Remote Urology Physician Clinical Reviewer
$90.87 - $154.33 per hourPrime Therapeutics
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. Candidates must hold a DO, MBBS, or MD and have over five years of clinical experience. The ideal candidate will possess strong communication skills and a solid understanding of utilization management processes. This role offers competitive compensation between $90.87 and $154.33 based on experience and skills. #J-18808-Ljbffr
$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 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 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 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$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$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 ensure...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 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 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 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- 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 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- 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...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 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
A healthcare organization seeks a Physician Clinical Reviewer specializing in Urology to join their utilization management team. This remote role involves conducting medical reviews, discussing cases with physicians, and ensuring compliance with guidelines. Candidates...Remote work$90.87 - $154.33 per hour
A healthcare organization is seeking a Physician Clinical Reviewer for Urology. This remote role is crucial in the utilization management team, providing timely medical reviews and working with physicians and health plan members. Candidates must possess an MD or equivalent...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
...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 jobWork at officeLocal areaVisa sponsorshipWork visa- ...company, who manages all applications and next steps. Our partner is looking for a Clinical Appeals Reviewer (Licensed Healthcare Professional) based in the United States. This is a fully remote clinical decision-making role focused on conducting independent, evidence-...Remote jobFull timeContract workFlexible hours
- ...Community HealthWorks in Sacramento is seeking a Licensed Clinical Reviewer for a per diem, non-exempt role focused on clinical documentation... ...or RN is required. This role supports underserved populations and involves remote or hybrid work as necessary. #J-18808-Ljbffr...Remote workDaily paid10 hours per weekFlexible hours
$90.87 - $154.33 per hour
Prime Therapeutics is seeking a Physician Clinical Reviewer specializing in Rheumatology. This remote position involves timely medical reviews of service requests, collaboration with physicians, and maintaining compliance with clinical guidelines. A successful candidate...Remote workHourly pay- 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
$57 per hour
ProPivotal Staffing is seeking a Clinical Pharmacist Reviewer to work from home in Massachusetts. This role supports clinical pharmacy services and involves optimizing treatments with healthcare teams. Candidates should have 1-2 years of experience and an active Massachusetts...Remote workHourly payWork from homeFlexible hours$50 - $52 per hour
...Claims Clinical Documentation Reviewer Schedule: 5-10 hours per week. Resource can work any day of the week they are available and any time including weekends if they prefer. Remote position. Equipment is provided by facility. Base pay: $50.00/hr - $52.00/hr....Remote workPart timeWork at officeLong distance10 hours per week- ...FitOn is looking for a licensed Nurse Practitioner to serve as a Clinical Chart Reviewer. This remote role requires conducting patient evaluations and reviewing clinical documentation. The ideal candidate will have a strong focus on ensuring effective and evidence-based...Remote work
$68k - $71.03k
...Claims Clinical Documentation Reviewer Division of Fee for Service (DFSM) Job Location Address: 150 North 18th Avenue Phoenix, Arizona 85007. This... ...that affords employees flexibility, autonomy, and trust. Remote work is available within Arizona subject to prior authorization...Remote workFull timePart timeWork at officeLong distance$90.87 - $154.33 per hour
Prime Therapeutics is seeking a Physician Clinical Reviewer for Rheumatology to join their remote utilization management team. In this role, you will review service requests, collaborate with physicians, and ensure adherence to clinical guidelines. Candidates must have...Remote workHourly pay- ...Centene Corp. is looking for a Clinical Review Nurse - Prior Authorization to work remotely. This position entails analyzing prior authorization requests to determine medical necessity, working with healthcare providers for timely reviews, and maintaining compliance with...Remote workMonday to Friday
- A healthcare solutions provider is seeking a Remote Pharmacist to conduct VA quality reviews, focusing on clinical assessments without direct patient interaction. Candidates must have a Doctor of Pharmacy (PharmD) and an active pharmacist license in the U.S. Responsibilities...Remote workFlexible hours
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