Physician Reviewer | Remote | Contract Job at Walker Healthforce, Chicago, IL

bU1NcytPVnQwSXhiNkQzb0p3TjBhRkQ0dnc9PQ==
  • Walker Healthforce
  • Chicago, IL

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

Turner Mining Group

Drill Operator - Mining Job at Turner Mining Group

 ...Job Title: Drill Operator Location: Kingman,AZ Company: Turner Mining Group Position Type: Full-Time Salary: Competitive, based on experience Job Overview: Turner MiningGroup is seeking experienced Drill Operators to join our mining team in Kingman... 

Spectrum

Enterprise Technical Sales Consultant, Security & Data, Spectrum Business Job at Spectrum

 ...Location: Coppell, Texas Date Posted: Date posted 04.02.2025 Areas of interest: Enterprise Sales, Sales Requisition Number: 2025-51216 Business unit: Spectrum Business SEN322 Do you want to partner with local sales teams to define and execute team-based selling... 

ACI Health

Entry Level Background Investigators Job at ACI Health

 ...Would you like a jump start to a new career in Background Investigation? ACI Federal has patterned with an Industry Leading Company to provide a six-week paid training to qualified candidates to become Credentialed Background Investigators. How do you qualify?... 

Amazon.com Services LLC

Aviation Security Manager Job at Amazon.com Services LLC

 ...DESCRIPTION The Amazon Aviation Security (AvSec) team is seeking an enthusiastic AvSec Manager to provide leadership, support, and oversight for Amazon Airs...  ...with security procedures and regulatory standards, physical security design standards and policies and... 

Priority Dispatch, Inc.

Medication Delivery Driver Job at Priority Dispatch, Inc.

 ...Medication Delivery Driver Our focus is to contract with Heroes (Independent Contractors ) who care and can deliver life-saving medications to elderly patients who need them and are situated in Nursing Facilities. We treat all our Heroes ( Independent Contractor...