Serve as the specialty match reviewer in Cardiology cases, that do not initially meet the applicable medical necessity guidelines, as well as other requests when providers, clients, or state laws ...
Serve as the specialty match reviewer in Cardiology cases, that do not initially meet the applicable medical necessity guidelines, as well as other requests when providers, clients, or state laws ...
Serve as the specialty match reviewer in Cardiology cases, that do not initially meet the applicable medical necessity guidelines, as well as other requests when providers, clients, or state laws ...
Serve as the specialty match reviewer in Cardiology cases, that do not initially meet the applicable medical necessity guidelines, as well as other requests when providers, clients, or state laws ...
As a peer reviewer, you will apply your clinical expertise to evaluate cases, specific to your specialty, medical necessity and/or standard of care, supporting efforts to enhance the overall quality ...
As a peer reviewer, you will apply your clinical expertise to evaluate cases, specific to your specialty, medical necessity and/or standard of care, supporting efforts to enhance the overall quality ...
PEER REVIEWER - Geriatrician - REMOTE
Washington, DC · Remote
$209K - $245K/yr
As a peer reviewer, you will apply your clinical expertise to evaluate cases, specific to your specialty, medical necessity and/or standard of care, supporting efforts to enhance the overall quality ...
PEER REVIEWER - Geriatrician - REMOTE
Washington, DC · Remote
$209K - $245K/yr
As a peer reviewer, you will apply your clinical expertise to evaluate cases, specific to your specialty, medical necessity and/or standard of care, supporting efforts to enhance the overall quality ...
As a peer reviewer, you will apply your clinical expertise to evaluate cases, specific to your specialty, medical necessity and/or standard of care, supporting efforts to enhance the overall quality ...
As a peer reviewer, you will apply your clinical expertise to evaluate cases, specific to your specialty, medical necessity and/or standard of care, supporting efforts to enhance the overall quality ...
Those fully remote associates residing in states where service is required by contract, law, or ... This role requires reviewing provider requests, gathering necessary medical documentation, and ...
Those fully remote associates residing in states where service is required by contract, law, or ... This role requires reviewing provider requests, gathering necessary medical documentation, and ...
AI Consulting Expert - Remote
Washington, DC · Remote
$100 - $200/hr
Remote Job Overview We are seeking experienced AI Consulting Domain Experts to contribute their ... In this role, you will evaluate, review, and refine AI-generated business content, helping enhance ...
Quick apply
AI Consulting Expert - Remote
Washington, DC · Remote
$100 - $200/hr
Remote Job Overview We are seeking experienced AI Consulting Domain Experts to contribute their ... In this role, you will evaluate, review, and refine AI-generated business content, helping enhance ...
PEER REVIEWER - GENERAL SURGEON - REMOTE
Washington, DC · Remote
$255K - $307K/yr
As a peer reviewer, you will apply your clinical expertise to evaluate cases, specific to your specialty, medical necessity and/or standard of care, supporting efforts to enhance the overall quality ...
PEER REVIEWER - GENERAL SURGEON - REMOTE
Washington, DC · Remote
$255K - $307K/yr
As a peer reviewer, you will apply your clinical expertise to evaluate cases, specific to your specialty, medical necessity and/or standard of care, supporting efforts to enhance the overall quality ...
As a peer reviewer, you will apply your clinical expertise to evaluate cases, specific to your specialty, medical necessity and/or standard of care, supporting efforts to enhance the overall quality ...
As a peer reviewer, you will apply your clinical expertise to evaluate cases, specific to your specialty, medical necessity and/or standard of care, supporting efforts to enhance the overall quality ...
As a peer reviewer, you will apply your clinical expertise to evaluate cases, specific to your specialty, medical necessity and/or standard of care, supporting efforts to enhance the overall quality ...
As a peer reviewer, you will apply your clinical expertise to evaluate cases, specific to your specialty, medical necessity and/or standard of care, supporting efforts to enhance the overall quality ...
As a peer reviewer, you will apply your clinical expertise to evaluate cases, specific to your specialty, medical necessity and/or standard of care, supporting efforts to enhance the overall quality ...
As a peer reviewer, you will apply your clinical expertise to evaluate cases, specific to your specialty, medical necessity and/or standard of care, supporting efforts to enhance the overall quality ...
As a peer reviewer, you will apply your clinical expertise to evaluate cases, specific to your specialty, medical necessity and/or standard of care, supporting efforts to enhance the overall quality ...
As a peer reviewer, you will apply your clinical expertise to evaluate cases, specific to your specialty, medical necessity and/or standard of care, supporting efforts to enhance the overall quality ...
PEER REVIEWER - DERMATOLOGY - REMOTE
Washington, DC · Remote
$18.50 - $23.75/hr
As a peer reviewer, you will apply your clinical expertise to evaluate cases, specific to your specialty, medical necessity and/or standard of care, supporting efforts to enhance the overall quality ...
PEER REVIEWER - DERMATOLOGY - REMOTE
Washington, DC · Remote
$18.50 - $23.75/hr
As a peer reviewer, you will apply your clinical expertise to evaluate cases, specific to your specialty, medical necessity and/or standard of care, supporting efforts to enhance the overall quality ...
As a peer reviewer, you will apply your clinical expertise to evaluate cases, specific to your specialty, medical necessity and/or standard of care, supporting efforts to enhance the overall quality ...
As a peer reviewer, you will apply your clinical expertise to evaluate cases, specific to your specialty, medical necessity and/or standard of care, supporting efforts to enhance the overall quality ...
Those fully remote associates residing in states where service is required by contract, law, or ... This role requires reviewing provider requests, gathering necessary medical documentation, and ...
Those fully remote associates residing in states where service is required by contract, law, or ... This role requires reviewing provider requests, gathering necessary medical documentation, and ...
As a peer reviewer, you will apply your clinical expertise to evaluate cases, specific to your specialty, medical necessity and/or standard of care, supporting efforts to enhance the overall quality ...
As a peer reviewer, you will apply your clinical expertise to evaluate cases, specific to your specialty, medical necessity and/or standard of care, supporting efforts to enhance the overall quality ...
PEER REVIEWER - PEDIATRIC GASTROENTEROLOGY PHYSICIAN - REMOTE
Washington, DC · Remote
$18.50 - $23.75/hr
As a peer reviewer, you will apply your clinical expertise to evaluate cases, specific to your specialty, medical necessity and/or standard of care, supporting efforts to enhance the overall quality ...
PEER REVIEWER - PEDIATRIC GASTROENTEROLOGY PHYSICIAN - REMOTE
Washington, DC · Remote
$18.50 - $23.75/hr
As a peer reviewer, you will apply your clinical expertise to evaluate cases, specific to your specialty, medical necessity and/or standard of care, supporting efforts to enhance the overall quality ...
As a peer reviewer, you will apply your clinical expertise to evaluate cases, specific to your specialty, medical necessity and/or standard of care, supporting efforts to enhance the overall quality ...
As a peer reviewer, you will apply your clinical expertise to evaluate cases, specific to your specialty, medical necessity and/or standard of care, supporting efforts to enhance the overall quality ...
PEER REVIEWER - Physical Medicine & Rehabilitation - REMOTE
Washington, DC · Remote
$18 - $23/hr
As a peer reviewer, you will apply your clinical expertise to evaluate cases, specific to your specialty, medical necessity and/or standard of care, supporting efforts to enhance the overall quality ...
PEER REVIEWER - Physical Medicine & Rehabilitation - REMOTE
Washington, DC · Remote
$18 - $23/hr
As a peer reviewer, you will apply your clinical expertise to evaluate cases, specific to your specialty, medical necessity and/or standard of care, supporting efforts to enhance the overall quality ...
As a peer reviewer, you will apply your clinical expertise to evaluate cases, specific to your specialty, medical necessity and/or standard of care, supporting efforts to enhance the overall quality ...
As a peer reviewer, you will apply your clinical expertise to evaluate cases, specific to your specialty, medical necessity and/or standard of care, supporting efforts to enhance the overall quality ...
Remote Reviewer information
See Vienna, VA salary details
$10.62 - $14.08
1% of jobs
$14.08 - $17.55
13% of jobs
$17.55 - $21.01
4% of jobs
$22.39 is the 25th percentile. Wages below this are outliers.
$21.01 - $24.48
18% of jobs
$24.48 - $27.94
14% of jobs
The median wage is $28.05 / hr.
$27.94 - $31.41
17% of jobs
$31.41 - $34.88
7% of jobs
$35.27 is the 75th percentile. Wages above this are outliers.
$34.88 - $38.34
12% of jobs
$38.34 - $41.81
8% of jobs
$41.81 - $45.27
5% of jobs
$45.27 - $48.74
1% of jobs
$10
$29
$48
How much do remote reviewer jobs pay per hour?
What is a remote reviewer?
A Remote Reviewer evaluates content, products, or services from a remote location, providing feedback based on specific guidelines. This role may involve reviewing articles, books, videos, software, or other materials for accuracy, quality, and adherence to standards. Depending on the industry, reviewers may work as freelancers, part-time employees, or full-time staff. Strong attention to detail, analytical skills, and subject matter expertise are often required.
What skills and qualifications are needed to thrive as a remote reviewer?
To thrive as a Remote Reviewer, you need excellent analytical skills, attention to detail, and expertise in the subject matter being reviewed, often supported by relevant education or experience. Familiarity with collaborative online platforms, document review systems, or specialized review software is frequently required. Strong written communication, time management, and self-motivation are essential soft skills in this predominantly independent role. These competencies ensure accurate, timely, and high-quality reviews while maintaining productivity in a remote work environment.
What are common challenges faced by remote reviewers and how can they be managed?
Remote Reviewers often face challenges such as managing time effectively, minimizing distractions at home, and keeping up with changing review guidelines or standards. To address these, it’s important to set a dedicated workspace, establish a consistent daily routine, and stay proactive about reviewing updates from your team or employer. Regular communication through email or collaboration tools helps maintain alignment with colleagues and ensures questions are quickly resolved. Many companies also offer onboarding or ongoing training to help remote team members stay current and productive. Adapting to feedback and staying organized are key to success in this flexible yet self-driven role.
What are the most commonly searched types of Reviewer jobs in Vienna, VA?
The most popular types of Reviewer jobs in Vienna, VA are:
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Remote Cardiology, Physician Clinical Reviewer
Arlington, VA • On-site, Remote
8.4
Based on 18 frontline employees who took The Breakroom Quiz
73rd of 499 rated business services
Great coworkers
People enjoy working here
Good employer
Recommended by parents
Respectful managers
Other
Posted 24 days ago
Job description
As a Cardiology, Field Medical Director you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in patients lives, in a non-clinical environment. You can enjoy better work- life balance on a team that values collaboration and continuous learning while providing better health outcomes.
Collaboration Opportunities:
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Routinely interacts with leadership and management staff, other Physicians, and staff whenever a physician`s input is needed or required. As well as, aids and acts as a resource to Initial Clinical Reviewers.
What You Will Be Doing:
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Serve as the specialty match reviewer in Cardiology cases, that do not initially meet the applicable medical necessity guidelines, as well as other requests when providers, clients, or state laws require specialty reviews to be completed by the subject matter expert.
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Provides clinical rationale for standard and expedited appeals.
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Discusses determinations (peer to peer phone calls) with requesting physicians or ordering providers, when available, within the regulatory timeframe of the request.
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Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA) guidelines.
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Ensures documentation of all communications with medical office staff and/or MD provider is recorded in a timely and accurate manner.
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Participates in on-going training per inter-rater reliability process.
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May assist the Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support.
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On a requested basis, may function as Medical Director for selecting health plans or regions, assuming overall accountability for utilization management while working in conjunction with the Senior Medical Director.
Qualifications - Required and Preferred:
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MD/DO/MBBS Degree
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Current, unrestricted clinical license in medicine or required specialty
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Obtaining and maintaining medical licenses in the state you reside, as well as, other state licensure required per business needs
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Active Board Certification in Cardiology, Vascular Surgery or Adult Congenital Heart Disease
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Strong clinical, management, communication, and organizational skills
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Energetic and curious with a passion for quality and value in health care
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Computer Proficiency
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Minimum of five (5) years’ experience in the practice of Cardiology is preferred
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Not under current exclusion or sanction by any state or federal health care program, including Medicare or Medicaid, and is not identified as an “excluded person” by the Office of Inspector General of the Department of Health and Human Services or the General Service Administration (GSA), or reprimanded or sanctioned by Medicare.
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No history of a major disciplinary or legal action by a state medical board
About Evolent
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
1,001 - 5,000 Employees
Headquarters location
Arlington, VA, US