Senior Physician Reviewer - Utilization Management (Remote)
$219k - $286.9kOscar Health
Phoenix, AZ
- Remote job
Oscar Health seeks a Physician Reviewer to join the Utilization Management team. You will assess medical appropriateness for inpatient, outpatient, and pharmacy services by reviewing clinical data and applying evidence-based guidelines. This remote position, open to candidates nationwide in the United States, reports to the Associate Medical Director. The base pay ranged from $219,000 to $286,902 per year, with benefits, unlimited vacation, and annual bonuses. #J-18808-Ljbffr Oscar Health
Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Senior Physician Reviewer - Utilization Management (Remote) in Phoenix, AZ vacancy
- ...A peer review organization is seeking a full-time remote Utilization Management Physician Reviewer. Ideal candidates must hold an MD, DO, or DPM degree with active board certification and unrestricted medical license in relevant states. The role involves performing detailed...Remote workFull timeWork from home
ExamWorks
United States22 hours ago - ...certified "Great Place to Work" company is seeking a Physician to provide utilization review services for the Group Health Department. This role... ...business background required Experience in Utilization Management with criteria review utilizing standard practice...Remote work
Dane Street
United States2 days ago $219k - $286.9k
...Remote Hi, we're Oscar. We're hiring a Physician Reviewer to join our Utilization Management team. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to...Remote workFull timeFor contractorsLocal areaWork from homeRelocationHome officeWeekend workOscar-Health-
Arizona8 hours ago- ...A leading independent review organization is seeking a Utilization Management Physician Reviewer for a full-time remote role. Candidates must possess an active Nebraska medical license and have a minimum of 5 years clinical practice experience. Responsibilities include...Remote workFull timeCasual workMonday to Friday
ExamWorks UM Strategies
United States22 hours ago $230k
...Utilization Management Physician Reviewer We're building a world of health around every individual — shaping a more connected, convenient and compassionate... ...time. Company: Oak Street Health Location: Fully Remote Hours: Full-Time, Monday - Friday, 8am -5pm CST...Remote workFull timeMonday to FridayCVS Corporation
United States2 days ago- Oak Street Health is seeking a Utilization Management Physician Reviewer for a fully remote, full-time role. You will apply UM criteria and clinical judgment to determine coverage for inpatient and outpatient services, coordinating with care teams to ensure appropriate...Remote jobFull time
- Oscar Health seeks a Physician Reviewer to join the Utilization Management team in a remote US-based role. You will determine the medical appropriateness of services and document decisions using evidence-based guidelines and Oscar workflows. Responsibilities include timely...Remote job
- In this remote contract role, the physician reviews clinical service requests from members and providers, applying clinical judgment and managed care criteria to determine appropriate care. The work... .... Preferred Experience in utilization review, case review, or related...Remote workFull timeContract workWeekend workWeekday work
- ...Role Overview Our Utilization Management Reviewers evaluate medical necessity for inpatient and outpatient... ...escalate complex cases requiring physician review or additional intervention... ...Flexible work solutions include remote options, hybrid work schedules, competitive...Remote workMonday to FridayFlexible hoursWeekend work
AmeriHealth Caritas
Newtown Square, PA22 hours ago $204.76k - $292.52k
...people to join our team. The Physician Reviewer is the primary physician reviewer for Utilization Management (UM) cases in our... ...transforming healthcare for seniors and changing America’s healthcare... ...Contingent Worker please see job aid HERE to apply #LI-Remote...Remote workHourly payFull timeWork at officeLocal areaChenMed
United States4 days ago$86k - $117.3k
...For roles that are 100% remote or hybrid, you must have access... ...most. We offer integrated managed care products,... ...direction of a supervisor, the Utilization Management Reviewer evaluates medical necessity... ...escalate complex cases requiring physician review or additional...Remote workHourly payContract workMonday to FridayFlexible hoursWeekend work2 days per weekAmeriHealth Caritas
Washington DC1 day ago- ...nationally recognized Independent Review Organization (IRO), is expanding its panel of Physician Reviewers. We are... ...Certification to conduct Utilization Reviews. This is a fully remote, non-clinical role... ...portal and streamlined case management Full onboarding and ongoing...Remote workPrice workExtra incomeFor contractorsFlexible hours
- ezURs is seeking board-certified Pain Management Physicians for fully remote Physician Consultant positions. As a URAC accredited Independent Review Organization, our physicians perform utilization reviews, disability, and peer reviews across multiple lines of business....Remote jobFor contractors
- ...recognized Independent Review Organization (IRO), is... ...its panel of Physician Reviewers. Key Responsibilities... ...necessity of services Utilize state-specific workers... ...income Fully remote - work from anywhere You... ...and streamlined case management Full onboarding and ongoing...Remote workPrice workExtra incomeFor contractors
- 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 Monday - Friday work week. Responsibilities include reviewing medical records,...Remote jobFor contractorsMonday to FridayFlexible hours
- About MMRO Managed Medical Review Organization (MMRO) is a nationally recognized... ...of experienced practicing physicians. MMRO is committed to... ...questions. Reviews are conducted remotely and do not require direct... ...established turnaround times. Utilize MMRO review templates and...Remote workFull timeFor contractorsFlexible hours
- ...Independent Contractor (1099) Remote Opportunity Required State... ...Founded in 1983, Medical Review Institute of America (MRIoA... ...specializing in technology-driven utilization management and clinical medical review... ...seeking Board-Certified physicians in Orthopedic Surgery to...Remote jobFor contractorsFlexible hours
- The Physician Advisor Lead at HURC provides clinical leadership, mentorship, and quality... ...active production workload. In this senior role, you will partner with HURC leadership... ...determinations, P2P performance, and utilization management outcomes, while guiding onboarding and...Remote jobSenior
- Cook Children's Health Care System is seeking a Registered Nurse Utilization Management/Episodic Case Manager (UM/ECM - RN) Reviewer to coordinate the efficient utilization of health care resources for CCHP members and ensure timely, quality care throughout the continuum...Remote job
- Health Care Service Corporation is hiring a Nurse Liaison I for Utilization Management & Quality Review. This remote nationwide role supports clinical review activities, benefit determinations and medical necessity assessments, ensuring compliant, well-documented coverage...Remote job
$52 - $56 per hour
...apply the same medical necessity judgment you built in utilization management. 100% remote (U.S.) | Contract | $52-$56/hr based on experience Business... ...and appeals end to end: intake, investigation, clinical review, decision and notification Apply medical necessity...Remote jobContract workAfternoon shift- ChenMed is seeking a Physician Reviewer to serve as the primary reviewer for Utilization Management (UM) cases across the assigned markets. You will advise other physician... ...’s mission to transform healthcare for seniors through quality improvement and collaboration...Local area
- ...System team, and The Power of Every One. Job Title Utilization Management RN Reviewer Location Cleveland Facility Remote Location Department Utilization And Quality... ...denials appeals process, clinical team interaction, Physician Adviser interaction and special projects. A...Remote workFull timeWork at officeShift workWeekend work
- Coastal Care Services, Inc. is seeking an LPN licensed Utilization Management Nurse Reviewer for a work-from-home opportunity serving the Miami, FL... ...Equipment, reviews medical necessity, collaborates with physicians, patients and families to assure cost-effective, high-quality...Remote jobWeekday work
- ...Resources in North Carolina is seeking a Utilization Management Specialist III - MH/SU to join our... ...You will perform comprehensive clinical reviews for mental health, substance use, and... ...with guidance and documentation. This remote role offers standard work hours, strong...Remote jobSenior
- ...Providence California Regional Services is seeking a Senior Utilization Management Assistant for a remote Per Diem role. The 8-hour day shifts provide support within the Care Management team to coordinate patient care. You will work under the supervision of the Regional...Remote jobSeniorDaily paidDay shift
$150k - $175k
A leading executive search firm is seeking a Utility Solutions Sales Director to drive market penetration within the utility sector. This remote position requires extensive travel and strong sales experience in electrical products or related solutions. The ideal candidate...Remote jobSenior- Providence California Regional Services is seeking a Senior Utilization Management Assistant for a remote, per diem role. You will support the Care Management team in coordinating patient care, performing clerical duties, and contributing to efficient care workflows from...Remote jobSeniorDaily paid
- ...Consulting Group is seeking a Delivery Lead/Manager with 10+ years in technology consulting... ...large-scale FSM platform projects for utilities clients. You will own end-to-end... ...PMs, analysts, and architects in a hybrid/remote setting. Based in Walnut Creek, CA with...Remote jobSenior
- Based in Walnut Creek and remote-friendly, Celerity seeks a Senior Manager to build and run the BIS practice's operational backbone. Lead senior practitioners... ...rapid expansion across client engagements in utilities and digital transformation. #J-18808-Ljbffr CelerityRemote workSenior
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Senior Physician Reviewer - Utilization Management (Remote). Be the first to apply!
Related searches
- safety physician Phoenix, AZ
- outpatient primary care physician Phoenix, AZ
- physician-plastic surgery Phoenix, AZ
- pm&r physician Phoenix, AZ
- doctor on demand Phoenix, AZ
- full time post-acute physician Phoenix, AZ
- critical care physician Phoenix, AZ
- primary care sports medicine physician Phoenix, AZ
- doctor on call Phoenix, AZ
- physician sleep medicine Phoenix, AZ