Physician Peer Reviewer (must be actively practicing)

What You’ll Do

• Conduct independent, remote case reviews evaluating medical necessity, appropriateness, or quality of care.
• Provide evidence-based assessments and written determinations following established clinical guidelines and review criteria.
• Support case types including: Utilization review, Appeals and hearings, Quality of care and standard of care concerns
• Uphold the highest standard of clinical integrity, neutrality, and objectivity.

Qualifications

• Hold an active, unrestricted U.S. license as an MD/DO
• Board certified in your specialty by an ABMS or AOA-recognized board
• Minimum of 5 years of clinical experience in your specialty
• Currently practicing and seeing patients an average of at least 20 hours per week

Preferred Qualifications

• Experience with QIO, peer review, utilization review, or appeals work
• Familiarity with military or federal healthcare programs (e.g., TRICARE, Medicare)
• Previous experience with legal or regulatory case reviews

Why This Role

• Full-time, contract-based (1099)
• Flexible workload – cases assigned based on your availability and specialty
• Impactful work that contributes to high-quality care and oversight
• Per-case pay ranging from $100–$450 depending on case complexity
• Most cases take 1–3 hours to complete; shorter reviews may take less than 1 hour
• Strong written communication skills and attention to detail
• Able to review cases objectively and meet turnaround deadlines
• Comfortable working independently in a secure, remote environment

Current High Priority Specialties

• Physician: Urology
• Dentist: Comprehensive Dentistry
• Physician: Nephrology
• Physician: Pediatrics (Neonatal-Perinatal Medicine)
• Physician: Pediatrics & Adolescent (General)
• Physician: Otolaryngology
• Physician: Psychiatry
• Physician: Anesthesiologist
• Physician: Neurology
• Physician: Ophthalmologist
• Physician: Physical Medicine & Rehabilitation

Benefits

Commence.AI is committed to providing equal employment opportunities to all applicants, including individuals with disabilities. If you require a reasonable accommodation to participate in the application process due to a disability, please contact Human Resources at (757) 306-4920 or hr@commence.ai. Please note that unless you are requesting accommodation, all applications must be submitted through our online application system.