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How much do remote medical utilization review physician jobs pay per hour?

As of Sep 3, 2026, the average hourly pay for remote medical utilization review physician in the United States is $42.28, according to ZipRecruiter salary data. Most workers in this role earn between $33.41 and $48.56 per hour, depending on experience, location, and employer.

What does a remote medical utilization review physician do?

A Remote Medical Utilization Review Physician evaluates medical records and treatment plans to determine the medical necessity, appropriateness, and efficiency of healthcare services provided to patients. Working remotely, they review clinical documentation, apply evidence-based guidelines, and make recommendations regarding approvals or denials of insurance claims. They also collaborate with healthcare providers, case managers, and insurance companies to ensure patients receive appropriate care while managing healthcare costs. This role is vital in maintaining high standards of patient care and compliance with regulations.

What are the key skills and qualifications needed to thrive as a remote medical utilization review physician?

To thrive as a Remote Medical Utilization Review Physician, you need a valid medical degree (MD or DO), active medical license, and thorough knowledge of clinical guidelines and insurance regulations. Familiarity with electronic medical record systems, utilization management software, and board certification in a relevant specialty are typically required. Excellent analytical thinking, attention to detail, and strong written and verbal communication skills help ensure objective and effective case reviews. These competencies are essential for accurately assessing medical necessity, ensuring compliance, and supporting quality patient care while managing healthcare costs.

What are some common challenges faced by remote medical utilization review physicians, and how can they be managed?

Remote Medical Utilization Review Physicians often encounter challenges such as navigating complex insurance policies, staying updated with evolving clinical guidelines, and communicating effectively with healthcare providers who may have differing opinions. Managing these challenges typically involves continuous education, leveraging decision-support tools, and developing strong written and verbal communication skills to explain decisions clearly. Additionally, working remotely requires efficient time management and the ability to maintain focus in a virtual environment, often supported by collaboration platforms and regular check-ins with the broader review team.

What is the difference between Remote Medical Utilization Review Physician vs Remote Medical Case Manager?

AspectRemote Medical Utilization Review PhysicianRemote Medical Case Manager
CredentialsMedical degree, medical license, certification in utilization reviewNursing or social work degree, case management certification
Work EnvironmentPerforming reviews, analyzing medical records remotelyCoordinating care, communicating with providers and patients remotely
Employer & IndustryInsurance companies, third-party administrators, healthcare organizationsInsurance companies, healthcare providers, case management firms

The Remote Medical Utilization Review Physician primarily evaluates medical necessity and approves or denies treatment requests, requiring medical licensure and certification. In contrast, the Remote Medical Case Manager focuses on coordinating patient care and facilitating communication between providers and patients, often with nursing or social work credentials. Both roles are remote, serve the healthcare and insurance industries, but differ in their core responsibilities and required qualifications.

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Remote Medical Utilization Review Physician jobs near you
Infographic showing various Remote Medical Utilization Review Physician job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 15% Part Time, and 6% Contract. Highlights an 92% Physical, 1% Hybrid, and 7% Remote job distribution, with an average salary of $87,946 per year, or $42.3 per hour.

Remote - Radiologist Utilization Review - 1099 (contract)

MRIoA

Salt Lake City, UT • Remote

Contractor

Re-posted 16 days ago

Job description

Description
Flexible Independent Contractor (1099)
Require a DC or Maryland State Medical License
ABOUT MRIoA
Founded in 1983, Medical Review Institute of America (MRIoA) is a nationally recognized Independent Review Organization (IRO) specializing in technology-driven utilization management and clinical medical review solutions. We're a leader in Peer and Utilization Reviews, known for excellence and continuous improvement.
THE OPPORTUNITY:
We are currently seeking Board-Certified physicians in RADIOLOGY to conduct independent Utilization Reviews. This is a flexible remote opportunity requiring just 1-2 hours per week-with no minimum commitment.
ADDITIONAL INFORMATION:
  • Work remotely from anywhere in the US (Per HIPAA Regulations, patient records cannot leave the US).
  • Covered under MRIoA's Errors and Omissions policy.
  • Independent Contractor (1099) opportunity.
  • Workers are required to adhere to all applicable HIPAA regulations and company policies and procedures regarding the confidentiality, privacy, and security of sensitive health information.

Requirements
  • Must have a Medical Degree MD or DO
  • Must have a current state medical license in DC or Maryland
  • Current Board Certification in Radiology
  • Must have 5 years of clinical experience residency to be included
  • Daytime availability is required for peer-to-peer conversations

California Consumer Privacy Act (CCPA) Information (California Residents Only):
  • Sensitive Personal Info: MRIoA may collect sensitive personal info such as real name, nickname or alias, postal address, telephone number, email address, Social Security number, signature, online identifier, Internet Protocol address, driver's license number, or state identification card number, and passport number.
  • Data Access and Correction: Applicants can access their data and request corrections. For questions and/or requests to edit, delete, or correct data, please email the Medical Review Institute at HR@mrioa.com.

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