Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Remote Medical Reviewer (Physician) for Healthcare Claims

Gainwell Technologies

Gainwell Technologies is seeking a Medical Reviewer (Physician) to support Medical Review Services for California healthcare programs. This role provides physician-level clinical expertise supporting medical policy, claim adjudication, TARs, appeals, provider-related medical review activities, and other healthcare program requirements. Your role includes performing physician-level medical reviews of claims, applying clinical standards, and collaborating with multidisciplinary teams. #J-18808-Ljbffr Gainwell Technologies

Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Remote Medical Reviewer (Physician) for Healthcare Claims in West Sacramento, CA vacancy
  • $140k - $160k

     ...It takes great medical minds to create powerful solutions...  ...that solve some of healthcare’s most complex...  ...is seeking a Medical Reviewer (Physician) to support Medical...  ...supporting medical policy, claim adjudication,...  ...Full-time position. Remote work environment.... 
    Remote work
    Claims
    Full time
    Work from home
    Home office
    Monday to Friday
    Flexible hours

    Gainwell Technologies LLC

    West Sacramento, CA
    5 days ago
  • $150k - $175k

     ...Medical Reviewer (Radiologist) - Remote CA It takes great medical minds to create powerful...  ...that solve some of healthcare's most complex challenges...  ...(Radiologist) to provide physician-level radiology expertise...  ...review radiology-related claims, Treatment Authorization... 
    Remote job
    Claims
    Full time
    Work from home
    Home office
    Monday to Friday
    Flexible hours

    Gainwell Technologies

    West Sacramento, CA
    1 day ago
  • $110k - $130k

     ...It takes great medical minds to create powerful...  ...solve some of healthcare’s most complex challenges...  ...a Medical Reviewer (Podiatrist) to provide...  ...medical records, claims, Treatment...  ...Collaborate with physicians, nurses, other clinical...  ...time position. Remote work environment.... 
    Remote work
    Claims
    Full time
    Work from home
    Home office
    Monday to Friday
    Flexible hours

    Gainwell Technologies LLC

    West Sacramento, CA
    5 days ago
  • $150k - $175k

     ...It takes great medical minds to create powerful...  ...that solve some of healthcare’s most complex...  ...seeking a Medical Reviewer (Radiologist) to provide physician-level radiology expertise...  ...radiology-related claims, Treatment...  ...-time position. Remote work environment.... 
    Remote work
    Claims
    Full time
    Work from home
    Home office
    Monday to Friday
    Flexible hours

    Gainwell Technologies LLC

    West Sacramento, CA
    5 days ago
  •  ...Remote Medical Case Reviewer (Contract) Location: Remote About the Opportunity PsyPhyCare is...  ...Case Reviewers to support a federal healthcare program focused on evaluating vaccine- and countermeasure-related injury claims. These programs provide compensation... 
    Remote work
    Claims
    Hourly pay
    Contract work

    PsyPhyCare

    United States
    5 days ago
  •  ...are seeking a creative and passionate Medical Reviewer to join our team. You will work with our...  ...social media content, verifying that all claims are supported by high-quality, peer-...  ...us and how we're changing the face of healthcare at Function Health. Important Notice... 
    Remote work
    Claims
    Flexible hours

    Function Health

    United States
    5 days ago
  • A healthcare company is seeking a Remote Medical Case Reviewer to evaluate vaccine and countermeasure-related injury claims. Responsibilities include reviewing medical case files, preparing reports, and consulting with medical experts. Candidates must hold an MD/DO or relevant... 
    Remote job
    Claims
    Contract work

    PsyPhyCare

    New York, NY
    4 days ago
  • Gainwell Technologies is seeking a Medical Reviewer (Radiologist) to provide physician-level radiology expertise...  ...You will review radiology-related claims, TARs, and medical records to ensure...  ...program compliance. The role is fully remote in California with a Monday-Friday... 
    Remote job
    Claims
    Monday to Friday
    Flexible hours

    Gainwell Technologies

    West Sacramento, CA
    3 days ago
  • $88.7 - $140 per hour

     ...Responsibilities Acentra Health is looking for a Physician Medical Reviewer to join our growing team. Job...  ...of a Physician Medical Claims Reviewer include conducting independent...  ...shared attention May primarily work remotely but must be available onsite to the client... 
    Remote work
    Claims
    Relief
    Local area

    Acentra Health

    Mc Lean, VA
    4 days ago
  •  ...inception in 2017 as an employee-centered healthcare management consulting company. Our...  ...focuses on providing processing, review, and analysis of medical claims, records, data, and audits between...  ...system.   ~3+ years working remotely with various technology systems. Ideally... 
    Remote work
    Claims
    For contractors
    Local area

    J29, Inc

    United States
    6 days ago
  • Itemized Bill and Medical Record Reviewer job at Alaffia Health. New York, NY....  ...Mission Each year, the U.S. healthcare system suffers from over $5...  ...have experience reviewing claim forms and auditing provider...  ...direct access to Leadership LI-REMOTE #J-18808-Ljbffr Alaffia... 
    Remote work
    Claims
    Flexible hours

    Alaffia Health

    New York, NY
    4 days ago
  •  ...RN / Medical Reviewer / Remote Job Details Professional Discipline : Registered Nurse...  ...using your clinical proficiency and claims knowledge. This is a REMOTE...  ...one of North America's most trusted Healthcare Services Firms, which includes comprehensive... 
    Remote work
    Claims
    Full time
    Contract work
    Local area
    Shift work

    InGenesis

    United States
    5 days ago
  •  ...Technologies is seeking a Medical Reviewer (Registered Nurse) to support California healthcare programs. You will...  ...healthcare services, claims, and authorization...  ...requests. You will work remotely within California...  ...and collaborating with physicians and other clinicians... 
    Remote job
    Claims
    Flexible hours

    Gainwell Technologies

    West Sacramento, CA
    1 day ago
  •  ...Physician, Medical Case Reviewer (Remote, Part-Time, Flexible Hours) At Broadway Ventures, we transform challenges into opportunities with expert...  ...remain confidential Make a meaningful impact—help improve healthcare standards for veterans How to Apply: If you meet... 
    Remote work
    Contract work
    Temporary work
    Part time
    For contractors
    Currently hiring
    Flexible hours

    Broadway Ventures

    United States
    5 days ago
  • Gainwell Technologies is seeking a Medical Reviewer (Laboratory Specialist) to provide laboratory subject...  ...supporting Medical Review Services for California healthcare programs. In this role, you will review laboratory-related claims, TARs, orders, and supporting documentation... 
    Remote job
    Claims

    Socket.dev

    West Sacramento, CA
    2 days ago
  • $85k - $110k

    Physician LiaisonNorthern CA | Field-Based | Full-TimeBase...  ...multi-specialty healthcare organization is seeking...  ...building relationships with medical offices, referral...  ...California region. This is a remote, field-based role with...  ...management Insurance claims adjusting Legal or... 
    Remote work
    Claims
    Local area

    Crawford Thomas Recruiting

    Phoenix, AZ
    4 days ago
  • Medical Review organization in need of locums providers to work remotely for 2-3 months with the option to convert...  ...include reviews of medical claims to deliver conflict-...  ...better allocate healthcare resources. - Must...  ...phone calls with other physicians when a case can't be... 
    Remote work
    Claims
    Permanent employment
    Locum
    Work from home
    Shift work

    Provider Healthcare

    Seattle, WA
    4 days ago
  •  ...experienced DRG Clinical Physician Reviewer to join our growing...  .... This is a fully remote opportunity for a...  ...that directly impact healthcare quality and reimbursement...  ...Evaluate medical records, diagnostic findings...  ...Validation, CDI, or claims review strongly preferred... 
    Remote work
    Claims

    Med Review Inc

    New York, NY
    5 days ago
  • $240k

     ...Utilization Management Physician (UMP) Remote | Full-Time | Florida Compensation...  ...Physician to perform medical necessity reviews, peer-to-peer discussions...  ..., concurrent reviews, claims, and appeals Make medical...  ...is National Leader in the Healthcare Staffing Industry. We... 
    Remote work
    Claims
    Full time
    Relocation

    HealthPlus Staffing

    Daytona Beach, FL
    4 days ago
  • $70k - $90k

     ...It takes great medical minds to create powerful...  ...solve some of healthcare’s most complex challenges...  ...a Medical Reviewer (Prosthetic and Orthotic...  ...device requests, claims, Treatment...  ...time position. Remote work environment....  ...collaborating with physicians, nurses, other clinical... 
    Remote work
    Claims
    Full time
    Work from home
    Home office
    Monday to Friday
    Flexible hours

    Gainwell Technologies LLC

    West Sacramento, CA
    5 days ago
  •  ...Claims Review Physician Fully Remote Overview Position Type: Contractor Job Shift: Any Description...  ...GASTROENTEROLOGY IMMUNOLOGY INTERNAL MEDICINE MEDICAL ONCOLOGY ORTHOPEDICS OTOLARYNGOLOGY...  ..., pharmacies, and other licensed healthcare providers. Additionally, provide... 
    Remote work
    Claims
    Contract work
    For contractors
    Flexible hours
    Shift work

    CAPITOL BRIDGE, LLC

    United States
    3 days ago
  •  ...unlocking a more connected healthcare experience that is...  ...personalized. PWN Remote Care Services, P.A. (...  .... We are a 50-state physician, registered nurse,...  ...support asynchronous medical necessity review following a completed...  ...this role will support claims submitted to federal... 
    Remote work
    Claims
    Contract work
    Flexible hours

    EverlyWell

    United States
    5 days ago
  • Inova Health seeks a dedicated Physician Insurance Analyst to join our...  ...position involves four days remote and one day in-office in...  ...billing experience and strong claims processing skills. Key duties...  ...opportunities within a leading healthcare #J-18808-Ljbffr Inova Health
    Remote work
    Claims
    Full time
    Work at office

    Inova Health

    Falls Church, VA
    5 days ago
  •  ...Board Certified Internal Medicine physicians to conduct Independent Medical Exams (IME) and Peer Reviews. This opportunity allows you...  ..., and reviews disability claims by providing an interpretation...  ...of services provided by other healthcare professionals in compliance with... 
    Remote work
    Claims
    For contractors
    Monday to Friday

    Dane Street

    United States
    2 days ago
  • A recognized healthcare provider is seeking a Board Certified Orthopaedic Spine Surgeon to conduct utilization reviews. This telework position allows for a flexible schedule within a standard...  .... Responsibilities include reviewing medical records, ensuring compliance with state... 
    Remote job
    Claims
    For contractors
    Monday to Friday
    Flexible hours

    Dane Street

    Washington DC
    4 days ago
  •  ...Description Hospitalist Physician Job Type:...  ...Contractor Location: Remote Job Overview...  ...contribute their medical expertise to a...  ...this role, you will review clinical records,...  ...information, findings, and claims are supported by...  ...coding, or healthcare quality assurance.... 
    Remote work
    Claims
    For contractors

    YO AI Labs

    Palo Alto, CA
    2 days ago
  •  ...located at Brooke Army Medical Center, San Antonio,...  ...for federal civilian healthcare providers as they are...  ...covered by the Federal Tort Claims Act (28 U.S.C. § 1346(...  ...be authorized. - Remote telework may be authorized...  ..., other Department physicians and the medical... 
    Remote work
    Claims
    Civilian Contractor
    Permanent employment
    Internship
    Relocation package

    Defense Health Agency Civilian Corps, Falls Church, VA

    San Antonio, TX
    3 days ago
  • $70k - $100k

     ...It takes great medical minds to create powerful...  ...solve some of healthcare’s most complex challenges...  ...a Medical Reviewer (Registered Nurse)...  ...healthcare services, claims, and authorization...  ...or refer cases to physicians or other...  ...time position. Remote work environment.... 
    Remote work
    Claims
    Full time
    Home office
    Monday to Friday
    Flexible hours

    Gainwell Technologies LLC

    West Sacramento, CA
    5 days ago
  • $45k - $50k

     ...0,000.00 Annually Medical Management Group of...  ...in defending claims across a wide range...  ...oriented and reliable Physician Recruiter to...  ...board certifications. Review malpractice history...  ...office or similar healthcare environment Strong...  ...flexibility to work remotely on designated days... 
    Remote work
    Claims
    Temporary work
    Work at office

    Medical Management Group

    Central Islip, NY
    2 days ago
  •  ...Overview Healthcare Shares is a healthcare venture...  ...cohort of Sports Medicine Physician Advisors within our...  ...Responsibilities Conduct clinical review of technologies...  .... Evaluate safety claims, return-to-play...  ...concussion analytics, and remote recovery coaching.... 
    Remote work
    Claims
    Part time
    Seasonal work
    Flexible hours

    Healthcare Shares

    New York, NY
    4 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Remote Medical Reviewer (Physician) for Healthcare Claims. Be the first to apply!