Physician Reviewer - Diagnostic Imaging

Location: Remote (US-based) | Type: 1099 Contract | Start: Immediate

HealthHelp is seeking Board Certified Diagnostic Radiologists for case review roles, with particular interest in candidates licensed in Alaska, Arizona, Minnesota, and North Carolina.

Role Overview

As a Specialty Physician Reviewer in Diagnostic Imaging, you'll leverage your clinical expertise to make significant impact on patient care and healthcare efficiency. In this role, you will:

• Conduct thorough reviews of complex diagnostic imaging cases
• Provide valuable peer-to-peer consultations with ordering physicians, fostering collaborative relationships and knowledge sharing within the medical community
• Ensure adherence to evidence-based guidelines and best practices in diagnostic imaging
• Contribute to the continuous improvement of our utilization management processes
• Exercise your clinical judgment to render well-reasoned decisions, based on evidence-based clinical criteria

Requirements

• MD or DO degree from an accredited school of medicine
• Current, active, unrestricted license to practice medicine in a state or territory of the United States (special consideration for candidates licensed in AK, AZ, MN, or NC)
• Board certification in Diagnostic Radiology
• Active practice in diagnostic radiology in the United States
• Meets HealthHelp credentialing requirements
• Ability to make outbound calls to providers as part of the case review process
• Ability to collaborate with HealthHelp nursing and administration staff members
• Excellent negotiation, leadership, and communication skills
• Proficiency in using digital platforms for case review and communication

Preferred Qualifications

• Multi-state licensure, particularly in Alaska, Arizona, Minnesota, or North Carolina
• Utilization Management case review experience
• Academic affiliation
• Participation in Interstate Medical Licensure Compact
• Experience or familiarity with principles and procedures of utilization management in managed care
• Ability to support flexible working hours
• Experience and familiarity with government programs
• Demonstrated ability to follow evidence-based practices in reviewing cases for medical appropriateness
• Commitment to an educational model in discussing and sharing clinical evidence with peers

HealthHelp provides cutting-edge technology to streamline the review process, including our proprietary HIPAA – compliant portal and Physician App, ensuring efficiency and ease of use for our specialists.

Location - United States, Remote

What We Offer:

• Fully remote engagement
• per-case compensation
• Flexible work volume

Interested?
Please send your updated CV and specialty focus to trupti.udeshi@wns.com. We welcome experienced reviewers as well as physicians transitioning into remote consulting roles.