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Location: Anywhere in the U.S.

Work: 100% Remote

Type: Regular Full-Time or Possibly Part-Time

Category: Medical

Client: Leading healthcare organization focused on improving patient outcomes through innovative solutions and technologies.


  • Use your analytical mindset. Provide timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria.

  • Review appeals for denied services related to relevant medical experience and our evidence-based guidelines, in accordance with appeal policies, if so delegated.

  • Be a team player. 

  • Work collaboratively with Physician Peers to help ensure patients receive proper care via evidence-based decision-making. 

  • Provide timely peer-to-peer discussions with referring physicians to clarify clinical information and to explain review outcome decisions.

  • Create new knowledge with our guidelines and systems, and new relationships with your peers. 

  • You’ll start with remote training, but you’re not doing it alone. 

  • You’ll enjoy a supportive environment with your peers, mentors, and leaders who want you to succeed in your new career.


  • Cutting edge. Continue learning and growing with the latest and greatest literature and guidelines in Gastroenterology.

  • Impact patient care nationally. we have one the largest Gastroenterology Prior Authorization program in the country, providing you a chance to impact clinical change on a nationwide scale while supporting patients in all U.S. time zones.

  • Career opportunities and growth. Our Associate Medical Directors have career growth opportunities.


  • M.D. or D.O. with a current, active, U.S. state medical license and board certified in Gastroenterology, recognized by the American Board of Medical Specialties (ABMS), or American Osteopathic Association (AOA).

  • Recent practice experience in direct patient care (within the past 18 months)

  • Must have a minimum of 5 years of clinical experience, beyond residency/fellowship.

  • Knowledge of applicable state and federal laws. Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA)standards are a plus.

  • The ability to commit to a set, weekly work schedule (Monday through Friday)

  • Strong computer skills: ability to work autonomously with automated processes.


  • Salaried position with benefits

  • Predictable work schedules

  • 100% Work at Home with full-time and part-time opportunities available

  • Health coverage effective day 1 (including medical, dental, and vision)

  • 8 Paid Holidays plus 23 PTO Days

  • 401K with company match

  • CME Reimbursement

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