Remote Dermatology Physician Reviewer | Utilization
Prime Therapeutics
A healthcare services organization is seeking a Physician Clinical Reviewer for a remote position in Frankfort, Kentucky. This role involves medical review of service requests and collaborating with physicians and health plan staff. Candidates must have a DO, MBBS, or MD and over 5 years of clinical experience. The pay range for this position is competitive, reflecting experience and skills. Join us to make a positive impact in the healthcare industry. #J-18808-Ljbffr
Vacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the Remote Dermatology Physician Reviewer | Utilization in Frankfort, KY vacancy
- ...A healthcare organization is seeking a Physician Clinical Reviewer for a remote opportunity. In this role, you will be a key member of the utilization management team, performing medical reviews of service requests and collaborating with physicians to ensure compliance...Remote work
Prime Therapeutics
Carson City, NV3 days ago - ...A healthcare organization is seeking a Physician Clinical Reviewer specializing in Dermatology to join their utilization management team. This remote role involves reviewing medical service requests, collaborating with healthcare professionals, and ensuring compliance...Remote work
Prime Therapeutics
Baton Rouge, LA3 days ago - ...leading pharmacy benefits manager is seeking a Physician Clinical Reviewer specialized in Dermatology for a remote role. This position involves reviewing clinical... ...This is an opportunity to contribute to effective utilization management processes while working within a...Remote work
Prime Therapeutics
Tallahassee, FL3 days ago - ...A leading pharmacy benefit manager is seeking a remote Physician Clinical Reviewer specializing in dermatology. The successful candidate will be responsible for conducting medical reviews of service requests and interacting with healthcare professionals. A DO, MBBS, or...Remote work
Prime Therapeutics
Bismarck, ND3 days ago $90.87 - $154.33 per hour
...A leading pharmacy benefit manager is seeking a Physician Clinical Reviewer specializing in Dermatology for a remote role. Key responsibilities include reviewing clinical cases, collaborating with physicians for determinations and ensuring compliance with medical guidelines...Remote workPrime Therapeutics
Richmond, VA3 days ago- ...A leading healthcare services company is seeking a Physician Clinical Reviewer - Dermatology to join their remote team. This role requires a minimum of 5 years of clinical review experience and an MD/DO degree. Responsibilities include reviewing clinical cases for medical...Remote work
Prime Therapeutics
Pierre, SD3 days ago $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 workPrime Therapeutics
Nashville, TN6 days ago$90.87 - $154.33 per hour
...A leading pharmacy benefit manager is seeking a remote Physician Clinical Reviewer specializing in Dermatology. This position requires a medical degree (DO, MBBS, MD) and at least 5 years of clinical experience. Responsibilities include reviewing cases needing medical...Remote workPrime Therapeutics
Santa Fe, NM3 days ago$90.87 - $154.33 per hour
...A care-focused pharmacy organization seeks a Physician Clinical Reviewer specializing in dermatology. This remote position involves reviewing service requests, collaborating with healthcare providers, and ensuring compliance with medical necessity guidelines. Candidates...Remote workHourly payPrime Therapeutics
Lansing, MI3 days ago$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 workPrime Therapeutics
Atlanta, GA3 days ago$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 workPrime Therapeutics
Maryland3 days ago$90.87 - $154.33 per hour
...A healthcare organization is seeking a Physician Clinical Reviewer with a strong clinical background for remote work in Helena, Montana. The ideal candidate will hold an MD, DO, or MBBS and have over 5 years of experience in clinical review. Responsibilities include reviewing...Remote workPrime Therapeutics
Helena, MT3 days ago$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 workPrime Therapeutics
Boston, MA3 days ago$90.87 - $154.33 per hour
...A healthcare benefits company is seeking a Physician Clinical Reviewer for a remote position in Lincoln, Nebraska. The role involves reviewing service requests for medical necessity, collaborating with physicians, and providing clinical rationale for appeals. Candidates...Remote workPrime Therapeutics
Lincoln, NE3 days ago- ...A healthcare organization is seeking a Physician Clinical Reviewer in Dermatology to provide medical reviews and interact with medical staff. Responsibilities... ...over five years of experience in clinical review. This remote position is an excellent opportunity to impact patient...Remote work
Prime Therapeutics
Springfield, IL3 days ago $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...Remote workPrime Therapeutics
Hartford, CT3 days ago$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...Remote workHourly payPrime Therapeutics
Raleigh, NC3 days ago$90.87 - $154.33 per hour
...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...Remote workPrime Therapeutics
Washington DC3 days ago$90.87 - $154.33 per hour
...A leading pharmacy benefit manager is seeking a Physician Clinical Reviewer for a remote position. The successful candidate will review medical service requests, interact with healthcare professionals, and ensure compliance with industry guidelines. This role requires...Remote workPrime Therapeutics
Ewing, NJ3 days ago$90.87 - $154.33 per hour
...A healthcare solutions company is seeking a dedicated Physician Clinical Reviewer for a remote position. This role involves timely medical reviews of service requests, collaboration with healthcare professionals, and compliance with medical necessity guidelines. Candidates...Remote workHourly payPrime Therapeutics
Jackson, MS3 days ago- ...A leading pharmacy benefit manager seeks a Physician Clinical Reviewer specialized in Dermatology. This remote role involves reviewing clinical cases, discussing determinations with physicians, and ensuring adherence to medical guidelines. Candidates should hold a DO,...Remote work
Prime Therapeutics
Cheyenne, WY3 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 workPart timeFlexible hours
Medical Review Institute
Dallas, TX13 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 workFull timeWork from home
ExamWorks
New York, NY6 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, PA5 days ago - ...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 States5 days 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, TX6 days 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, PA5 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 workUnited Cerebral Palsy of Georgia
Doral, FL2 days ago- ...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...Remote work
ChenMed
Doral, FL5 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 workMedix
New York, NY6 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
- remote financial analyst Frankfort, KY
- remote real estate Frankfort, KY
- remote design intern Frankfort, KY
- remote legal internship Frankfort, KY
- software engineer internship remote Frankfort, KY
- remote architect Frankfort, KY
- remote coding manager Frankfort, KY
- remote hotel sales manager Frankfort, KY
- data science remote Frankfort, KY
- remote customer service agent Frankfort, KY