Peer Reviewer (Board Certified) (Remote-Maryland)

Commence • Baltimore, MD

15h • $750 - $2,000 • Remote

About The Position

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

• Actively practicing, Board-Certified Physicians in the following specialties: Family Medicine with pediatric experience, Rheumatology, Pain Management, Psychiatry, Physical Medicine & Rehabilitation (PM&R)
• 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

Responsibilities

• 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

Benefits

• 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

What This Job Offers

• Career Level: Senior