Elevance Health·Waukesha, Wisconsin
The reviewer conducts clinical case evaluations to determine the medical necessity of therapy services and ensures consistent, compliant decision-making. They also lead peer-to-peer calls with providers and document findings in accordance with regulatory standards.
Anticipated End Date: 2026-08-21
Position Title: Advanced Therapy Services Reviewer (Physical Therapist)
The Advanced Therapy Services Reviewer (Physical Therapist) is responsible for conducting timely and quality clinical case evaluations to determine the medical necessity of therapy service requests, ensuring prompt, consistent, and compliant decision-making.
Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process should submit the following form: Accessibility Accommodation Request Form and a member of the team will be in contact. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.
Workday keeps job postings active through 11:59:59 PM on the day before the listed end date.
If the end date is 3/13, the posting will automatically come down on 3/12 at 11:59:59 PM. In other words — the job is posted until 3/13, not through 3/13.
Candidates must hold a BA/BS in physical therapy, occupational therapy, or speech language pathology with at least one year of clinical experience. A current, valid, and unrestricted professional license in the applicable state is required.
Market context
In Wisconsin, allied health openings like neurodiagnostic technician roles are often driven by hospital and clinic needs for skilled diagnostic support. These positions can be competitive because employers may prefer candidates with BLS, ABRET registration, and prior neurodiagnostic experience, while offering standard benefits such as medical, dental, vision, life insurance, and paid time off. Review the AI-summarized requirements and benefits on this platform to quickly compare fit, then confirm whether your EEG, EMG/NCV, or related experience aligns before applying.