Physician Reviewer | Remote | Contract to Hire

Walker Healthforce; Chicago (IL); Remote; USD 96,000 - 165,000; Part time

Benefits offered by this job

Competitive compensation package

Weekly pay via Direct Deposit

Medical, Dental & Vision available

401k options

Job summary

Walker Healthforce is seeking a Physician Reviewer with 5+ years' experience for a remote contract-to-hire role. The position involves evaluating clinical service requests, applying clinical judgment, and supporting policy development within the Physician Review Unit.

Candidates must be board-certified MD or DO with an active license and inpatient experience, plus a solid understanding of managed care. The role may require rotation and weekend coverage; compensation includes weekly pay and

Qualifications

• Board Certified (ABMS) M.D. or D.O, unrestricted and active license to practice medicine requested
• 5 years clinical experience to include inpatient experience, or any combination of education/experience that would provide an equivalent background
• Must have understanding of managed care and demonstrate PC proficiency, as file review will be done via computer in most cases

Responsibilities

• 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 problem solving and anticipation of possible future clinical problems for the member. Participates in the process to evaluate clinical service requests. Participates in the Physician Review Units' appeal process of service denials. Participates in the development of Physician Review Units' policies and procedures. Actively participates in all unit continuous quality improvement activities. Other duties as assigned by the Medical Director.

Skills

Clinical judgment

PC proficiency

Managed care understanding

Education

Board Certified MD/DO

Job description

Back Physician Reviewer | Remote | Contract to Hire

Business & Care Management Chicago , Illinois Contract-to-Hire Nov 9, 2026

Physician Reviewer | 5+ years' experience | Remote| Contract to Hire

Walker Healthforce is seeking a Physician Reviewer with 5+ years' experience to support a healthcare client . This is a 2 yearcontract to hire opportunity.

START DATE: ASAP

HOURS/SCHEDULE: 20 - 40 hours/week and possible weekend coverage (in a rotation)

WORKER TYPE: W2

CORE REQUIREMENTS:

• Board Certified (ABMS) M.D. or D.O, unrestricted and active license to practice medicine requested
• 5 years clinical experience to include inpatient experience, or any combination of education/experience that would provide an equivalent background
• Must have understanding of managed care and demonstrate PC proficiency, as file review will be done via computer in most cases

JOB 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 problem solving and anticipation of possible future clinical problems for the member. Participates in the process to evaluate clinical service requests. Participates in the Physician Review Units' appeal process of service denials. Participates in the development of Physician Review Units' policies and procedures. Actively participates in all unit continuous quality improvement activities. Other duties as assigned by the Medical Director.

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

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.