Remote Urology Physician Clinical Reviewer
Prime Therapeutics
A national pharmacy benefit manager is seeking a Physician Clinical Reviewer specializing in Urology for a remote position. The role involves reviewing medical necessity service requests, providing clinical rationale for appeals, and collaborating with medical staff. Candidates must possess a DO, MBBS, or MD and have over 5 years of clinical experience. This position offers competitive pay adjusted for skills and experience, as well as a comprehensive benefits package. #J-18808-Ljbffr
$90.87 - $154.33 per hour
...A leading healthcare organization is seeking a remote Physician Clinical Reviewer with expertise in clinical review and a minimum of 5 years of experience. This role involves reviewing medical requests, assisting initial reviewers, and providing clinical rationale. Candidates...Remote work$90.87 - $154.33 per hour
...A leading pharmacy benefits manager is seeking a remote Physician Clinical Reviewer for Urology. The ideal candidate will be a DO, MBBS, or MD with at least 5 years of clinical experience. Responsibilities include reviewing medical requests, communicating with physicians...Remote work$90.87 - $154.33 per hour
...A leading pharmacy benefit manager is seeking a Physician Clinical Reviewer - Urology for a remote position. The role involves reviewing complex clinical cases, providing rationales for medical necessity, and ensuring compliance with guidelines. Candidates must have a...Remote work$90.87 - $154.33 per hour
...A leading pharmacy benefit manager is seeking a Physician Clinical Reviewer specializing in Urology. This remote role involves medical review of service requests and requires a DO, MBBS, or MD degree along with at least 5 years of clinical experience. Candidates must...Remote work- ...A leading pharmacy benefit manager is seeking a Physician Clinical Reviewer specializing in Urology to join their utilization management team. This remote role involves timely medical review of service requests, discussion with healthcare providers, and providing clinical...Remote work
$90.87 - $154.33 per hour
...A healthcare organization is seeking a Physician Clinical Reviewer for a remote role. This position involves conducting medical reviews of service requests that do not meet medical necessity guidelines while interacting with physicians and leadership. The ideal candidate...Remote work$90.87 - $154.33 per hour
...A healthcare organization is seeking a remote Physician Clinical Reviewer specializing in Urology. The role involves reviewing service requests, interacting with healthcare professionals, and ensuring compliance with medical necessity guidelines. Candidates must have...Remote work$90.87 - $154.33 per hour
...A leading pharmacy benefit manager is seeking a Physician Clinical Reviewer to join the utilization management team. This remote position requires a strong clinical background, as the role involves reviewing medical necessity guidelines and interacting with physicians...Remote work$90.87 - $154.33 per hour
...A leading pharmacy benefit manager is seeking a Physician Clinical Reviewer to join their utilization management team. This remote position requires a medical degree (MD, DO, MBBS) and at least 5 years of clinical experience. Responsibilities include reviewing medical...Remote work$90.87 - $154.33 per hour
...A leading pharmacy benefit manager is seeking a Physician Clinical Reviewer - Urology to join their utilization management team. The role involves medical... ...or MD and at least 5 years of clinical experience. This remote position offers a competitive salary range from $90.87...Remote work- ...A leading pharmacy benefits management company is seeking a remote Physician Clinical Reviewer specializing in Urology. The role involves reviewing medical necessity requests, interacting with physicians, and participating in the utilization management process. Candidates...Remote workFlexible hours
$90.87 - $154.33 per hour
...A healthcare company is seeking a Physician Clinical Reviewer for a remote position. The role involves reviewing clinical cases, discussing determinations with physicians, and ensuring documentation accuracy. Applicants must have an MD, DO, or MBBS and 5+ years of clinical...Remote work- A progressive pharmacy benefits manager is seeking a Physician Clinical Reviewer in Urology to join their remote utilization management team. In this critical role, you will review medical necessity requests, interact with physicians, and provide insights for appeals. Candidates...Remote work
$90.87 - $154.33 per hour
...A leading pharmacy benefit manager is seeking a Physician Clinical Reviewer specializing in Urology. This remote position involves reviewing clinical cases for medical necessity, ensuring timely communication with healthcare providers, and maintaining accurate documentation...Remote work$90.87 - $154.33 per hour
...A leading healthcare company is seeking a Physician Clinical Reviewer - Urology to provide medical review of service requests in a remote setting. Ideal candidates must have a DO, MBBS, or MD with at least 5 years of clinical experience. Responsibilities include ensuring...Remote work$90.87 - $154.33 per hour
...A nationwide pharmacy benefit management company based in Washington, DC is seeking a Physician Clinical Reviewer for a remote role focused on Urology. The ideal candidate should hold an MD, DO, or MBBS and have over 5 years of clinical experience. Responsibilities include...Remote work$90.87 - $154.33 per hour
...A healthcare organization is seeking a Physician Clinical Reviewer specializing in Urology. This remote role involves reviewing clinical cases, ensuring compliance with medical necessity guidelines, and supporting initial clinical reviewers. A DO, MBBS, or MD is required...Remote work$90.87 - $154.33 per hour
...those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting Title Physician Clinical Reviewer - Urology- 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
...Physician Clinical Reviewer - Urology- REMOTE Key member of the utilization management team, and provides timely medical review of service requests that do not initially meet the applicable medical necessity guidelines. Routinely interacts with physicians, leadership...Remote workWork at officeLocal areaVisa sponsorshipWork visa- ...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 jobContract workPart timeWork at officeMonday to FridayWeekend work
- ...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
- ...Behavioral Health Services Reviewer Are you passionate about improving... ...? Do you enjoy using your clinical expertise to evaluate needs,... ...on this team. This is a remote position based in Oregon and... ...designated systems Consult with physician or practitioner reviewers...Remote workFull timeContract workWork from home
$81.22k - $121.83k
...(UM) Clinician is responsible for conducting benefit coverage reviews and utilization management according to applicable regulatory... ...opportunities to improve service, reduce administrative cost, ensure clinically appropriate delivery of benefit covered services, and support...Remote workContract workWork at officeWork from home- ...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
- ...professional to utilize their expertise in internal or emergency medicine by designing advanced clinical scenarios and evaluating AI-generated responses for accuracy. This fully remote contractor position requires an MD or equivalent and board certification, with a minimum...Remote workFor contractors
- ...Overview We are seeking a clinically trained physician to provide targeted review and validation of HEOR and real-world evidence (RWE) outputs. This role ensures analyses are interpreted through a real-world clinical lens and are aligned with Medical Affairs...Remote work
- ...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
- ...Clinical Reviewer The purpose of this position is to utilize clinical expertise to review medical records against appropriate criteria in conjunction with contract requirements. Position is remote however candidates must reside in California and they need to have an...Remote workContract workFlexible hours
$185 per hour
...compliant AI platform that unifies intake, clinical documentation, coding, and quality... ...Experience: ~3+ years in home-health QA/OASIS review, utilization review, or clinical... ...in a fast-moving startup environment and remote collaboration tools. Reliability counts...Remote workContract workReliefShift workWeekend work$55 - $75 per hour
...Per Diem, Non-Exempt (Hourly) Location: Sacramento, CA (Remote/Hybrid) Compensation : $55-$75 per hour, depending on experience... ...Under the direction of the Associate Director, the Licensed Clinical Reviewer supports clinical documentation review and quality assurance...Remote workHourly payDaily paid10 hours per week
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