Physician Clinical Reviewer - Pediatric Rheumatology- (Remote)

This Physician Clinical Reviewer - Pediatric 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 Time Frame, Appeals Review, Clinical Rationale, Medical Guidelines. Candidates with experience in these areas may be especially well-suited for this Rheumatology role.

Core responsibilities: The Physician Clinical Reviewer provides timely medical review of service requests that do not meet initial medical necessity guidelines, routinely interacting with physicians and staff. Responsibilities include discussing determinations with requesting providers, providing clinical rationale for ap...