Remote Urology Physician Clinical Reviewer
$90.87 - $154.33 per hourPrime Therapeutics
A healthcare organization is seeking a Physician Clinical Reviewer specializing in Urology. This remote role involves reviewing clinical cases, ensuring compliance with medical necessity guidelines, and supporting initial clinical reviewers. A DO, MBBS, or MD is required along with at least 5 years of relevant clinical experience. The position offers competitive pay ranging from $90.87 to $154.33, making it an attractive opportunity in a dynamic healthcare setting. #J-18808-Ljbffr
$90.87 - $154.33 per hour
A healthcare organization is seeking a Physician Clinical Reviewer for a remote role. This position involves conducting medical reviews of service requests that do not meet medical necessity guidelines while interacting with physicians and leadership. The ideal candidate...Remote work$90.87 - $154.33 per hour
A leading pharmacy benefit manager is seeking a Physician Clinical Reviewer - Urology for a remote position. The role involves reviewing complex clinical cases, providing rationales for medical necessity, and ensuring compliance with guidelines. Candidates must have a...Remote work$90.87 - $154.33 per hour
...A healthcare company is seeking a Physician Clinical Reviewer for a remote position. The role involves reviewing clinical cases, discussing determinations with physicians, and ensuring documentation accuracy. Applicants must have an MD, DO, or MBBS and 5+ years of clinical...Remote work$90.87 - $154.33 per hour
A leading pharmacy benefit manager is seeking a Physician Clinical Reviewer - Urology to join their utilization management team. The role involves medical... ...or MD and at least 5 years of clinical experience. This remote position offers a competitive salary range from $90.87...Remote work- A leading pharmacy benefit manager is seeking a Physician Clinical Reviewer specializing in Urology to join their utilization management team. This remote role involves timely medical review of service requests, discussion with healthcare providers, and providing clinical...Remote work
$90.87 - $154.33 per hour
A leading pharmacy benefit manager is seeking a Physician Clinical Reviewer specializing in Urology. This remote role involves medical review of service requests and requires a DO, MBBS, or MD degree along with at least 5 years of clinical experience. Candidates must ensure...Remote work$90.87 - $154.33 per hour
A leading healthcare organization is seeking a remote Physician Clinical Reviewer with expertise in clinical review and a minimum of 5 years of experience. This role involves reviewing medical requests, assisting initial reviewers, and providing clinical rationale. Candidates...Remote work- A leading pharmacy benefits management company is seeking a remote Physician Clinical Reviewer specializing in Urology. The role involves reviewing medical necessity requests, interacting with physicians, and participating in the utilization management process. Candidates...Remote workFlexible hours
$90.87 - $154.33 per hour
...A healthcare organization is seeking a remote Physician Clinical Reviewer specializing in Urology. The role involves reviewing service requests, interacting with healthcare professionals, and ensuring compliance with medical necessity guidelines. Candidates must have...Remote work$90.87 - $154.33 per hour
...A leading pharmacy benefit manager is seeking a Physician Clinical Reviewer to join the utilization management team. This remote position requires a strong clinical background, as the role involves reviewing medical necessity guidelines and interacting with physicians...Remote work$90.87 - $154.33 per hour
A leading pharmacy benefit manager is seeking a Physician Clinical Reviewer to join their utilization management team. This remote position requires a medical degree (MD, DO, MBBS) and at least 5 years of clinical experience. Responsibilities include reviewing medical...Remote work$90.87 - $154.33 per hour
A leading healthcare company is seeking a Physician Clinical Reviewer - Urology to provide medical review of service requests in a remote setting. Ideal candidates must have a DO, MBBS, or MD with at least 5 years of clinical experience. Responsibilities include ensuring...Remote work$90.87 - $154.33 per hour
A healthcare organization seeks a Physician Clinical Reviewer specializing in Urology to join their utilization management team. This remote role involves conducting medical reviews, discussing cases with physicians, and ensuring compliance with guidelines. Candidates...Remote work$90.87 - $154.33 per hour
A nationwide pharmacy benefit management company based in Washington, DC is seeking a Physician Clinical Reviewer for a remote role focused on Urology. The ideal candidate should hold an MD, DO, or MBBS and have over 5 years of clinical experience. Responsibilities include...Remote work$90.87 - $154.33 per hour
A healthcare organization is seeking a Physician Clinical Reviewer for Urology. This remote role is crucial in the utilization management team, providing timely medical reviews and working with physicians and health plan members. Candidates must possess an MD or equivalent...Remote work$90.87 - $154.33 per hour
A leading pharmacy benefit manager is seeking a Physician Clinical Reviewer specializing in Urology. This remote position involves reviewing clinical cases for medical necessity, ensuring timely communication with healthcare providers, and maintaining accurate documentation...Remote work- A progressive pharmacy benefits manager is seeking a Physician Clinical Reviewer in Urology to join their remote utilization management team. In this critical role, you will review medical necessity requests, interact with physicians, and provide insights for appeals. Candidates...Remote work
- A national pharmacy benefit manager is seeking a Physician Clinical Reviewer specializing in Urology for a remote position. The role involves reviewing medical necessity service requests, providing clinical rationale for appeals, and collaborating with medical staff. Candidates...Remote work
$90.87 - $154.33 per hour
...those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting Title Physician Clinical Reviewer - Urology- 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
Prime Therapeutics (Prime) is a purpose‑driven PBM seeking a Physician Clinical Reviewer - Urology (remote). This key member of the utilization management team provides timely medical review of service requests that do not initially meet medical necessity guidelines. The...Remote jobHourly payWork at officeLocal areaVisa sponsorshipWork visa- ...and patient outcomes. Our talented remote workforce spans the country and plays... ...Overview We are seeking a Clinical Utilization Review Nurse (RN) to assess the medical necessity... ...tools ( InterQual ) Consult with physician/practitioner consultants when...Remote workFull timeContract workWork at officeWork from home
- ...company, who manages all applications and next steps. Our partner is looking for a Clinical Appeals Reviewer (Licensed Healthcare Professional) based in the United States. This is a fully remote clinical decision-making role focused on conducting independent, evidence-...Remote jobFull timeContract workFlexible hours
- ...Behavioral Health Services Reviewer Are you passionate about improving... ...? Do you enjoy using your clinical expertise to evaluate needs,... ...on this team. This is a remote position based in Oregon and... ...designated systems Consult with physician or practitioner reviewers...Remote workFull timeContract workWork from home
$85k - $92k
...Job Title: CLINICAL QUALITY REVIEWER (RN or LCSW) Job ID: 87049 Location: USA- Remote in approved states Overview: We are partnering with a leading organization supporting a large-scale federal healthcare program to identify a Clinical Quality Reviewer. This role...Remote workHourly payWork at officeHome office$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- ...Community HealthWorks in Sacramento is seeking a Licensed Clinical Reviewer for a per diem, non-exempt role focused on clinical documentation... ...or RN is required. This role supports underserved populations and involves remote or hybrid work as necessary. #J-18808-Ljbffr...Remote workDaily paid10 hours per weekFlexible hours
$28.37 - $32 per hour
...Clinical Reviewer This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Clinical Reviewer based in the United States. This role plays a key part in ensuring the medical appropriateness and...Remote workHourly payContract workWeekday work$28.37 - $35 per hour
...empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that... ...Job Summary and Responsibilities Acentra seeks a Clinical Reviewer to join our growing team. Job Summary: The Clinical Reviewer...Remote workContract workWork at officeLocal areaMonday to FridayFlexible hoursShift workWeekend work$57 per hour
ProPivotal Staffing is seeking a Clinical Pharmacist Reviewer to work from home in Massachusetts. This role supports clinical pharmacy services and involves optimizing treatments with healthcare teams. Candidates should have 1-2 years of experience and an active Massachusetts...Remote workHourly payWork from homeFlexible hours- A healthcare consulting firm is seeking Peer Reviewers (MDs/DOs/DDS) for a full-time remote position. The role involves providing clinical expertise for peer reviews of patient care, making informed clinical judgments, and documenting all reviews per instructions. Applicants...Remote workFull time
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