen for written reasoning above almost everything else. Include concrete examples of utilization review decisions, peer-to-peer summaries, or denial rationale you've authored. Strong written output signals you can work independently without verbal back-and-forth.
Apply early to remote roles that fit
Migrate Mate lists remote physician reviewer openings from across the U.S. in one place, so you can find roles that match your specialty and clinical background and apply directly without sifting through unrelated postings.
Target companies using InterQual or MCG criteria
Most remote utilization management firms and IROs standardize on InterQual or MCG. Naming your hands-on familiarity with either criteria set in your application materials immediately signals fit and cuts through generic physician applicants who list only their specialty.
Prepare for asynchronous remote interviews
Many remote physician reviewer employers use recorded video or written case assessments early in the hiring process. Practice articulating your clinical rationale clearly and concisely in writing, since those formats reveal exactly the skills the role demands from day one.
Remote Physician Reviewer Jobs: Frequently Asked Questions
How do I get a remote physician reviewer job?
Remote physician reviewer roles go to candidates who can demonstrate strong independent judgment, precise written clinical reasoning, and the discipline to meet turnaround requirements without direct supervision. Insurers and utilization management firms hiring remotely screen heavily for documentation quality and evidence-based decision-making, so a portfolio of prior review work, audit outcomes, or peer review experience gives you a concrete edge over candidates who rely only on credentials.
Which companies hire remote physician reviewers?
Remote physician reviewer roles are posted by Dane Street, ChenMed, and Toney HealthCare Consulting and others right now, based on current remote listings on Migrate Mate as of November 2026. The employers hiring this role remotely tend to be managed care organizations, independent review organizations, and health tech platforms that run distributed clinical operations teams.
Can you get a remote physician reviewer job with no experience?
Yes, but remote entry-level physician reviewer roles are harder to land because you're expected to work independently from day one with minimal onboarding support. Remote-first IROs and utilization management startups are more likely to consider newer reviewers. Showing case volume from clinical practice, familiarity with InterQual or MCG criteria, and any prior documentation-heavy work helps substitute for formal review experience.
Do you need a degree for remote physician reviewer jobs?
Not always in the credential sense you might expect. Remote employers consistently require an active medical license, but beyond that they weigh clinical specialty alignment, quality of written reasoning, and demonstrated familiarity with evidence-based review criteria over advanced academic degrees. Physicians with strong clinical backgrounds and clean licensure records are competitive regardless of whether they hold additional graduate credentials.
Which industries hire the most remote physician reviewers?
Remote physician reviewer roles concentrate in Insurance, based on current remote listings on Migrate Mate as of November 2026. Those sectors rely on distributed review teams because case volume is high, turnaround timelines are tight, and the work is documentation-based rather than hands-on, making it well-suited to fully remote clinical operations.
See All 26 Remote Physician Reviewer Jobs
Find roles that match your experience and apply in just a few clicks.
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