Radiologist - Physician Reviewer — Remote

Job highlights

• Ownership: independent practice
• AI imaging tools
• Remote / teleradiology eligible

Original employer description

HealthHelp is seeking Board-Certified Physicians with expertise in Diagnostic Imaging or related specialties to support utilization management case review activities on contract. We are particularly interested in candidates licensed in Oregon. WNS, part of Capgemini, is an Agentic AI-powered leader in intelligent operations and transformation, serving more than 700 clients across 10 industries, including Banking and Financial Services, Healthcare, Insurance, Shipping and Logistics, and Travel and Hospitality. We bring together deep domain excellence – WNS’ core differentiator – with AI-powered platforms and analytics to help businesses innovate, scale, adapt and build resilience in a world defined by disruption.Our purpose is clear: to enable lasting business value by designing intelligent, human-led solutions that deliver sustainable outcomes and a differentiated impact. With three global headquarters across four continents, operations in 13 countries, 65 delivery centers and more than 66,000 employees, WNS combines scale, expertise and execution to create meaningful, measurable impact. At WNS HealthHelp (A Capgemini Company), 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 are 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 – Diagnostic Imaging, you will apply your clinical expertise to evaluate medical necessity, support evidence-based care delivery, and partner with ordering providers through peer-to-peer consultation. In this role, you will:Perform comprehensive reviews of diagnostic imaging and related service requestsProvide peer-to-peer consultation with ordering providers to promote appropriate utilization and collaborative careApply evidence-based clinical guidelines and best practices in medical necessity determinationsSupport utilization management quality, compliance, and accreditation standardsRender clear, well-reasoned determinations aligned with regulatory, contractual, and clinical criteria RequirementsMD or DO degree from an accredited school of medicineBoard certification in one of the following or a closely related specialty:Primary Imaging & Procedural SpecialtiesDiagnostic RadiologyInterventional RadiologyNeuroradiologyNuclear MedicineClinically Aligned Medical SpecialtiesInternal MedicineFamily MedicineEmergency MedicineCardiologyPhysical Medicine & RehabilitationOrthopedicsOther specialties with significant imaging utilization experience may be consideredActive, unrestricted U.S. medical license in the state of OregonCurrent or recent U.S. clinical practice experienceMeets HealthHelp credentialing requirementsAbility to make outbound calls to providers as part of the case review processAbility to collaborate with HealthHelp nursing and administration staff membersExcellent negotiation, leadership, and communication skillsProficiency in using digital platforms for case review and communication Preferred QualificationsUtilization Management case review experienceAcademic affiliationParticipation in Interstate Medical Licensure CompactExperience or familiarity with principles and procedures of utilization management in managed careAbility to support flexible working hoursExperience and familiarity with government programsDemonstrated ability to follow evidence-based practices in reviewing cases for medical appropriatenessCommitment 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 ease of use for our specialists. Location - RemoteSchedule - Completely FlexibleJob Type - ContractApply to - trupti.udeshi@wns.com WNS HealthHelp (A Capgemini Company) provides cutting-edge technology to streamline the review process, including our proprietary HIPAA – compliant portal and Physician App, ensuring efficiency and ease of use for our specialists. WNS HealthHelp (A Capgemini Company) is an Equal Opportunity Employer. At WNS HealthHelp, we celebrate diversity and are committed to creating an inclusive environment that extends to our suppliers and vendors. All qualified Independent Contractors will receive consideration without regard to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, national origin, age, disability, genetic information, veteran status, or any other status protected under federal, state, or local law.