Average salary: $87,208 /yearly
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$43 per hour
...: Job Title - Clinical Reviewer Job Location - Remote Duration - 3+ Months Pay Rate - $43/hr. on w2 with no benefits : The purpose of this position is to utilize clinical expertise to review medical records against appropriate criteria in conjunction with...SuggestedHourly payFull timeContract workRemote workMonday to FridayFlexible hoursShift workDay shift- ...Medicare Set Asides and Medical Cost Projections. This includes reviewing records, preparing the narrative and an appropriate allocation... ...in preparing medical review reports, medical bill reviews and utilization reviews in injury cases preferred ~ Certification in any of...SuggestedFull timeRemote work
$46.24k - $89.77k
...us one of the Best Places to Work in PA. The Prepay Claims Review Specialist ensures the accuracy and compliance of healthcare... ...team, provider engagement consultants, provider contracting, utilization management and claims processors, to resolve complex issues. Communicate...SuggestedFull timeContract workWork at officeLocal areaFlexible hours$44.64 - $71.24 per hour
...information on our Benefits & Perks, click here! Summary: Please note: This is a pool position. No guarantee of hours. Performs utilization review in accordance with all state mandated regulations. Maintains compliance with regulation changes affecting utilization...SuggestedHourly payFull timeContract workWork at officeRemote workShift work$71.1k - $97.8k
...Become a part of our caring community The Utilization Management Nurse utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse...SuggestedBi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome office$110k - $155k
...: ~28672 ~4300 Six Forks Road ~ Raleigh, North Carolina; North Carolina, United States; New Jersey, United States ~ CREDIT REVIEW ~ Monday - Friday ~05/05/2025 Overview This is a remote role that may be hired in several markets across the United States....SuggestedFull timeRemote workMonday to Friday- ...expanding access to our unique model of care across the United States. NeuroPsychiatric Hospital of Indianapolis is looking for a Utilization Review Coordinator to coordinate patients’ services across the continuum of care by promoting effective utilization, monitoring...SuggestedWork at office
$18 - $20 per hour
Utilization Review Coordinator Primary Purpose To assign utilization review requests; to verify and enter data in appropriate system(s); and to provide general support to clinical staff in a team environment. Are you an ideal candidate? We are looking for enthusiastic...SuggestedWork at officeLocal areaFlexible hours- ...network services, and appropriateness of treatment setting by utilizing the applicable medical policy and industry standards, accurately... ...retrospective, out of network and appropriateness of treatment setting reviews to ensure compliance with applicable criteria, medical policy,...SuggestedPrivate practiceImmediate start
$23.08 - $37.02 per hour
A leading pharmacy benefit manager is looking for an Initial Review Pharmacy Technician in Indianapolis. This role involves reviewing patient information, determining medication appropriateness, and ensuring compliance with clinical criteria. Candidates must have a high...Suggested$90.87 - $154.33 per hour
A healthcare company in Indianapolis is seeking a Physician Clinical Reviewer for a remote position. The candidate will review clinical cases, liaise with physicians, and ensure compliance with regulations. A DO, MBBS, or MD degree is required, along with at least 5 years...SuggestedRemote job- A leading healthcare company is seeking a Medical Director to oversee clinical review processes and ensure adherence to medical necessity guidelines. Candidates should have an MD or DO with significant post-residency experience, excellent analytical and communication skills...SuggestedRemote job
- A pharmaceutical benefits manager is seeking a Physician Clinical Reviewer in Gastroenterology to perform remote medical review of service requests. Responsibilities include reviewing clinical cases, collaborating with physicians, and ensuring compliance with medical necessity...SuggestedRemote job
- A healthcare management company is seeking a Utilization Review Coordinator to assign review requests and provide support to clinical staff. The ideal candidate will have at least a high school diploma and two years of administrative experience, preferably in the medical...Suggested
- A leading healthcare recruiting firm in Indianapolis is seeking an experienced RN to ensure high-quality care and manage medical necessity for services. The role requires a clear RN license in Indiana, 2 years of acute care experience, and strong computer skills. You will...Suggested
- ...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...Monday to Friday
- ...evidence. Create standardized onboarding templates, scripts, and validation utilities to accelerate application integration efficiency. Implement Gitdriven workflows for version control, code review, and artifact promotion across DEV, IT, UAT, and PROD environments....
- ...data storage and retrieval. Infrastructure & DevOps Requirements Utilize AWS services to deploy and manage scalable infrastructure.... ...as Salesforce (good to have). Ensure code quality through code reviews, automated testing, and continuous integration/continuous deployment...Remote work
- ...interpreting legal documentation, mitigating risk to the firm, and reviewing / updating work items. What you have To ensure that we... ...state and federal regulations and statutes. Proactively utilize active listening skills, and relationship building skills to uncover...Full timeWork experience placement
$61.2k - $91.8k
...Contract Services representative to multiple WVUS departments, utilizing understanding of business needs and procurement best practices... ...regardless of faith. What Happens Next? Applications are reviewed weekly. We encourage you to submit a PDF resume and a cover letter...Full timeContract workWork experience placementWork at office$120k - $140k
...Manager with a strong background in the substation and electric utility engineering industry to lead and manage the development of high... ...Project Managers, Department Leads, and company leadership to review contract terms and conditions and gather technical and commercial...Full timeContract workWork at officeRemote workMonday to FridayFlexible hoursShift work- ...documentation, mitigating financial and legal risk to the firm, reviewing and processing paperwork, and general inquiries from clients,... ...astute to recognize and assess underlying client needs by utilizing our EDGE model. Demonstrating a strong passion for client service...Full timeWork experience placement
$51.81k - $83.55k
...Adheres to client and carrier guidelines and participates in claims review as needed Assists other claims professionals with more... ...Computer proficiency and technical aptitude with the ability to utilize MS Office including Excel spreadsheets Strong interpersonal,...Minimum wageFull timeLocal areaRemote workFlexible hours- ...include but are not limited to application development, peer code reviews, maintaining and updating programming standards for application... ...development (RESTful), adhering to architectural standards and utilizing .NET concepts such as Collections, Threading, Generics, and...Full timeBank staffWork at officeRemote work
$67.06k
...functionality. The Bureau Specialist role offers a great opportunity to utilize your commercial underwriting experience in a new, innovative... ...to designated lines of business. Participate in state rate reviews and provide requirements for more complex lines of business....Full timeTemporary workWork at officeLocal areaFlexible hours- ...Supervisory Responsibilities/Direct Reports: This role may be utilized in a supervisory capacity based on agency needs.... ...deviation from guidelines are discussed with supervisor who otherwise reviews work periodically for accomplishment of objectives. Personal...Immediate start
- ...Suppliers participating in prior authorization and pre-payment review programs. Reporting to senior program leadership, this... ...expertise in Medicare prior authorization, pre-payment review, or utilization management processes Proven ability to translate...Contract workRemote work
$40 - $50 per hour
...Support circuit installations and hardware cutovers, conducting peer reviews and post-deployment validation. Maintain accurate... ...team standups, status updates, and technical communication. Utilize scripting tools such as Python and Ansible to automate deployment...Hourly payWork at officeRemote work- ...new network hardware Perform post-deployment validation and peer reviews Maintain accurate configuration records and repositories... ...progress reports Automation & Continuous Improvement Develop and utilize automation tools/scripts for deployments and validation Identify...
$110k - $125k
...complex issues to convey the union’s objectives and achievements utilizing print, digital, and social media. This position is based in New... .... Writing/ Copyediting: Drafts, edits, proofs and reviews various messaging to members as well as local and national media...Contract workLocal area