Physician Reviewer - Orthopedic Surgeon - WA L&I at Blank Street

Bellevue, Washington, United States

Blank Street Logo
Not SpecifiedCompensation
Senior (5 to 8 years), Expert & Leadership (9+ years)Experience Level
Full TimeJob Type
UnknownVisa
Healthcare, Insurance, Workers CompensationIndustries

Requirements

  • Orthopedic Surgeon with relevant clinical expertise
  • Washington State medical license (preferred)
  • Certification, or willingness to become certified, with Washington State Department of Labor and Industries (L&I)
  • Ability to conduct in-person exams in Bellevue, WA (with potential additional locations)
  • Maintain proper credentialing, state licenses, and any special certifications required for the role
  • Availability for multiple exams per day and video recording of approximately 15% of exams

Responsibilities

  • Review all medical records and address each client question using client-specific criteria or nationally recognized evidence-based guidelines
  • Ensure rationale for determinations is clear, concise, and supported by adequate documentation
  • Identify, critique, and utilize current criteria/resources (e.g., national/state/professional guidelines, peer-reviewed literature) for objective decision-making; avoid case studies or limited sample sizes
  • Provide copies of any criteria used in reviews with the report in a timely manner
  • Return cases on or before the due date and time
  • Make telephone calls as mandated by state or client requirements
  • Maintain proper credentialing, state licenses, and special certifications
  • Attend all required orientation and training
  • Perform other duties as assigned, including addressing quality assurance issues, complaints, regulatory matters, depositions, court appearances, or audits
  • Conduct in-person exams, utilizing clinical expertise to interpret medical necessity of services in insurance appeals, prospective, and retrospective claims

Skills

Orthopedic Surgery
Medical Record Review
Utilization Review
Insurance Appeals
Evidence-Based Guidelines
Clinical Expertise
WA Medical License
L&I Certification
Peer-Reviewed Literature

Blank Street

Specialty coffee shop with efficient service

About Blank Street

Blank Street provides a unique coffee shop experience by offering high-quality coffee and food at affordable prices. The company started with a small coffee cart in Brooklyn and has since expanded to major cities like New York, London, Boston, and Washington, D.C. Their product offerings include specialty coffees sourced from around the world and fresh, locally-sourced food. Customers can enjoy a quick yet premium experience, thanks to the efficiency of their small locations that help keep costs down. Blank Street differentiates itself from competitors by focusing on customer convenience through technology, such as their app that allows for ordering ahead, customizing drinks, and participating in loyalty programs. They also prioritize employee satisfaction by paying baristas above-market wages. The goal of Blank Street is to redefine the coffee shop experience by combining quality, affordability, and exceptional service, making it a significant player in the specialty coffee market.

New York City, New YorkHeadquarters
2020Year Founded
$50.6MTotal Funding
EARLY_VCCompany Stage
Food & Agriculture, Consumer SoftwareIndustries
201-500Employees

Benefits

Health Insurance
Dental Insurance
Vision Insurance
Paid Vacation
Paid Sick Leave
Paid Holidays
Parental Leave
Flexible Work Hours
Company Equity

Risks

Rapid expansion may lead to operational inefficiencies and overextension.
Subscription program may not resonate with all customer segments, risking dissatisfaction.
Reliance on outsourced vendors poses risks if supply chain disruptions occur.

Differentiation

Automated espresso machines ensure consistent quality and enhance barista-customer interaction.
Small, cost-effective locations reduce overhead and allow competitive pricing.
Focus on high-quality, clean, and natural products at affordable prices.

Upsides

Rapid expansion into major cities increases brand visibility and market presence.
Subscription model provides steady revenue and enhances customer loyalty.
Partnerships with lifestyle brands boost brand visibility and customer engagement.

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