Remote Oncology Physician Clinical Reviewer
Prime Therapeutics
- Remote job
A leading pharmacy benefit management company is seeking a Physician Clinical Reviewer-Oncologist. This remote role involves reviewing clinical determinations, working closely with physicians, and ensuring compliance with medical guidelines. Candidates must have a DO, MBBS, or MD and over 5 years of relevant clinical experience. The position offers competitive compensation based on experience, providing an opportunity to significantly impact patient care within a purpose-driven organization. #J-18808-Ljbffr Prime Therapeutics
- A leading healthcare company is seeking a Physician Clinical Reviewer-Oncologist to conduct medical reviews of service requests. This remote role requires a DO, MBBS, or MD and 5+ years of clinical experience. Responsibilities include assessing medical necessity, assisting...Remote job
$90.87 - $154.33 per hour
A healthcare management organization seeks a Physician Clinical Reviewer-Oncologist to join their remote utilization management team. Responsibilities include reviewing clinical cases, assisting Initial Clinical Reviewers, and ensuring compliance with medical necessity...Remote job$90.87 - $154.33 per hour
A progressive pharmacy benefits manager is seeking a Physician Clinical Reviewer-Oncologist to join their remote team. The ideal candidate must hold a DO, MBBS, or MD and have over 5 years of clinical experience. Responsibilities include conducting medical reviews, collaborating...Remote job- A leading pharmacy benefit manager is looking for a Physician Clinical Reviewer-Oncologist for a remote position. The ideal candidate will provide medical reviews for service requests, ensuring adherence to medical necessity guidelines, and will collaborate with physicians...Remote job
$90.87 - $154.33 per hour
A healthcare organization is seeking a Physician Clinical Reviewer-Oncologist to conduct medical reviews and engage with healthcare providers. This remote position requires a DO, MBBS, or MD and at least 5 years of clinical experience. Responsibilities include reviewing...Remote job$90.87 - $154.33 per hour
...specialized pharmacy benefit manager in Washington seeks a Physician Clinical Reviewer-Oncologist to review service requests and collaborate with... ...degree with over 5 years of clinical experience. This remote opportunity involves ensuring adherence to medical necessity...Remote job$90.87 - $154.33 per hour
A leading pharmacy benefit manager is seeking a remote Physician Clinical Reviewer to join their utilization management team. The role involves medical review of service requests, interaction with physicians, and clinical rationale discussion for appeals. Candidates should...Remote jobHourly pay$90.87 - $154.33 per hour
A healthcare company is seeking a Physician Clinical Reviewer-Pediatric Oncologist to join their utilization management team. This remote position requires a DO, MD, or MBBS and 5+ years of relevant experience. Responsibilities include conducting clinical reviews, collaborating...Remote job- A healthcare provider is seeking a Physician Clinical Reviewer-Pediatric Oncologist for a remote position. You will be a key member of the utilization management... ...to leverage your expertise in pediatric oncology and contribute to meaningful patient care. #J-188...Remote job
- ...A leading PBM company is seeking a Physician Clinical Reviewer specialized in Pediatric Oncology to join their remote utilization management team. Responsibilities include reviewing medical requests, providing clinical rationale for decisions, and assisting peer reviewers...Remote work
$90.87 - $154.33 per hour
...A leading healthcare organization is seeking a remote Physician Clinical Reviewer with expertise in pediatric oncology. The role involves reviewing medical cases and ensuring adherence to clinical guidelines. Candidates must have an MD, DO, or MBBS and at least 5 years...Remote work- ...A leading pharmacy benefit manager is seeking a Physician Clinical Reviewer-Oncologist to join their remote team. You'll be responsible for the medical review of service requests, engaging with physicians and staff throughout the process. Applicants should hold a DO, MBBS...Remote work
$90.87 - $154.33 per hour
...A healthcare solutions provider is seeking a Physician Clinical Reviewer-Pediatric Oncologist to join their utilization management team in a remote capacity. This role requires candidates to hold a valid medical degree (DO, MD, or MBBS) and have over 5 years of clinical...Remote work$90.87 - $154.33 per hour
...connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Physician Clinical Reviewer-Oncologist- REMOTE Job Description Key member of the utilization management team, and provides timely medical review of service...Remote workWork at officeLocal areaVisa sponsorshipWork visa$90.87 - $154.33 per hour
...A leading pharmacy benefit manager is seeking a remote Physician Clinical Reviewer specializing in pediatric oncology. This role involves timely medical review of service requests, collaboration with physicians, and ensuring compliance with clinical guidelines. Candidates...Remote work- A leading pharmacy benefit manager is seeking a remote Physician Clinical Reviewer specializing in Pediatric Oncology. In this role, you will review medical necessity determinations, communicate with healthcare providers, and provide clinical rationale for appeals. Candidates...Remote job
$90.87 - $154.33 per hour
A healthcare provider is seeking a Physician Clinical Reviewer-Pediatric Oncologist for a remote position. Responsibilities include reviewing clinical cases and providing rationale for medical decisions. The ideal candidate must hold a medical degree (DO, MD, or MBBS) and...Remote job$90.87 - $154.33 per hour
A healthcare services company is seeking a Physician Clinical Reviewer specializing in Pediatric Oncology for a remote role. You will be responsible for reviewing clinical determinations, interacting with physicians, and providing rationale for appeals. Applicants should...Remote job- A leading pharmacy benefit manager is seeking a Physician Clinical Reviewer-Pediatric Oncologist. This remote position involves reviewing medical necessity cases and collaborating with physicians on decisions. Candidates must hold a DO or MD and have over 5 years of clinical...Remote job
- ...Veracity Selfcare is seeking a Clinical Care Reviewer for remote work. This role involves reviewing clinical documentation and providing clinical recommendations to ensure care meets medical necessity standards. The ideal candidate will have a Master’s degree and an active...Remote work
$28.37 - $39.19 per hour
...A healthcare technology firm is seeking a Clinical Reviewer for Substance Use on a PRN basis. The role involves reviewing patient records against... ...at least 3 years of clinical experience. The position is remote and offers a pay range of $28.37 to $39.19 per hour, along...Remote workHourly payRelief- ...Maximus is looking for a Clinical Reviewer to evaluate assessments for the Illinois SALT program. This role involves reviewing requests for services according to clinical criteria and ensuring compliance while conducting quality control reviews of field assessors' work...Remote workContract work
- ...Maximus is seeking a Clinical Reviewer to support the Illinois SALT program. The role involves evaluating assessments and determining individuals' needs for services. You will conduct quality control reviews and work with providers and state workers. Minimum requirements...Remote workFlexible hours
- ...LOCATION Remote – This is a home based, virtual position that operates Monday-Friday from... ...post-payment audits of DRG coding and clinical documentation. The ideal candidate will... ...generating high-quality recoverable claims by reviewing medical records and other documentation...Remote workLive inWork from homeMonday to Friday
- ...Maximus is seeking a Clinical Reviewer in Washington, D.C. This role involves evaluating assessments for additional supports, conducting quality reviews, and ensuring compliance. Competitive compensation includes various insurance plans, 401K matching, and wellness...Remote work
- ...A leading healthcare service provider in the United States is looking for a Clinical Appeals Reviewer. This fully remote position involves reviewing appeal cases and making independent decisions based on medical evidence. Candidates must be licensed healthcare professionals...Remote work
- ...Maximus is hiring a Clinical Reviewer to support the Illinois SALT program. This role focuses on evaluating assessments and making determinations regarding individuals' needs for additional supports and services. The Clinical Reviewer will conduct quality control reviews...Remote work
- ...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
- ...passionate about using your clinical expertise to support quality... ...services? Do you enjoy critically reviewing clinical documentation,... ...are recruiting for 2 full-time remote/hybrid Clinical Reviewer positions... ...services. Consult with physician/practitioner consultants when...Remote workFull timeWork from homeMonday to Friday
- ...organization is seeking a Nurse Practitioner for a remote 1099 contractor role, requiring a minimum of 5 state licenses. The responsibilities include reviewing patient data, developing care plans, and communicating with clinical staff to enhance patient outcomes. Candidates...Remote workFor contractorsFlexible hours
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