Average salary: $105,744 /yearly
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...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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Work experience placement
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
...every decision we make.
**Job Posting Title**
Physician Clinical Reviewer- GI - REMOTE
**Job Description Summary**
Key member of the utilization management team, and provides timely medical review of service requests that do not initially meet the applicable medical...
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Remote job
Work experience placement
Internship
Local area
...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...
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Flexible hours
...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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...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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Holiday work
Temporary work
Work experience placement
Remote job
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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Local area
...multidisciplinary team approach to case management.
May participate in peer review and quality assurance.
Utilizes quality improvement tools to... ...BE/BC with ABMS or AOA required.
Active, non-restricted medical license in MN (or ability to obtain)
Ability to obtain and/or...
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Full time
Contract work
New year
Outdoor
Shift work
Night shift
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Afternoon shift
...Cancer Institute is seeking a board certified/ board eligible Medical Oncologist/Hematologist to join our contemporary, comprehensive... ...team approach to case management.
May participate in peer review and quality assurance.
Utilizes quality improvement tools to...
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Full time
Contract work
New year
Outdoor
Shift work
Weekend work
...What is a Hospital Corpsman?
As Sailors, we rely on exceptional medical personnel to keep our servicemen and women healthy. As a Hospital Corpsman, you fulfill that critical role by assisting in a wide range of departments and procedures, from dispensing vaccines...
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Part time
Work experience placement
Worldwide
Overseas
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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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Hourly pay
Holiday work
Full time
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Part time
Local area
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Shift work
Day shift
Monday to Friday
...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...
Suggested
Local area
Monday to Friday
...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...
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Holiday work
Temporary work
Work experience placement
Remote job
Flexible hours
3 days per week
...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...
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Permanent employment
Full time
Local area
...promoting societal equity.
What you do:
The Advertising Review Director will lead a team of compliance professionals... ...employees and their families. We offer a choice of comprehensive medical and dental plan options, a generous time off plan and an outstanding...
Permanent employment
Full time
Local area
Overview:
The Medical Biller will be responsible for preparing, reviewing and submitting claims to various payers either electronically or by paper. Responsible for timely and accurate review of the rejected claims to ensure that all claims were accepted by the payer...
Work experience placement
...Concentra is actively recruiting a Physician Medical Director for our location in Robbinsdale, MN to complement our team! In this... ...ability to effectively supervise other professionals
Skilled in reviewing the clinical work of others according to professional standards...
Holiday work
Temporary work
Local area
Relocation package
Night shift
Weekend work
Monday to Friday
...supervise team-based inpatient and outpatient care in the setting of medical education, working with residents and medical students.... ...Provides direct patient care for internal medicine patients.
Reviews patient's medical history while collecting, prioritizing, and synthesizing...
Contract work
Local area
Flexible hours
Shift work
Night shift
Weekend work
Afternoon shift
...local as this position is 100% in-office.
~1 year experience reviewing contracts and drafting redlines with excellent attention to detail... ...Including:
~7 paid holidays
~ Paid time off (PTO)
~ Medical Plan
~ Dental Plan
~ Vision Plan
~ Health Savings Account...
Holiday work
Contract work
For subcontractor
Local area
