Remote Dermatology Physician Reviewer | Utilization
$90.87 - $154.33 per hourPrime Therapeutics
Washington DC
- Remote job
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 a DO, MBBS, or MD degree and at least 5 years of relevant experience. Pay ranges from $90.87 to $154.33 based on skills and experience. Join a purpose-driven organization focused on improving pharmacy care. #J-18808-Ljbffr Prime Therapeutics
Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Remote Dermatology Physician Reviewer | Utilization in Washington DC vacancy
$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 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 job$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 job$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 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 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- ...IDD Utilization Management Reviewer Competitive Compensation & Benefits Package! Position eligible for: ~ Annual incentive bonus plan... ...Forgiveness Qualifying Employer Office Location: Remote Option Available; Flexible for any of Partners' NC locations...Remote workWork at officeFlexible hours
Partners Health Alliance
United States1 day ago - ...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
StarCare Specialty Health System
Lubbock, TX2 days ago - ...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
AmeriHealth Caritas
Newtown Square, PA1 day ago - ...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
AmeriHealth Caritas
Newtown Square, PA1 day ago $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 workOscar Health
New York, NY12 days ago- 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
$25 - $35 per hour
...Exemption Type Non-Exempt Location Remote (Virtual) - US - US (Primary) Category... ...meets innovation-shaping roads, utilities, and communities for the future. At ORC,... ...project schedules and budgets Preparing, reviewing, tracking, mailing and maintaining Right...Remote workHourly payFull timeWork experience placementWork from homeRelocationHome officeO.R. Colan Associates
Charlotte, NC2 days ago- 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
- ...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
Dane Street
United States4 days ago $93.12k - $167.62k
United Cerebral Palsy of Georgia is looking for a Psychologist Reviewer - ABA to work virtually and collaborate with medical directors... ...an active license to practice. Candidates will ensure proper utilization of plan benefits and mentor staff. The position offers a salary...Remote job- ...Mississippi Medical Center. Please review the following instructions... ...Organization: Utilization Review Location/s: Main... ...Reviewer - Coordinated Care - PT - Remote Job Summary:... ...judgement in interactions with physicians, payers, and patients and their...Remote workPart timeWork experience placementCasual workSeasonal workShift work
University of Mississippi Medical Center
United States3 days ago $260k - $275k
Medix™ is seeking a Board-Certified Physician for a fully remote, non-clinical role in Utilization Management. The position involves reviewing clinical documentation to determine the appropriateness of inpatient, outpatient, and pharmacy services. Ideal candidates will...Remote job- 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
$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 jobFull time- 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
- About Dane Street Dane Street is a leading Independent Review Organization (IRO) and national provider of Utilization Review services. As we continue to expand our physician panel, we’re offering flexible, remote opportunities for board-certified physicians seeking supplemental...Remote workExtra incomeFor contractorsFlexible hours
$260k - $275k
...weekend every 16 weeks Position Type: Full-time | Remote | Non-clinical We are seeking a Board-Certified Physician to join a Utilization Management team in a fully remote, non-clinical role. This position focuses on reviewing clinical documentation and determining the...Remote jobFull timeWeekend work$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- Comagine Health is seeking a Clinical Reviewer to improve access to behavioral health services in Oregon. This remote position involves reviewing clinical documentation, assessing medical necessity, and coordinating services for children and adults. Candidates must possess...Remote job
- ...clinical professional to join their Medical Management/Health Services team in Fort Worth, Texas. The role involves performing clinical reviews on therapy services and durable medical equipment based on service requests, working collaboratively with management and care teams...Remote job
- 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
- ...Job Description Job Description Remote Work from Home! Aldridge Pite, LLP is... ...state law firm that focuses heavily on the utilization of technology to create work flow... ...Innovation. Purpose The Title Reviewer is a remote role in the NY Foreclosure Department...Remote workFull timeWork at officeLocal areaWork from homeFlexible hours
Aldridge Pite LLP
Delray Beach, FL22 days ago - ...Arizona Department Name: Utilization Mgmt Work Shift: Day... ...Utilization Management Care Reviewer, you will be an important part... ...& Networks Team. This 100% remote role manages a typical caseload... ...primary care and specialty physicians to provide the most comprehensive...Remote workFull timeMonday to FridayShift work
- ...Job Description Job Description Remote Work from Home! Aldridge Pite, LLP is... ...state law firm that focuses heavily on the utilization of technology to create work flow... ...Integrity, and Innovation. Purpose Review title reports on properties referred for...Remote workFull timeLocal areaWork from homeFlexible hours
Aldridge Pite LLP
Atlanta, GA20 days ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Dermatology Physician Reviewer | Utilization. Be the first to apply!
Related searches
- medical dermatologist Washington DC
- dermatology physician Washington DC
- medical cosmetic dermatologist Washington DC
- pediatric dermatologist Washington DC
- remote education consultant Washington DC
- remote nonprofit Washington DC
- remote financial analyst Washington DC
- remote real estate Washington DC
- remote design intern Washington DC
- remote hr assistant Washington DC