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Healthcare Alpheva

Physician Utilization Review Expert

Alpheva • Remote

Education

Not stated

Type

Hourly

Pay

$180-275/hr

Your rate depends on your experience and the task.

Last checked

1d ago

Checked

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About this role

From the Alpheva listing

Review medical-necessity, level-of-care, utilization-management, and physician-advisor reasoning using de-identified clinical cases.
Evaluate whether AI-generated determinations accurately connect clinical facts, treatment intensity, expected course, and applicable review criteria.
Identify missing documentation, unsafe assumptions, inappropriate status recommendations, and cases that require peer-to-peer or specialist escalation.
Explain corrections using clear physician reasoning while preserving uncertainty and avoiding unsupported clinical conclusions.
Remote, project-based contract work. Scope and hours depend on project matching; the listed hourly range applies to matched work.

Requirements

  • Fluent proficiency in English (Written & Verbal)
  • Reliable high-speed internet connection
  • Bachelor's degree or equivalent professional experience
  • Demonstrated expertise in Healthcare
  • Valid professional license or certification in the relevant clinical/health field (MD, DO, RN, RD, NBHWC, etc.)
  • Current knowledge of medical standards and practices

Why this role

You review and improve AI answers in Healthcare, and this Physician Utilization Review Expert role pays $180-275/hr for it.

Skills and categories

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Common questions

Is AI training work the same as traditional consulting?

It's closer to teaching. You grade the AI's logic, correct its mistakes and write the expert reasoning it lacks, instead of producing work for a client.

Why do expert AI training roles pay well?

The model already knows the basics. It needs help with hard edge cases, the judgment calls a senior professional in the field gets right.

What does Healthcare work look like for a Physician Utilization Review Expert?

You check AI answers to Healthcare questions, correct their errors and write expert reasoning. As a Physician Utilization Review Expert, you're hired for that judgment, so hands-on Healthcare experience matters.

How much does this specific role pay?

This listing is posted at $180-275/hr, an hourly rate. Where you land in the range depends on your background and the assessment. Pay can change after we check the listing, so confirm the rate on the platform's application page.

What happens when I click Apply on this listing?

Apply opens Alpheva's site, where you create an account and follow its sign-up steps.