Physician Reviewer Jobs in USA with Visa Sponsorship
Physician Reviewer roles sit squarely in the H-1B visa specialty occupation category, requiring a medical degree and offering a viable path to employer sponsorship. Many positions are with insurance companies, managed care organizations, and health systems that file LCAs regularly and can support green card sponsorship over time. 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.
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: $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
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. 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.
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: $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
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. 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.
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Get Access To All JobsTips for Finding Physician Reviewer Jobs
Verify your medical credentials translate correctly
Foreign medical degrees must be evaluated for U.S. equivalency before an employer can support your H-1B petition. USCIS scrutinizes whether your clinical training and licensure align with the specialty occupation standard for Physician Reviewer roles.
Look up prevailing wage tiers before negotiating
Use the OFLC Wage Search to find the Level I through Level IV wage for your target metro area before any offer conversation. Physician Reviewer LCAs must meet the certified wage, and knowing this in advance prevents surprises that can delay filing.
Target managed care and utilization management employers
Physician Reviewer positions at managed care organizations, health insurers, and third-party administrators are more likely to have dedicated HR teams experienced with H-1B sponsorship than small private practices or staffing agencies.
Use Migrate Mate to find verified sponsoring employers
Many Physician Reviewer postings don't flag visa sponsorship upfront. Migrate Mate surfaces employers with verified LCA filing history for physician and clinical reviewer roles, so you're applying to companies with a documented track record of sponsoring.
Clarify board certification requirements early
Some employers require active board certification in a clinical specialty before they'll initiate an H-1B petition. Confirm this before investing time in the interview process, since obtaining or maintaining certification can affect your petition timeline.
Understand PERM implications if you want permanent residency
Physician Reviewer roles typically fall under EB-2 or EB-3 for PERM labor certification. Because the role is non-clinical and desk-based, the recruitment requirements differ from physician shortage area exemptions, so your employer's immigration counsel will need to run a standard PERM process.
Frequently Asked Questions
Does a Physician Reviewer role qualify as a specialty occupation for the H-1B?
Yes. Physician Reviewer positions require a medical degree as a standard entry requirement, which satisfies USCIS's specialty occupation definition. The role involves applying specialized medical knowledge to coverage determinations and clinical criteria, making the degree requirement directly tied to the job duties rather than incidental to them.
What visa options exist for foreign-trained physicians pursuing Physician Reviewer roles?
H-1B is the primary path, subject to the annual cap and selection process. If you hold an Australian, Chilean, or Singaporean passport, the E-3 visa, H-1B1 Chile, or H-1B1 Singapore visas are worth exploring since they have dedicated caps that have never been exhausted and don't require lottery selection. TN visa is not available for Physician Reviewer roles as that classification doesn't appear on the USMCA profession list.
Do Physician Reviewer employers typically support green card sponsorship?
Many larger managed care organizations and health insurers do support EB-2 or EB-3 sponsorship for Physician Reviewers, particularly for employees they want to retain long-term. Because the role is non-clinical and desk-based, it goes through standard PERM labor certification rather than any physician-specific shortage area exemption, which means the full recruitment and certification process applies.
How can I find Physician Reviewer jobs where employers are open to visa sponsorship?
Migrate Mate lists Physician Reviewer and clinical reviewer roles from employers with verified LCA filing history, so you can focus your search on companies that have already sponsored workers in similar positions. This avoids wasting time applying to employers who've never initiated an H-1B or other work visa petition.
Does a Physician Reviewer role require a U.S. medical license?
It depends on the employer and state. Some organizations require an active, unrestricted license in at least one U.S. state; others accept a medical degree plus clinical experience without active licensure for certain utilization management or administrative review functions. Confirm the specific licensing requirement before applying, as it directly affects whether your credentials will support a specialty occupation petition.
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.