Summary: The Medical Genetic Utilization Review position at the Medical Review Institute of America involves reviewing prior authorizations for treatment based on established medical guidelines. This role is flexible, allowing for minimal hours per week, and is conducted remotely within the US. Candidates must possess a medical degree and board certification in genetics, along with an unrestricted medical license. The position is classified as an independent contractor role under the 1099 tax structure.

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 within 30-60 minutes.
• Maintain compliance with HIPAA regulations while working remotely.

Key Skills:

• Medical Degree (MD or DO).
• Board Certified in Genetics.
• Solid computer navigation skills.
• Unrestricted state medical license.
• Daytime availability.
• US Citizenship or Green Card holder.

Salary (Rate): undetermined

City: undetermined

Country: US

Working Arrangements: remote

IR35 Status: outside IR35

Seniority Level: undetermined

Industry: Other