Physician Peer Reviewer — Utilization Review | Remote | 1099 Contract | All Specialties

About the role

Comprehensive Medical Review Services, LLC (CMRS) is an URAC-accredited Independent Review Organization dedicated to improving the quality, responsiveness, and customer service in the IRO industry. We provide objective, timely, and evidence-based medical reviews that support fair decisions for payers, providers, and patients.

Responsibilities

• Review medical records, diagnostic data, and treatment requests to determine medical necessity, appropriateness, and level of care.
• Apply evidence-based clinical guidelines, state regulations, and payer policies to reach objective, defensible determinations.
• Produce clear, well-reasoned written reports that withstand appeal and regulatory scrutiny.
• Conduct telephonic peer-to-peer discussions with treating providers to clarify clinical information and explain determinations.
• Meet defined turnaround times and confidentiality, quality, and documentation standards on every case.
• Participate in peer consultations and quality review activities as needed.

Qualifications

• Current, unrestricted MD or DO license in at least one U.S. state. Additional state licenses are a plus.
• Board certification in your specialty; active clinical practice or faculty appointment.
• Experience in utilization review, peer review, IRO work, or managed care, with working knowledge of evidence-based guidelines (e.g., ODG, MTUS, ACOEM, Milliman/MCG, InterQual).
• Strong written and verbal communication skills — able to produce concise, defensible reports and conduct professional peer discussions.
• Solid clinical judgment, attention to detail, and the ability to make objective, unbiased decisions under time constraints.
• Comfortable with secure electronic review platforms and case management systems.
• Firm commitment to ethical practice, regulatory compliance, patient safety, and HIPAA confidentiality standards.
• Prior work with independent review organizations, health plans, workers' compensation systems, or disability carriers is beneficial.
• Physicians who hold or are eligible for state-specific reviewer registrations (e.g., Texas Department of Insurance IRO reviewer registration) are especially encouraged to apply.

Specialties in demand

• Orthopedic Surgery
• Neurosurgery
• Physical Medicine & Rehabilitation
• Pain Management
• Anesthesiology
• Neurology
• Occupational Medicine
• Internal Medicine
• Family Medicine
• Psychiatry
• Plus additional specialties as case volume requires.

How to apply

To apply, visit https://cmrsllc.com/network/ and complete the Provider Network Application. It takes about five minutes to submit your current CV, degree, board specialty, and states where you hold licensure, and select the review types you want to be considered for. Our credentialing team will review your submission and follow up within two business days.

Note: Applications are handled through our provider panel registration on the CMRS website. Please do not apply through LinkedIn messaging. Comprehensive Medical Review Services, LLC provides equal opportunity to all applicants and contractors without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other characteristic protected by applicable law.