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Carecentrix Jobs (NOW HIRING)

CareCentrix

$150 - $170/hr

CareCentrix accepts applications on an ongoing basis until a candidate is identified. #IDCC Employment Type: OTHER

CareCentrix

$240K - $280K/yr

Participates in CareCentrix Care Coordination, Utilization Management, Quality Improvement and clinical education activities, as requested. * Utilizes clinical integrity in all determinations and ...

CareCentrix

$150K - $170K/yr

Collaborate cross-functionally with CareCentrix teams to identify integration opportunities, share insights, and advance initiatives that enhance product performance * Refining and communicating ...

CareCentrix

... CareCentrix's network. This position provides people leadership for the Network Contracting and Credentialing teams, driving talent development, operational excellence, and cross-functional ...

AdvisaCare

Home Health Intake Coordinator

Portage, MI · On-site

$17 - $23/hr

Experience with insurance websites such as CareCentrix, Availity, Priority, etc. preferred. * Knowledge of Wellsky/Kinnser Agency Manager is preferred * Experience coordinating with others both ...

AdvisaCare

Home Health Intake Coordinator

Portage, MI · On-site

$17 - $23/hr

Experience with insurance websites such as CareCentrix, Availity, Priority, etc. preferred. * Knowledge of Wellsky/Kinnser Agency Manager is preferred * Experience coordinating with others both ...

AdvisaCare

Home Health Intake Coordinator

Portage, WI · On-site

$19 - $26/hr

Experience with insurance websites such as CareCentrix, Availity, Priority, etc. preferred. * Knowledge of Wellsky/Kinnser Agency Manager is preferred * Experience coordinating with others both ...

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Infographic showing various Carecentrix job openings in the United States as of July 2026, with employment types broken down into 100% Full Time. Highlights an 62% Physical, 13% Hybrid, and 25% Remote job distribution.
Physician Reviewer (Part Time)

Physician Reviewer (Part Time)

CareCentrix

Remote

$150 - $170/hr

Other

Re-posted 6 days ago

CareCentrix rating

8.7

Company rating: 8.7 out of 10

Based on 8 frontline employees who took The Breakroom Quiz

Job description

Overview

As a Permanent Part-Time Physician Reviewer, you will conduct utilization reviews to determine medical necessity across our different lines of business, including Post-Acute Care, Home Health, Durable Medical Equipment (DME), Home Infusion Therapy, Sleep services.

In this role, you will collaborate, as needed, with internal staff, providers, and ordering physicians to support appropriate, evidence-based care decisions.

Position Details: Title: Physician Reviewer (Part-Time, Permanent) Pay: $150 to $170 per hour Hours: 25 hours per week Schedule: Consistent weekday schedule, between 8:00 a.m. and 6:00 p.m. EST, with flexibility to work additional hours as needed to meet business demands (including evenings, weekends, and holidays)

Responsibilities
  • Conduct medical necessity reviews for cases that may not meet established criteria and issue adverse determinations when appropriate
  • Evaluate requests across post-acute care services in alignment with clinical and regulatory standards
  • Meet or exceed Service Level Agreements (SLA) and performance guarantees required by health plan clients
  • Apply sound clinical judgment and maintain integrity in all determinations and interactions
  • Collaborate effectively with internal and external stakeholders, including providers and physicians
  • Perform other duties as assigned
Qualifications
  • MD or DO with an active, unrestricted medical license (in states aligned with CareCentrix client payer requirements)
  • Current and unexpired board certification in a relevant specialty
  • Minimum 3+ years of utilization management (UM) experience
  • Minimum 3+ years of clinical practice experience, including inpatient care
  • Experience using evidence-based clinical guidelines (e.g., Milliman/InterQual), as well as CMS and state-specific regulatory criteria, preferred

CareCentrix maintains a drug-free workplace

We are an equal opportunity employer. Employment selection and related decisions are made without regard to age, race, color, national origin, religion, sex, disability, sexual orientation, gender identification, or being a qualified disabled veteran or qualified veteran of the Vietnam era or any other category protected by Federal or State law.

CareCentrix accepts applications on an ongoing basis until a candidate is identified.

#IDCC 

Employment Type: OTHER

What CareCentrix employees say

Pay

Hours and flexibility

Workplace

Get the full story on Breakroom

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About CareCentrix

Sourced by ZipRecruiter

CareCentrix is one of the fastest growing home healthcare companies in the country! We are uniquely positioned in the hottest area of healthcare, providing Health Plans and Providers with a one-stop solution that coordinates all our patient's home healthcare needs, including skilled nursing services, home infusion therapies, physical therapy, durable medical equipment, sleep solutions, and post-acute care management.

Industry

Health care and social assistance

Company size

1,001 - 5,000 Employees

Headquarters location

Hartford, CT, US

Year founded

1996

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