General Surgeon - Utilization Review - Remote (1099 Independent Contractor)

Summary: The role of General Surgeon - Utilization Review involves reviewing prior authorizations for treatment based on established medical guidelines while ensuring compliance with relevant regulations. This position is remote, allowing for flexible hours, and requires a Minnesota state medical license along with board certification in General Surgery. The contractor will provide expert assessments on medical claims, primarily working independently.

Key Responsibilities:

• Review Prior Authorizations for treatment by applying nationally accepted medical and healthcare plan guidelines.
• Provide expert, unbiased assessments while ensuring compliance with ERISA/DOL and state regulations.
• Work flexibly, completing most cases in 30-60 minutes, with a commitment of 1-2 hours per week.
• Maintain compliance with HIPAA regulations while working remotely from anywhere in the US.

Key Skills:

• MD or DO degree.
• Board Certified in General Surgery.
• 5 years of patient care experience in General Surgery.
• Unrestricted Minnesota state medical license.
• US Citizenship or Green Card holder.

Salary (Rate): undetermined

City: undetermined

Country: undetermined

Working Arrangements: remote

IR35 Status: outside IR35

Seniority Level: undetermined

Industry: Other