Pediatric Utilization Review Jobs in Washington (NOW HIRING)

At Commence, we’re the start of a new age of data-centric transformation, elevating health outcomes and powering better, more efficient process to program and patient health. We combine quality data-driven solutions that fuel answers, technology that advances performance, and clinical expertise that builds trust to create a more efficient path to quality care.

With human-centered, healthcare-relevant, and value-based solutions, we create new possibilities with data. We provide proof beyond the concept and performance beyond the scope with a focus on efficiencies that transform the lives of those we serve. With a culture driven by purpose, straightforward communication and clinical domain expertise, Commence cuts straight to better care.

We’re growing our network of clinical reviewers and are actively seeking Pediatric Neurologist (must be actively practicing) who are passionate about quality, accountability, and patient outcomes. As a member of our reviewer panel, you'll play a key role in ensuring the appropriateness, necessity, and quality of care delivered to military members and their families. 

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/certification
• 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

Why This Role

• Fully remote, 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
• Ability to review cases objectively and meet turnaround deadlines
• Comfortable working independently in a secure, remote environment

Work Environment/Physical Demands

The work environment and physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
This is an office/remote position. While performing the duties of this job, the employee regularly works in a climate-controlled environment. Candidates must be able to sit, read, work on a computer, and watch a computer screen for extended periods of time. Occasionally required to stand, walk, use hands and fingers, kneel or crouch.
This is a remote position. Candidates must be able to sit, read, work on a computer, and watch a computer screen for extended periods of time. Occasionally required to stand, walk, use hands and fingers, kneel or crouch.
Commence is an equal employment opportunity employer. All personnel processes are merit-based and applied without discrimination on the basis of race, color, religion, sex, sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military and veteran status or any other characteristic protected by applicable law.
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 an accommodation, all applications must be submitted through our online application system.