Peer Reviewer (Certified in Family Med, Physiatry, or psychiatry)/Remote-Maryland must be actively practicing for PRN work)
Commence · Baltimore, MD · 1 mo ago
RemoteRemoteAdministrativeFull-time
Description At Commence, we’re the start of a new age of data-centric transformation, elevating health outcomes and powering better, more efficient process to program and patient health. We combine quality data-driven solutions that fuel answers, technology that advances performance, and clinical expertise that builds trust to create a more efficient path to quality care. With human-centered, healthcare-relevant, and value-based solutions, we create new possibilities with data. We provide proof beyond the concept and performance beyond the scope with a focus on efficiencies that transform the lives of those we serve. With a culture driven by purpose, straightforward communication and clinical domain expertise, Commence cuts straight to better care. Requirements We are expanding our national network of independent physician reviewers and are seeking actively practicing, Board-Certified Physicians in the following specialties: Family Medicine with pediatric experiencePsychiatryPhysical Medicine & Rehryabilitation (PM&R) This is a remote, 1099 independent contractor opportunity designed for physicians who want to leverage their clinical expertise outside of direct patient care while maintaining their current practice. This opportunity allows you to supplement your clinical practice with flexible, remote physician review work supporting quality of care for military members and their families. As a physician reviewer, you will provide independent, evidence-based clinical assessments of cases involving medical necessity, quality of care, and appropriateness of services. Your expertise will help support objective healthcare oversight and quality outcomes for military members and their families. What You'll Do Conduct independent, remote clinical case reviews within your area of expertiseEvaluate medical necessity, appropriateness of care, quality of care, and standard of careReview medical records and supporting clinical documentationApply established clinical guidelines, evidence-based standards, and professional judgmentProvide clear, well-supported written determinationsSupport case types that may include utilization reviews, appeals, hearings, and quality or standard-of-care concernsMaintain clinical neutrality, objectivity, and confidentiality throughout the review processComplete assigned reviews within established turnaround times Physicians Must What We're Looking For Hold an active, unrestricted U.S. medical licenseBe Board Certified in their specialty by an ABMS or AOA-recognized boardHave a minimum of 5 years of clinical experience within their specialtyBe actively practicing and providing direct patient care an average of at least 20 hours per weekDemonstrate strong written communication and clinical documentation skillsBe comfortable independently evaluating complex medical records and providing evidence-based conclusionsHave the ability to meet established case turnaround deadlines Why Join Our Physician Reviewer Network? 100% remote1099 independent contractor opportunity$750–$2,000 per case, based on case type and complexityFlexible case assignments based on your specialty and availabilityMaintain your existing clinical practice while taking on supplemental review workApply your medical expertise beyond direct patient careContribute to independent clinical oversight and the quality of care provided to military members and their families Salary Description $750-$2,000/case