Remote Dermatology Physician Reviewer | Utilization
Prime Therapeutics
A leading healthcare services company is seeking a Physician Clinical Reviewer - Dermatology to join their remote team. This role requires a minimum of 5 years of clinical review experience and an MD/DO degree. Responsibilities include reviewing clinical cases for medical necessity, engaging with physicians for case discussions, and ensuring accurate documentation of interactions. Candidates must be eligible to work in the U.S. without sponsorship. #J-18808-Ljbffr
- A healthcare organization is seeking a Physician Clinical Reviewer specializing in Dermatology to join their utilization management team. This remote role involves reviewing medical service requests, collaborating with healthcare professionals, and ensuring compliance...Remote work
- A healthcare organization is seeking a Physician Clinical Reviewer for a remote opportunity. In this role, you will be a key member of the utilization management team, performing medical reviews of service requests and collaborating with physicians to ensure compliance...Remote work
- ...leading pharmacy benefits manager is seeking a Physician Clinical Reviewer specialized in Dermatology for a remote role. This position involves reviewing clinical... ...This is an opportunity to contribute to effective utilization management processes while working within a...Remote work
$90.87 - $154.33 per hour
...A healthcare organization seeks a Physician Clinical Reviewer specializing in Dermatology for a remote position. This role involves conducting thorough clinical reviews, providing rationale for decisions, and collaborating with healthcare providers. Candidates must possess...Remote work$90.87 - $154.33 per hour
...A leading pharmacy benefit manager is seeking a remote Physician Clinical Reviewer specializing in Dermatology. This position requires a medical degree (DO, MBBS, MD) and at least 5 years of clinical experience. Responsibilities include reviewing cases needing medical...Remote work$90.87 - $154.33 per hour
A leading pharmacy benefit manager is seeking a Physician Clinical Reviewer specializing in Dermatology for a remote role. Key responsibilities include reviewing clinical cases, collaborating with physicians for determinations and ensuring compliance with medical guidelines...Remote work- ...A healthcare organization seeks a Physician Clinical Reviewer - Dermatology for a remote position. This role involves providing medical review of service requests and working closely with physicians. Candidates must hold a medical degree (DO/MBBS/MD) and have over 5 years...Remote work
$90.87 - $154.33 per hour
A care-focused pharmacy organization seeks a Physician Clinical Reviewer specializing in dermatology. This remote position involves reviewing service requests, collaborating with healthcare providers, and ensuring compliance with medical necessity guidelines. Candidates...Remote workHourly pay$90.87 - $154.33 per hour
A leading pharmacy benefit manager is seeking a Physician Clinical Reviewer - Dermatology to conduct medical reviews and ensure adherence to clinical guidelines. This remote position requires an MD/DO with at least 5 years of clinical experience. Responsibilities include...Remote work$90.87 - $154.33 per hour
A leading pharmacy benefits manager is seeking a remote Physician Clinical Reviewer in Atlanta, Georgia. The ideal candidate will have a DO, MBBS, or MD degree, along with over 5 years of clinical review experience. Responsibilities include reviewing medical requests,...Remote work- A leading pharmacy benefit manager is seeking a remote Physician Clinical Reviewer specializing in dermatology. The successful candidate will be responsible for conducting medical reviews of service requests and interacting with healthcare professionals. A DO, MBBS, or...Remote work
$90.87 - $154.33 per hour
A healthcare organization seeks a Physician Clinical Reviewer - Dermatology for a remote role. This position is essential for evaluating service requests, engaging with physicians, and ensuring compliance with medical guidelines. Candidates must possess an MD, DO, or MBBS...Remote workHourly pay- A leading healthcare company is looking for a Physician Clinical Reviewer - Dermatology for a remote position. The successful candidate will review medical cases, interact with physicians, and ensure compliance with clinical guidelines. An MD/DO/MBBS degree is required...Remote workWork from home
$90.87 - $154.33 per hour
A health services company is seeking a remote Physician Clinical Reviewer specializing in dermatology. The ideal candidate will provide medical review of service requests, discuss cases with physicians, and ensure proper documentation of communications. This role requires...Remote work$90.87 - $154.33 per hour
A healthcare management company is seeking a remote Physician Clinical Reviewer specializing in Dermatology. This role involves reviewing cases that require clinical expertise, interacting with physicians, and providing clinical rationale for appeals. Candidates must hold...Remote work$90.87 - $154.33 per hour
A leading pharmacy benefit manager is seeking a Physician Clinical Reviewer for a remote position. The successful candidate will review medical service requests, interact with healthcare professionals, and ensure compliance with industry guidelines. This role requires...Remote work- A healthcare services organization is seeking a Physician Clinical Reviewer for a remote position in Frankfort, Kentucky. This role involves medical review of service requests and collaborating with physicians and health plan staff. Candidates must have a DO, MBBS, or...Remote work
$90.87 - $154.33 per hour
A healthcare organization is looking for a remote Physician Clinical Reviewer specializing in Dermatology. Key responsibilities include reviewing service requests for medical necessity, interacting with physicians, and providing clinical rationale for appeals. The ideal...Remote workHourly pay$90.87 - $154.33 per hour
A healthcare benefits company is seeking a Physician Clinical Reviewer for a remote position in Lincoln, Nebraska. The role involves reviewing service requests for medical necessity, collaborating with physicians, and providing clinical rationale for appeals. Candidates...Remote work$90.87 - $154.33 per hour
A healthcare organization is seeking a Physician Clinical Reviewer with a strong clinical background for remote work in Helena, Montana. The ideal candidate will hold an MD, DO, or MBBS and have over 5 years of experience in clinical review. Responsibilities include reviewing...Remote work$90.87 - $154.33 per hour
A leading pharmacy benefits manager seeks a Physician Clinical Reviewer - Dermatology for a remote position. You will be responsible for medical reviews of service requests, communicating with physicians, and ensuring compliance with medical necessity guidelines. This...Remote work- A healthcare organization is seeking a Physician Clinical Reviewer in Dermatology to provide medical reviews and interact with medical staff. Responsibilities... ...over five years of experience in clinical review. This remote position is an excellent opportunity to impact patient...Remote work
- ...A leading pharmacy benefit manager seeks a Physician Clinical Reviewer specialized in Dermatology. This remote role involves reviewing clinical cases, discussing determinations with physicians, and ensuring adherence to medical guidelines. Candidates should hold a DO,...Remote work
$90.87 - $154.33 per hour
A healthcare solutions company is seeking a dedicated Physician Clinical Reviewer for a remote position. This role involves timely medical reviews of service requests, collaboration with healthcare professionals, and compliance with medical necessity guidelines. Candidates...Remote workHourly pay- A leading medical review organization is seeking Board‑Certified physicians in Pediatric Hematology Oncology for flexible, remote Utilization Reviews. This role requires conducting independent reviews of pediatric cases, engaging in peer-to-peer discussions, and ensuring...Remote workPart timeFlexible hours
- ...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
- ...IntePros is seeking a Physician Reviewer to provide remote support for a healthcare organization. The role involves reviewing medical necessity determinations... ...collaborative environment with opportunities to leverage clinical expertise in utilization management. #J-18808-Ljbffr...Remote work
- ...Oak Street Health is seeking a Full-Time Utilization Management Physician Reviewer to ensure accurate coverage determinations for inpatient and outpatient... ...a license to practice in the US. This position offers remote work options and competitive compensation packages,...Remote workFull time
$174.07k - $374.92k
Oak Street Health, part of CVS Health, is seeking a Full-Time Utilization Management Physician Reviewer to ensure accurate coverage determinations for inpatient and outpatient services. This role requires at least one year of Utilization Management experience in Medicare...Remote workFull time- ...A healthcare management organization is seeking experienced Physician Reviewers to join their Medicare Utilization Management team in a remote position. Responsibilities include reviewing clinical service requests, applying evidence-based guidelines, and collaborating...Remote work
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