Physician Advisor – (P2P) Medical Reviewer (1099 Contractor)
Clover Health · United States · US
Utilization Review
Remote
physician
Nurse
Demand85
Career growth75
Healthcare fit88
Remote potential90
Salary band
USD 240k – 300k
5-year outlook
Contract physician advisor roles in utilization management are likely to remain in demand as Medicare Advantage and prior authorization volumes grow. Compensation is typically competitive for licensed board-certified physicians, but as a 1099 contractor it may vary by case volume, hourly rate, and lack of benefits.
Clinical license
Required
Applicant reach
moderate
Seniority
senior
Employment type
–
Date found
2026-10-03
Intelligence details
Flexible work details
- Side income
- Classified as side-income friendly
- Engagement type
- Contract
- Hours
- Variable hours
- Eligible countries
- United States
- License jurisdiction
- US
- Profession fit
- physician, Nurse
- Rate period
- Annual
Why this was classified this way
- Contractor
Listing via Himalayas.
Eligibility, licensing, and location restrictions can change. Always confirm details on the source posting before applying.
Why this is worth applying to
Worth considering for board-certified physicians seeking flexible, non-clinical payer/UM work, especially those with Medicare Advantage or case management exposure. Weigh the 1099 contractor status and lack of benefits against the remote flexibility and low direct-patient-care load.
Who should apply
Board-certified physicians in Internal Medicine, Family Medicine, Emergency Medicine, or other broad specialties with 5+ years of clinical practice; IMGs with an unrestricted U.S. license and board certification; clinicians interested in utilization management, payer medical review, or physician advisory work.
CV angle
Frame clinical experience around medical necessity decision-making, level-of-care determinations, CMS/Medicare knowledge, peer-to-peer communication, and documentation. Highlight any utilization review, case management, appeals, quality improvement, or payer interaction experience, even if informal.
Skills to highlight
- Utilization management
- Medical necessity review
- Peer-to-peer physician communication
- Medicare Advantage and CMS coverage requirements
- MCG/InterQual criteria
- Level of care determination
- Clinical documentation review
- Adverse determination appeals
Role summary
A 1099 contract physician advisor who conducts peer-to-peer discussions with treating providers, reviews clinical documentation, and applies CMS/Medicare criteria and medical necessity guidelines to support utilization management determinations.
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