Compare high-paying freelance options for Illinois ophthalmologists: locums, telemedicine, AI training, consulting. Real pay ranges, requirements, and how to start.

TL;DR

Looking for freelance or contract work as a ophthalmologist in Illinois? Whether you want to supplement your income or transition to independent practice, Illinois offers several high-paying options. Here's how the top opportunities compare.

1.

Expert Witness / Medical-Legal Consulting

$300-$575/hr

What You'll Do

Ophthalmologists review medical records, provide expert opinions on standard of care in ophthalmology cases, and testify in legal proceedings involving eye injuries or surgical complications. Work involves preparing detailed reports and depositions on topics like glaucoma management or retinal disorders. Assignments are project-based, supporting attorneys in malpractice or personal injury litigation.

Requirements

  • Active Illinois license
  • Board certification in Ophthalmology
  • 5+ years clinical experience
  • Strong communication skills

Malpractice Insurance: No

Where to Find Work

  • SEAK 2024 Fee Study, Expert Institute, PhysicianSideGigs

Illinois notes: Chicago Cook County has very active med-mal litigation market; Downstate rates 10% lower; Trial testimony $475-575/hr; Deposition $400-500/hr; Case review $300-425/hr
Typical start timeline: 2-6 weeks

2.

Healthcare Consulting / Advisory Boards

$175-$450/hr

What You'll Do

Ophthalmologists advise healthcare organizations, pharmaceutical companies, or device manufacturers on clinical guidelines, product development, and market strategies for eye care. Participation in advisory boards involves meetings to discuss innovations in treatments for conditions like macular degeneration. Consulting may include strategy development for ophthalmology practices or policy recommendations.

Requirements

  • Active Illinois license
  • Board certification
  • 10+ years experience
  • Expertise in subspecialties preferred

Malpractice Insurance: No

Where to Find Work

  • GLG, AlphaSights, Guidepoint, PhysicianSideGigs

Illinois notes: Chicago/Lake County pharma company presence (AbbVie, Baxter, Takeda) drives local KOL opportunities; Pharma advisory boards $300-450/hr; Expert networks $175-400/hr; AbbVie/Baxter HQ proximity
Typical start timeline: 4-12 weeks

3.

AI Training & Annotation

$70-$380/hr

What You'll Do

Healthcare AI companies hire ophthalmologist professionals to review, annotate, and validate training data for medical AI systems. Work involves ophthalmic imaging ai training — tasks like retinal image annotation, oct interpretation, glaucoma detection.

Requirements

  • Active clinical background in ophthalmologist
  • No malpractice insurance needed
  • Computer with reliable internet

Malpractice Insurance: No

Where to Find Work

  • Folio (folioworks.com)
  • Centaur Labs
  • Appen
  • Labelbox

Illinois notes: Fully remote — available regardless of state. Pay based on specialty expertise, not location.
Typical start timeline: 1-2 weeks

Getting started: Join the expert community and make a free profile on Folio to browse current ophthalmologist AI training projects.

4.

Chart Review / Utilization Review

$100-$275/hr

What You'll Do

Ophthalmologists review patient charts for insurance companies or hospitals to assess treatment necessity, coding accuracy, and adherence to guidelines in eye care. Tasks include evaluating claims for procedures like intravitreal injections or evaluating utilization patterns. Work ensures cost-effective and appropriate ophthalmology care delivery.

Requirements

  • Active Illinois license
  • Board certification
  • 3+ years experience
  • Knowledge of coding/billing

Malpractice Insurance: No

Where to Find Work

  • PhysicianSideGigs

Illinois notes: Remote work; Chicago insurance company HQs provide local opportunities; No geographic variation for remote; Utilization management $100-200/hr; Complex surgical review $200-275/hr; Insurance PA reviews $100-150/hr
Typical start timeline: 2-6 weeks

5.

Locum Tenens / Per Diem

$150-$260/hr

What You'll Do

Ophthalmologists provide temporary coverage at clinics or hospitals, performing patient consultations, procedures like cataract surgery, vitreoretinal work, and laser treatments. Assignments often involve full clinic days with potential call coverage, filling gaps for absent physicians. In Illinois, roles focus on high-volume outpatient and surgical ophthalmology needs.

Requirements

  • Active Illinois medical license or IMLC
  • BC/BE in Ophthalmology
  • BLS and PALS certifications
  • Hospital privileges where applicable

Malpractice Insurance: Typically provided by employer

Where to Find Work

  • CompHealth, Weatherby Healthcare, AMN Healthcare, Locumstory

Illinois notes: Chicago metro standard rates; Rural/downstate IL +20-30% premium; Midwest locum rates trending up per Locumstory; Retina/Vitreoretinal $190-260/hr; Comprehensive $150-210/hr; Glaucoma specialist $170-240/hr
Typical start timeline: 4-8 weeks

6.

Telemedicine / Tele-Ophthalmology

$90-$175/hr

What You'll Do

Ophthalmologists conduct virtual consultations, interpret imaging like OCT scans, and manage follow-ups for conditions such as diabetic retinopathy without in-person visits. Platforms enable remote triage, prescription management, and pre/post-op care discussions. This supports rural Illinois patients or overflow from busy clinics.

Requirements

  • Active Illinois license
  • Board certification
  • Telemedicine platform training
  • Reliable internet and equipment

Malpractice Insurance: Yes ($2,000-$5,000/year)

Where to Find Work

  • Sermo, PhysicianSideGigs, various platforms

Illinois notes: No geographic variation (remote); Underserved southern IL creates screening demand; Diabetic retinopathy screening $90-130/hr; Specialty tele-consults $130-175/hr
Typical start timeline: 1-4 weeks

Common Questions People Ask

Q: What are the highest-paying freelance options for ophthalmologists in Illinois?

A: Based on current market data, the top 3 are: Expert Witness / Medical-Legal Consulting ($300-$575/hr), Healthcare Consulting / Advisory Boards ($175-$450/hr), AI Training & Annotation ($70-$380/hr).

Q: Which freelance options for ophthalmologists don't require malpractice insurance?

A: 4 options don't require malpractice insurance: Expert Witness / Medical-Legal Consulting ($300-$575/hr), Healthcare Consulting / Advisory Boards ($175-$450/hr), AI Training & Annotation ($70-$380/hr), Chart Review / Utilization Review ($100-$275/hr). This can save $20-$45K annually compared to options requiring coverage.

Q: Can ophthalmologists work remotely in Illinois?

A: Yes, 5 options are fully or partially remote: Expert Witness / Medical-Legal Consulting ($300-$575/hr), Healthcare Consulting / Advisory Boards ($175-$450/hr), AI Training & Annotation ($70-$380/hr), Chart Review / Utilization Review ($100-$275/hr), Telemedicine / Tele-Ophthalmology ($90-$175/hr).

Q: What Illinois license do ophthalmologists need for freelance work?

A: An active Illinois license from Illinois Department of Financial and Professional Regulation (IDFPR), Medical Licensing Board is required for most clinical freelance options.

Q: How quickly can ophthalmologists start freelance work?

A: Timeline varies by option: Expert Witness / Medical-Legal Consulting typically takes 2-6 weeks, while Healthcare Consulting / Advisory Boards typically takes 4-12 weeks, while AI Training & Annotation typically takes 1-2 weeks.

Q: What's the pay range for ophthalmologists doing AI training work?

A: AI training pays $70-$380/hour for ophthalmologists, varying by experience level and project complexity. No malpractice insurance required.

Getting Started with AI Training

Folio connects Illinois ophthalmologists with frontier research labs and healthcare AI companies looking for clinical expertise. The platform vets AI companies for project quality, handles contracting and payment, and matches projects to your area of expertise.

Typical timeline:
- Application: 3 minutes
- Credential review: 2-3 business days
- Platform orientation: 1 hour
- First project: 3-7 days from application

Current project focus (February 2026): Retinal image annotation, OCT interpretation, glaucoma detection

Most ophthalmologists start with 5-10 hours weekly, then scale based on preference. No minimum commitment.

Explore AI Training Opportunities

Questions? Email experts@folioworks.com

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Frequently asked questions

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How do I get started with freelance ophthalmologist work in Illinois?