Job Description

Physician Reviewer | Remote | Contract to Hire


Walker Healthforce is seeking a Physician Reviewer for a healthcare client located remotely. This is a contract opportunity.


START DATE: ASAP


Walker Healthforce Standard Perks:

• Weekly pay via Direct Deposit
• Medical, Dental, and Vision Available
• 401K

JOB SUMMARY
Evaluates clinical service requests made by an organization's members and providers for commercial lines of business. Uses clinical judgment in conjunction with organization's criteria [includes Blue Cross Blue Shield of Illinois medical policies, MCG guidelines] to make medical necessity determinations.

• Actively participates in continuous quality improvement activities.
• Other duties as assigned by the Medical Director

JOB REQUIREMENTS

• Board Certified (ABMS) M.D. or D.O, unrestricted and active Texas license to practice medicine
• 5+ years clinical experience to include inpatient experience, or any combination of education/experience that would provide an equivalent background
• Understanding of managed care and demonstrate PC proficiency, as file review will be done via computer in most cases

Contact our Recruiting Team today to experience the Walker Healthforce difference!


ABOUT US
Walker Healthforce is known as the dominant force of performance, precision, expertise, and integrity in the healthcare consulting community! As a certified WMBE, we provide end-to-end healthcare IT and clinical solutions to hospitals, health systems, and payer organizations, including Fortune 100 firms nationwide. We are healthcare experts, we're custom not commodity and we've been exceeding expectations for nearly 20 years. Join forces with us to experience unparalleled results today!


We are an Equal Opportunity Employer committed to a culturally diverse workforce. All qualified applicants will receive consideration for employment without regard to race, religion, color, age, sex, national origin, sexual orientation, gender identity, disability status or protected veteran status.

Job Tags

Weekly pay, Contract work, Immediate start,

Similar Jobs