Physician Clinical Reviewer- Orthopedics- (Remote)

This Physician Clinical Reviewer- Orthopedics- (Remote) position at Prime Therapeutics includes the following lifestyle factors: no on-call duties, no weekend requirements. Candidates should review the full job details to assess overall work-life fit.

This Orthopedic Surgery position at Prime Therapeutics is open to physician candidates.

Physicians (MD/DO) are in high demand across healthcare settings, with growing interest in positions that offer sustainable schedules and reduced administrative burden.

Nationally, Orthopedic Surgery professionals earn a median annual salary of approximately $510k, with the typical range spanning $380k to $700k depending on experience, location, and practice setting.

Prime Therapeutics lists compensation for this physician position at $189k to $321k annually.

This is approximately 50% below the national median for Orthopedic Surgery professionals, which is around $510k.

This position is based in United States.

Key skills and qualifications: Medical Review, Utilization Management, Clinical Determination, Physician Interaction, Regulatory Compliance, Appeals Review, Guideline Interpretation, Documentation. Candidates with experience in these areas may be especially well-suited for this Orthopedic Surgery role.

Core responsibilities: The Physician Clinical Reviewer provides timely medical review of service requests that do not initially meet medical necessity guidelines and discusses determinations with requesting providers within regulatory time frames. This role involves providing clinical rationale for appeals, assisting init...