Physician Reviewer - Diagnostic Imaging
HealthHelp is seeking Board Certified Diagnostic Radiologists for case review roles, with particular interest in candidates licensed in Alaska, Arizona, Minnesota, and North Carolina. At HealthHelp, our mission is to collaborate with payors and providers to improve patient safety and deliver quality care through an evidence-based, educative, and collaborative model, focused on improving outcomes and reducing healthcare costs. We’re revolutionizing healthcare delivery by ensuring patients receive the most appropriate, cost-effective care while supporting healthcare providers in their decision-making process. 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 Job Type: Contract Schedule:
- Choose your own hours
Willingness to travel:
- 25% (Preferred)
Work Location: Remote Apply Job!