What are the responsibilities and job description for the Physician Reviewer | Remote | Contract to Hire position at Walker Healthforce, LLC?
Physician Reviewer | Remote | Contract to Hire
Walker Healthforce is seeking a Physician Reviewer for a healthcare client located remotely. This is a contract position.
START DATE: ASAP
Walker Healthforce Standard Perks:
JOB DESCRIPTION
JOB REQUIREMENTS
PREFERRED JOB REQUIREMENTS
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.
#IND2
Walker Healthforce is seeking a Physician Reviewer for a healthcare client located remotely. This is a contract position.
START DATE: ASAP
Walker Healthforce Standard Perks:
- Weekly pay via Direct Deposit
- Medical, Dental, and Vision Available
- 401K
JOB DESCRIPTION
- Clinical Expertise & Support:
- Serve as the clinical advisor for internal departments supporting CSB’s Medigap and SHL product lines.
- Provide guidance to underwriting, claims, product development, legal, marketing, and operations teams.
- Strategic & Tactical Delivery:
- Contribute to the clinical direction and tactical execution of initiatives across CSB markets in 49 states and DC.
- Partner with leadership to develop innovative approaches that improve cost containment, clinical outcomes, and customer satisfaction.
- Clinical Resources & Education:
- Educate and support non-clinical staff including underwriters and claims representatives.
- Consult on complex cases involving appeals, rescissions, and potential fraud.
- Team Leadership – SBCT:
- Lead the Supplemental Benefits Clinical Team (SBCT), which includes medical directors, pharmacists, data analysts, and other stakeholders across the Enterprise.
- Actuarial Collaboration:
- Ensure clinical integrity in pricing models, underwriting frameworks, and claims automation initiatives through close collaboration with the Actuarial Team.
- Innovation & Development:
- Drive clinical input for new methodologies, such as preventive care strategies and vendor-based solutions for cost containment and health outcome improvement.
JOB REQUIREMENTS
- Board Certified (ABMS) M.D. or D.O, unrestricted and active license to practice medicine
- 10 years clinical experience to include inpatient experience
- Must be able to work every weekend and holidays/additional shifts as needed
- Experience in managed care environments and working with or within insurance models
- Proficient with Microsoft applications (Excel, Outlook etc.)
PREFERRED JOB REQUIREMENTS
- Experience in Medigap or Supplemental Health Insurance
- Familiarity with medical underwriting practices
- MBA or comparable business experience
- Background or interest in data science or analytics
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.
#IND2
