Contract Physician – Medical Necessity Review, Genetic Testing

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🔥 2 minutes ago

🌪️ Kansas – Remote

🌪️ Kansas – Remote

⏳ Contract/Temporary

🟡 Mid-level

🟠 Senior

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Everly Health

WebsiteLinkedInAll Job Openings

501 - 1000 employees

🏥 Healthcare

🍽️ Food & Beverage

📦 Logistics

Healthcare • Food & Beverage • Logistics

Everly Health is a pioneer in telehealth and at-home lab testing, providing diagnostics-driven virtual care. They offer over 30 at-home tests with simple sample collection, free shipping, and physician-reviewed results. Everly Health focuses on modern, accessible healthcare experiences and a seamless, virtual care platform. Their infrastructure includes a national network of clinicians, supporting a comprehensive testing experience. With a commitment to sustainability, they also offer fertility and pregnancy products with a net-zero plastic footprint. Serving over 20 million lives annually and partnering with numerous organizations, Everly Health aims to improve access to life-changing health and wellness solutions.

📋 Description

• Review clinical documentation completed by a Genetic Counselor following patient history intake and pre-test counseling. • Assess and determine medical necessity for genetic testing. • Review and authorize testing orders & sign required supporting documents, when deemed appropriate. • Ensure compliance with state regulations, payer requirements, and internal clinical protocols. • Maintain HIPAA compliance and documentation standards.

🎯 Requirements

• Active, unrestricted medical license in good standing. License in Kansas or Arkansas (along with residence in KS or AR) prioritized. • Medicare enrollment required. Enrollment in Kansas or Arkansas Medicaid preferred, or willingness to enroll with administrative support. • Board Certified in primary care specialty (Internal Medicine, Family Medicine, Pediatrics, or other relevant specialty). • Ability to independently evaluate clinical documentation and render medical necessity determinations. • Comfortable working in a fully asynchronous, technology-enabled workflow. • Strong attention to detail and documentation accuracy. • Telehealth or virtual care experience preferred.

🏖️ Benefits

• Fixed payment per review • Flexible schedule • 100% Remote • Professional Liability Insurance