Remote Physician Reviewer Jobs
Remote Physician Reviewer jobs are available nationwide at employers like Gainwell Technologies, CareCentrix, and Gainwell Technologies and other distributed teams, at every experience level. Find a role that fits below and apply directly.
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Opportunity Overview:
We are looking for an orthopedic spine Physician Assistant to help deliver on Cohere's musculoskeletal and orthopedic programs by determining the medical appropriateness of services by reviewing clinical information and applying evidence-based guidelines. The physician assistant should have previous experience in managing spine conditions in an office setting as well as assisting on spine cases in the operating room.
Reporting to the Managing Medical Director MSK Spine and Ortho for Cohere Health, and part of the review team that includes non-clinical intake specialists, nurses and physicians, this is a critical role in a Series B company that is rapidly scaling to impact millions of patients. This is a fast-paced environment that favors people who are able to learn quickly, be hands-on, and communicate effectively with people of different backgrounds and perspectives. Training and supervision will be provided.
This is a remote-first role that may require travel to Boston, MA for new hire onboarding and occasional in-person team meetings and company events.
What you'll do:
- Provide timely medical reviews that meet Cohere's stringent quality parameters
- Provide clinical determinations based on evidence-based criteria while utilizing clinical acumen
- Clearly and accurately document all communication and decision-making in Cohere workflow tools, ensuring a member and provider can easily reference and understand your decision.
- Use correct templates for documenting decisions during case review
- Meet the appropriate turn-around times for clinical reviews
- Demonstrate the highest level of professionalism, accountability, and service in your interactions with Cohere teammates and providers
- Support projects specific to building the team's clinical expertise and efficiency, as delegated
- Support the team on operational improvements and member/provider experience involving clinical review tasks, as delegated
- Clearly communicate with team members
What you'll need:
- Graduate of an accredited Physician Assistant program
- Current NCCPA certification (PA-C) and active, unrestricted Physician Assistant license in at least one U.S. state
- 3+ years of clinical experience supporting orthopedic spine surgeons and/or neurosurgeons treating spine conditions
- Utilization management, prior authorization, or medical review experience a plus
- Membership in organizations such as the AAPA or specialty spine organizations
Pay & Perks:
Fully remote opportunity with about 5% travel
Medical, dental, vision, life, disability insurance, and Employee Assistance Program
401K retirement plan with company match; flexible spending and health savings account
Flex Time Off + company holidays
Up to 14 weeks of paid parental leave
Pet insurance
The salary range for this position is $120,000 to $135,000 annually; as part of a total benefits package which includes health insurance, 401k and bonus. In accordance with state applicable laws, Cohere is required to provide a reasonable estimate of the compensation range for this role. Individual pay decisions are ultimately based on a number of factors, including but not limited to qualifications for the role, experience level, skillset, and internal alignment.
Interview Process:
- Connect with Talent Acquisition for a Preliminary Phone Screening
- Meet your Hiring Manager!
- Behavioral Interview(s)
- Subject to change
About Cohere Health:
Cohere Health's clinical intelligence platform and agentic AI-powered solutions connect health plans' strategic goals and providers' needs, optimizing the speed, cost, and quality of care. With an enterprise approach that streamlines payer-provider decision-making across the care continuum–including policy, prior authorization, payment accuracy, and more–the company improves collaboration and reduces burden, resulting in up to 8x ROI and 94% provider satisfaction.
With the acquisition of ZignaAI, we've further enhanced our platform by launching our Payment Integrity Suite, anchored by Cohere Validate™, an AI-driven clinical and coding validation solution that operates in near real-time. By unifying pre-service authorization data with post-service claims validation, we're creating a transparent healthcare ecosystem that reduces waste, improves payer-provider collaboration and patient outcomes, and ensures providers are paid promptly and accurately.
Cohere Health's innovations continue to receive industry wide recognition. We've been named to the 2025 Inc. 5000 list and in the Gartner® Hype Cycle™ for U.S. Healthcare Payers (2022-2025), and ranked as a Top 5 LinkedIn™ Startup for 2023 & 2024. Backed by leading investors such as Deerfield Management, Define Ventures, Flare Capital Partners, Longitude Capital, and Polaris Partners.
The Coherenauts, as we call ourselves, who succeed here are empathetic teammates who are candid, kind, caring, and embody our core values and principles. We believe that diverse, inclusive teams make the most impactful work. Cohere is deeply invested in ensuring that we have a supportive, growth-oriented environment that works for everyone.
We can't wait to learn more about you and meet you at Cohere Health!
Equal Opportunity Statement:
Cohere Health is an Equal Opportunity Employer. We are committed to fostering an environment of mutual respect where equal employment opportunities are available to all. To us, it's personal.
Opportunity Overview:
We are looking for an orthopedic spine Physician Assistant to help deliver on Cohere's musculoskeletal and orthopedic programs by determining the medical appropriateness of services by reviewing clinical information and applying evidence-based guidelines. The physician assistant should have previous experience in managing spine conditions in an office setting as well as assisting on spine cases in the operating room.
Reporting to the Managing Medical Director MSK Spine and Ortho for Cohere Health, and part of the review team that includes non-clinical intake specialists, nurses and physicians, this is a critical role in a Series B company that is rapidly scaling to impact millions of patients. This is a fast-paced environment that favors people who are able to learn quickly, be hands-on, and communicate effectively with people of different backgrounds and perspectives. Training and supervision will be provided.
This is a remote-first role that may require travel to Boston, MA for new hire onboarding and occasional in-person team meetings and company events.
What you'll do:
- Provide timely medical reviews that meet Cohere's stringent quality parameters
- Provide clinical determinations based on evidence-based criteria while utilizing clinical acumen
- Clearly and accurately document all communication and decision-making in Cohere workflow tools, ensuring a member and provider can easily reference and understand your decision.
- Use correct templates for documenting decisions during case review
- Meet the appropriate turn-around times for clinical reviews
- Demonstrate the highest level of professionalism, accountability, and service in your interactions with Cohere teammates and providers
- Support projects specific to building the team's clinical expertise and efficiency, as delegated
- Support the team on operational improvements and member/provider experience involving clinical review tasks, as delegated
- Clearly communicate with team members
What you'll need:
- Graduate of an accredited Physician Assistant program
- Current NCCPA certification (PA-C) and active, unrestricted Physician Assistant license in at least one U.S. state
- 3+ years of clinical experience supporting orthopedic spine surgeons and/or neurosurgeons treating spine conditions
- Utilization management, prior authorization, or medical review experience a plus
- Membership in organizations such as the AAPA or specialty spine organizations
Pay & Perks:
Fully remote opportunity with about 5% travel
Medical, dental, vision, life, disability insurance, and Employee Assistance Program
401K retirement plan with company match; flexible spending and health savings account
Flex Time Off + company holidays
Up to 14 weeks of paid parental leave
Pet insurance
The salary range for this position is $120,000 to $135,000 annually; as part of a total benefits package which includes health insurance, 401k and bonus. In accordance with state applicable laws, Cohere is required to provide a reasonable estimate of the compensation range for this role. Individual pay decisions are ultimately based on a number of factors, including but not limited to qualifications for the role, experience level, skillset, and internal alignment.
Interview Process:
- Connect with Talent Acquisition for a Preliminary Phone Screening
- Meet your Hiring Manager!
- Behavioral Interview(s)
- Subject to change
About Cohere Health:
Cohere Health's clinical intelligence platform and agentic AI-powered solutions connect health plans' strategic goals and providers' needs, optimizing the speed, cost, and quality of care. With an enterprise approach that streamlines payer-provider decision-making across the care continuum–including policy, prior authorization, payment accuracy, and more–the company improves collaboration and reduces burden, resulting in up to 8x ROI and 94% provider satisfaction.
With the acquisition of ZignaAI, we've further enhanced our platform by launching our Payment Integrity Suite, anchored by Cohere Validate™, an AI-driven clinical and coding validation solution that operates in near real-time. By unifying pre-service authorization data with post-service claims validation, we're creating a transparent healthcare ecosystem that reduces waste, improves payer-provider collaboration and patient outcomes, and ensures providers are paid promptly and accurately.
Cohere Health's innovations continue to receive industry wide recognition. We've been named to the 2025 Inc. 5000 list and in the Gartner® Hype Cycle™ for U.S. Healthcare Payers (2022-2025), and ranked as a Top 5 LinkedIn™ Startup for 2023 & 2024. Backed by leading investors such as Deerfield Management, Define Ventures, Flare Capital Partners, Longitude Capital, and Polaris Partners.
The Coherenauts, as we call ourselves, who succeed here are empathetic teammates who are candid, kind, caring, and embody our core values and principles. We believe that diverse, inclusive teams make the most impactful work. Cohere is deeply invested in ensuring that we have a supportive, growth-oriented environment that works for everyone.
We can't wait to learn more about you and meet you at Cohere Health!
Equal Opportunity Statement:
Cohere Health is an Equal Opportunity Employer. We are committed to fostering an environment of mutual respect where equal employment opportunities are available to all. To us, it's personal.
See All 23 Remote Physician Reviewer Jobs
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Find JobsRemote Physician Reviewer Job Market
Who's Hiring
- Gainwell Technologies5
- CareCentrix2
- Upwork1
- Verisk1
Top Industries Hiring
- Technology & Software7
- Healthcare & Medical Services7
- Insurance4
- Consulting & Professional Services2
- Accounting & Auditing1
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
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.
Remote Physician Reviewer Jobs: Frequently Asked Questions
How do I get a remote physician reviewer job?
Target companies that already run distributed teams, since they hire remotely by default and know how to onboard someone they never meet in person. Remote physician reviewer employers screen hard for self-direction and clear written communication on top of the core skills, so show evidence you can own work without someone over your shoulder. Apply to the openings above that match your experience.
Which companies hire remote physician reviewers?
Remote physician reviewer roles are posted by Gainwell Technologies, CareCentrix, and Gainwell Technologies and others right now, based on current remote listings on Migrate Mate as of June 2026. Remote-first firms and large companies running distributed teams post the most remote physician reviewer roles.
Can you get a remote physician reviewer job with no experience?
Yes, but it is harder than an on-site role, because remote work expects you to operate independently from the start. Entry-level remote physician reviewer openings do exist, especially at remote-first companies, and a portfolio of real work helps more than a long resume. Applying broadly to the roles that fit improves your odds.
Do you need a degree for remote physician reviewer jobs?
Not always. Many employers hire remote physician reviewers on demonstrated skills and prior work rather than a specific degree, though some larger companies still prefer one. Showing relevant results matters more than a credential for most remote physician reviewer roles.
Which industries hire the most remote physician reviewers?
Remote physician reviewer roles concentrate in Technology & Software, Healthcare & Medical Services, and Insurance, based on current remote listings on Migrate Mate as of June 2026. These sectors run distributed teams and hire physician reviewers remotely most consistently.
See All 23 Remote Physician Reviewer Jobs
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