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Medical Review Institute of America, LLC (MRIoA) was incorporated in 1983. Today MRIoA is an industry leader in providing external review resources for over 800 clients nationwide. MRIoA provides review of medical, dental, behavioral health, pharmacy, vision, disability, workers' compensation, and auto claims for insurance carriers, employers, TPAs, self- administered union groups, pharmacy benefit managers, human resource consultants and departments of insurance throughout the country. MRIoA utilizes a nationwide network of board-certified physician specialists and professionals in over 133 specialties and sub-specialties of medicine. MRIoA also has reviewers in most states, offering the most extensive same-state reviewer resources available from an external review organization. MRIoA holds dual accreditation with URAC with certificates in Health Utilization Management and as an Independent Review Organization. In addition we are NCQA and SSAE 16 certified.MRIoA's goal is to render a professional, independent and unbiased opinion to assist our clients with their adjudication challenges or to provide an external source to comply with ERISA/DOL or state laws.MRIoA reviews cases prospectively, concurrently and retrospectively for: Medical Necessity, Appropriate Treatment, Experimental Procedures, Utilization Frequency, Appropriate Hospitalization, Formulary Criteria Review, Pre-Existing Conditions, Injury Causation, CPT Coding, Level of Disability, Provider Fees, Outpatient Facility Fees, and all Diagnostic Testing and Charges.MRIoA has provided state-level external review in many states since 2001. MRIoA is also contracted with hundreds of clients to offer Federal External Review under the ACA.
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Live jobs
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Remote Clinical Psychologist Utilization Reviewer (TX or MN Licensed) -1099 Contractor
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Remote Pediatric Endocrinology Utilization Review (Texas Licensed)- 1099 Contractor
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Remote Pulmonology Utilization Reviewer (Indiana Licensed)- 1099 Contractor
Mid-level (2-5 years)
SDLC & ADLC Governance Lead (Remote)
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VP of Sales (Healthcare) - Fully Remote
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Pharmacy Operations Manager (Remote)
Mid-level (2-5 years)
Remote Dermatology Utilization Reviewer (Indiana Licensed) - 1099 Contractor
Senior (5-10 years)
Remote Dermatology Utilization Reviewer (Oregon Licensed) - 1099 Contractor
Senior (5-10 years)
Remote Orthopedic Surgery Utilization Reviewer (Maryland Licensed) - 1099 Contractor
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Remote Oncology Utilization Reviewer (Oregon Licensed) - 1099 Contractor
Senior (5-10 years)
Remote Rheumatology Utilization Reviewer (Oregon Licensed) - 1099 Contractor
Senior (5-10 years)
Remote Dermatology Utilization Reviewer (South Carolina Licensed) - 1099 Contractor
Senior (5-10 years)
Remote Oncology Utilization Reviewer (North Dakota Licensed) - 1099 Contractor
Senior (5-10 years)
Remote Dermatology Utilization Reviewer (Nevada Licensed) - 1099 Contractor
Senior (5-10 years)
Remote Genetics Utilization Reviewer (MN Licensed)- 1099 Contractor
Senior (5-10 years)
Remote Family Medicine/Sports Medicine Utilization Reviewer (PA Licensed) - 1099 Contractor
Senior (5-10 years)
Remote Allergy Utilization Reviewer (Indiana Licensed)- 1099 Contractor
Senior (5-10 years)
Remote Oncology Utilization Reviewer (Tennessee Licensed) - 1099 Contractor
Senior (5-10 years)
Remote Oncology Utilization Reviewer (Arizona Licensed) - 1099 Contractor
Senior (5-10 years)
Remote Oncology Utilization Reviewer (Minnesota Licensed) - 1099 Contractor
Senior (5-10 years)
Remote Quality Assurance Engineer
Senior (5-10 years)
Compliance Coordinator (Remote)
Mid-level (2-5 years)
Medical Director - Utilization Management (Remote)
Expert & Leadership (>10 years)
Quality Management Specialist (Remote)
Senior (5-10 years)
Manager of Expense Forecasting and Business Support (Remote)
Senior (5-10 years)
International Radiology Utilization Review- Remote - 1099
Senior (5-10 years)
Remote - Family Medicine Utilization Review - 1099 (contract)
Senior (5-10 years)
Remote - Radiologist Utilization Review - 1099 (contract)
Senior (5-10 years)
Remote - Ophthalmology Reviews - 1099 (contract)
Senior (5-10 years)
Oral Surgery
Senior (5-10 years)
Psychiatry - Utilization Review - REMOTE - Contract (1099)
Senior (5-10 years)
Vascular Surgery - Utilization Review - REMOTE - Contract (1099)
Senior (5-10 years)
Rheumatology - Utilization Review - Remote- 1099 (contract)
Senior (5-10 years)
Gastroenterology (MD/DO) Utilization Review - Remote - Contract (1099)
Senior (5-10 years)
Nephrology Utilization Review - REMOTE - Contract (1099)
Senior (5-10 years)
Dermatology Utilization Review - Remote - Contract (1099)
Senior (5-10 years)
Oncology Utilization Review - Remote - 1099 (contract)
Senior (5-10 years)
Child & Adolescent Psychiatrist
Senior (5-10 years)
Remote - Radiologist Utilization Review - 1099 (contract)
Expert & Leadership (>10 years)
Clinical Pharmacy Technician (Remote)
Last 90 days vs. the 90 days before
Rolling 12 months
Peak month
Jan · 20roles
Avg / month
7.2 roles
Momentum
+5% QoQ
What people ask before applying to Medical Review Institute
Medical Review Institute currently has 44 open remote roles listed on Jobgether. Open any role from the list on this page to see the details and apply directly.
Medical Review Institute has 201–500 employees.
Medical Review Institute operates in Health Insurance & Payers.
Medical Review Institute was founded in 1983.
See which Medical Review Institute roles match your profile, requirement by requirement, before you send a single application.
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