Compare high-paying freelance options for Ohio 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 Ohio? Whether you want to supplement your income or transition to independent practice, Ohio offers several high-paying options. Here's how the top opportunities compare.

1.

Expert Witness / Medical-Legal Consulting

$300-$550/hr

What You'll Do

Ophthalmologists serve as expert witnesses in legal cases involving eye injuries, malpractice, or vision-related claims, reviewing records and providing testimony. Work includes preparing reports, depositions, and court appearances on topics like surgical complications or disability assessments. Consulting advises attorneys or insurers on ophthalmic standards of care.

Requirements

  • Active Ohio medical license
  • Board certification in Ophthalmology
  • 10+ years clinical experience
  • Prior expert witness experience preferred

Malpractice Insurance: No

Where to Find Work

  • SEAK 2024 Fee Study, Expert Institute, PhysicianSideGigs

Ohio notes: Cleveland Clinic/OSU Wexner physicians command premium as expert witnesses; No major intra-state variation; Trial testimony $475-550/hr; Deposition $375-475/hr; Case review $300-400/hr
Typical start timeline: 2-6 weeks

2.

Independent Medical Exams (IME)

$275-$475/hr

What You'll Do

Ophthalmologists conduct impartial exams for insurance claims, disability evaluations, or legal purposes, assessing vision impairments and functional limitations. Work includes detailed reports on causation, prognosis, and work capacity based on objective findings. Assignments are typically one-off evaluations lasting 1-2 hours per case.

Requirements

  • Active Ohio medical license
  • Board certification in Ophthalmology
  • IME training or experience
  • 5+ years clinical experience

Malpractice Insurance: Yes ($3,000-$10,000/year)

Where to Find Work

  • SEAK 2024 IME Fee Survey, IMEnet directory

Ohio notes: Manufacturing/industrial base creates steady IME demand; No major intra-state variation; Standard ophthalmic IME ~$2,500-2,800; Hourly equivalent ~$400-475/hr; Workers' comp cases common
Typical start timeline: 1-4 weeks

3.

Healthcare Consulting / Advisory Boards

$175-$425/hr

What You'll Do

Ophthalmologists provide expertise to healthcare organizations, pharmaceutical companies, or advisory boards on topics like treatment protocols, device development, or policy. Involvement includes attending meetings, reviewing data, and offering strategic recommendations for eye care innovations. Roles often focus on industry trends or quality improvement initiatives.

Requirements

  • Board certification in Ophthalmology
  • 5+ years experience
  • Leadership or research background
  • Strong communication skills

Malpractice Insurance: No

Where to Find Work

  • GLG, AlphaSights, Guidepoint, PhysicianSideGigs

Ohio notes: Cleveland Clinic and OSU research networks create consulting pipeline; Midwest rates slightly below coastal; Pharma advisory boards $275-425/hr; Expert networks $175-375/hr; Cleveland Clinic-affiliated KOL premium
Typical start timeline: 4-12 weeks

4.

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

Ohio 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.

5.

Locum Tenens / Per Diem

$155-$275/hr

What You'll Do

Locum tenens or per diem work involves temporary assignments filling in for ophthalmologists at clinics or hospitals in Ohio, providing comprehensive eye care including exams, surgeries, and treatments. Ophthalmologists handle patient loads across various facilities, often in underserved or rural areas. Assignments can range from days to months, offering variety in practice settings.

Requirements

  • Active Ohio medical license
  • Board certification in Ophthalmology
  • Minimum 2-5 years post-residency experience
  • Clean malpractice history

Malpractice Insurance: Typically provided by employer

Where to Find Work

  • Becker's/LocumTenens.com

Ohio notes: Cleveland/Columbus metro standard; Rural Appalachian OH +25-35% premium; Ohio ranked #1 for ophtho compensation; Retina/Vitreoretinal $200-275/hr; Comprehensive $155-220/hr; Ohio has highest avg ophthalmologist salary nationally ($367,750/yr)
Typical start timeline: 4-8 weeks

6.

Telemedicine / Tele-Ophthalmology

$85-$165/hr

What You'll Do

Tele-ophthalmology involves remote consultations via video for patient assessments, follow-ups, and triage of eye conditions using digital imaging. Ophthalmologists interpret retinal scans, advise on management, and coordinate with on-site providers without physical exams. This supports access in rural Ohio areas or post-op monitoring.

Requirements

  • Active Ohio medical license
  • Board certification in Ophthalmology
  • Telemedicine platform training
  • Experience with digital imaging

Malpractice Insurance: Yes ($5,000-$15,000/year)

Where to Find Work

  • Sermo, PhysicianSideGigs, various platforms

Ohio notes: No geographic variation (remote); Rural Appalachian OH underserved creates demand; Diabetic retinopathy screening $85-120/hr; Specialty tele-consults $120-165/hr
Typical start timeline: 2-4 weeks

Common Questions People Ask

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

A: Based on current market data, the top 3 are: Expert Witness / Medical-Legal Consulting ($300-$550/hr), Independent Medical Exams (IME) ($275-$475/hr), Healthcare Consulting / Advisory Boards ($175-$425/hr).

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

A: 3 options don't require malpractice insurance: Expert Witness / Medical-Legal Consulting ($300-$550/hr), Healthcare Consulting / Advisory Boards ($175-$425/hr), AI Training & Annotation ($70-$380/hr). This can save $20-$50K annually compared to options requiring coverage.

Q: Can ophthalmologists work remotely in Ohio?

A: Yes, 4 options are fully or partially remote: Expert Witness / Medical-Legal Consulting ($300-$550/hr), Healthcare Consulting / Advisory Boards ($175-$425/hr), AI Training & Annotation ($70-$380/hr), Telemedicine / Tele-Ophthalmology ($85-$165/hr).

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

A: An active Ohio license from State Medical Board of Ohio 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 Independent Medical Exams (IME) typically takes 1-4 weeks, while Healthcare Consulting / Advisory Boards typically takes 4-12 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 Ohio 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 Ohio?