Physician Clinical Reviewer- Pediatric Neurology- REMOTE

For our client, we are seeking a Physician Clinical Reviewer- Pediatric Neurology- REMOTE to join the team of a leader in the Pharmaceuticals & Biotech space. This role will provide business-aligned guidance that supports growth while managing legal, regulatory, and operational risk. You will partner with leaders, compliance stakeholders, and cross-functional teams to turn complex issues into practical recommendations. The position offers the opportunity to strengthen governance, improve decision-making, and support responsible execution within a Pharmaceuticals & Biotech environment.Location: Remote - US based candidates only, no visa sponsorship availableCompensation: $188,000 – $320,000 annuallyResponsibilities Reviews complex cases needing medical evaluations after initial reviews Engages with physicians and providers to discuss clinical determinations Provides clinical rationale for appeal decisions Supports Initial Clinical Reviewers with case discussions Follows medical guidelines to ensure compliance in reviews Documents all communications with precision and accuracy Participates in ongoing training to maintain review standardsQualifications MD, DO, or MBBS degree required Minimum of 5 years clinical experience Proficient in utilization review guidelines and compliance standards Strong communication skills, both verbal and written Ability to work independently and collaboratively with multi-disciplinary teamsBenefits Comprehensive benefits package including health insurance Flexible work arrangement with remote work options Opportunities for professional development and training Supportive work environment emphasizing diversity and inclusion Potential to assume leadership responsibilities in specific health plansOur client is an equal opportunity employer. We encourage you to apply even if you don’t meet every qualification—your background could be exactly what this team needs.