Mindlance · 10 hours ago
Internal Medicine Physician
United States
Contract
Remote
Senior Level
$105/hr - $110/hr
5+ years expMindlance is seeking a Physician Reviewer to evaluate clinical service requests made by members and providers. The role involves using clinical judgment to adjudicate requests and providing clinical leadership, while also participating in continuous quality improvement activities.
Human Resources
Hiring Manager
Kunal Choudhary
Responsibilities
Evaluates clinical service requests made by an organization's members and providers
Uses clinical judgment in conjunction with organization's criteria to adjudicate these requests
May also provide clinical leadership in other areas of the organization
Identifies opportunities to manage members' clinical situations with a view toward creative problem solving and anticipation of possible future clinical problems for the member
Participates in the process to evaluate clinical service requests
Practices anticipatory case management for members whose cases come for review, in partnership with case managers
Participates in the Physician Review Units' appeal process of service denials
Participates in the development of Physician Review Units' policies and procedures
Actively participates in all unit continuous quality improvement activities
Other duties as assigned by the Medical Director
Qualification
Required
Board Certified (ABMS) M.D. or D.O
Unrestricted and active license to practice medicine in Texas
5 years clinical experience to include inpatient experience
Understanding of managed care
Demonstrate PC proficiency, as file review will be done via computer in most cases
Company
Mindlance
Mindlance is a Staffing and Recruiting company which provides multi-vertical staffing services
1001-5000 employees
H1B Sponsorship
Mindlance has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (71)
2024 (53)
2023 (37)
2022 (72)
2021 (36)
2020 (40)
Funding
Current Stage
Late StageLeadership Team
R
Rajat Paul Dhall
Co-Founder & Managing Director
V
Vik Kalra
Co-Founder and Managing Director
Recent News
2025-11-19
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