Medical Reviewer, Podiatrist

Gainwell Technologies

Podiatrist reviewing medical records, claims, and treatment authorizations for Gainwell Technologies’ California healthcare programs. Applying clinical judgment to medical necessity and coverage decisions.

Posted 8/22/2026full-timeRemote • California • 🇺🇸 United StatesMid-LevelSenior💰 $110,000 - $130,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in reviewing podiatry-related medical records and evaluating services against clinical standards and coverage requirements. Proficient in collaborating with multidisciplinary healthcare teams while maintaining compliance with regulatory guidelines and quality expectations.

Highest-signal resume keywords

Podiatric MedicineCalifornia State LicenseClinical JudgmentMedical Record InterpretationMultidisciplinary Team Collaboration

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Medical Record ReviewTreatment Plan EvaluationClinical DocumentationMedical Necessity AssessmentQuality Assurance

Soft Skills

Strong Communication SkillsEffective Collaboration

Tools & Technologies

Computer Systems NavigationClinical Applications

Certifications & Qualifications

Podiatry License

Industry Keywords

Podiatry StandardsMedical PoliciesCoverage RequirementsRegulatory GuidelinesHealthcare Programs

About the role

Key responsibilities & impact

Review podiatry-related medical records, claims, Treatment Authorization Requests (TARs), and supporting clinical documentation
Evaluate requested podiatric services against applicable coverage requirements, medical policies, and clinical standards
Apply professional podiatric expertise and clinical judgment to review medical necessity and appropriateness of services
Review treatment plans and supporting documentation for requested services
Document clinical findings, review decisions, and supporting rationale accurately and timely
Refer cases requiring additional clinical review to appropriate medical professionals
Collaborate with physicians, nurses, clinical specialists, operations teams, and business partners to resolve review questions
Maintain knowledge of podiatric standards, medical policies, coverage requirements, and regulatory guidelines
Meet quality, accuracy, productivity, and turnaround-time expectations
Work primarily from a home office supporting Medical Review Services for California healthcare programs
Navigate multiple computer systems and applications to complete reviews and document findings
Travel 0–10%

Requirements

What you’ll need

One (1) year of experience working in a variety of clinical settings is preferred
Doctorate or Diploma in Podiatric Medicine, or Diploma in Chiropody
Current California State license to practice Podiatry, in good standing
Strong clinical judgment
Ability to interpret medical records, treatment plans, and supporting clinical documentation
Ability to work effectively with multidisciplinary healthcare teams
Strong written and verbal communication skills
Maintain all professional licenses, certifications, and credentials required for the position in active, unrestricted, and good-standing status
Ability to navigate multiple computer systems and applications
Ability to meet established quality, accuracy, productivity, and turnaround-time expectations

Benefits

Comp & perks

Flexible work hours
Work-life balance
Continuous learning and career development
Generous, flexible vacation policy
401(k) employer match
Comprehensive health benefits
Educational assistance
Leadership and technical development academies
Ongoing training and support
Remote work environment