Physician Reviewer - Utilization Management
Oscar · United States · US
Utilization Review
Remote
physician
Pharmacist
Dentist
Demand80
Career growth65
Healthcare fit82
Remote potential95
Salary band
USD 219k – 287k
5-year outlook
Compensation is likely to remain strong for experienced board-certified physicians in utilization management, though growth may depend on managed care demand and regulatory changes. The posted base range is high, but exact future pay will vary by licensure, specialty, and market.
Clinical license
Required
Applicant reach
narrow
Seniority
senior
Employment type
full-time
Date found
2026-10-22
Intelligence details
Flexible work details
- Engagement type
- Permanent
- Hours
- Full-time
- Eligible countries
- United States
- License jurisdiction
- US
- Profession fit
- physician, Pharmacist, Dentist
- Rate period
- Annual
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 applying for board-certified physicians with 6+ years of clinical practice who want a remote, non-clinical utilization management role. It is not accessible to early-career clinicians or non-physicians.
Who should apply
Board-certified MD/DO physicians licensed in FL, NC, AZ, or via IMLC, especially those with cardiology, radiation/oncology, or neurology backgrounds, managed care exposure, and interest in utilization review.
CV angle
Frame clinical practice around evidence-based decision-making, medical necessity assessment, complex case review, peer-to-peer communication, documentation quality, and compliance. Highlight any managed care, utilization review, quality, or care management exposure without overstating non-clinical experience.
Skills to highlight
- Medical necessity review
- Evidence-based guideline application
- Utilization management
- Peer-to-peer clinical discussions
- Clinical documentation
- Managed care knowledge
- Regulatory compliance
- Quality assurance
Role summary
A remote physician reviewer role at Oscar Health focused on determining medical appropriateness for inpatient, outpatient, and pharmacy services using evidence-based criteria, documenting decisions, and discussing cases with treating providers.
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