Peer Reviewer (Board Certified) (Remote-Maryland)

Description

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.

Requirements

We are expanding our national network of independent physician reviewers and are seeking actively practicing, Board-Certified Physicians in the following specialties:

• Family Medicine with pediatric experience
• Rheumatology
• Pain Management
• Psychiatry
• Physical Medicine & Rehabilitation (PM&R)

This is a remote, 1099 independent contractor opportunity designed for physicians who want to leverage their clinical expertise outside of direct patient care while maintaining their current practice. This opportunity allows you to supplement your clinical practice with flexible, remote physician review work supporting quality of care for military members and their families.

As a physician reviewer, you will provide independent, evidence-based clinical assessments of cases involving medical necessity, quality of care, and appropriateness of services. Your expertise will help support objective healthcare oversight and quality outcomes for military members and their families.

What You'll Do

• Conduct independent, remote clinical case reviews within your area of expertise
• Evaluate medical necessity, appropriateness of care, quality of care, and standard of care
• Review medical records and supporting clinical documentation
• Apply established clinical guidelines, evidence-based standards, and professional judgment
• Provide clear, well-supported written determinations
• Support case types that may include utilization reviews, appeals, hearings, and quality or standard-of-care concerns
• Maintain clinical neutrality, objectivity, and confidentiality throughout the review process
• Complete assigned reviews within established turnaround times

What We're Looking For

Physicians must:

• Hold an active, unrestricted U.S. medical license
• Be Board Certified in their specialty by an ABMS or AOA-recognized board
• Have a minimum of 5 years of clinical experience within their specialty
• Be actively practicing and providing direct patient care an average of at least 20 hours per week
• Demonstrate strong written communication and clinical documentation skills
• Be comfortable independently evaluating complex medical records and providing evidence-based conclusions
• Have the ability to meet established case turnaround deadlines

Why Join Our Physician Reviewer Network?

• 100% remote
• 1099 independent contractor opportunity
• $750–$2,000 per case, based on case type and complexity
• Flexible case assignments based on your specialty and availability
• Maintain your existing clinical practice while taking on supplemental review work
• Apply your medical expertise beyond direct patient care
• Contribute to independent clinical oversight and the quality of care provided to military members and their families