1099 Utilization Review for Sports Medicine Physicians

Description

Flexible Independent Contractor (1099) Opportunity

Current Unrestricted medical license in PENNSYLVANIA - Board Certified in Sports Medicine & Family Medicine.

ABOUT MRIoA

Founded in 1983, Medical Review Institute of America (MRIoA) is a nationally recognized Independent Review Organization (IRO) specializing in technology-driven utilization management and clinical medical review solutions. We’re a leader in Peer and Utilization Reviews, known for excellence and continuous improvement.

THE OPPORTUNITY

We’re seeking a Board-Certified Sports Medicine/Family Medicine physician, to assist in Utilization Review work which involves evaluating medical records to determine whether healthcare services—such as treatments, procedures, medications, or levels of care—are medically necessary, appropriate, and compliant with established clinical guidelines. Will review documentation, compare it to evidence‑based criteria such as InterQual, MCG, and Medicare policies, and ensure that the care being delivered meets regulatory and health‑plan requirements.

UR work helps verify that patients receive the right care at the right time, prevents unnecessary or duplicative services, supports safe transitions between care settings, and promotes efficient use of healthcare resources.

Why Consider Peer Review Work?

• Stay up-to-date on clinical practices and treatment trends in your specialty
• Flexibility, can work 1-2 hours a week, or more if you prefer. Daytime availability is required.
• Gain insight into the approval process for your own patients’ treatments
• Most reviews take just 30–60 minutes to complete each review
• No minimum case requirements

ADDITIONAL DETAILS

• Remote, work-from-home position—work anywhere in the U.S.
• Covered by MRIoA’s Errors and Omissions policy (not traditional malpractice insurance)
• Independent contractor role (1099 status)
• Work can only be done within the U.S. per regulations

Requirements

WHAT YOU’LL NEED

• MD or DO, currently Board Certified in Sports Medicine & Family Medicine
• Minimum 5 years of direct, clinical experience in Family Medicine (including Residency)
• Willingness and availability for daytime peer-to-peer conversations
• Unrestricted, current PENNSYLVANIA medical license.
• Strong computer and online navigation skills
• Must be a U.S. Citizen or Green Card holder (Visa sponsorship is not available)

DIVERSITY & INCLUSION

MRIoA is committed to building a diverse workforce. We welcome qualified applicants regardless of race, color, religion, sex, age, national origin, veteran status, disability, sexual orientation, gender identity or expression, marital status, or genetic information.

Note: This is a drug-free workplace. Background and drug screenings are required prior to contracting. Workers are required to adhere to all applicable HIPAA regulations and company policies and procedures regarding the confidentiality, privacy, and security of sensitive health information.

California Consumer Privacy Act (CCPA) Information:

• Sensitive Personal Info: MRIoA may collect sensitive personal info such as real name, nickname or alias, postal address, telephone number, email address, Social Security number, signature, online identifier, Internet Protocol address, driver’s license number, or state identification card number, and passport number.

Data Access and Correction: Applicants can access their data and request corrections. For questions and/or requests to edit, delete, or correct data, please email the Medical Review Institute at HR@mrioa.com.