Senior Physician Reviewer - Utilization Management
ChenMed LLC
ChenMed LLC is seeking a Physician Reviewer to lead Utilization Management (UM) cases across multiple markets. The role includes coordinating with health plans and local teams, attending daily calls, and guiding other physician reviewers in a growing delegated UM program. The ideal candidate holds an MD with Internal Medicine or Family Practice training, a Pain Management board, and 1–2 years in hospital medicine or utilization review. Strong analytical and communication skills are essential. #J-18808-Ljbffr ChenMed LLC
$219k - $286.9k
Oscar Health is hiring a Physician Reviewer to join our Utilization Management team. You will determine the medical appropriateness of inpatient, outpatient, and pharmacy services by reviewing clinical information and applying evidence-based guidelines. This remote role...SeniorRemote jobWork from home- A healthcare management organization is seeking experienced Physician Reviewers to join their Medicare Utilization Management team in a remote position. Responsibilities include reviewing clinical service requests, applying evidence-based guidelines, and collaborating to...SuggestedRemote job
- Oscar Health is hiring a part-time Physician Reviewer to join the Utilization Management team. You will determine the medical appropriateness of inpatient, outpatient, and pharmacy services by reviewing clinical information and applying evidence-based guidelines. This remote...SuggestedRemote jobPart timeLocal area
- ...nationally recognized Independent Review Organization (IRO), is expanding its panel of Physician Reviewers. We are currently... ...Certification to conduct Utilization Reviews. This is a fully remote... ...friendly portal and streamlined case management Full onboarding and ongoing...SuggestedPrice workExtra incomeTemporary workFor contractorsRemote workFlexible hours
$223.2k - $262.7k
...an impact?West Monroe is seeking a Senior Principal to lead our Distributed Energy Resource Management Systems (DERMS) capability within the Energy & Utilities practice. This role is purpose-... ...****@*****.*** review our current policy regarding use of...SeniorLocal areaImmediate startFlexible hours- Archinect seeks a full-time peer-review specialist to evaluate apartment alterations in... ...and the Code. You will collaborate with Management, Boards, and engineering consultants to... ...codes. Ideal candidates are mid‑career to senior, with an architecture or engineering...SeniorFull time
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...Guggenheim Securities (“GS”) is seeking an exceptional Senior Associate or Junior Vice President to join its Power, Utilities and Renewables Investment Banking team in New... ...opportunities. Lead day‑to‑day project management and oversee execution on a range of advisory...SeniorWork at office$195k - $215k
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...impact? West Monroe is seeking a Senior Principal to lead our Distributed Energy Resource Management Systems (DERMS) capability within the Energy & Utilities practice. This role is purpose-built... ...****@*****.***. Please review our current policy regarding use...SeniorLocal areaImmediate startFlexible hours- BeiGene, Ltd. is seeking a Senior Manager QC Microbiology in Hopewell, NJ. This role involves managing environmental monitoring and utilities sampling programs while ensuring compliance with FDA/EU regulations. The ideal candidate will have extensive experience in Quality...Senior
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$135k - $165k
A leading civil engineering firm is seeking a Project Quality Manager responsible for ensuring quality on projects. The individual will... .... The role offers a competitive salary ranging from $135,000 to $165,000 per year. #J-18808-Ljbffr BOND Civil & Utility ConstructionSenior$150k - $175k
A leading executive search firm is seeking a Utility Solutions Sales Director to drive market penetration within the utility sector. This remote position requires extensive travel and strong sales experience in electrical products or related solutions. The ideal candidate...SeniorRemote job- DuCharme, McMillen & Associates, Inc. is seeking a property tax professional to manage complex returns for utility and energy clients. You will oversee centralized filings, advise on asset classifications, and lead a multidisciplinary team across state lines. The role...SeniorRemote job
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- The New York City Housing Authority (NYCHA) seeks an Administrative Accountant to lead the Accounts Payable and Utility Management functions, supervise a team of over thirty staff, and ensure timely and accurate payments while maintaining strong internal controls. Responsibilities...SeniorLocal area
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- Columbia County Georgia is seeking a Foreman II for Water Utility Special Projects. This role involves managing complex job sites, supervising subordinates, and ensuring the maintenance of water distribution systems. Candidates must have a high school diploma or GED, a...Senior
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- St. Luke's University Health Network seeks a Senior Care Physician in Sellersville, PA, to provide general medical services in both practice and hospital settings. The role emphasizes high-quality, cost-effective care, with participation in quality and performance initiatives...Senior
$177.4k - $208.7k
...are currently seeking a highly skilled Senior Solutions Architect specializing in Work and Asset Management to join our Energy & Utilities team. This role will focus on designing... ...email to ****@*****.*** review our current policy regarding use of generative...SeniorWork at officeLocal areaImmediate startRemote workFlexible hours- Medical Director Services PC is seeking an experienced Attending Physician (MD/DO) to provide quality care at a skilled nursing facility in Royersford, PA. The successful candidate will possess a valid PA medical license and current DEA registration. Responsibilities include...Senior
- Responsibilities Effectively manage the daily operations, workflow, and supervise clinical... ...staff to provide support for the utilization management, benefits and service coordination... ..., and make recommendations to senior management to improve workflow, operations...SeniorWork experience placementWork at office
- ...Summary: We are seeking a highly experienced DRG Clinical Physician Reviewer to join our growing clinical review team. This is a fully... ...opportunity for a physician with a strong background in utilization review and clinical validation who thrives in a fast-paced,...Remote work
- DescriptionMount Sinai Health System is seeking a Senior Medical Director of Quality and Patient Engagement.The Senior Medical Director... ...against national benchmarks,Plan and co-develop content for physician education/engagement initiativesQualificationsUnrestricted license...SeniorFull timeTraineeshipLocal area
- A leading Independent Review Organization is seeking a Board-Certified Physical Medicine... ...and Rehabilitation provider to perform Utilization Reviews. This fully remote role offers flexible... ...Board Certification. Apply to join our Physician Review Panel and start earning based on...Extra incomeRemote workFlexible hours
$90k - $125k
...a dedicated and accomplished Senior Document Controller for the Hudson... ...societies. Responsibilities Manage, organize, and maintain all... ...established standards and procedures. Utilize PMIS platforms—including... ...coordinate document submissions, reviews, and approvals, ensuring the...SeniorFull timeWork at office$385k - $410k
A leading healthcare institution in New York seeks a Director of Labor and Delivery to oversee department operations and ensure exceptional patient-centered care. The ideal candidate will hold an MD/DO with board certification in Obstetrics and Gynecology, possess extensive...Senior$223.2k - $262.7k
...make an impact?West Monroe is hiring a Senior Manager with experience in electric and/or gas... ...platforms and solutions to join our Energy and Utilities Practice. Our team is at the forefront... ...to ****@*****.*** review our current policy regarding use of...SeniorLocal areaImmediate startFlexible hours
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