Experienced Utilization Management Review Physician - Full-Time & Part-Time Remote Opportunities in Orthopedic Surgery, Spine Surgery, Neurosurgery, Pain Management, or Primary Care Sports Medicine

Introduction to Workwarp and Our Mission

At Workwarp, we are dedicated to illuminating healthcare for patients, their doctors, and all those who play a crucial role in a patient's healthcare experience. Founded in August 2019, our mission is to eliminate wasteful friction that patients and doctors encounter in areas unrelated to health and treatment, particularly for diagnoses that require expensive procedures or medications. We achieve this by building software designed to ensure the appropriate plan of care is understood and expeditiously approved, allowing patients and doctors to focus on health rather than payment or administrative hassles.

Company Overview and Culture

As a Series B company, we are rapidly scaling to impact millions of patients. Our culture values innovation, teamwork, and a passion for improving healthcare outcomes. We believe in fostering an environment of mutual respect where equal employment opportunities are available to all. Our team is composed of diverse individuals who are obsessed with making a difference in the healthcare industry. We offer a vibrant community, a great schedule, and a quality of life that allows our team members to thrive both personally and professionally.

Opportunity Overview

We are seeking experienced physicians with expertise in Orthopedic Surgery, Spine Surgery, Neurosurgery, Pain Management, or Primary Care Sports Medicine to join our team as Utilization Management Review Physicians. As a critical member of our review team, you will determine the medical appropriateness of services by reviewing clinical information and applying evidence-based guidelines. This is a 100% remote position, offering a competitive base salary, a full benefits package, and the opportunity to work with a talented team of professionals who share your passion for delivering exceptional patient care.

Key Responsibilities

• Provide timely medical reviews that meet our stringent quality parameters, utilizing your clinical acumen and evidence-based criteria to make informed decisions.
• Clearly and accurately document all communication and decision-making in workflow tools, ensuring that members and providers can easily reference and understand your decisions.
• Conduct timely peer-to-peer discussions with treating providers to clarify clinical information and explain review outcome decisions, including feedback on alternate treatment based on medical necessity criteria and evidence-based research.
• Demonstrate the highest level of professionalism, accountability, and service in your interactions with teammates and providers, supporting projects specific to building the team's clinical expertise and efficiency.
• Support the team on operational improvements and member/provider experience involving clinical review tasks, as delegated, and contribute to the development of our clinical review processes.

Essential Qualifications

• Completed US-based residency/fellowship program in Orthopedic Surgery, Neurosurgery, Pain Management, or Primary Care Sports Medicine.
• Board certification as an MD or DO with a current unrestricted state license to practice medicine, maintaining necessary credentials to retain the position.
• 5+ years of clinical practice beyond residency/fellowship in Orthopedic Surgery, Neurosurgery, Pain Management, or Primary Care Sports Medicine, with a strong foundation in clinical decision-making and patient care.

Preferred Qualifications

• 1+ years of managed care utilization review experience, with a deep understanding of the regulatory structure and processes that govern our industry.
• Membership in national and/or regional specialty societies, demonstrating your commitment to ongoing education and professional development.
• Licensure in AZ, GA, MS, NC, ND, OK, OR, or TX is highly desirable, with a willingness to obtain additional state licenses with company support.

Competencies and Success Factors

To succeed in this role, you will need to possess a unique blend of clinical expertise, communication skills, and technological proficiency. You should be able to multitask and manage tasks to completion on a timely basis, exceling in a matrix organization with a strong ability to work autonomously. Your excellent communication skills, both written and spoken, will enable you to effectively collaborate with teammates and providers, while your comfort with technology will allow you to quickly learn new software tools and adapt to our rapidly evolving environment.

Career Growth Opportunities and Learning Benefits

At Workwarp, we are committed to supporting the growth and development of our team members. As a Utilization Management Review Physician, you will have access to ongoing education and training, as well as opportunities to contribute to the development of our clinical review processes and improve patient outcomes. Our fast-paced environment favors individuals who are able to learn quickly, be hands-on, handle ambiguity, and communicate effectively with people of different backgrounds and perspectives.

Work Environment and Company Culture Highlights

Our company culture is built on a foundation of mutual respect, trust, and open communication. We believe in fostering a positive and inclusive work environment that allows our team members to thrive, both personally and professionally. As a remote team, we prioritize regular communication and collaboration, using technology to stay connected and ensure that everyone feels included and valued.

Compensation, Perks, and Benefits

We offer a competitive base salary, a full benefits package, and a range of perks and benefits designed to support your well-being and quality of life. Our benefits package includes medical, dental, vision, paid time off, and disability coverages, as well as opportunities for professional development and growth.

Conclusion

If you are a motivated and experienced physician looking for a new challenge, we encourage you to apply for this exciting opportunity. As a Utilization Management Review Physician at Workwarp, you will have the chance to make a real difference in the lives of patients, while working with a talented team of professionals who share your passion for delivering exceptional patient care. Don't hesitate – apply today and let's build the future together!

We Want to Hear From You!

If this role sounds like a perfect fit, don't hesitate. Apply today and let's build the future together. We can't wait to learn more about you and meet you!