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Physician Peer Reviewer – actively practicing
LivantaLLCPhysician Peer Reviewer conducting remote case reviews for medical necessity and quality of care. Supporting veterans with data-driven evaluations and maintaining clinical integrity while working independently.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in conducting independent case reviews and providing evidence-based assessments while adhering to clinical guidelines. Holds an active U.S. medical license and board certification, with extensive clinical experience and familiarity with healthcare programs.
Highest-signal resume keywords
Active U.S. Medical LicenseBoard Certification in SpecialtyClinical Experience (5+ Years)Utilization Review ExperienceFamiliarity with Military Healthcare Programs
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Case ReviewEvidence-Based AssessmentClinical GuidelinesQuality of Care EvaluationMedical Necessity Evaluation
Soft Skills
Clinical IntegrityNeutralityObjectivity
Certifications & Qualifications
Board Certification by ABMS or AOA
Industry Keywords
Utilization ReviewPeer ReviewAppeals WorkQIOTRICAREMedicareLegal Case ReviewsRegulatory Case Reviews
About the role
Key responsibilities & impact- Conduct independent, remote case reviews evaluating medical necessity, appropriateness, or quality of care.
- Provide evidence-based assessments and written determinations following established clinical guidelines and review criteria.
- Support case types including Utilization review, Appeals and hearings, Quality of care and standard of care concerns.
- Uphold the highest standard of clinical integrity, neutrality, and objectivity.
Requirements
What you’ll need- Hold an active, unrestricted U.S. license as an MD/DO
- Board certified in specialty by an ABMS or AOA-recognized board
- Minimum of 5 years of clinical experience in specialty
- Currently practicing and seeing patients an average of at least 20 hours per week
- Experience with QIO, peer review, utilization review, or appeals work (preferred)
- Familiarity with military or federal healthcare programs (e.g., TRICARE, Medicare) (preferred)
- Previous experience with legal or regulatory case reviews (preferred)
Benefits
Comp & perks- Fully remote
- Flexible workload – cases assigned based on availability and specialty
- Impactful work that contributes to high-quality care and oversight