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$207.8k - $346.3k
...stimulating role that lets you apply your clinical expertise while continuing to grow and make an impact? As a Medical Director at EviCore, part of Evernorth Health Services, a division of The Cigna Group, you'll leverage your background in genetics and genomics disciplines...SuggestedLocal areaRemote workWork from homeMonday to Friday$203.2k - $338.6k
Overview Medical Director - Pediatric Surgery - EviCore, part of Evernorth Health Services, a division of The Cigna Group. This role involves providing evidence-based medical reviews for patient care, collaborating with healthcare providers, and staying current on healthcare...SuggestedRemote workWork from homeMonday to Friday$203.2k - $338.6k
Medical Director - Orthopedic Spine Surgery - EviCore - Remote Do you crave an intellectually stimulating job that allows you to leverage your clinical expertise while developing new skills and improving the lives of others? Then look no further! As an Orthopedic Spine...SuggestedRemote jobWork from homeMonday to Friday$31 - $52 per hour
The Pre-Service Care Coordinator (RN) responsibilities include but not limited to: Perform clinical and operational processes related to transition / coordination of care/case management of Post-Acute Care services including but not limited to Home Health, DME, Care Coordination...SuggestedHourly payFull timeWork at officeLocal areaRemote workMonday to FridayShift workWeekend work$31 - $52 per hour
Concurrent Review Care Coordinator Job Summary The Concurrent Review Care Coordinator is responsible for concurrent review, care coordination, and utilization management activities across post-acute care settings. The role applies clinical judgment, evidence-based guidelines...SuggestedHourly payFull timeWork at officeLocal areaRemote workShift workWeekend work$73.2k - $122k
Genetic Counselor The Genetic Counselor is responsible for the following: Laboratory molecular and genetic testing clinical case review activities. Evaluate telephone, fax, or web requests for authorization of coverage of molecular and genetic laboratory requests...SuggestedLocal areaRemote workWork from homeFlexible hoursCarepathRx
United States5 days ago- ...set job alerts for “Genetic Counselor” roles. Oncology Genetic Counselor- Temporary Part Time Genetic Counselor Clinical Reviewer - EviCore - Remote United States $71,100.00-$118,500.00 4 weeks ago Clinical Trainer, Medical Science Liaison Basking Ridge, NJ $90,000.00-$9...SuggestedContract workTemporary workPart timeRemote work
$108.4k - $180.6k
...Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances. eviCoreSuggestedLocal areaWork from home- ...Prior experience using the following systems is preferred: BASC # HST HMC # Weblink Center for Surgery # SIS Scheduling Evicore Availity Carelon Quantum Navinet Botox One UMR RIS Infinitt HHO Hunterdon Health is committed to...SuggestedWork at office
$24.72 per hour
...eligibility/verification portals to retrieve accurate patient insurance information, including but not limited to, ClaimRemedi, ePACES, eviCore, Managed Care and/or Private/Commercial individual portals. Add, modify or update the patient's medical, dental and vision...SuggestedHourly payWork at officeShift work- ...attitude to enhance a cooperative and energetic work environment. Advantx, Vision, HST, Cerner, SIS Complete, Waystar experience preferred. Familiarity with Availity, Evicore, RevCycle Pro and Payer Portals preferred. #J-18808-Ljbffr United Surgical Partners InternationalSuggestedFlexible hours
$20 - $25 per hour
...compliance. Explain treatment procedures, medications, diets and physicians' instructions to patients. Utilize insurance portals like Evicore, Carelon and RadMD to submit prior authorization requests for outside testing including MRI, CT, PET, DaT scans, etc. Oversee...SuggestedHourly payFull timeTemporary workWork at officeMonday to FridayAfternoon shift- ...for: -Surgical procedures-Biologic grafts and skin substitutes Experience using payer portals such as: -Availity-NaviNet-Carelon-Evicore-UHC Provider Portal Knowledge of CPT, ICD-10, and HCPCS coding.Experience with electronic medical records (preferably Epic)....SuggestedWork at office
- ...Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances. eviCoreSuggestedWork at officeLocal areaWork from homeMonday to FridayFlexible hours
- EviCore by Evernorth is seeking a Medical Director specializing in Gastroenterology. This remote role involves conducting case reviews to support high-quality patient care. You will collaborate with healthcare providers and utilize your clinical expertise to ensure appropriate...SuggestedRemote jobFlexible hours
- ...independently manage high daily authorization volume Hands-on experience with payer portals (e.g., Availity, UHC, Carelon/AIM, eviCore, Cohere, CoverMyMeds, etc.) Strong working knowledge of CPT codes and procedural terminology Experience reviewing documentation...Contract work
- ...Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances. eviCoreWork experience placementCasual workLocal areaWork from homeRelocation package
$132.7k - $221.1k
Cigna Health and Life Insurance Company is seeking a Counsel to join eviCore healthcare's client contracting team. In this role, you will provide legal guidance for regulatory challenges and contract negotiations impacting healthcare services. The successful candidate will...Contract work$24.5 - $28.5 per hour
...Medical terminology, insurance knowledge, and experience working with referring physicians required. Proficiency and familiarity with EviCore, NaviNet, insurance platforms, EMR, and Microsoft Office Suite. Leadership qualities and the ability to lead by example in...Hourly payFull timeWork at officeWork from homeMonday to FridayFlexible hoursShift work- eviCore is looking for a Product & Innovation Advisor to enhance product decisions through customer insights and data analytics. This role is vital for consumer-centric product development, partnering closely with various teams to support successful product launches and...
- ...appointments Answer patient inquiries Explain intake forms to patients Process patient payments Obtain prior authorizations via Evicore Obtain health insurance benefits Qualifications Previous experience as a medical receptionist or in a similar position...Work at officeFlexible hours
NJ Regional Ear, Nose & Throat Center, LLC
Manahawkin, NJ9 days ago - ...Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances. eviCoreFull timeTemporary workLocal areaWork from home
$24.5 - $28.5 per hour
...Referring Physicians is required for success in this position. Qualified candidates must demonstrate proficiency and familiarity with EviCore, NaviNet, insurance platforms, EMR, and the Microsoft Office Suite. Candidates must possess leadership qualities and demonstrate...Hourly payFull timeWork experience placementWork at officeWork from homeMonday to FridayFlexible hoursShift work$23 - $35 per hour
...Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances. eviCoreHourly payContract workWork at officeLocal areaWork from home- ...Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances. eviCoreWork experience placementWork at officeLocal areaWork from homeRelocation packageMonday to FridayShift work
- ...scheduled services. • Conduct authorization research and validation through payer and utilization management platforms, including eviCore, TurningPoint, Availity, PEAR, and other applicable systems. • Communicate with referring offices, patients, physicians, and...Full time
- ...Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances. eviCoreLocal areaWork from home
- ...Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances. #J-18808-Ljbffr eviCoreLocal areaWork from home
- ...Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances. eviCoreFor subcontractorLocal areaWork from homeRelocation packageMonday to Friday
- ...Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances. eviCoreLocal areaWork from home
