Search Results: 13,109 vacancies
...Clinical Operations Medical Director
Utilization Management of Medical Oncology Benefits
Carelon Benefits Management
$20,000... ...and providers.
Job Summary:
Perform physician-level case review, following initial nurse review, of Medical Oncology regimens and...
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Local area
Remote job
Work from home
Relocation bonus
Overview:
The Medical Staff Practitioner Evaluation Specialist provides expert consultation, collaborative development and implementation of all practitioner peer review activities. This includes supporting the medical staff practitioner evaluation activities through...
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...Position Summary:
The Utilization Reviewer (UR) is a strong advocate for clients to access medically necessary care by pursuing insurance authorizations for recommended treatment. The UR is responsible for obtaining prior authorizations and concurrent review authorizations...
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Remote job
Full time
Monday to Friday
...excel at-all from Day One.
Job Description
Financial Risk Review (FRR) Asset Liability Management (ALM) team performs... ...some may vary based on role, location or hours):
~ Healthcare (medical, dental, vision)
~ Basic term and optional term life insurance...
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3 days per week
...and abuse in government programs. Results are achieved through data analytics, technology solutions, audit, investigation, and medical review.
At IntegrityM, we offer a culture of opportunity, recognition, collaboration, compassion and supporting our community. We thrive...
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...Job Description
Job Description Mortgage Document Review
Pay range: $16.00/hr .
Schedule: Monday - Friday 7:30 AM - 4:00... ...gender identity, gender expression, marital status, disability, medical condition, genetic information, pregnancy, or military or veteran...
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...balance? We are seeking flexible and experienced physicians for our medical reviewstream division. This telecommute role provides the... ...contractor.
JOB SUMMARY:
Relying on clinical background, reviews health claims providing medical interpretation and decisions about...
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Monday to Friday
...amongst Minnesota large employers, we would welcome the opportunity to meet you!
Mn Adult & Teen Challenge is seeking a Utilization Review Coordinator to join our team in helping transform lives. When you work for MnTC, you're a part of culture recognized for work life...
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...As a manager of Advertising Review, you will play a crucial role in upholding the integrity and regulatory compliance of all advertising and marketing materials. You will be responsible for overseeing and implementing advertising compliance policies, reviewing, and approving...
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Remote job
Licensed attorneys needed for several document review positions for Minneapolis law firm. Positions are both long and short term. Remote work, but attorneys must be actively licensed in any state and available to work business hours on CST. Must have a computer and be...
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Medica's Utilization Review Nurses are responsible for reviewing and documenting prior authorization requests and member case history... ...approval of member coverage.
This role will involve general medical reviews. These comprehensive reviews may include, however are not...
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...strategic direction, leadership, and coordination of CAS's Credit Risk Review cyclical risk-based audit plans. As an Independent Risk Review... ...may vary based on role, location or hours):
~ Healthcare (medical, dental, vision)
~ Basic term and optional term life insurance...
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Flexible hours
3 days per week
...Job Description
HealthPartners is hiring for an RN Clinical Review Prior Authorization Utilization Management Specialist. This position... ...for preparing documentation and consulting with the Medical Director for all potential denials that do not meet medical necessity...
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...Job Details
Working Title: Investigator, Practitioner Review
Job Class: Investigator
Agency: Dentistry Board... ...Ability to identify and effectively use acceptable dental, medical, and legal resources sufficient to provide additional research...
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Full time
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Part time
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Shift work
Day shift
Monday to Friday
...Job Description
Job Description A growing healthcare facility in Golden Valley, MN is currently seeking a Certified Medical Assistant to join their team full-time!Check out the details below:
Title: Certified Medical Assistant
Job Type: Permanent / Direct Hire...
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Immediate start
...attorneys to work on sophisticated matters primarily supervising Review Attorneys that are performing second-level review or quality... ...offer a flexible portfolio of benefits and services, including medical, dental, and vision coverage, a 401(k) plan, additional benefits...
Remote job
Flexible hours
...Broker Dealers and Registered Representatives.
What you do:
Review and analyze information gathered from producers, FMOs, and... ...employees and their families. We offer a choice of comprehensive medical and dental plan options, a generous time off plan and an...
Permanent employment
Full time
Local area
...at-all from Day One.
Job Description
The Operational Risk Review (ORR) Testing Analyst -Technology has an exciting opportunity... ...some may vary based on role, location or hours):
~ Healthcare (medical, dental, vision)
~ Basic term and optional term life insurance...
Holiday work
Temporary work
Work experience placement
Remote job
Flexible hours
3 days per week
...**What You'll Be Doing:**
As a Oncology, Physician Clinical Reviewer you will be a key member of the utilization management team. We... ...reviewer in Oncology cases, that do not initially meet the applicable medical necessity guidelines, as well as other requests when providers,...
...Management (STEM) Care Advocate will complete telephonic clinical reviews directly with Providers to ensure members are getting the most... ...services
~ Experience working with EMRs (electronic medical records)
~ Demonstrated telephonic/office-based experience...
Remote job
Minimum wage
Full time
Work experience placement
Local area
Home office
Monday to Friday
