Remote Physician Advisor (1099) Medical Utilization Reviewer
Clover Health
New York, NY
- Remote job
Clover Health is seeking a Physician Advisor (1099 Contractor) who is licensed in the United States to lead utilization management discussions with treating providers. The role applies Medicare/CMS requirements, clinical criteria, and plan policies to determine appropriate level of care and medical necessity. The Physician Advisor will review documentation, participate in peer-to-peer discussions, and escalate or approve determinations while ensuring timely, evidence-based decisions compliant #J-18808-Ljbffr Clover Health
Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Remote Physician Advisor (1099) Medical Utilization Reviewer in New York, NY vacancy
$240k - $300k
Remote - USA Position Summary The Physician Advisor(1099 Contractor) is a licensed physician responsible... ...providers regarding utilization management determinations... ..., applicable medical necessity criteria, health... ...authorization requests. Review the member's clinical documentation...Remote workFor contractorsWork experience placementNight shift- ...steps. Our partner is looking for a Physician Advisor- Peer-to-Peer Medical Reviewer based in United States. As a... ...with treating providers regarding utilization management determinations and requested... ...improvement. This full-time remote opportunity is designed for an experienced...Remote workFull timeNight shift
Jobgether
Remote9 days ago - ...healthcare organization is seeking a RCS-Physician Advisor to join their Denial Management team. This full-time remote position requires a medical degree and board certification, along... ...hospital services and resource utilization. #J-18808-Ljbffr Indiana University HealthRemote jobFull time
$93.6k - $312k
...Sentara Health.As a Regional Physician Advisor, you'll leverage your... ...the Clinical Revenue Cycle’s Utilization Review and Denials/Appeals processes... ...interfaces with hospital and medical staff leadership,... ...positions that are available as remote work,Sentara Health employs...Remote workFull timeTemporary workShift workSentara Healthcare
Williamsburg, VA1 day ago$93.6k - $312k
...ShiftFirst (Days)Overview:Physician Advisor - Sentara Virginia Beach... ...conducts timely and compliant medical necessity reviews and assists with denials... ...of Sentara's centralized Utilization Review (UR) process.The... ...that are available as remote work,Sentara Health employs...Remote workFull timeTemporary workShift workSentara Healthcare
Virginia Beach, VA1 day ago- ...Physician Advisor The Physician Advisor provides physician-to-physician reviews, clinical guidance, education, and escalation... ...resource utilization. Key Responsibilities... ...physician reviews for medical necessity, level of... ...Experience in a remote or consulting healthcare...Remote work
HURC Healthcare Solutions
United States2 days ago - ...Manufacturing Sector is seeking an accomplished Utilities Industry Solutions Subject Matter Expert... ...conversationsAct as a trusted industry advisor and deal shaper, influencing scope,... .... We offer the flexibility of a remote role, the scale of a global organization...Remote work
NTT DATA
Dallas, TX2 days ago $88.7 - $140 per hour
Acentra Health in McLean, Virginia is seeking a Physician Medical Reviewer to join their team. The role involves conducting independent reviews... ...at least 3 years of clinical practice and experience in Utilization Review. Acentra Health offers competitive pay rates...Remote jobHourly pay- ...Plastic Surgeon – Independent Medical Reviewer Remote | Part-Time | Independent... ...Our Nationwide Panel of Physician Reviewers PeerLink Medical... ...independent peer reviews, utilization reviews, and expert medical... ...Additional Information This is a 1099 independent contractor...Remote workPart timeFor contractorsFlexible hours
Emperion
Birmingham, AL21 days ago $150.08k - $199.07k
...health systems, and medical groups. We are the one... ...orchestration. As our Physician Advisor , you will help our... ...compliant revenue by reviewing payor peer-to-peer cases... ...excelling in this remote position. Here’s what... ...of documentation and utilization issues. Required Skills...Remote work- Remote Physician - 1099 Contract (CA or TX License Required) Job Description... ...licensed in CA or TX Wheel Medical Group is seeking physicians... ...synchronous virtual care. Review comprehensive patient... ...Wheel clinical guidelines, utilizing clinical snippets and workflows...Remote jobContract work10 hours per weekNight shiftAfternoon shift
- ...Physician Advisor The Physician Advisor performs case reviews of all case types in a knowledgeable and conscientious manner... ...closely with the Client's medical staff leadership, the entire medical... ..., discharge planning, and utilization management to recommend methods...Remote jobWork at officeLocal areaShift work
$198k - $297k
...hospitals and affiliated physician groups. They offer... ...:The Physician Advisor provides... ...managing resource and utilization to deliver quality... ...closely with the medical staff leadership,... ...performing Peer to Peer reviews, Short Stay... ...Top Workplace for Remote Work 2024Great Place...Remote workLocal area- ...Certified Orthopaedic Spine Surgeon to conduct utilization reviews. This telework position allows for a... .... Responsibilities include reviewing medical records, ensuring compliance with state... ...is based on a per-case basis as a 1099 independent contractor. #J-18808-Ljbffr...Remote jobFor contractorsMonday to FridayFlexible hours
- ...recognized Independent Review Organization (IRO),... ...its panel of Physician Reviewers. We are currently... ...an active New York medical license and Workers... ...to conduct Utilization Reviews. This is a fully remote, non-clinical role... ...Independent contractor (1099) status Average...Remote workPrice workExtra incomeFor contractorsFlexible hours
$115k - $220k
...achieve competitive advantage. We represent utilities and other energy firms before their... ...docketed proceedings. As trusted strategic advisors, we work with stakeholders across the... ...year (e.g. holiday periods), additional remote work options are offered to those whose...Remote workWork at officeWork from home3 days per weekCRA International
Washington DC3 days ago- ...A peer review organization is seeking a full-time remote Utilization Management Physician Reviewer. Ideal candidates must hold an MD, DO, or DPM degree with active board certification and unrestricted medical license in relevant states. The role involves performing detailed...Remote workFull timeWork from home
ExamWorks
United States4 days ago - ...Independent Contractor Telehealth Physician 9amHealth is seeking... ...limited to conducting real-time medical consultations. What you'll... ...appropriate to the encounter, review patient histories, and address... ...Contractor Terms: This is a 1099 independent contractor...Remote workFor contractorsLocal areaWork from homeFlexible hours
9amHealth
United States2 days ago $93k - $189k
...s Commercial Portfolio Manager -Power & Utilities will co-manage a growing $4.5 billion book... ...business conditionsManage annual reviews and renewals, portfolio reviews, collateral... ...strong community, and do their best work. Remote roles will also have the opportunity to...Remote workFull timeWork at officeWork from homeFlexible hoursThe Huntington National Bank
Columbus, OH1 day ago- ...Are you an experienced Medical Director/ Physician Reviewer with a desire to excel? If so, then Talent Software... .../ Physician Reviewer to work remotely at their company. Description: Medical... ...of a physician team, ensures that utilization management responsibilities are...Remote workPrivate practice
TALENT Software Services
Pittsburgh, PA3 days ago - Henry Ford Health System in Detroit seeks a Physician Advisor responsible for overseeing healthcare service utilization and compliance. The role includes collaboration with medical staff to promote quality care while managing resources effectively. Applicants should possess...Full time
- Physician Advisor UR and CDI-Utilization Management Summary: The Physician Advisor is a key member of the healthcare... ...Improvement and Utilization Review departments and the hospital leadership... ...under-utilization of resources, medical necessity, levels of care, denial management...
- Med-Metrix is seeking a Physician Advisor to perform case reviews across all types, ensuring medical necessity and optimal use of hospital resources. You will collaborate... ..., case management, discharge planning and utilization management to improve documentation, coding accuracy...
- Penn Medicine is seeking a Physician Advisor to serve as a clinical leader within Utilization Management, reporting to the AVP of Utilization Management. The role supports medical necessity determinations, peer-to-peer engagement, and documentation improvements across...
- Henry Ford Health in Michigan seeks a Physician Advisor for IPAS to optimize hospital operations while... ...care standards. You will work with medical staff leadership, residents, case management, social services, and utilization management to implement efficiency strategies...
$248.5k - $373k
...$373,000.00/yearJob Area: Medical & Clinical OperationsCompany... ...or family medicine physician to join our Utilization Management team. Optum is... ...enjoy the flexibility to work remotely * from anywhere within the... ...processesParticipates in case review and medical necessity...Remote workMinimum wageFull timeWork experience placementWork at officeLocal areaWork from homeUnitedHealth Group
San Antonio, TX1 day ago- ...Remote Description: Evaluates clinical service requests made by an organization... ...service requests. Participates in the Physician Review Units' appeal process of service denials... ...activities. Other duties as assigned by the Medical Director. Board Certified (ABMS) M.D....Remote workContract workWeekend work
VIVA
United States1 day ago - ...Are you a Board Certified Medical Doctor (Family Medicine... ...looking for a full-time, remote job in a nonclinical setting... ...ExamWorks is seeking a physician board-certified in either... ...team full-time as a Utilization Management Physician Reviewer. This position is 10...Remote workFull timeMonday to FridayWeekend work
ExamWorks UM Strategies
United States15 hours ago - ...Opportunity Unique Join a mission-driven physician team focused on improving patient... ...(for NPs and PAs) Fractional Medical Directorship Compliance Advisor What You Should Bring MD or... ...per-collaboration basis. Fully remote, flexible scheduling. A...Remote workContract workFlexible hours
Stealth Healthtech Startup
United States21 hours ago $160k - $300k
...00 - $300,000/yearJob Area: Medical & Clinical OperationsCompany... .... Growing together. In this Physician Advisor role, you will partner with... ...to conduct medical necessity reviews, facilitate peer-to-peer discussions... ...the flexibility to work remotely * from anywhere within the U...Remote workMinimum wageFull timeWork experience placementLocal areaAll shiftsFlexible hoursWeekend workAfternoon shiftUnitedHealth Group
Newtown Square, PA1 day ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Physician Advisor (1099) Medical Utilization Reviewer. Be the first to apply!
Related searches
- medical doctor without license New York, NY
- smile doctors New York, NY
- collaborating physician New York, NY
- outpatient primary care physician New York, NY
- doctor on call New York, NY
- doctor New York, NY
- pediatric doctor New York, NY
- safety physician New York, NY
- weekend doctor New York, NY
- ent physician New York, NY