Remote Oncology Physician Clinical Reviewer
$90.87 - $154.33 per hourPrime Therapeutics
- Remote job
A healthcare management organization seeks a Physician Clinical Reviewer-Oncologist to join their remote utilization management team. Responsibilities include reviewing clinical cases, assisting Initial Clinical Reviewers, and ensuring compliance with medical necessity guidelines. Candidates must have a DO, MBBS, or MD, accompanied by 5+ years of clinical experience. This role offers a competitive salary ranging from $90.87 to $154.33, depending on experience. Join a purpose-driven organization focusing on transforming pharmacy care. #J-18808-Ljbffr Prime Therapeutics
- A leading pharmacy benefit management company is seeking a Physician Clinical Reviewer-Oncologist. This remote role involves reviewing clinical determinations, working closely with physicians, and ensuring compliance with medical guidelines. Candidates must have a DO, MBBS...Remote job
$90.87 - $154.33 per hour
A progressive pharmacy benefits manager is seeking a Physician Clinical Reviewer-Oncologist to join their remote team. The ideal candidate must hold a DO, MBBS, or MD and have over 5 years of clinical experience. Responsibilities include conducting medical reviews, collaborating...Remote job- A leading healthcare company is seeking a Physician Clinical Reviewer-Oncologist to conduct medical reviews of service requests. This remote role requires a DO, MBBS, or MD and 5+ years of clinical experience. Responsibilities include assessing medical necessity, assisting...Remote job
$90.87 - $154.33 per hour
A healthcare organization is seeking a Physician Clinical Reviewer-Oncologist to conduct medical reviews and engage with healthcare providers. This remote position requires a DO, MBBS, or MD and at least 5 years of clinical experience. Responsibilities include reviewing...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... ...to leverage your expertise in pediatric oncology and contribute to meaningful patient care. #J-188...Remote job
$90.87 - $154.33 per hour
...serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting Title Physician Clinical Reviewer-Oncologist- REMOTE Job Description Job Description The Physician Clinical Reviewer is a key member of the utilization...Remote workWork experience placementInternshipWork at officeLocal areaVisa sponsorshipWork visa- 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$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
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 job$90.87 - $154.33 per hour
A leading pharmaceutical benefits manager is seeking a Physician Clinical Reviewer-Pediatric Oncologist for a remote position. In this role, you will work directly with medical requests and collaborate with healthcare providers to ensure compliance with guidelines. A DO...Remote jobHourly pay- ...Job Profile Summary The Clinical Oncology Access PA coordinates inpatient... ..., we educate tomorrow's physician/researchers, and we work with... ...beds; performs extensive chart review to ensure appropriate team... ...Special Working Conditions: Remote; 12-hour shifts. Eastern...Remote workShift workNight shiftWeekend work
- ...passionate about using your clinical expertise to support quality... ...services? Do you enjoy critically reviewing clinical documentation,... ...are recruiting for 2 full-time remote/hybrid Clinical Reviewer positions... ...services. Consult with physician/practitioner consultants when...Remote workFull timeWork from homeMonday to Friday
- ...Behavioral Health Services Reviewer Are you passionate about improving... ...? Do you enjoy using your clinical expertise to evaluate needs,... ...on this team. This is a remote position based in Oregon and... ...designated systems Consult with physician or practitioner reviewers...Remote workFull timeContract workWork from home
- ...Clinical Data QA Reviewer We're looking for detail-oriented clinical professionals to review and annotate electronic health record (EHR) data... ...research applications — work that matters. This is a fully remote, flexible contract role localized to the Chicago market. If...Remote workOngoing contractContract workFreelanceFlexible hours
$185 per hour
...compliant AI platform that unifies intake, clinical documentation, coding, and quality... ...Experience: ~3+ years in home-health QA/OASIS review, utilization review, or clinical... ...in a fast-moving startup environment and remote collaboration tools. Reliability counts...Remote workContract workReliefShift workWeekend work- ...Clinical Documentation Reviewer This is a remote position. Position Overview We are seeking a Clinical Documentation Reviewer to support TUWYN's contract... ...involves participating in daily huddles with VA physicians and interdisciplinary teams, prioritizing reviews for...Remote workContract workPart timeFor contractorsMonday to Friday
$85k - $92k
...Job Title: CLINICAL QUALITY REVIEWER (RN or LCSW) Job ID: 87049 Location: USA- Remote in approved states Overview: We are partnering with a leading organization supporting a large-scale federal healthcare program to identify a Clinical Quality Reviewer. This role...Remote workHourly payWork at officeHome office- ...We are seeking a qualified SUD MD Reviewer to conduct a retrospective utilization... ...historically denied cases to determine if standard clinical criteria were appropriately applied.... ...Requirements Work is 100% remote and offers flexible hours. Benefits...Remote workTemporary workLocal areaFlexible hours
- ...general supervision of the Associate Director, or designee, the Clinical Reviewer - PASRR is responsible for reviewing submitted referrals and... ...responsibilities. Environmental Working Conditions Remote position which requires working at computer for all tasks....Remote workWork experience placementWeekend work
$55 - $75 per hour
...Per Diem, Non-Exempt (Hourly) Location: Sacramento, CA (Remote/Hybrid) Compensation : $55-$75 per hour, depending on experience... ...Under the direction of the Associate Director, the Licensed Clinical Reviewer supports clinical documentation review and quality assurance...Remote workHourly payDaily paid10 hours per week$28.37 - $35 per hour
...empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that... ...Job Summary and Responsibilities Acentra seeks a Clinical Reviewer to join our growing team. Job Summary: The Clinical Reviewer...Remote workContract workWork at officeLocal areaMonday to FridayFlexible hoursShift workWeekend work- ...Clinical Appeals Reviewer (Licensed Healthcare Professional) Fully Remote-United States Job Type Full-time Description Overview Tanaq Support Services (TSS) delivers professional, scientific, and technical services and information technology (IT) solutions...Remote workFull timeContract workPart timeFor contractorsWork at officeLocal areaNight shift
- ...employees work. Our positions are classified as hybrid, onsite or remote. While the majority of our employees are hybrid, the following... ...Required Work Experience ~2 years of experience in clinical field of practice, health insurance, or other health care related...Remote workFull timeContract workWork experience placementWork at office1 day per week
$73.2k - $122k
...following: Laboratory molecular and genetic testing clinical case review activities. Evaluate telephone, fax, or web requests for... ...coverage of molecular and genetic laboratory requests from physician offices; comparing requests against established clinical protocols...Remote workLocal areaWork from homeFlexible hours$40 - $45 per hour
...Pay Range: $40 - $45 per hour based on experience Work Hours : 20 hours per week (Mon - Fri) Location : Remote Summary : The Clinical Reviewer is responsible for conducting clinical reviews of submitted prior authorization (PA) requests and pre-payment...Remote workHourly payPart timeFor contractorsWork at officeLocal area- 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
$28.37 - $39.19 per hour
A healthcare technology firm is seeking a Clinical Reviewer for Substance Use on a PRN basis. The role involves reviewing patient records against... ...at least 3 years of clinical experience. The position is remote and offers a pay range of $28.37 to $39.19 per hour, along...Remote jobHourly payRelief- A leading healthcare service provider in the United States is looking for a Clinical Appeals Reviewer. This fully remote position involves reviewing appeal cases and making independent decisions based on medical evidence. Candidates must be licensed healthcare professionals...Remote job
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