Remote Pediatric Rheumatology Clinical Reviewer
$90.87 - $154.33 per hourPrime Therapeutics
- Remote job
A leading pharmacy benefits manager is seeking a Physician Clinical Reviewer - Pediatric Rheumatology for a remote position. The ideal candidate will handle medical reviews and collaborate with healthcare professionals. Key requirements include a medical degree (DO, MBBS, MD) and at least 5 years of clinical experience. Offers competitive compensation with pay ranging from $90.87 to $154.33 based on experience. Join a purpose-driven team and make a difference in healthcare. #J-18808-Ljbffr Prime Therapeutics
- A leading pharmacy benefit manager is seeking a Physician Clinical Reviewer for Pediatric Rheumatology to work remotely. The role involves reviewing clinical requests that do not initially meet medical necessity guidelines and interacting with healthcare providers. Candidates...Remote job
- A leading pharmacy benefit management firm is looking for a Physician Clinical Reviewer specializing in Pediatric Rheumatology. This remote role requires 5+ years of clinical experience and involves reviewing service requests for medical necessity. You will work closely...Remote job
$90.87 - $154.33 per hour
A healthcare management organization is seeking a remote Physician Clinical Reviewer specialized in Pediatric Rheumatology. The role entails reviewing clinical cases where medical necessity isn't initially met, consulting with healthcare providers, and ensuring proper...Remote job$90.87 - $154.33 per hour
A leading pharmacy benefit manager is seeking a Physician Clinical Reviewer specializing in Pediatric Rheumatology. This remote role involves reviewing medical requests, discussing clinical determinations with physicians, and ensuring compliance with medical guidelines....Remote job$90.87 - $154.33 per hour
A leading pharmacy benefit manager is looking for a remote Physician Clinical Reviewer specializing in Pediatric Rheumatology. This role involves collaborating with physicians to review service requests and ensure compliance with medical necessity guidelines. Candidates...Remote job$90.87 - $154.33 per hour
A healthcare organization is seeking a Physician Clinical Reviewer specializing in Pediatric Rheumatology. This remote role involves timely medical reviews, interaction with physicians, and ensuring compliance with utilization management guidelines. Candidates must have...Remote job$90.87 - $154.33 per hour
...Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting Title Physician Clinical Reviewer - Pediatric Rheumatology- REMOTE Job Description Key member of the utilization management team, and provides timely medical review of service...Remote jobWork at officeLocal areaVisa sponsorshipWork visa- Mercor is seeking Pediatric Nurses to review AI-generated clinical outputs and provide validation of medical accuracy. Candidates must have an active RN license... ...on diagnosis and treatment. This position is fully remote, allowing candidates to work independently while...Remote job
$90.87 - $154.33 per hour
...A leading healthcare organization is seeking a remote Physician Clinical Reviewer with expertise in pediatric oncology. The role involves reviewing medical cases and ensuring adherence to clinical guidelines. Candidates must have an MD, DO, or MBBS and at least 5 years...Remote work- ...A leading PBM company is seeking a Physician Clinical Reviewer specialized in Pediatric Oncology to join their remote utilization management team. Responsibilities include reviewing medical requests, providing clinical rationale for decisions, and assisting peer reviewers...Remote work
$90.87 - $154.33 per hour
...A healthcare solutions provider is seeking a Physician Clinical Reviewer-Pediatric Oncologist to join their utilization management team in a remote capacity. This role requires candidates to hold a valid medical degree (DO, MD, or MBBS) and have over 5 years of clinical...Remote work$90.87 - $154.33 per hour
...A leading pharmacy benefit manager is seeking a remote Physician Clinical Reviewer specializing in pediatric oncology. This role involves timely medical review of service requests, collaboration with physicians, and ensuring compliance with clinical guidelines. Candidates...Remote work$90.87 - $154.33 per hour
...A healthcare organization seeks a Physician Clinical Reviewer in Pediatric Neurology, working remotely. This role requires a committed professional with a DO, MD, or MBBS and at least five years of clinical experience. Responsibilities include reviewing clinical determinations...Remote work- ...Remote Medical Case Reviewer (Contract) Location: Remote About the Opportunity PsyPhyCare... ...5 years of experience in clinical practice or case review.... .... Preferred Specialties: Pediatrics, Immunology, Neurology,... ...Medicine, Epidemiology, Rheumatology, and related fields. #J-18...Remote workHourly payContract work
$90.87 - $154.33 per hour
A healthcare company is seeking a Physician Clinical Reviewer-Pediatric Oncologist to join their utilization management team. This remote position requires a DO, MD, or MBBS and 5+ years of relevant experience. Responsibilities include conducting clinical reviews, collaborating...Remote job- A leading pharmacy benefit manager is seeking a remote Physician Clinical Reviewer specializing in Pediatric Oncology. In this role, you will review medical necessity determinations, communicate with healthcare providers, and provide clinical rationale for appeals. Candidates...Remote job
$90.87 - $154.33 per hour
A healthcare provider is seeking a Physician Clinical Reviewer-Pediatric Oncologist for a remote position. Responsibilities include reviewing clinical cases and providing rationale for medical decisions. The ideal candidate must hold a medical degree (DO, MD, or MBBS) and...Remote job- A healthcare provider is seeking a Physician Clinical Reviewer-Pediatric Oncologist for a remote position. You will be a key member of the utilization management team, responsible for reviewing medical requests, ensuring compliance with guidelines, and collaborating with...Remote job
$90.87 - $154.33 per hour
A healthcare services company is seeking a Physician Clinical Reviewer specializing in Pediatric Oncology for a remote role. You will be responsible for reviewing clinical determinations, interacting with physicians, and providing rationale for appeals. Applicants should...Remote job$90.87 - $154.33 per hour
Prime Therapeutics is seeking a Physician Clinical Reviewer specializing in Rheumatology. This remote position involves timely medical reviews of service requests, collaboration with physicians, and maintaining compliance with clinical guidelines. A successful candidate...Remote workHourly pay- A leading pharmacy benefit manager is seeking a Physician Clinical Reviewer-Pediatric Oncologist. This remote position involves reviewing medical necessity cases and collaborating with physicians on decisions. Candidates must hold a DO or MD and have over 5 years of clinical...Remote job
$90.87 - $154.33 per hour
...Prime Therapeutics is seeking a Physician Clinical Reviewer for Rheumatology to join their remote utilization management team. In this role, you will review service requests, collaborate with physicians, and ensure adherence to clinical guidelines. Candidates must have...Remote workHourly pay- A leading pediatric health organization in Los Angeles is seeking a Clinical Document Improvement Specialist to enhance the quality of clinical documentation. This remote position requires 3 years of coding experience with exceptional skills in ICD10. Candidates should...Remote job
$90.87 - $154.33 per hour
...Physician Clinical Reviewer – Rheumatology (REMOTE) Key member of the utilization management team, providing timely medical review of service requests that do not initially meet applicable medical necessity guidelines. Routinely interacts with physicians, leadership...Remote workHourly payWork at officeLocal areaVisa sponsorshipWork visa- A healthcare services company is seeking a remote Physician Clinical Reviewer specializing in Rheumatology. The role involves reviewing medical necessity service requests and collaborating with healthcare providers. Candidates must have a DO, MBBS, or MD with over 5 years...Remote work
$90.87 - $154.33 per hour
...A national health services provider is seeking a Physician Clinical Reviewer for remote work. This role requires extensive experience in medical review, providing timely evaluations of service requests. Candidates must have a Doctor of Osteopathy, MBBS, or MD and at least...Remote work$90.87 - $154.33 per hour
A progressive healthcare organization is seeking a Physician Clinical Reviewer in Rheumatology. This remote role involves evaluating service requests, collaborating with healthcare providers, and ensuring compliance with medical review guidelines. Ideal candidates will...Remote workHourly pay$90.87 - $154.33 per hour
...A leading healthcare company is seeking a Physician Clinical Reviewer in a remote role in Montgomery, Alabama. The ideal candidate will review medical service requests and interact with physicians and healthcare staff. Significant experience in clinical review, excellent...Remote work$90.87 - $154.33 per hour
...Prime Therapeutics is seeking a Physician Clinical Reviewer specializing in Rheumatology to join their remote utilization management team. This role involves reviewing complex clinical cases, interfacing with healthcare professionals, and ensuring compliance with medical...Remote workHourly pay- A healthcare benefits company is seeking a Physician Clinical Reviewer specializing in Rheumatology, to provide crucial medical evaluations remotely. The role demands 5+ years of experience, effective communication skills, and a strong grasp of clinical review processes...Remote work
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