Senior Remote Clinical Review Specialist
New England Life Care, Inc.
Canton, MA
- Remote job
New England Life Care, Inc. is seeking a Senior Clinical Review Specialist in Canton, MA for a full‑time remote/onsite hybrid role with a strong emphasis on clinical criteria and payer policies. The ideal candidate has medical experience, understands utilization review, and can communicate decisions effectively to providers and members while ensuring compliance with state and federal regulations. #J-18808-Ljbffr New England Life Care, Inc.
Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Senior Remote Clinical Review Specialist in Canton, MA vacancy
$24 - $25 per hour
...an accommodation or an alternative application process. Senior Clinical Review Specialist Full Time Professional Canton, MA, US Salary Range: $24.... ...apply! You still may be the person we are looking for! Remote Clinical Review Specialist opportunity available. This is...Remote workSeniorHourly payFull timeTemporary workLive inLocal areaMonday to Friday$80.5k
...Job Description Job Title: Senior Clinical Quality Specialist Job Summary: CASES is looking... ...continuous quality improvement. This is a remote position with requirements and... ...incident committee meetings to review and monitor the program response to...Remote workSeniorFull timeWork at officeLocal areaMonday to FridayShift work1 day per weekCASES
New York, NY8 days ago- Work Flexibility: Remote or Hybrid or OnsiteStryker is hiring a Senior Staff Clinical Evaluation Specialist for our Surgical Technologies business unit. This is a remote position... ....Design and execute systematic literature reviews, evaluate published evidence, and...Remote workSeniorFull timeFor contractors
Stryker
Portage, MI1 day ago - A health accreditation organization is seeking a Part-Time Clinical Review Specialist who will play a key role in supporting accreditation processes... ...and a background in quality assurance. This role is fully remote, allowing candidates from anywhere in the United States to...Remote workPart time
Accreditation Commission for Health Care (ACHC)
New York, NY4 days ago - ...plan serving diverse communities with a mission to provide coordinated, quality care. The Appeals and Grievances Clinical Specialist III role focuses on reviewing, investigating, and resolving member and provider appeals with clinical expertise, ensuring regulatory...Remote jobSenior
- ...Veracyte seeks an experienced Senior Clinical Reimbursement Specialist to manage complex appeals, mentor junior... ...reimbursement operations team. This remote position requires advanced clinical... ...at Level 1, Level 2, and external review stages Develop clinically robust...Remote workSenior
Veracyte
Remote16 days ago $76k
...Position Summary The Clinical Reviewer Specialist is responsible for performing clinical and... ...required benefits. Position is fully remote only in the state of Florida. Must... ...guidelines and determination authority for senior reviewer to make final adjudication...Remote workPermanent employmentTemporary workLive inImmediate startRelocationFlexible hours$110.1k - $238.4k
...Stryker seeks a Senior Staff Clinical Evaluation Specialist to lead clinical evidence strategies and scientific documentation... ...for surgical technologies. This remote role (Eastern/Central time zones)... ...and execute systematic literature reviews, synthesizing clinical and post-...Remote workSeniorStryker
Portage, MI16 days ago$105k
...globe. Position Summary As a Senior Clinical Infection Prevention Specialist (Senior CIPS) at STERIS you are... .... You will provide onsite process reviews detailing the endoscopy workflow and... ...Long-Term Career #LI-LS1 #remote Pay r ate for this opportunity...Remote workSeniorTemporary workFor contractorsWork at officeLocal areaFlexible hoursSTERIS
Orlando, FL9 days ago- Acentra Health is seeking a Clinical Reviewer licensed in Arkansas to join our remote team serving the Arkansas Behavioral Health program. You will review medical records, perform prior authorization and retrospective reviews, and collaborate with Clinical Director to ensure...Remote job
$155k - $185k
...cutting-edge medical device company is looking to hire Clinical Development Senior Specialist, fully remote, to travel to hospitals and train/lead the use of... ...patient specific slide presentations and leading internal reviews Performing “bench” deployments in 3D printed...Remote workSeniorFull timeLive in- ...professionals to join our telework team as 1099 independent contractors in the field of Physical Medicine & Rehabilitation. You will review clinical cases, prepare clinical summaries, and participate in peer communications, with an initial 1-year term. This part-time role...Remote jobPart timeFor contractors
$68k - $136k
...currently has an opportunity for a Senior Clinical Specialist, Coronary . This role will promote Abbott... ...research and participates in case reviews and clinical observation by working with... ...LOCATION: United States of America : Remote ADDITIONAL LOCATIONS: WORK SHIFT:...Remote workSeniorFull timeWork experience placementCasual workWork at officeLocal areaShift work- AuraOne is seeking experienced clinical reviewers to evaluate AI-generated outputs in a remote, US-eligible contractor role. You will assess differential reasoning, dosing logic, and guideline adherence, and document corrected reasoning for model training. You must hold...Remote jobFor contractors10 hours per weekFlexible hours
$100k
...team. While this is a remote position not located at... ...role. Bring your clinical talents to a leader in... .... ~ The Clinical Specialist Manager (CSM) and National... ...record will be reviewed and will be considered... ...Chance Act. Required Experience: Senior IC...Remote workSeniorFull timeWork experience placementH1bWork at officeLocal areaImmediate startFlexible hoursMedtronic
San Diego, CA9 days ago- ...pharmacord.com When you join the team as a Senior Clinical Specialist, you will support nurse educators in... ...the program on team meetings and reviewing all communication and escalations... ...hybrid schedule (50% in office, 50% remote). To qualify for a hybrid schedule, you...Remote workSeniorTemporary workWork at officeImmediate startHome officeMonday to FridayFlexible hoursShift work
- ...of Earnings and transaction advisory experience to provide senior-level review and sign-off on QoE reports. You won’t be building the analysis... ...when appropriate. Location: US Based - Fully Remote Your Mission: Day to Day Responsibilities Review QoE...Remote workSeniorHourly payFull timeFlexible hours
Adaptive Teams
Austin, TX12 days ago - ...healthcare accrediting organization is looking for a Full-time Clinical Review Specialist who will support the accreditation process for community... .... Strong communication skills and the ability to work remotely are essential. Traveling 15-20% will be required. #J-18808...Remote jobFull time
$100k
...seeking an experienced Senior Claims Analyst with... ...skills. This is a remote role. Key Responsibilities... ...Claims Analysis & Review ~ Perform detailed audits... ...findings packages (clinical, contractual, and... ...CPC), Certified Coding Specialist (CCS), Certified Medical...Remote workSeniorFull timeContract workSmartLight Analytics
Plano, TX8 days ago- ...currently recruiting a personable and detail-oriented Full-time Clinical Review Specialist to perform the associated duties which support and... ...Must be willing to travel (15-20%) This position is 100% remote and can be located anywhere nationwide. In order to be considered...Remote workFull timeWork at office
- ...improve healthcare AI systems by applying clinical judgment to medical documentation,... ...scenarios, patient cases, and healthcare data. Review AI-generated medical content for clinical... ...protocols. What it pays and takes This is a remote, part-time contractor role for...Remote workHourly payPart timeFor contractors
$86.8k - $115k
...learning, and career development. Summary The Clinical Policy Specialist – Itemized Bill Review is responsible for the development, enhancement, and... .... What you should expect in this role ~ Remote opportunity within the U.S. Applications will...Remote workFull timeFlexible hoursGainwell Technologies LLC
Texas16 days ago- ...Strategies, LLC is seeking an experienced Sr Review Coordinator for our healthcare consulting practice. This fully remote role within the United States focuses on utilization... ...and community-based programs, supporting non-clinical reviewers, and ensuring timely, quality...Remote jobSeniorWork from home
- AuraOne is seeking a Medical Revenue Manager to remotely evaluate AI outputs touching clinical review. You will review clinical reasoning, dosing logic, and guideline adherence, flag patient-safety issues, and document corrected reasoning to help close gaps in modeling....Remote job
- AI Trainer Jobs is seeking an Emergency Response Specialist for a remote clinical-review track evaluating AI outputs touching clinical review. Reviewers grade differential reasoning, dosing logic, and guideline adherence; flag patient-safety issues; and document corrected...Remote job
$70k - $115k
.... Exceptional candidates may qualify for remote consideration based on experience and credentials... ...of tax experience including tax return review, and be proficient in CCH Axcess Tax.... ...We're looking for a motivated Senior Tax Accountant / Tax Reviewer who enjoys...Remote workSeniorFull timeFlexible hoursOrion Placement
North Sioux City, SD1 day ago$76k - $110k
...administrative lead for Medical and Clinical Affairs ensuring efficient... ...including application intake review coordination contract... ...and operational reporting to senior leadership. Lead routine presentations... ...with applicable law. Remote Work : Yes Employment...Remote workSeniorFull timeContract workFlexible hoursSirtex
Woburn, MA9 days ago$125k - $150k
...being part of the solution. As a Senior Clinical QA Specialist, AI at BetterHelp, you’ll join a... ...clinical standards, evaluation rubrics and review processes. Identifying risk... ...life balance. Really. Can I work remotely? Yes. We operate on PST and candidates...Remote workSeniorFull timeWork experience placementWork at officeImmediate startBetterHelp
Remote3 days ago- Axyde Analytics, LLC invites an experienced curriculum advisor to review our approach for modernizing 125 courses and to substantiate the... ...initial effort is estimated at 4-8 hours. The engagement is a remote initial consulting assignment with Midlothian, Virginia as the administrative...Remote jobSenior
$105 per hour
...Contract Compensation: $105/hour Location: Remote Role Responsibilities Manage end-to-end prior authorisation workflows for medical and clinical services across multiple payer types. Review clinical documentation to assess medical necessity against...Remote jobContract workSummer workWork at officeMercor
New York, NY5 days ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Senior Remote Clinical Review Specialist. Be the first to apply!
Related searches
- senior living Canton, MA
- senior performance engineer Canton, MA
- senior work from home Canton, MA
- senior manager Canton, MA
- senior care Canton, MA
- senior manager diversity & inclusion Canton, MA
- senior director diversity & inclusion Canton, MA
- senior cloud network engineer Canton, MA
- senior software engineer remote Canton, MA
- senior application security Canton, MA