Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Remote Dermatology Physician Reviewer | Utilization

$90.87 - $154.33 per hour

Prime Therapeutics

Annapolis, MD
  • 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

Vacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the Remote Dermatology Physician Reviewer | Utilization in Annapolis, MD vacancy
  • $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

    Prime Therapeutics

    Hartford, CT
    3 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 job

    Prime Therapeutics

    Boston, MA
    2 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 job

    Prime Therapeutics

    Atlanta, GA
    3 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 MBBS... 
    Remote job
    Hourly pay

    Prime Therapeutics

    Raleigh, NC
    3 days ago
  •  ...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 work
    Work at office
    Flexible hours

    Partners Health Alliance

    United States
    4 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 work
    Full time
    Work at office
    Monday to Friday

    StarCare Specialty Health System

    Lubbock, TX
    1 day 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 work
    Monday to Friday
    Flexible hours
    Weekend work

    AmeriHealth Caritas

    Newtown Square, PA
    5 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 job
    Part time
    Flexible hours

    Medical Review Institute of America

    Dallas, TX
    4 days ago
  • $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 work
    Hourly pay
    Full time
    Work experience placement
    Work from home
    Relocation
    Home office

    O.R. Colan Associates

    Charlotte, NC
    1 day 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 job
    Full time
    Work from home

    ExamWorks

    New York, NY
    1 day ago
  •  ...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 work
    Price work
    Extra income
    For contractors
    Flexible hours

    Dane Street

    United States
    8 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 candidate... 
    Remote job

    ChenMed

    Miami, FL
    5 days ago
  • $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 job
    Full time

    Oak Street Health, part of CVS Health

    Chicago, IL
    5 days ago
  • 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 job
    For contractors
    Monday to Friday
    Flexible hours

    Dane Street

    Washington DC
    1 day ago
  • $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 work
    For contractors
    For subcontractor
    Local area
    Worldwide
    Relocation
    Visa sponsorship
    Flexible hours

    AECOM

    Sacramento, CA
    1 day ago
  • 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 job
    Internship

    Humana

    Nashville, TN
    5 days ago
  •  ...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

    RightWorks Inc

    Yakima, WA
    5 days ago
  •  ...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 work
    Full time
    Local area
    Work from home
    Flexible hours

    Aldridge Pite

    Atlanta, GA
    3 days ago
  •  ...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 job
    Freelance
    Flexible hours

    Turing

    Los Angeles, CA
    1 day ago
  •  ...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 job
    Freelance
    Flexible hours

    Turing

    Houston, TX
    1 day ago
  •  ...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 time
    Monday to Friday

    RHI Rehab

    Indianapolis, IN
    3 days ago
  • $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 work
    Full time
    Work at office
    Local area
    Visa sponsorship
    Flexible hours

    Zelis

    Saint Petersburg, FL
    4 days ago
  •  ...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 work
    Full time
    Temporary work
    Work at office
    Worldwide

    The University of Miami

    United States
    3 days ago
  •  ...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 work
    Full time
    Local area
    Work from home

    Alacrity Solutions

    United States
    1 day ago
  • $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 work
    Hourly pay
    Contract work
    For contractors
    Work at office
    Local area
    Immediate start
    Monday to Friday

    Ross Professional Services, LLC

    United States
    4 days ago
  •  ...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 work
    Full time
    Contract work
    For contractors
    Work at office
    Local area
    Monday to Friday

    BlueCross BlueShield of South Carolina

    Myrtle Beach, SC
    2 days ago
  • $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 work
    Temporary work
    Work from home
    Home office
    Monday to Thursday
    Flexible hours

    KLDiscovery

    Eden Prairie, MN
    5 days ago
  •  ...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 work
    Daily paid
    Work at office
    Flexible hours

    RMS Energy

    United States
    5 days ago
  •  ...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 work
    Hourly pay
    Contract work
    Work at office
    Immediate start

    Auburn University at Montgomery

    United States
    5 days ago
  • $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 work
    Temporary work
    Work from home
    Home office
    Monday to Thursday
    Flexible hours

    KLDiscovery

    Fargo, ND
    4 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!