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Disability Review Physician Jobs (NOW HIRING)

Dane Street, LLC

Utilization Review Physician

Overview We are seeking a high-performing Physician Reviewer to join our Group Health division. The ... Employees receive basic life insurance, short-term disability, and long-term disability coverage at ...

CAPITOL BRIDGE, LLC

Claims Review Physician (57795)

$250/wk

Claims Review Physician Fully Remote Overview Position Type Contractor Job Shift Any Description ... sensory disability, HIV Status, sexual orientation, gender identity and/or expression, marital ...

Capitol Bridge, LLC.

$250/wk

We are looking to build our panel of Claims Review Physicians. This is a flexible, fully remote ... Reasonable accommodation may be made to enable individuals with disabilities to perform essential ...

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Disability Review Physician information

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$97.5K

$217.4K

$350K

How much do disability review physician jobs pay per year?

As of Jul 28, 2026, the average yearly pay for disability review physician in the United States is $217,445.00, according to ZipRecruiter salary data. Most workers in this role earn between $190,000.00 and $244,500.00 per year, depending on experience, location, and employer.

What are the typical daily responsibilities of a Disability Review Physician?

A Disability Review Physician typically spends their day reviewing medical records, assessing documentation, and making determinations on disability claims based on established medical and legal criteria. The role often involves working closely with case managers, other physicians, and administrative staff to clarify complex cases or request additional information. You may also be responsible for documenting your findings, participating in team meetings, and occasionally providing expert testimony or consultation. While patient interaction is limited, the role requires precise clinical judgment and a strong commitment to ethical decision-making.

What is a Disability Review Physician job?

A Disability Review Physician evaluates medical records and disability claims to determine if individuals meet the criteria for disability benefits. They review medical evidence, consult with healthcare providers if needed, and ensure claims comply with established guidelines. These physicians typically work for government agencies, insurance companies, or private organizations. Their role is primarily administrative, focusing on documentation review rather than direct patient care.

What are the key skills and qualifications needed to thrive in the Disability Review Physician position, and why are they important?

To thrive as a Disability Review Physician, you need a valid medical degree, board certification, and expertise in evaluating medical conditions in relation to disability guidelines. Familiarity with case management systems, medical documentation software, and regulatory frameworks such as Social Security Administration or insurance protocols is essential. Strong analytical thinking, attention to detail, and effective communication skills are also vital for collaborating with multidisciplinary teams and explaining findings clearly. These qualifications ensure thorough, objective disability determinations and support fair, evidence-based decisions for claimants.

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What cities are hiring for Disability Review Physician jobs? Cities with the most Disability Review Physician job openings:
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Disability Review Physician jobs near you
Infographic showing various Disability Review Physician job openings in the United States as of July 2026, with employment types broken down into 1% As Needed, 77% Full Time, 19% Part Time, and 3% Contract. Highlights an 97% Physical, 1% Hybrid, and 2% Remote job distribution, with an average salary of $217,445 per year, or $104.5 per hour.
Utilization Review Physician

Utilization Review Physician

Dane Street, LLC

Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 15 days ago

Job description

Overview
We are seeking a high-performing Physician Reviewer to join our Group Health division. The role is responsible for delivering timely, defensible utilization review determinations across a high-volume, fast-paced environment. Reviews span multiple case types, including preauthorization, appeals, DRG clinical validation, benefit review, and experimental/investigational determinations.
Key Responsibilities
  • Perform utilization review for:
    • Preauthorization requests
    • Appeals (first and second level)
    • Independent external reviews
    • DRG validation and clinical review
    • Benefit and coverage determinations
    • Experimental/Investigational (E/I) review
  • Apply evidence-based criteria and guidelines, including:
    • InterQual
    • MCG
    • CMS guidelines (including 2-Midnight Rule)
    • LCD/NCD
    • Client-specific policies
  • Produce clear, concise, and defensible clinical rationales
  • Maintain high accuracy and consistency across determinations
  • Meet or exceed turnaround time (TAT) expectations, including urgent cases
  • Participate in peer-to-peer discussions as needed
  • Collaborate with QA and operational teams to ensure quality and compliance
  • Reviews may be conducted within internal systems or client-specific platforms, depending on assignment and client requirements

Performance Metrics
  • High daily review volume with strong accuracy
  • Consistent adherence to client-specific requirements
  • Ability to manage short-TAT and urgent cases efficiently
  • Clear, audit-ready documentation

Required Qualifications
  • MD or DO, board-certified in Internal Medicine, Family Medicine, or similar
  • Active, unrestricted medical license
  • Prior utilization review experience, preferably in a health plan or IRO environment
  • Familiarity with InterQual, MCG, and CMS guidelines
  • Strong clinical judgment and documentation skills
  • Ability to work independently in a high-throughput environment

Technical Skills
  • Proficiency with standard business tools (e.g., Google Workspace, Microsoft Office)
  • Comfortable working across multiple systems, including internal platforms and client-specific portals
  • Strong navigation and documentation skills within web-based applications
  • Ability to manage multiple systems/screens simultaneously in a high-throughput environment
  • Familiarity with Mac operating systems

Work Environment
  • Remote work from home
  • Full-time, Monday-Friday
  • Availability for occasional weekends and holiday coverage for urgent reviews

Benefits
Join our team at Dane Street and enjoy a comprehensive benefits package designed to support your well-being and peace of mind. We offer a range of benefits including medical, dental, and vision coverage for you and your family. Additionally, we offer voluntary life insurance options for you, your spouse, and your children. We also offer other voluntary benefits which include hospital indemnity, critical illness, accident indemnity, and pet insurance plans. Employees receive basic life insurance, short-term disability, and long-term disability coverage at no cost. Our generous paid time off policy ensures you have time to relax and recharge, while our 401k plan with a company match helps you plan for your future. Apple equipment and a media stipend are provided for remote workspace.
ABOUT DANE STREET:
A fast-paced, Inc. 500 Company with a high-performance culture, is seeking insightful forward-thinking professionals. We process over 200,000 insurance claims annually for leading national and regional Workers' Compensation, Disability, Auto, and Group Health Carriers, Third-Party Administrators, Managed Care Organizations, Employers, and Pharmacy Benefit Managers. We provide customized Independent Medical Exams and Peer Review programs that assist our clients in reaching the appropriate medical determination as part of the claims management process.

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