Remote Pediatric Rheumatology Clinical Reviewer
$90.87 - $154.33 per hourPrime Therapeutics
- Remote job
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. Candidates must have a DO, MBBS, or MD, and at least 5 years of clinical experience. The position offers competitive pay, with a potential salary range of $90.87 to $154.33 based on experience. Join a purpose-driven team that is reimagining pharmacy solutions. #J-18808-Ljbffr Prime Therapeutics
$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 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- 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 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...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- A healthcare organization seeks a Physician Clinical Reviewer specializing in Pediatric Rheumatology for a remote role. This critical position involves timely medical review of service requests and interaction with physicians and health plan members. Candidates must hold...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$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
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$90.87 - $154.33 per hour
A leading pharmacy benefit manager is seeking a Physician Clinical Reviewer specializing in Pediatric Gastroenterology to work remotely. The role requires a DO, MBBS, or MD degree and over 5 years of clinical experience. Responsibilities include reviewing medical necessity...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$90.87 - $154.33 per hour
A healthcare solutions provider is seeking a Physician Clinical Reviewer specializing in Pediatric Oncology to join its remote utilization management team. This role involves conducting timely medical reviews of service requests and collaborating with healthcare providers...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- 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 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 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 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$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 Gastroenterology- REMOTE Job Description Key member of the utilization management team, and provides timely medical review of...Remote jobWork at officeLocal areaVisa sponsorshipWork visa- A leading pharmacy benefit manager is seeking a Physician Clinical Reviewer with a focus on Rheumatology for a remote position. The role involves reviewing service requests, ensuring compliance with medical guidelines, and interacting with physicians. Candidates must possess...Remote work
$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 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
- 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-1...Remote jobHourly payContract work
- A leading pharmacy benefits manager is looking for a Physician Clinical Reviewer specializing in Rheumatology to join their remote team. The role involves critical assessments of service requests and communication with healthcare providers to ensure adherence to medical...Remote work
- 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 leading healthcare organization is seeking a Physician Clinical Reviewer for a remote role in rheumatology. The successful candidate will have a minimum of 5 years of experience and be responsible for providing timely medical reviews and interacting with physicians. Strong...Remote workHourly pay
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Pediatric Rheumatology Clinical Reviewer. Be the first to apply!
- health records assistant Des Moines, IA
- medical reviewer Des Moines, IA
- clinical documentation specialist Des Moines, IA
- remote clinical documentation specialist Des Moines, IA
- medical records reviewer Des Moines, IA
- clinical reviewer Des Moines, IA
- medical record assistant Des Moines, IA
- medical records administrator Des Moines, IA
- medical records clerk Des Moines, IA
- program coordinator remote Des Moines, IA

