Remote Dermatology Physician Reviewer | Utilization
$90.87 - $154.33 per hourPrime Therapeutics
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 reviewing service requests, interacting with physicians, and providing clinical rationale for appeals. Competitive pay ranges from $90.87 to $154.33, based on experience and skills. Prime is committed to diversity and inclusion in the workplace. #J-18808-Ljbffr
- ...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
- 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
- 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 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...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 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 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 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 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 job$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 job$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 jobHourly pay- ...Specialty Health System (StarCare) is seeking a full time Utilization Management (UM) Reviewer to join its outstanding Utilization Management team... ...will work in a hybrid work environment (combination of remote and on-site) and must be able to work on-site when job duties...Remote workFull timeWork at officeMonday to Friday
- ...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
- ...for additional details. Office Location: Remote Option Available; Flexible for any of... ...position 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 workWork at officeFlexible hours
- ...A leading health insurance company is hiring a remote Physician Reviewer to join their Utilization Management team. This role involves determining the medical appropriateness of services based on clinical information and evidence-based guidelines. Candidates should have...Remote work
$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 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 jobPart timeFlexible hours
- ...Orthopedic Surgeon Utilization Review Opportunity Dane Street, a nationally recognized Independent... ...(IRO), is expanding its panel of Physician Reviewers. We are currently seeking Board... ...Utilization Reviews. This is a fully remote, non-clinical role offering...Remote workPrice workExtra incomeFor contractorsFlexible hours
- ...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
$65k - $75k
Gainwell Technologies LLC is seeking a Nurse Reviewer (RN) to perform clinical reviews remotely in the United States. Responsibilities include reviewing... ..., 5+ years of clinical experience, and 2+ years in utilization review or claims auditing. This full-time position...Remote workFull time- 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 jobFull timeWork from home
$22 - $27 per hour
...hour Job Description Location : Remote (candidate will have the flexibility to work... ...meets innovation-shaping roads, utilities, and communities for the future. At ORC,... ..., and conducting market data studies. Review and check documentation for accuracy and...Remote workHourly payFull timeWork experience placementWork from homeRelocationHome office- ChenMed is looking for a Licensed Physician Reviewer - Ortho for a remote role based in Miami, FL. This position involves conducting Utilization Management reviews and advising other physician reviewers while participating in quality improvement efforts. The ideal candidate...Remote job
- 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
$211.2k - $277.2k
...Description Job Description Hi, we're Oscar. We're hiring a Physician Reviewer to join our Utilization Management team. Oscar is the first health insurance... ..., Utilization Management. Work Location: This is a remote position, open to candidates who reside in the United...Remote workFull timeLocal areaWork from homeHome officeWeekend work- A national Independent Review Organization is looking for Board-Certified Orthopedic Surgeons for a fully remote, non-clinical role that offers flexible scheduling and supplemental income. Responsibilities include reviewing medical records for medical necessity and submitting...Remote workExtra incomeFlexible hours
$110k - $203.51k
...purpose to deliver a better world. Join us. **Job Description** **AECOM** is seeking an **Assistant Project Manager - Utility Design Reviewer** to work **remotely** . However, the client is located in Sacramento, CA and thus it's expected that this individual's working hours...Remote workFor contractorsFor subcontractorLocal areaWorldwideRelocationVisa sponsorshipFlexible hours- ...integrating, and monitoring the utilization of behavioral health (BH) or... ...to the Medical Director for review. Refer to and work closely... ...interacts with the treating physician or other providers of care. Collaborates... ...There may be opportunity for remote work within all jobs posted...Remote workFull timeContract workLive inWork at office
- A leading healthcare solutions provider is seeking a Nurse Reviewer (Registered Nurse) for a remote role in the US. The ideal candidate will have over 5 years of clinical experience and must hold an active RN license. Responsibilities include reviewing medical records,...Remote workFull time
- Humana is offering a remote RN Internship designed for transitioning military service members and military spouses. Interns will perform clinical reviews, support healthcare providers, and engage with interdisciplinary teams. Must be an active RN in Kentucky or have an...Remote jobInternship
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