Medical Policy & Reviews Director (Remote)
$191.5k - $355.6kHCSC
- Remote job
A leading health service corporation is seeking a Physician (M.D. or D.O) to handle medical policy responsibilities and perform medical reviews while interacting with provider communities. The ideal candidate must have an unrestricted physician license, board certification, and 5 years of clinical experience. The position is 100% remote, with a competitive compensation package ranging from $191,500 to $355,600 annually, depending on skills and experience. #J-18808-Ljbffr HCSC
$115k - $160k
GFT is seeking a Design Plan Review Lead to join our Construction Management Team in Chicago... ...Featured Benefits: Hybrid (in-person and remote) work environment.Comprehensive benefits... ...leave, and pet insurance, in addition to medical, dental, vision, disability, and life...Remote workMedicalFull timeContract workWork at officeLocal area- ...Mass Digital Health is seeking a Clinical Reviewer LPN for a work-from-home position. The role involves performing retrospective medical reviews based on patient eligibility and contract... ...setting, and the ability to work in a remote environment. Comprehensive benefits are...Remote workMedicalContract workWork from home
- ...data, organize, and report on medical and commercial data, and more.... .... With a flexible hybrid work policy, you’ll enjoy the balance of in-person collaboration and remote flexibility. Financial Wellness... ...the hiring process, such as reviewing applications, analyzing...Remote workMedicalFlexible hours
- Enlyte is seeking a qualified Utilization Reviewer who can work remotely from home. The ideal candidate performs utilization review on workers’ compensation... ...referrals. The role requires clinical judgment to ensure medical necessity, collaboration with providers and claims...Remote workMedicalWork from home
- ...DescriptionAmeritas is seeking a Compliance Director - Retirement Plans to partner... ...clients. This position is remote (within the U.S.A.) and does... ...408(b)(2) disclosures.Review and provide compliance... ...well-being:• Health Benefits: Medical, Dental, Vision.• Health Savings...Remote workMedicalWork at officeFlexible hours
- ...The Regulatory Labeling Director will lead the strategic... ...meetings: Label Review Group (LRG) and Executive... ...precedent, regulations, policies, and other topics as necessary... ...and aspirations. From medical, dental and vision... ...more.Flex Designation:Remote-EligibleFlex Eligibility...Remote workMedicalFull timeSummer workWork at officeLocal areaFlexible hours2 days per week
$149.04k - $195.62k
...DevelopmentWork Location: This is a remote / work-from-home role.... ...(QA) and readiness reviews; identify and remediate... ...with Market Directors and Actuarial to monitor... ...for benefits including: medical, dental, and vision benefits... ...personal information, please see our Privacy Policy.Remote workMedicalFull timeWork from home- ...LeadLocation: Denver, CO (Hybrid - 3 days onsite / 2 remote)A growing, globally distributed medical technology and advanced manufacturing organization is... ...demand side of the S&OP / IBP cycle, including demand reviews and executive-level reportingKey ResponsibilitiesLead...Remote workMedical
- ...Hybrid role (4 days in office /1 day remote)About your Team:The Information Security Policy Manager develops, maintains, and... ...and drive the development, review, and update of information security... ...and wellness benefits, including medical, dental, and vision benefits. 100...Remote workMedicalTemporary workWork at office
$136.85k - $170k
...the RoleWe're seeking a Director, Audience & Activation... ...may be designated as remote, depending on the role... ...position include:• Medical, vision, and dental insurance... ...with its plans and policies. For further details... ...Applications will be reviewed on an ongoing basis, and...Remote workMedicalFull timeTemporary workWork at officeLocal areaFlexible hours2 days per week3 days per week$177k - $278.08k
...worldwide.Join Takeda as Director, Global Regulatory... ...reports to develop and/or review the labeling implementation... ...clinical, safety, medical affairs, and commercial... ...currently classified as "remote" in accordance with... ...Hybrid and Remote Work policy.#LI-Remote#LI-AA1Takeda...Remote workMedicalMinimum wageTemporary workLocal areaWorldwide- ...Conditions will report to the Director of Strategic Insights for... ...Market Access Leads, Global Medical Leads, and SC strategic markets... ...including commercial business reviews, earnings narrative, Portfolio... ...ENVIRONMENTHybrid presential/remote work arrangement, ability to...Remote workMedicalWorldwide
$122.54k - $208.72k
...supporting the incentive exception review process.WHAT WILL YOU DO?Lead... ...Bank Operational and Credit policies and procedures as well as all... ...coverage, including Medical, Dental and Vision plans, available... ...otherwise indicated as fully remote, reporting into a designated...Remote workMedical$77k - $143k
...drafting of contracts, financial reviews and procurement practicesLead... ...compliance with Company policies, procedures, standards, use of... ...healthcare coverage, including Medical, Dental and Vision plans,... ...otherwise indicated as fully remote, reporting into a designated...Remote workMedicalContract workTemporary work$130.6k - $192k
...Sourcing Manager will report to the Director of Hardware and Manufacturing... ...Act). DoorDash also offers medical, dental, and vision benefits,... ...for Jobs Located in NYC or Remote Jobs Associated With Office... ...2026.The Covey tool has been reviewed by an independent auditor....Remote workMedicalHourly payContract workWork at officeLocal areaFlexible hours- ...Coronis Health is seeking a remote Utilization Review Specialist to manage treatment authorization for behavioral health and substance abuse, interfacing... ...and patient privacy. The position requires ASAM knowledge, medical terminology proficiency, and familiarity with state and...Remote workMedical
$103.5k - $124.63k
...contracting and procurement standards, policies and procedures are maintained... ...Supplier performance review meetings, manage supplier... ...internal considerations.Location:Remote -Atlanta, GA, Austin, TX,... ...company contributionsComprehensive Medical, Dental & Vision CarePaid...Remote workMedicalFull timeContract workFor contractorsLocal areaImmediate start- ...seeking physicians with a minimum of 5 years clinical experience, preferably in Family Medicine, for a peer review role. Responsibilities include reviewing medical records and making standard of care determinations while working from home with a flexible schedule....Remote jobMedicalWork from homeFlexible hours
- A healthcare solutions company in McLean seeks experienced peer reviewers with at least 5 years in clinical settings. Responsibilities include reviewing medical records, assessing clinical guidelines, and providing improvement recommendations. Candidates must have an active...Remote jobMedicalWork from homeFlexible hours
$10k
...planning activities, and executive strategy reviews.Growth StrategyIdentify and evaluate... ...office Monday-Thursday with the option for remote work on Fridays.YOUR COMPANY BENEFITSAt Crown... ...up to 8 weeks of additional 100% paid medical leave.Tuition reimbursement up to $5,250...Remote workMedicalFull timeWork at office$110k - $140k
...decentralized and entrepreneurial culture. .ITW Medical, a division of ITW, is comprised of two... ...implement mitigation plans; establish review cadences with key stakeholders.Supplier &... ...in communicating and working with a remote staff.Proven results in managing and developing...Remote workMedicalContract workTemporary workLocal areaFlexible hoursShift work$120k - $180k
Position: Director of Corporate Strategy and... ..., VARemote Status: Remote Job Id:... ...during acquisition strategy reviews and planning sessions.Assist... ...strictly adheres to a policy of equal employment... ...identity or expression), medical condition, genetic information...Remote workMedicalContract workImmediate start$103.6k - $177.8k
...Customer Support, Finance, and Policy to solve these problems and... ...changes, claims logic, holds and review strategies, carrier or... ...in addition to a full range of medical, financial, and/or other benefits... ...performance, and market factors.Remote roles are not eligible for U.S...Remote workMedicalImmediate startVisa sponsorship$150k - $152.5k
..., sharing results and reviewing with select 3rd Party... ...relationships with Account Director and other client... ...approximately 25%)Location: REMOTE based in the United... ...Medical, Dental & Vision CarePaid... ...Employment Opportunity policy here.Jones Lang LaSalle...Remote workMedicalFull timeContract workTemporary workFor contractorsFor subcontractorLocal areaImmediate start- ...application creation and maintenance, application review, decision release, scholarship awards and... ...:Hybrid work arrangement; fully remote will be considered in the context of the... ...array of benefits including comprehensive medical, prescription, dental, and vision insurance...Remote workMedicalFull timeWork experience placementWork at office
$138k - $159.6k
...exposureLead Quarterly Business Reviews with strategic suppliers,... ...internal considerations.Location:Remote -Atlanta, GA, Charlotte, NC, Dallas... ...contributionsComprehensive Medical, Dental & Vision CarePaid... ...Equal Employment Opportunity policy here.Jones Lang LaSalle (“JLL”...Remote workMedicalFull timeContract workWork at officeLocal area- ...Medical Review Specialist We are seeking a detail-oriented Medical Review Specialist to join our remote Document Management Team. This role is ideal for individuals with strong organizational skills and a high level of accuracy in reviewing and handling sensitive medical...Remote workMedical
$85.5k - $168k
...for hospitals, data centers, remote sites, and military bases. Radiant... ...through NDA, capability review, and entry into Radiant's approved... ...for all full-time employees.Medical: 100% up to base silver level... ...snacks and drinks.Flexible PTO policy. Remote workday allocation.Company...Remote workMedicalFull timeSummer workWork at officeImmediate startFlexible hoursWeekend work- Dane Street, LLC is hiring a Peer / Record Review Quality Analyst responsible for managing medical file reviews and ensuring client standards are met. The ideal candidate must have strong communication skills, an educational background in healthcare or business, and the...Remote jobMedicalWork from home
- ...Street, LLC is seeking an Orthopedic Surgeon to join their remote Physician Reviewers team. This role allows for a customized schedule while... ...requires a TX license. Responsibilities include reviewing medical records, providing clear determination rationales, and maintaining...Remote workMedical
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