Physician Reviewer | Remote | Contract

3 weeks ago


Chicago, United States Walker Healthforce Full time
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.

  • Chicago, United States The Judge Group Full time

    Location: REMOTE Salary: $100.00 USD Hourly - $105.00 USD Hourly Description: Judge Healthcare is seeking a Physician for a REMOTE Physician Reviewer with one of our biggest clients! Type: Contract to hire Hours: Full Time 40 hours/week- 8 hours five days a week between 6-am-7pm MST. Some weekends included Location: REMOTE! Pay rate: $100-105/hr based on...


  • Chicago, United States Solving IT Full time

    One of the largest health insurers in the nation is focused on continuously building an industry-defining, world-class IT capability. Healthcare is forever evolving, especially due to emerging technologies, making this a great experience to add to your resume. Come join their winning team!This Contract role as a Remote Weekend Physician Reviewer will be...


  • Chicago, United States PSG Global Solutions Careers Full time

    Apply now and our proprietary system will quickly have you in front of a live recruiter. The Opportunity Description We're looking for a Physician Reviewer M.D. or D.O., working in Healthcare Systems and Services industry in 300 E. Randolph Street , Chicago, Illinois, 60601, United States. Evaluates clinical service requests made by an organization's...

  • Physician Reviewer

    2 months ago


    Chicago, United States Integrated Resources, Inc Full time

    Seeking physician medical reviewer for REMOTE weekend work - at least 2 weekends per month Can work in any state Job Description This position requires an initial time commitment to undergo and complete training. After training, physician medical reviewer will provide weekend coverage, 8 hour shifts per Saturday and/or Sunday per month. This is a remote...

  • Physician Reviewer

    2 weeks ago


    Chicago, United States Integrated Resources Full time

    Seeking physician medical reviewer for REMOTE weekend work - at least 2 weekends per month Can work in any state Job Description This position requires an initial time commitment to undergo and complete training. After training, physician medical reviewer will provide weekend coverage, 8 hour shifts per Saturday and/or Sunday per month. This is a remote...

  • Physician Reviewer

    2 weeks ago


    Chicago, United States Integrated Resources, Inc Full time

    Seeking physician medical reviewer for REMOTE weekend work - at least 2 weekends per month Can work in any state Job Description This position requires an initial time commitment to undergo and complete training. After training, physician medical reviewer will provide weekend coverage, 8 hour shifts per Saturday and/or Sunday per month. This is a remote...

  • Physician Reviewer

    2 months ago


    Chicago, United States Innovative Systems Group Full time

    Major Healthcare company100% Remote from any state, except California or New YorkSeeking physician medical reviewer for REMOTE weekend work - at least 2 weekends per monthRequired Qualification(s):MD or DO, ABMS Board CertifiedThis position requires an initial time commitment to undergo and complete training. After training, physician medical reviewer will...

  • Physician Reviewer

    2 months ago


    Chicago, United States Innovative Systems Group Full time

    Major Healthcare company100% Remote from any state, except California or New YorkSeeking physician medical reviewer for REMOTE weekend work - at least 2 weekends per monthRequired Qualification(s):MD or DO, ABMS Board CertifiedThis position requires an initial time commitment to undergo and complete training. After training, physician medical reviewer will...

  • Physician Reviewer

    4 weeks ago


    Chicago, United States Innovative Systems Group Full time

    Major Healthcare company100% Remote from any state, except California or New YorkSeeking physician medical reviewer for REMOTE weekend work - at least 2 weekends per monthRequired Qualification(s):MD or DO, ABMS Board CertifiedThis position requires an initial time commitment to undergo and complete training. After training, physician medical reviewer will...

  • Physician Reviewer

    4 weeks ago


    Chicago, United States w3r Consulting Full time

    Description: This position requires an initial time commitment to undergo and complete training. After training, physician medical reviewer will provide weekend coverage, 8 hour shifts per Saturday and/or Sunday per month. This is a remote position. Physician medical reviewer evaluates clinical service requests based on company guidelines to make medical...

  • Physician Reviewer

    2 weeks ago


    Chicago, United States w3r Consulting Full time

    Description: This position requires an initial time commitment to undergo and complete training. After training, physician medical reviewer will provide weekend coverage, 8 hour shifts per Saturday and/or Sunday per month. This is a remote position. Physician medical reviewer evaluates clinical service requests based on company guidelines to make medical...

  • Physician Reviewer

    2 weeks ago


    Chicago, United States Mindlance Full time

    remote in our five states pay rate is ***/hour This position will work every weekend and possible holidays Evaluates clinical service requests made by an organization's members and providers. Uses clinical judgment in conjunction with organization's criteria to adjudicate these requests. May also provide clinical leadership in other areas of the...

  • Physician Reviewer

    1 month ago


    Chicago, IL, United States Innovative Systems Group Full time

    Major Healthcare company100% Remote from any state, except California or New YorkSeeking physician medical reviewer for REMOTE weekend work - at least 2 weekends per monthRequired Qualification(s):MD or DO, ABMS Board CertifiedThis position requires an initial time commitment to undergo and complete training. After training, physician medical reviewer will...

  • Physician Reviewer

    4 weeks ago


    Chicago, Illinois, United States Mitchell Martin Inc Full time

    Our client, a member owned health insurance company, is seeking an Physician ReviewerLocation: Chicago, ILPosition Type: ContractJob Responsibilities and Requirements:Evaluates clinical service requests made by an organization's members and providers. Uses clinical judgment in conjunction with organization's criteria to adjudicate these requests. May also...

  • Physician Reviewer

    2 weeks ago


    Chicago, Illinois, United States Mitchell Martin Inc Full time

    Our client, a member owned health insurance company, is seeking an Physician ReviewerLocation: Chicago, ILPosition Type: ContractJob Responsibilities and Requirements:Evaluates clinical service requests made by an organization's members and providers. Uses clinical judgment in conjunction with organization's criteria to adjudicate these requests. May also...


  • Chicago, United States US Tech Solutions Full time

    100% RemoteJob Description:Provides timely assessment of reported clinical trial data and participates in applicable safety surveillance activities for assigned studies including review of labs, vital signs, cardiac, medications, medical history, and can communicate with Study Lead any findings. Provide review of safety-related data from clinical trials for...


  • Chicago, IL, United States Dauntless Discovery Full time

    Experienced Document Review Attorney – Remote Great opportunity for l icensed attorneyswith document review experience interested in quality focused e-Discovery. We have some projects anticipated to start soon and others in the pipeline. Please apply to get on our roster for upcoming projects! Project-based E-Discovery/Document Review. Flexible...

  • Physician Reviewer

    4 weeks ago


    Chicago, United States w3r Consulting Full time

    Description: Evaluates clinical service requests made by an organization's members and providers. Uses clinical judgment in conjunction with organization's criteria to adjudicate these requests. May also provide clinical leadership in other areas of the organization. Identifies opportunities to manage members' clinical situations with a view toward creative...

  • Physician Reviewer

    2 weeks ago


    Chicago, United States w3r Consulting Full time

    Description: Evaluates clinical service requests made by an organization's members and providers. Uses clinical judgment in conjunction with organization's criteria to adjudicate these requests. May also provide clinical leadership in other areas of the organization. Identifies opportunities to manage members' clinical situations with a view toward creative...


  • North Chicago, United States US Tech Solutions Full time

    100% RemoteJob Description:Provides timely assessment of reported clinical trial data and participates in applicable safety surveillance activities for assigned studies including review of labs, vital signs, cardiac, medications, medical history, and can communicate with Study Lead any findings. Provide review of safety-related data from clinical trials for...