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 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
- ...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
- ...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 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 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 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$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 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...Remote workHourly pay$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$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- ...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 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 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$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 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...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$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- ...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 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
- ...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 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
- ...for additional details. Office Location Remote Option Available; Flexible for any of Partners... ...is responsible for facilitating the review of service plans and service... ...appropriate services at a given time. The IDD Utilization Management Reviewer screens authorization...Remote workFull timeWork at officeFlexible hours
- ...the direction of the Supervisor, the Behavioral Health Utilization Management (BHUM) Reviewer is responsible for completing medical necessity reviews.... ...clinical judgment in their application. Work Arrangement Remote role Monday through Friday from 8:00 AM EST to 5:00...Remote workWork at officeMonday to FridayFlexible hoursWeekend 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
$174.07k - $374.92k
...person, one family and one community at a time. Company: Oak Street Health Title: Full-Time Utilization Management Physician Reviewer Location: Remote/ Treehouse Role Description: This full-time role is responsible for provisioning accurate and...Remote workHourly payFull timeLocal area$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- ...Street, a nationally recognized Independent Review Organization (IRO), is expanding its panel of Physician Reviewers. We are currently seeking... ...Compensation Board Certification to conduct Utilization Reviews. This is a fully remote, non-clinical role offering supplemental...Remote workPrice workExtra incomeFor contractorsFlexible hours
$211.2k - $277.2k
...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... ..., Utilization Management. Work Location: This is a remote position, open to candidates who reside in the United States...Remote workFull timeLocal areaWork from homeHome officeWeekend work- ...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 workFor contractorsMonday to FridayFlexible hours
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