Physician Reviewer | Remote | Contract

Physician Reviewer | 5+ Years of Experience | Remote | Contract
Walker Healthforce is seeking a Physician Reviewer with 5+ years of clinical experience to evaluate clinical service requests and support clinical review and case management activities. This is a Contract opportunity.
Start Date: ASAP
Location: Remote - any state except NY, CA, HI, or AK
Hours/Schedule: Monday-Friday, 40 hours
Worker Type: W2
Core Requirements:

• 5+ years of clinical experience, including inpatient experience, or an equivalent combination of education and experience
• Board Certified (ABMS) M.D. or D.O.
• Unrestricted and active license to practice medicine
• Understanding of managed care
• Strong clinical judgment and clinical review skills
• Computer proficiency for electronic file review

We Consider It A Bonus If You Also Have:

• Family Medicine experience
• Internal Medicine experience
• Rheumatology experience
• Gastroenterology experience

Job Responsibilities:

• Evaluate clinical service requests using clinical judgment and established criteria
• Identify opportunities to proactively manage clinical situations
• Partner with case managers on anticipatory case management
• Participate in appeals involving service denials
• Support the development of clinical review policies and procedures
• Participate in continuous quality improvement activities
• Provide clinical leadership as needed

What We Offer:

• Competitive compensation package
• Weekly pay via Direct Deposit
• Medical, Dental & Vision available
• 401k options

Why Work With Walker?

• Access to our top ranked team of recruiting and placement specialists
• Continuous, one-on-one support from a dedicated engagement manager
• Professional resume development and interview preparation

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.