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Family Medicine/Sports Medicine Utilization Reviewer, PA Licensed – 1099 Contractor
Medical Review Institute of America, LLC. Conduct independent Utilization Reviews .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in conducting Utilization Reviews while adhering to HIPAA regulations and maintaining patient confidentiality. Holds a Medical Degree and Board Certification in Family Medicine, with a fellowship in Sports Medicine and extensive clinical experience.
Highest-signal resume keywords
State Medical License in PennsylvaniaFellowship in Sports MedicineMedical Degree MD or DOCurrent Board Certification in Family Medicine5 Years of Clinical Experience
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Soft Skills
Daytime AvailabilityPeer-to-Peer Communication
Certifications & Qualifications
Current Pennsylvania Medical LicenseBoard Certification in Family Medicine
Industry Keywords
Utilization ReviewsHIPAA RegulationsPatient ConfidentialityClinical ExperienceResidency
About the role
Key responsibilities & impact- Conduct independent Utilization Reviews
- Work remotely from anywhere in the US, with patient records remaining in the US per HIPAA regulations
- Participate in peer-to-peer conversations during daytime availability
- Adhere to HIPAA regulations and company policies and procedures regarding sensitive health information
Requirements
What you’ll need- Required State Medical License in Pennsylvania
- Requires a fellowship in Sports Medicine
- Must have a Medical Degree MD or DO
- Must have a current Pennsylvania medical license
- Current Board Certification in Family Medicine and have a Fellowship in Sports Medicine
- Must have 5 years of clinical experience, residency to be included
- Daytime availability is required for peer-to-peer conversations
- Must adhere to all applicable HIPAA regulations and company policies and procedures regarding confidentiality, privacy, and security of sensitive health information
Benefits
Comp & perks- Flexible, fully remote opportunity requiring just 1–2 hours per week—with no minimum commitment
- Covered under MRIoA's Errors and Omissions policy
- Independent Contractor (1099) opportunity