Everly Health
Contract Physician – Medical Necessity Review (Genetic Testing)
United States
Sponsorship not specifiedDetected 147 days ago
ComplianceAR/VRHIPAACommunication
About the role
- We transform complex biomarker data into life-changing insights-seamlessly integrating advanced diagnostics, virtual care, and patient engagement to reshape how and where health happens.
- In 2025, an estimated 1 in 94 U.S. adults received an Everlywell test, solidifying our spot as the #1 at-home testing company in the country.
- Fueled by AI and built for scale, we're breaking down barriers, closing care gaps, and unlocking a more connected healthcare experience that is smarter, faster, and more personalized.
Responsibilities
- Maintain HIPAA compliance and documentation standards.
- We are a 50-state physician, registered nurse, and genetic counselor network with a strong care coordination and patient support team and technology infrastructure.
Requirements
- Review and authorize testing orders & sign required supporting documents, when deemed appropriate.
- 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.
- Ideal Experience
- Benefits
- Security Notice: Everlywell never requests fees, payment, or banking information at any stage of the recruitment process. Official communications and interview invitations will only come from verified email addresses ending in @everlywell.com or @everlyhealth.com. To ensure your application is secure, always apply directly through our official careers page at https://www.everlywell.com/careers/.
Nice to have
- Medicare enrollment required.
- Telehealth or virtual care experience preferred.
Benefits
- Everlywell is a digital health company pioneering the next generation of biomarker intelligence-combining AI-powered technology with human insight to deliver personalized, actionable health answers.
- Over the past decade, Everlywell has delivered close to 1 billion personalized health insights, transforming care for 60 million people and powering hundreds of enterprise partners.
- At PWN our mission is to enable access to diagnostic testing, treatment, and professional guidance that empowers individuals to improve their health.
- Our suite of services enables a broad spectrum of health industry clients to provide seamless access to diagnostic testing and related care interventions.
- Assess and determine medical necessity for genetic testing.
- Active, unrestricted medical license in good standing.
Company info
- PWN is part of a provider network affiliated with Everlywell, a leading remote-based healthcare company.
Apply directly at Everly Health →Create a free account for alerts like thisView Everly Health immigration profile
This listing is sourced directly from Everly Health's careers page and normalized into a canonical job model.