Remote Dermatology Physician Reviewer | Utilization
$90.87 - $154.33 per hourPrime Therapeutics
- Remote job
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 reviewing service requests, interacting with physicians, and providing clinical rationale for appeals. Competitive pay ranges from $90.87 to $154.33, based on experience and skills. Prime is committed to diversity and inclusion in the workplace. #J-18808-Ljbffr Prime Therapeutics
$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 hold...Remote job$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 job$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 job$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 MBBS...Remote jobHourly pay- ...additional details. Office Location: Remote Option Available; Flexible for any of Partners... ...is responsible for facilitating the review of service plans and service... ...appropriate services at a given time. The IDD Utilization Management Reviewer screens authorization...Remote workWork at officeFlexible hours
- ...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
- ...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
- 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 jobPart timeFlexible hours
$22 - $27 per hour
...hour Job Description Location : Remote (candidate will have the flexibility to work... ...meets innovation-shaping roads, utilities, and communities for the future. At ORC,... ..., and conducting market data studies. Review and check documentation for accuracy and...Remote workHourly payFull timeWork experience placementWork from homeRelocationHome office- 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 jobFull timeWork from home
- ...Orthopedic Surgeon Utilization Review Opportunity Dane Street, a nationally recognized Independent... ...(IRO), is expanding its panel of Physician Reviewers. We are currently seeking Board... ...Utilization Reviews. This is a fully remote, non-clinical role offering...Remote workPrice workExtra incomeFor contractorsFlexible hours
- 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 candidate...Remote job
$174.07k - $374.92k
Oak Street Health, part of CVS Health, is seeking a Full-Time Utilization Management Physician Reviewer to ensure accurate coverage determinations for inpatient and outpatient services. This role requires at least one year of Utilization Management experience in Medicare...Remote jobFull time- A recognized healthcare provider is seeking a Board Certified Orthopaedic Spine Surgeon to conduct utilization reviews. This telework position allows for a flexible schedule within a standard Monday - Friday work week. Responsibilities include reviewing medical records,...Remote jobFor contractorsMonday to FridayFlexible hours
$110k - $203.51k
...purpose to deliver a better world. Join us. **Job Description** **AECOM** is seeking an **Assistant Project Manager - Utility Design Reviewer** to work **remotely** . However, the client is located in Sacramento, CA and thus it's expected that this individual's working hours...Remote workFor contractorsFor subcontractorLocal areaWorldwideRelocationVisa sponsorshipFlexible hours- Humana is offering a remote RN Internship designed for transitioning military service members and military spouses. Interns will perform clinical reviews, support healthcare providers, and engage with interdisciplinary teams. Must be an active RN in Kentucky or have an...Remote jobInternship
- ...This critical role reviews individual, trust, and business tax returns for accuracy and completeness... ...of our tax team, the reviewer will utilize their technical skills and educational... .../or professional services firm preferred ~ Remote but must be in WA, OR, or ID...Remote work
- ...Remote Work from Home! Aldridge Pite, LLP is a multi-state law firm that focuses heavily on the utilization of technology to create work flow synergies with its clients and business partners... ...and Innovation. Purpose Review title reports on properties referred...Remote workFull timeLocal areaWork from homeFlexible hours
- ...curation for AI models. You will lead clinical reviews on complex cases and serve as an expert... ...teams. The position requires strong dermatological expertise, a faculty appointment, and... ...articulate clinical reasoning. The role is fully remote, offers flexible hours, and competitive...Remote jobFreelanceFlexible hours
- ...seeking US-based academic dermatologists for a senior reviewer track focused on data curation for AI models in dermatology. This role involves leading complex clinical... ..., and a strong publication record. This fully remote position offers flexible hours, competitive compensation...Remote jobFreelanceFlexible hours
- ...competitive compensation and benefits package, along with a 401k match and tuition reimbursement program. Summary: The Utilization Reviewer contributes to assessment and planning by performing a thorough review of the total resources available to patient pre and...Full timeMonday to Friday
$95k - $120.65k
...inpatient DRG Quality Assurance reviews in an effort to increase the... ...compare with medical records utilizing ICD-10 Official Coding... ...form of medical records such as physician notes, lab tests, images (x-rays... .... We foster a hybrid and remote friendly culture, and all our...Remote workFull timeWork at officeLocal areaVisa sponsorshipFlexible hours- ...for a faculty or staff position, please review this tip sheet. The Clinical Documentation... ...used for measuring and reporting physician and hospital outcomes. 2. Performs high... ...Facilitates high-quality documentation by utilizing queries that are effective, clear,...Remote workFull timeTemporary workWork at officeWorldwide
- ...Description Auto Reviewers will determine the scope and cost of auto repairs for damage... ...practices when rewriting estimates Utilize estimating software to prepare and revise... ...This position operates in a remote work-from-home environment requiring adherence...Remote workFull timeLocal areaWork from home
$45 per hour
...Plans Reviewer Ross Professional Services, LLC (RPS) is an employment, technical support... ...government nationwide. We are seeking a remote Plan Review professional to support our... ...situations. Proficient in utilizing modern software platforms, including Microsoft...Remote workHourly payContract workFor contractorsWork at officeLocal areaImmediate startMonday to Friday- ...Reference Number: R1050638 Summary Performs medical reviews using established criteria sets and/or performs utilization management of professional, inpatient or... ..., Monday through Friday. This position will be remote after 6 months of onsite training. Government...Remote workFull timeContract workFor contractorsWork at officeLocal areaMonday to Friday
$28 per hour
...respected. We have an ongoing need for Document Reviewers. Document Reviewers will review... ...! Position Details ~ Remote work-from-home opportunity ~ Pay... ...later is required. ~ Proficiency in utilizing modern technology, especially computers...Remote workTemporary workWork from homeHome officeMonday to ThursdayFlexible hours- ...Technical Data Reviewer We're looking for a Technical Data Reviewer who's excited to... ...administration, or a similar role, preferably in the utilities, industrial, or critical infrastructure... ...: Able to work independently in a remote environment Must successfully...Remote workDaily paidWork at officeFlexible hours
- ...candidates. This job may be eligible for remote work per university guidelines and... ...Analyze qualifications of prospective students utilizing admissions guidelines Submit... ...rationales Orally present application review to team of individuals including senior leadership...Remote workHourly payContract workWork at officeImmediate start
$28 per hour
...respected. We have an ongoing need for Document Reviewers. Document Reviewers will review... ...! Position Details ~ Remote work-from-home opportunity ~ Pay... ...later is required. ~ Proficiency in utilizing modern technology, especially computers...Remote workTemporary workWork from homeHome officeMonday to ThursdayFlexible hours
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