The Oklahoma Foundation for Medical Quality (OFMQ), under subcontract with KFMC Health Improvement Partners, (KFMC), is authorized by the Oklahoma Health Care Authority (OHCA) to review hospital services provided to SoonerCare patients. Peer review is an important resource in OHCA’s effort to improve quality and efficiency of care for Medicaid beneficiaries across the state of Oklahoma. Currently, we are seeking Board-Certified physicians to review medical records. Peer Reviewers are reimbursed at an hourly rate for time spent doing medical case review.

Requirements to become a PR:

  • Board certification in the specialty for which you will review.
  • Current, unrestricted license or certification as required for clinical practice in the state of Oklahoma.
  • Current certification by a recognized American medical specialty board.
  • Actively providing direct patient care.
  • At least five (5) years full-time equivalent experience providing direct clinical care to patients (FTE minimum of 37.5 hours per week).
  • Experience providing direct clinical care to patients within the past three (3) years.
  • No history of disciplinary actions or sanctions.

If you are interested in participating in this process, please contact OFMQ's Case Review Department at 405-840-2891 or by email at CaseReview@ofmq.com. We would be happy to visit with you regarding our review process and the reimbursement rate for reviews. You may also fill out the interest survey below.