Remote Pediatric Rheumatology Clinical Reviewer
Prime Therapeutics
- Remote job
A healthcare organization seeks a Physician Clinical Reviewer specializing in Pediatric Rheumatology for a remote role. This critical position involves timely medical review of service requests and interaction with physicians and health plan members. Candidates must hold a DO, MBBS, or MD with at least 5 years of clinical experience. Join us at this purpose-driven organization to make a meaningful impact in pharmacy solutions and manage utilization effectively. #J-18808-Ljbffr Prime Therapeutics
$90.87 - $154.33 per hour
A healthcare management organization is seeking a remote Physician Clinical Reviewer specialized in Pediatric Rheumatology. The role entails reviewing clinical cases where medical necessity isn't initially met, consulting with healthcare providers, and ensuring proper...Remote job$90.87 - $154.33 per hour
A leading pharmacy benefit manager is looking for a remote Physician Clinical Reviewer specializing in Pediatric Rheumatology. This role involves collaborating with physicians to review service requests and ensure compliance with medical necessity guidelines. Candidates...Remote job$90.87 - $154.33 per hour
A healthcare organization is seeking a Physician Clinical Reviewer specializing in Pediatric Rheumatology. This remote role involves timely medical reviews, interaction with physicians, and ensuring compliance with utilization management guidelines. Candidates must have...Remote job- A leading pharmacy benefit management firm is looking for a Physician Clinical Reviewer specializing in Pediatric Rheumatology. This remote role requires 5+ years of clinical experience and involves reviewing service requests for medical necessity. You will work closely...Remote job
- A leading pharmacy benefit manager is seeking a Physician Clinical Reviewer for Pediatric Rheumatology to work remotely. The role involves reviewing clinical requests that do not initially meet medical necessity guidelines and interacting with healthcare providers. Candidates...Remote job
$90.87 - $154.33 per hour
A leading pharmacy benefits manager is seeking a Physician Clinical Reviewer - Pediatric Rheumatology for a remote position. The ideal candidate will handle medical reviews and collaborate with healthcare professionals. Key requirements include a medical degree (DO, MBBS...Remote job$90.87 - $154.33 per hour
...Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting Title Physician Clinical Reviewer - Pediatric Rheumatology- 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
...Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting Title Physician Clinical Reviewer- Pediatric Neurology- REMOTE Job Description Job Description The Physician Clinical Reviewer is a key member of the utilization...Remote workWork experience placementInternshipWork at officeLocal areaVisa sponsorshipWork visa$90.87 - $154.33 per hour
A leading pharmacy benefit manager is seeking a Physician Clinical Reviewer specializing in Pediatric Gastroenterology to work remotely. The role requires a DO, MBBS, or MD degree and over 5 years of clinical experience. Responsibilities include reviewing medical necessity...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 team, responsible for reviewing medical requests, ensuring compliance with guidelines, and collaborating with...Remote job
- 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$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 job- ...Remote Medical Case Reviewer (Contract) Location: Remote About the Opportunity... ...5 years of experience in clinical practice or case review.... ...Preferred Specialties: Pediatrics, Immunology, Neurology, Infectious... ...Medicine, Epidemiology, Rheumatology, and related fields.Remote workHourly payContract work
$90.87 - $154.33 per hour
A leading pharmaceutical benefits manager is seeking a Physician Clinical Reviewer-Pediatric Oncologist for a remote position. In this role, you will work directly with medical requests and collaborate with healthcare providers to ensure compliance with guidelines. A DO...Remote jobHourly pay- A leading pediatric health organization in Los Angeles is seeking a Clinical Document Improvement Specialist to enhance the quality of clinical documentation. This remote position requires 3 years of coding experience with exceptional skills in ICD10. Candidates should...Remote job
- ...Health is seeking a Medical Consultant Reviewer - Pediatrician for a flexible, remote position in Washington, D.C. This role provides clinical reviews and appeals across various... ...experience in Developmental and Behavioral Pediatrics preferred. The position involves...Remote jobDaily paidPart timeFlexible hours
$90.87 - $154.33 per hour
A national health services provider is seeking a Physician Clinical Reviewer for remote work. This role requires extensive experience in medical review, providing timely evaluations of service requests. Candidates must have a Doctor of Osteopathy, MBBS, or MD and at least...Remote job$90.87 - $154.33 per hour
A progressive healthcare organization is seeking a Physician Clinical Reviewer in Rheumatology. This remote role involves evaluating service requests, collaborating with healthcare providers, and ensuring compliance with medical review guidelines. Ideal candidates will...Remote jobHourly pay- A healthcare benefits company is seeking a Physician Clinical Reviewer specializing in Rheumatology, to provide crucial medical evaluations remotely. The role demands 5+ years of experience, effective communication skills, and a strong grasp of clinical review processes...Remote job
$73.2k - $122k
...following: Laboratory molecular and genetic testing clinical case review activities. Evaluate telephone, fax, or web requests for... ...be flexible and adaptable. Comfort and familiarity with pediatric, adult, and perinatal genetics and related genetic tests....Remote workLocal areaWork from homeFlexible hours- ...Description Job Summary The purpose of this position is to utilize clinical expertise to review medical records against established criteria in accordance with contract requirements. Location: Remote (U.S.-based) Licensure Requirement: Must hold an active clinical...Remote workContract workWork at officeMonday to FridayWeekend workWeekday work
- ...consulting practice. The role is fully remote within the US, with infrequent travel to... ...deficiencies identified escalated as necessary. Review and respond to each audit within set... ...surgery, Outpatient, Pulmonology, Rheumatology, Sleep medicine, Transplant surgery, or...Remote workContract workTemporary workWork at officeLocal areaImmediate startFlexible hours
$32 - $37 per hour
...or Senior Manager, the Senior Clinical Data Specialist plays a vital... ...either the NSQIP or NSQIP Pediatric registry within the last year... ...considerations. Wage ranges are reviewed, at minimum, annually and all... ...team members enjoy a fully remote work environment with a flexible...Remote workHourly payPart timeFlexible hoursShift work$20 - $28 per hour
...Spanish-Speaking Medical Receptionist (Hybrid MA) Pediatric Office | Cedarhurst, NY (Five Towns) Salary: $20$28 per hour Schedule... ...into a Medical Assistant role when needed to support the clinical team. This is a full-time opportunity in a fast-paced pediatric...Remote workHourly payFull timeWork at officeAfternoon shift- ...Renaissance School of Medicine: Pediatrics Description The... ...join a growing academic and clinical division. Candidates must possess... ...Neurology, Pulmonology, and Rheumatology. Pediatric Surgical... ...outcome of the disclosure and review process, an offer of employment...Full timeTemporary workWork at officeLocal areaImmediate start
$300k
...Second Pediatric General Neurologist $50,000 Sign-On Bonus Available... ...environment, outstanding clinical resources, and a rapidly... ...University of Central Florida Remote teaching opportunities with... ..., Nephrology, Urology, Rheumatology, Maternal Fetal Medicine...Remote workRelocation package- ...University of Mississippi Medical Center. Please review the following instructions prior to... ...Organization: SOM-Surgery-Pediatric Quality Location/s: Main Campus... ...Jackson Job Title: RN - Surgical Clinical Reviewer (SCR) - Pediatrics, Hybrid, Part...Hourly payPart timeWork experience placementCasual workSeasonal workWork at officeShift work
- ...seeking a compassionate and motivated Pediatric Physical Therapist to join our growing... ...programs Maintain accurate and timely clinical documentation Collaborate with interdisciplinary... ...children and families in the comfort of their homes. This is a remote position....Remote workHourly payFull timeWork from homeFlexible hours
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