Physician Consultant – Independent Contractor

🕒 June 26

🌲 North Carolina – Remote

🌲 North Carolina – Remote

💵 $200 / hour

⏳ Contract/Temporary

🟡 Mid-level

🟠 Senior

💼 Consultant

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Constellation Quality Health

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 1983

🏥 Healthcare

⚕️ Healthcare Insurance

💼 Consulting

Healthcare • Healthcare Insurance • Consulting

Constellation Quality Health is a consulting firm that specializes in improving system performance within the healthcare sector. They focus on delivering patient-centered, cost-effective care through expertise in behavioral health, chronic disease management, fraud prevention, and quality improvement. By aggregating and analyzing data, Constellation helps healthcare organizations identify gaps and risks in care delivery, ensuring optimal healthcare outcomes and financial stability for their clients.

📋 Description

• The Physician Consultant supports Constellations payment integrity work, both directly and under contract with our partners. • This position is responsible for conducting detailed reviews of medical records to determine appropriateness of treatment, timelines and fact chronology, determination of reasonable and necessary treatment modality, causation, and medical necessity. • This includes assessing consistency between diagnosis, procedures, and clinical documentation. • The Physician Consultant works collaboratively with program staff to provide expert opinions on care provided to patients. • Develops formal, professionally written summaries of those opinions based on evidence and accepted practice standards.

🎯 Requirements

• Licensed Medical Doctor or Doctor of Osteopathy, with Board Certification in Orthopedic Surgery. • Active and unrestricted medical license, in good standing, with a minimum of 3-5 years of experience in performing expert clinical reviews of treatment records. • Must have extensive clinical expertise in orthopedics and orthopedic surgery. • Findings must be documented in a formal medical summary and conclusion. • Demonstrated ability to communicate complex clinical information to diverse audiences. • Strong written, verbal, visual, and interpersonal communication skills. • Experience developing formal, professionally written reports which may be used during litigation. • Ability to manage multiple projects simultaneously and meet deadlines in a fast-paced environment. • Proficiency in Microsoft Office applications (Word, Excel, PowerPoint, Outlook, Teams, and SharePoint).

🏖️ Benefits

• The contractor will be responsible for their own taxes, insurance, benefits, and business expenses unless otherwise specified in a written agreement. • The selected consultant agrees to maintain and provide current certificates of coverage for professional liability insurance ($1M /$1M) and cyber liability insurance ($1M /$1M)