Senior Physician Reviewer, Utilization Management
ChenMed
ChenMed seeks a Physician Reviewer to lead Delegated Utilization Management across multiple markets. You will participate in health plan calls, coordinate patient care with local teams, and contribute to process improvements in the rapidly expanding UM function. Requirements include an unrestricted medical license, residency in Internal Medicine or Family Practice, and Rheumatology board certification. Hospital medicine and utilization review experience are preferred. #J-18808-Ljbffr ChenMed
Vacancy posted 6 days ago
Similar jobs that could be interesting for youBased on the Senior Physician Reviewer, Utilization Management in Miami, FL vacancy
- ChenMed in Miami, Florida is seeking a Physician Reviewer to lead Utilization Management reviews, advise other physician reviewers, and coordinate care with health plans and local teams to support patient outcomes. The role emphasizes process and quality improvement in...SuggestedLocal area
- ChenMed is seeking a Physician Reviewer to serve as the primary reviewer for Utilization Management (UM) cases across the assigned markets. You will advise other physician... ...’s mission to transform healthcare for seniors through quality improvement and collaboration...SuggestedLocal area
$204.76k - $292.52k
...we need great people to join our team. The Physician Reviewer is the primary physician reviewer for Utilization Management (UM) cases in our organization. Other duties... ...ChenMed and we’re transforming healthcare for seniors and changing America’s healthcare for the...SuggestedHourly payFull timeWork at officeLocal areaRemote work$248.5k - $373k
...Medical Director For Utilization Management WellMed, part of the Optum family... ...or family medicine physician to join our Utilization Management... ...Participates in case review and medical necessity determination... ...face of health care for seniors. WellMed has more than 22,0...SuggestedRemote jobMinimum wageFull timeWork experience placementWork at officeLocal areaWork from home- ...Physician Reviewer Opportunity We are seeking a Physician Reviewer to join our team at Independent Living Systems (ILS). ILS... ...Reviewer collaborates with healthcare providers, and utilization and case management teams to support decision-making processes related to...Suggested
- ...skills? You have both in spades, and as a manager you’re a natural at appreciating diverse... ...the best in teams.The Work:Engage with senior clients on their biggest business... ...Experience working in or consulting with the Utilities industryMBA or equivalent graduate degreeExperience...SeniorFull timeWork experience placementLive inWork at officeLocal area
- ...and filed appropriately. Reviews and addresses any requests for... ...telephone, fax and/or in person. Utilizes UChart-Radiant (RIS) and/or... ...reports to ordering physicians. Retrieve messages from voicemail... ..., and legal requests. Manage document services with records...SeniorFull timeWork at office
- ...are the most widely sold LAA management devices worldwide. AtriCure's... ...Position Summary The Principal Physician Education Specialist leads... ...delivery. In partnership with senior team members, regional partners... ...with internal content review submissions Experience with...SeniorContract workTemporary workWork at officeLocal areaWorldwideNight shift
- ...Health South Florida is seeking a Physician Advisor to provide clinical leadership... .... The role collaborates with Case Management, admitting physicians and payer... ...relations to optimize patient care and utilization. The incumbent will review complex cases, ensure CMS...
$71.94k - $93.52k
...organization, with 12 hospitals, over 29,000 employees, 4,500 physicians and 200 outpatient centers, urgent care facilities and... ...of coding, Medicare MS-DRG, Medicaid APR-DRG assignments, utilization management, case management, discharge planning, and or managed care experience...- ...Stratus Team LLC in Miami, FL seeks a Principal Engineer to provide senior technical leadership on major design and construction projects,... ...develop detailed drawings and reports, mentor junior engineers, manage project milestones, and participate in client meetings while...Senior
- ...multidisciplinary team of architects, planners, interior designers, facility managers, and government and military planners/designers.Project... ...we are looking for:Understanding and leadership of teams utilizing Revit and AutoCADAbility to work in a team environment and in...SeniorContract work
- ...Senior Account ManagerKaseya is looking for an enthusiastic and... ...results-driven Senior Account Manager to focus on the expansion of... ...regular check-ins and business reviews, to identify new opportunities... ...solutions.CRM Management: Utilize Salesforce to manage leads, opportunities...SeniorTemporary work
- ...Senior Account Manager Kaseya is looking for an enthusiastic and results-driven Senior Account... ...including regular check-ins and business reviews, to identify new opportunities and... ...of new solutions. CRM Management: Utilize Salesforce to manage leads, opportunities...SeniorTemporary work
- Anaplan is seeking a Sr. FP&A Manager in Miami to play a pivotal role in financial strategy... ...Team. You will collaborate closely with senior leadership, mainly the Chief Customer Officer... ...forecasts, lead the P&L process, and utilize advanced financial tools to drive operational...Senior
- Enfinity Asia Pacific Limited is seeking a Grid Interconnection Manager to oversee utility-facing activities for large-scale renewable energy projects, including Solar and Battery Energy Storage Systems (BESS). The role involves managing the generator interconnection process...Senior
- ...leading provider of AI-powered IT management and cybersecurity software,... ...and results-driven Senior Account Manager to focus on the... ...regular check-ins and business reviews, to identify new opportunities... ...new solutions.CRM Management: Utilize Salesforce to manage leads, opportunities...SeniorTemporary workWorldwide
- Accenture is seeking a utilities transformation expert to lead ADMS/OMS modernization for electric distribution utilities across the U.S. You will drive strategy, roadmaps, and implementations, translating complex challenges into practical transformation programs. Role...Senior
- ...Recruiting Firm in the USA Join Our Dynamic Team as a Senior Commercial Drywall Project Manager! Location: Miami, FL Are you a skilled Project... ...and resources to deliver on time and within scope. - Utilize On-Screen Takeoff Software to streamline project management...SeniorFor subcontractor
- ...Senior Project Manager – Mainframe Exit & Modernization ProgramDuration: 12 monthsType: Remote roleQualificationsStrong experience supporting... ...Agile, Waterfall, and Hybrid delivery methodologies.Experience utilizing Jira, ServiceNow, Microsoft Project, Smartsheet, or similar...SeniorRemote work
- ...Healthcare is seeking an experienced healthcare services leader in Florida to oversee an interdisciplinary team across care management, utilization management, and related programs. You will drive integrated care delivery, regulatory compliance, and program optimization....SeniorLocal area
- OverviewThe Investment Portfolio Manager Senior supports the management and oversight of the... ...opportunities, and investment strategies utilizing financial data, market research,... ...recommendations, and reporting to support portfolio reviews, investment discussions, and portfolio...SeniorFull timeWork at office
- Jackson Memorial Hospital in Miami, FL seeks a Senior Business Analyst to deliver comprehensive reports on large-scale projects, analyze utilization, cost, ROI and trends, and support management decisions. Requires 5-7 years in healthcare/finance, a Bachelor's degree, and...Senior
- Jewish Community Services of South Florida (JCS) is seeking a Case Manager to engage with and assist elderly adults, providing intake,... ...developing comprehensive service plans, coordinating with families, and utilizing community resources to support emotional and physical well-...Senior
- Mannik Smith Group is seeking a Project Manager / Site Civil Engineer in Miami, FL. You will lead impactful civil projects, focusing on site layout, grading, drainage, and utilities. The role requires 8+ years of experience and a Bachelor’s degree in Civil Engineering....Senior
- Miami, Florida Pain Management Opportunity Miami based client seeks Interventional Pain Mgmt/or Anesthesia doc with pain experience Full-Time position to cover Miami Lakes and Kendall with two days per month in Fort Myers Salary 350k range (and higher) w/ RVU...Full time
- ...Gorrie has an exciting opportunity for a Senior Preconstruction Manager to help lead the efforts of our... ...types, state, and EMR Proficiently utilize estimating software tools: P6, ISQFT,... ...Assemble and others Lead estimate reviews with project management, design team,...SeniorFor subcontractor
- ...Job Description Job Description About the Role: The Senior Project Manager in the EPC (Engineering Procurement and Construction)/ Electric Utilities industry plays a pivotal role in overseeing and driving complex infrastructure and operational projects from initiation...SeniorFor contractors
- ...Senior F-B Sanitation Supervisor Silversea POSITION SUMMARY: The Senior F&B Sanitation Supervisor is responsible forgoverning... ...areas onboard, as well overall in charge ofGalley Stewarding and Utility onboard the ship. This role provides hands-onleadership, coaching...Senior
- ...Business Group is expanding, and we’re seeking accomplished Senior Project Managers to help drive our program’s continued success. This is a... ...integrated, forward-thinking strategies. Our capabilities include utility master planning, wastewater and drinking water treatment,...SeniorContract work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Senior Physician Reviewer, Utilization Management. Be the first to apply!
Related searches
- pediatric doctor Miami, FL
- physician medical doctor Miami, FL
- internal medicine primary care physician Miami, FL
- remote physician reviewer Miami, FL
- lpn doctors office Miami, FL
- weekend doctor Miami, FL
- immediate care physician Miami, FL
- primary care physician Miami, FL
- physician urgent care Miami, FL
- er physician Miami, FL





