TN Visa Physician Reviewer Jobs
Physician Reviewer roles qualify for TN visa sponsorship under the USMCA treaty's Physician category, covering utilization review, insurance case management, and clinical quality positions. Canadian citizens can apply at the border or preclearance with no cap; Mexican citizens require a consular appointment. Your sponsoring employer must document that the role requires a licensed physician.
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INTRODUCTION
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.
ROLE AND RESPONSIBILITIES
Psychologist Peer Reviewer is for an Outpatient Public Sector or Applied Behavior Analysis which involves applying clinical and benefit plan criteria to Commercial, Medicaid, and/or Medicare cases to make insurance benefit coverage determinations.
Services reviewed may include, but are not limited to, the following:
- Traditional outpatient psychotherapy visits
- State-specific Medicaid services (Psychosocial Rehabilitation, Targeted Case Management, Home Based Habilitation, Supported Employment, etc.)
- Applied Behavior Analysis service requests
The Psychologist Peer Reviewer will also participate in consultations, staff meetings, and trainings; be responsible for composing and entering clinical determinations that comply with all federal, state, and local requirements; and perform other duties as required by the reviewer's manager.
This is a full-time salaried position that requires availability to work a standard schedule:
Monday through Friday (9am to 5pm CST)
You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. Candidates must be licensed in the state of Kentucky but DO NOT need to reside in Kentucky.
Primary Responsibilities:
- May conduct clinical reviews of the following type during a typical workday
- Requests service authorization that upon initial review which a Master's degree level employee is unable to authorize coverage
- Ongoing outpatient care in cases where the member's length of stay or frequency of visits exceeds normative standards
- Requests for non-standard outpatient services (e.g. ABA, Psychosocial Rehabilitation, an in-network accommodation)
- Appeals of previously denied services
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
BASIC QUALIFICATIONS
- Independently licensed doctoral level Psychologist (Ph.D. or Psy.D.) in the state of Kentucky
- Ability to obtain additional state licensures to meet growing business needs
- 3+ years of post-licensure experience
- Experience dealing with insurance
- Advanced proficiency using Microsoft Office Applications (Word, Outlook, TEAMS, Excel, and Access Database)
- Proven ability to prioritize multiple demands within strict turnaround time requirements and track multiple state/business nuances for cases reviewed
- Proven ability to work independently and collaborate with others on a clinical team
- Proven advanced written and verbal communication and negotiation skills
- Secure, private area of your home to set up an office, and access to a broadband ISP
PREFERRED QUALIFICATIONS
- APA accredited training and internship
- Experience working in a managed care setting
- Peer review experience with managed care
- Experience with Public Sector (Medicaid/Medicare) services and HCPC codes/services
- Clinical experience with Substance Abuse diagnoses
All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.
COMPENSATION
- Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $91,700 - $163,700 annually based on full-time employment. We comply with all minimum wage laws as applicable.
APPLICATION DEADLINE
This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone - of every race, gender, sexuality, age, location and income - deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
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Get Access To All JobsTips for Finding TN Visa Sponsorship in Physician Reviewer
Verify your medical license transfers cleanly
TN visa sponsors for Physician Reviewer roles must confirm you hold an unrestricted license valid for the work state. A license pending reciprocity or under a supervision requirement can delay the employer's attestation and stall your petition before it's filed.
Target payers and managed care organizations directly
Health insurance companies, pharmacy benefit managers, and utilization management firms hire Physician Reviewers in volume and maintain internal TN filing experience. Remote-eligible roles at these organizations expand your sponsorship pool significantly beyond hospital systems.
Confirm the job description uses physician-specific language
CBP officers assess TN eligibility based on what the role requires, not just your credentials. Ensure the employer's offer letter specifies that the position requires a licensed physician, not just a healthcare background, to satisfy the Physician category definition.
Ask about remote work and worksite state at offer stage
Physician Reviewer roles are frequently fully remote, but your TN support letter must name an employer location. Confirm with the employer which state is listed as your official worksite before filing, since mismatches between the letter and your actual arrangement can trigger CBP questions.
Search for sponsoring employers through Migrate Mate
Migrate Mate surfaces Physician Reviewer openings filtered by TN visa sponsorship history, so you can focus on employers already familiar with the Physician category rather than educating hiring managers about USMCA eligibility from scratch.
Prepare a credentials packet before you start interviewing
Assemble your medical degree, ECFMG certificate if applicable, U.S. or provincial license, and board certification documents before you receive an offer. Employers sponsoring TN visas need these within days of extending an offer to draft the support letter.
Physician Reviewer TN Visa: Frequently Asked Questions
Does a Physician Reviewer role qualify under the TN visa Physician category?
Yes, provided the position requires the skills and judgment of a licensed physician. CBP evaluates the job duties, not just the title. Roles focused on utilization review, clinical appeals, or case management that explicitly require a physician license qualify. Roles that list a physician as preferred but not required may face scrutiny at the port of entry.
How does TN compare to H-1B for Physician Reviewer positions?
TN has no annual lottery, no cap for Canadians, and no registration fee. Canadian applicants can receive approval at the border the same day they apply. H-1B visa requires employer sponsorship through a lottery that runs once per year, a registration fee, and an October 1 start date. For Physician Reviewers with a firm offer, TN is almost always faster and more predictable than H-1B.
Can I work as a Physician Reviewer remotely on a TN visa?
Yes, but the TN support letter must reference a specific employer worksite address even for fully remote roles. Your employer handles this in the offer letter or support documentation. As long as the employer is based in the U.S. and the role meets the Physician category requirements, a remote arrangement does not disqualify you from TN status.
Where can I find Physician Reviewer jobs that offer TN visa sponsorship?
Migrate Mate is built specifically for TN visa job seekers and filters Physician Reviewer openings by sponsorship eligibility. This saves time you'd otherwise spend asking recruiters whether their company understands USMCA, then waiting for an HR team that has never filed a TN to research the process from scratch.
Do Mexican physicians face different TN requirements than Canadian physicians for this role?
Mexican citizens go through consular processing at a U.S. embassy or consulate rather than applying at a land border or port of entry. The substantive eligibility criteria are identical: you need a qualifying offer letter, proof of licensure, and documentation that the role requires a physician. Processing wait times at Mexican consulates vary by location and season.