Commence

Title: Actively Practicing Physicians & PA's | Remote Medical Case & Peer Reviewers (1099)

Location: United States (Remote)

Specialties: Dermatology, Nephrology (Pediatric), Neurosurgery, Pediatrics, Urology, Trauma/Critical Care, Pediatrics (Neonatal-Perinatal Medicine), Addiction Medicine, Orthopedic Surgery

Base: $100 - $400/hr

Summary

This remote contract role involves conducting independent medical case and peer reviews to evaluate medical necessity, appropriateness, and quality of care for military members and their families. Responsibilities include utilization review, appeals, quality of care assessments, and providing evidence-based written determinations following clinical guidelines. Candidates must hold an active MD, DO, or PA license, be board certified, and have at least 5 years of clinical experience with current active patient care.

Added on: 08/08/2025

Full Job Description

Description

At Commence, we’re the start of a new age of data-centric transformation, elevating health outcomes and powering better, more efficient process to program and patient health. We combine quality data-driven solutions that fuel answers, technology that advances performance, and clinical expertise that builds trust to create a more efficient path to quality care.

With human-centered, healthcare-relevant, and value-based solutions, we create new possibilities with data. We provide proof beyond the concept and performance beyond the scope with a focus on efficiencies that transform the lives of those we serve. With a culture driven by purpose, straightforward communication and clinical domain expertise, Commence cuts straight to better care.

Requirements

We’re growing our network of clinical reviewers and are actively seeking Physicians (MD/DO) and Physician Assistants (PAs) who are passionate about quality, accountability, and patient outcomes. As a member of our reviewer panel, you'll play a key role in ensuring the appropriateness, necessity, and quality of care delivered to military members and their families.

What You’ll Do

Conduct independent, remote case reviews evaluating medical necessity, appropriateness, or quality of care. Provide evidence-based assessments and written determinations following established clinical guidelines and review criteria. Support case types including: Utilization review, Appeals and hearings, Quality of care and standard of care concerns Uphold the highest standard of clinical integrity, neutrality, and objectivity.

Qualifications

Hold an active, unrestricted U.S. license as an MD, DO, or PA Board certified in your specialty by an ABMS or AOA-recognized board Minimum of 5 years of clinical experience in your specialty Currently practicing and seeing patients an average of at least 20 hours per week over the past 30 days

Preferred Qualifications

Experience with QIO, peer review, utilization review, or appeals work Familiarity with military or federal healthcare programs (e.g., TRICARE, Medicare) Previous experience with legal or regulatory case reviews

Why This Role

Fully remote, contract-based (1099) Flexible workload – cases assigned based on your availability and specialty Impactful work that contributes to high-quality care and oversight Per-case pay ranging from $100–$400 depending on case complexity Most cases take 1–3 hours to complete; shorter reviews may take less than 1 hour Strong written communication skills and attention to detail Ability to review cases objectively and meet turnaround deadlines Comfortable working independently in a secure, remote environment

Current High Priority Specialties

PA (General) PA: Ortho Physician: Dermatology Physician: Nephrologist (Pediatric) Physician: Neurosurgery Physician: Pediatrics (General) Physician: Urology Surgeon: Trauma/Critical Care Physician: Pediatrics (Neonatal-Perinatal Medicine) Physician: Addiction Medicine Physician: Orthopedic Surgeon (Hip and Knee Specialty)

Commence is an equal employment opportunity employer. All personnel processes are merit-based and applied without discrimination on the basis of race, color, religion, sex, sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military and veteran status or any other characteristic protected by applicable law.

If you need assistance or an accommodation due to a disability, you may contact us at 757-306-4920 or [email protected]