Physician Clinical Reviewer -Family Practice- (Remote)

WeekdayDoc's proprietary algorithm rates Physician Clinical Reviewer -Family Practice- (Remote) at Prime Therapeutics a 6.9 out of 10 for work-life balance — classified as good. This places the position in the top 25% of all General Medicine physician listings evaluated on our platform. Contributing factors include no on-call duties, no weekend requirements.

This score reflects a generally positive work environment with some areas for improvement. Clinicians should evaluate scheduling and workload expectations carefully.

This General Medicine 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.

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

This position is based in United States.

Key skills and qualifications: Medical Review, Utilization Management, Clinical Determinations, Physician Interaction, Guideline Adherence, Regulatory Compliance, Appeals Review, Inter-rater Reliability. Candidates with experience in these areas may be especially well-suited for this General Medicine role.

Core responsibilities: This role involves providing timely medical review for service requests that do not initially meet medical necessity guidelines, often interacting with requesting physicians or ordering providers by phone or fax. The reviewer also assists Initial Clinical Reviewers and ensures consistency by utilizi...