Physician Reviewer Jobs in USA with Visa Sponsorship
Physician Reviewer roles attract strong H-1B visa and O-1 visa sponsorship because they require an MD or DO and active U.S. medical licensure. Most openings are with health plans, utilization management firms, and telehealth companies that regularly sponsor international physicians. For detailed occupation requirements, see the O*NET profile.
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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 14+ Physician Reviewer jobs
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Get Access To All JobsTips for Finding Physician Reviewer Jobs
Confirm your medical license transfers
U.S. state medical licenses are required for most Physician Reviewer positions. Verify your license is active and recognized in the state where the employer operates before applying, as sponsorship won't proceed without it.
Highlight board certification in your application
Board certification in internal medicine, emergency medicine, or a relevant specialty strengthens both your candidacy and the H-1B specialty occupation argument. Employers and USCIS both view it as evidence of the role's professional complexity.
Understand the H-1B cap and timing
Most Physician Reviewer roles are cap-subject H-1B positions. Registration opens in March for an October 1 start date. If you miss the lottery, ask employers about cap-exempt affiliations with hospitals or research institutions.
Consider the O-1 if you have notable credentials
Physicians with published research, leadership roles in medical societies, or recognized clinical expertise may qualify for the O-1A visa. It bypasses the H-1B lottery entirely and has no annual cap, making it worth exploring with an immigration attorney.
Physician Reviewer jobs are hiring across the US. Find yours.
Find Physician Reviewer JobsFrequently Asked Questions
Do Physician Reviewer jobs typically qualify for H-1B sponsorship?
Yes. Physician Reviewer positions generally qualify as H-1B specialty occupations because they require an MD or DO degree and clinical judgment in a defined medical specialty. USCIS has historically approved H-1B petitions for this role, particularly when the job description emphasizes clinical review criteria and medical necessity determinations. Approval rates are strong when the employer documents the degree requirement clearly in the Labor Condition Application.
Which visa types are most common for Physician Reviewers seeking sponsorship?
The H-1B is the most common path, but Physician Reviewers have several options. International medical graduates who completed U.S. residencies on J-1 visas may need a waiver first. Physicians with strong academic or research profiles sometimes qualify for the O-1A, which has no lottery. A small number of Canadian and Mexican physicians may be eligible for TN status under the physician category, which requires a job offer and proof of licensure.
Is a U.S. medical license required for sponsorship, or can employers sponsor before I'm licensed?
Most employers won't initiate sponsorship until you hold an active state medical license, since the role legally requires it. Some larger health systems will begin the H-1B process while a license application is pending, but USCIS approval and start date will typically be conditioned on licensure being granted before you begin work. Don't assume a pending license is sufficient without confirming this with the employer.
Where can I find Physician Reviewer jobs that offer visa sponsorship?
Migrate Mate is the recommended platform for finding Physician Reviewer positions that explicitly offer visa sponsorship. General job boards surface a high volume of roles that don't sponsor, which wastes time during a period when timelines matter. Filtering by visa type on Migrate Mate narrows results to employers who have confirmed they'll support H-1B or other nonimmigrant petitions for this role.
Can a Physician Reviewer role support a green card application?
Yes. Physician Reviewers can pursue permanent residence through the EB-2 category, and in some cases EB-1B if they have exceptional research credentials. Employers in health plans or managed care typically support PERM labor certification if you've been employed for a qualifying period. Physicians who worked in a federally designated shortage area under a J-1 waiver may also qualify for the EB-2 National Interest Waiver without requiring employer sponsorship.
What is the prevailing wage requirement for sponsored Physician Reviewer jobs?
U.S. employers sponsoring a visa must pay at least the prevailing wage, which is what workers in the same role, area, and experience level typically earn. The Department of Labor sets this rate to make sure companies aren't hiring foreign workers simply because they'd accept lower pay than a U.S. worker. It varies by job title, location, and experience. You can look up current prevailing wage rates for any occupation and location using the OFLC Wage Search page.
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