Physician Reviewer - Pain Management - WA L&I at Blank Street

Bellevue, Washington, United States

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Not SpecifiedCompensation

Senior (5 to 8 years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare, InsuranceIndustries

Requirements

Washington State medical license (preferred)
Certification, or willingness to become certified, with the Washington State Department of Labor and Industries (L&I)
Clinical expertise as a physician in pain management
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 job
Availability for on-site work, customizable schedule, and client-mandated turnaround times

Responsibilities

Review all medical records and address each client question using client-specific or nationally recognized evidence-based criteria
Ensure rationale for determinations is clear, concise, and supported by adequate documentation
Identify, critique, and utilize current criteria/resources (e.g., national/state guidelines, peer-reviewed literature) for objective decision-making; avoid case studies/cohorts due to limited sample sizes
Provide copies of 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/client requirements
Attend all required orientation and training
Perform other duties as assigned, including addressing quality assurance issues, complaints, regulatory issues, depositions, court appearances, or audits
Conduct in-person exams (potentially video-recorded for ~15% of cases) and utilize clinical expertise to interpret medical necessity for insurance appeals, prospective, and retrospective claims

Skills

Key technologies and capabilities for this role

Pain ManagementMedical Records ReviewInsurance AppealsMedical Necessity ReviewEvidence-Based GuidelinesWA Medical LicenseL&I CertificationUtilization ReviewClinical ExpertisePeer-Reviewed Literature

Questions & Answers

Common questions about this position

What is the compensation structure for this Physician Reviewer role?

Reviewers are compensated on a per-case basis as a 1099 independent contractor.

Is this position remote or on-site?

This is an on-site position with in-person exams to be conducted in Bellevue, WA, and additional locations to be added in the future.

What qualifications and skills are required for this role?

Preferred candidates hold a WA license and certification, or willingness to become certified, with the Washington State Department of Labor and Industries (L&I); the role requires clinical expertise in reviewing medical records, insurance appeals, and claims using evidence-based guidelines.

What flexibility does this job offer in scheduling?

The role allows you to customize your schedule and caseload within the week while maintaining client-mandated turnaround times.

What makes a strong candidate for this Physician Reviewer position?

Strong candidates will have a WA medical license, L&I certification or willingness to obtain it, and experience in clinical review using evidence-based guidelines, while being able to meet turnaround times and handle multiple exams per day.

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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