What are the responsibilities and job description for the Physician Reviewer | Remote | Contract position at Walker Healthforce?
Job Details
Physician Reviewer | Remote | Contract
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
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.
#IND1
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
- Review requests for clinical services made by members and providers using established criteria.
- Provide clinical leadership within the organization, identifying opportunities to manage members' clinical situations creatively and proactively.
- Collaborate with case managers to practice anticipatory case management for members whose cases come for review.
- Engage in the appeal process for service denials within the Physician Review Unit.
- Contribute to the development of policies and procedures for the Physician Review Unit.
- Actively participate in continuous quality improvement activities within the unit.
- Perform additional tasks as assigned by the Medical Director.
JOB REQUIREMENTS
- Board Certified (ABMS) M.D. or D.O, unrestricted and active license to practice medicine
- 5 years clinical experience to include inpatient experience
- Proficient with Microsoft applications (Excel, Outlook etc.)
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.
#IND1
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