Physician Clinical Reviewer - Rheumatology- (Remote)

This Physician Clinical Reviewer - Rheumatology- (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 Rheumatology 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, Rheumatology professionals earn a median annual salary of approximately $290k, with the typical range spanning $220k to $380k depending on experience, location, and practice setting.

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

This is approximately 12% below the national median for Rheumatology professionals, which is around $290k.

This position is based in United States.

Key skills and qualifications: Medical Review, Utilization Management, Clinical Determinations, Physician Interaction, Regulatory Compliance, Appeals Review, Clinical Rationale, Guideline Interpretation. Candidates with experience in these areas may be especially well-suited for this Rheumatology 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 and providers by phone or fax. The Physician Clinical Reviewer also provides clinical rationale for standard and expedited app...