# Physician Reviewer (Part Time) Remote from[USA](https://jobicy.com/job-region/usa.md)Salary, yearly, USD 300,000 - 340,000Department [Healthcare & Medical](https://jobicy.com/categories/healthcare.md) Employment type Full Time, Job posted6 Jun 2026Apply before6 Jul 2026Experience level Midweight Views / Applies 1574 / 234 [About company](https://jobicy.com/company/carecentrix.md) [Share](#share) About [CareCentrix](https://jobicy.com/company/carecentrix.md) Empowering Health at Home * [Hospital & Health Care](https://jobicy.com/company-category/hospital-health-care.md) * 1996 Verified job posting This job post has been [manually reviewed](https://jobicy.com/tools/help-center/employee/how-does-jobicy-verify-the-legitimacy-of-remote-job-listings.md) for authenticity and compliance. Tailor Resume Check Job Fit Cover Letter ### Tailor my resume to this job Discover how to best rewrite and optimize your resume for this specific job. 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The position requires an MD or DO with an active unrestricted license and board certification, along with at least 3 years of utilization management and clinical practice experience. The reviewer will collaborate with internal staff and external providers to support evidence-based care decisions. The role offers a consistent weekday schedule with flexibility and a high hourly pay rate. It is ideal for a physician seeking a focused, less patient-facing role in healthcare. ### Role DNA Job Complexity Easy Hard Pace & Pressure Relaxed Fast-paced Autonomy Level Guided Full Ownership Communication Load Independent Highly Collaborative AI Insight Requires an MD/DO degree, board certification, and specialized experience in utilization management and clinical practice, making it a challenging role that demands advanced clinical judgment and regulatory knowledge. ### Salary Analysis Median Above Market USD320,000US Market USD200k – 300k 0 USD352k AI Insight The offered salary range of $300,000 to $340,000 per year is competitive and above the market median for physician reviewers, which typically ranges from $200,000 to $300,000. This provides an attractive compensation package. ### Key Skills Utilization Management Medical Necessity Review Board Certified MD/DO Evidence-Based Guidelines InterQual Milliman Criteria Healthcare Clinical Review Part-Time ### Cover Letter Sample Dear Hiring Team, I am writing to express my strong interest in the Physician Reviewer (Part-Time) position at CareCentrix. With over 5 years of experience in utilization management and a board certification in internal medicine, I have developed a deep understanding of medical necessity reviews and evidence-based guidelines. I am particularly drawn to this role because it offers a flexible schedule while allowing me to apply my clinical expertise in a meaningful way. I am confident in my ability to meet SLAs and contribute to your team's success. Thank you for considering my application. Copy ### Possible Interview Questions How do you handle a case where the clinical criteria do not clearly support medical necessity?I would review additional documentation, consult with the ordering physician, and apply my clinical judgment while adhering to evidence-based guidelines and regulatory standards.Describe your experience with InterQual or Milliman criteria.I have used both InterQual and Milliman criteria extensively in my previous utilization management roles for over 5 years, and I am comfortable applying them to diverse clinical scenarios.How do you manage time to meet SLAs in a part-time schedule?I prioritize tasks efficiently, set dedicated review blocks, and communicate proactively with the team to ensure timely completion of reviews without compromising quality.Can you give an example of a difficult determination you made?Once, I reviewed a complex case involving a patient with multiple comorbidities where the guidelines were ambiguous. I consulted with the attending physician, documented the rationale thoroughly, and made a determination that balanced patient safety and policy requirements.Why are you interested in a part-time physician reviewer role?I value work-life balance and enjoy the focused, analytical nature of utilization review. This part-time role allows me to maintain clinical engagement while having flexibility for other professional or personal interests. ## Overview As a Part-Time Physician Reviewer, you will conduct utilization reviews to determine medical necessity across our different lines of business, including Post-Acute Care, Home Health, Durable Medical Equipment (DME), Home Infusion Therapy, Sleep services. In this role, you will collaborate, as needed, with internal staff, providers, and ordering physicians to support appropriate, evidence-based care decisions. Position Details:• Title: Physician Reviewer (Part-Time, Permanent)• Pay: $150 to $170 per hour• Hours: 25 hours per week• Schedule: Consistent weekday schedule, between 8:00 a.m. and 6:00 p.m. EST, with flexibility to work additional hours as needed to meet business demands (including evenings, weekends, and holidays) ## Responsibilities * Conduct medical necessity reviews for cases that may not meet established criteria and issue adverse determinations when appropriate * Evaluate requests across post-acute care services in alignment with clinical and regulatory standards * Meet or exceed Service Level Agreements (SLA) and performance guarantees required by health plan clients * Apply sound clinical judgment and maintain integrity in all determinations and interactions * Collaborate effectively with internal and external stakeholders, including providers and physicians * Perform other duties as assigned ## Qualifications * MD or DO with an active, unrestricted medical license (in states aligned with CareCentrix client payer requirements) * Current and unexpired board certification in a relevant specialty * Minimum 3+ years of utilization management (UM) experience * Minimum 3+ years of clinical practice experience, including inpatient care * Experience using evidence-based clinical guidelines (e.g., Milliman/InterQual), as well as CMS and state-specific regulatory criteria, preferred CareCentrix maintains a drug-free workplace We are an equal opportunity employer. Employment selection and related decisions are made without regard to age, race, color, national origin, religion, sex, disability, sexual orientation, gender identification, or being a qualified disabled veteran or qualified veteran of the Vietnam era or any other category protected by Federal or State law. CareCentrix accepts applications on an ongoing basis until a candidate is identified. #IDCC Show more [Apply now >](https://jobicy.com/jobs/145685-physician-reviewer-part-time.md) * ![Upload CV](data:image/svg+xml;base64,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) ### Upload your resume now To unlock remote work opportunities and be discovered by global employers. 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