Average salary: $72,884 /yearly

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  • A leading pharmacy benefit management company is seeking a Physician Clinical Reviewer specializing in Ophthalmology. This remote position involves conducting medical reviews, collaborating with physicians, and ensuring compliance with medical necessity guidelines. The... 
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    Prime Therapeutics

    Saint Paul, MN
    2 days ago
  • Job DescriptionStaff Nurse - Utilization Review (251531)**SUMMARY:**This position is a **0.6 FTE (6 shifts/ pay period), 8-hour shifts, Days, with up to Every Other Weekend rotation. Note:** ****Note:**** *C**urrent weekend assignment is typically every 2-3 weeks however... 
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    Hennepin Healthcare

    Minneapolis, MN
    3 days ago
  • $90.87 - $154.33 per hour

    A leading pharmacy benefit manager is seeking a Physician Clinical Reviewer - Dermatology to join their team remotely. You will be essential in evaluating service requests, interacting with healthcare professionals, and ensuring compliance with medical guidelines. Candidates... 
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    Prime Therapeutics

    Saint Paul, MN
    2 days ago
  •  ...healthcare provider in Minneapolis is seeking a Staff Nurse for the Utilization Management department in the Emergency Department. This role...  ...in Emergency Department nursing and experience in utilization review. Competitive salary and evening shifts are offered. #J-18808-... 
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    Hennepin Healthcare

    Minneapolis, MN
    2 days ago
  • $25.67 - $37.26 per hour

     ...Utilization Reviewer Job Class: Management Analyst 2 Agency: Direct Care and Treatment Location: Vadnais Heights Telework Eligible: Yes Full/Part Time: Full-Time Regular/Temporary: Unlimited Who May Apply: Open to all qualified job seekers Date... 
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    Minnesota Jobs

    Saint Paul, MN
    2 days ago
  •  ...seeking a Medical Director to oversee quality and effectiveness of medical review services. This role entails conducting coverage reviews related to musculoskeletal services and managing utilization review staff. Candidates must have a current medical license, board... 
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    Salem Health Hospitals & Clinics

    Minneapolis, MN
    3 days ago
  •  ...healthcare organization in Minnesota is seeking a Staff Nurse for its Utilization Management department in the Emergency Department. The role...  ...services, collaborating with providers, and implementing review processes. Candidates should have utilization review experience... 
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    Afternoon shift

    Hennepin Healthcare

    Minneapolis, MN
    15 hours ago
  • A healthcare provider in Minneapolis is seeking a Staff Nurse for Utilization Review in the Emergency Department. The role involves evaluating medical necessity for admissions and optimizing resource utilization. Candidates should have at least 1 year of relevant nursing... 
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    Hennepin Healthcare

    Minneapolis, MN
    15 hours ago
  • $17.5 per hour

     ...centric to helping customers understand how to self-serve and utilize the T-Mobile app for wireless needs, you will deepen relationships...  ...processes, and knowledge of systems and reference resources. Review your personal results, current promotions, and updates on the Hub... 
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    T-Mobile

    Minnesota
    3 days ago
  • $30 per hour

    Overview Join to apply for the Document Reviewer role at KLDiscovery India . KLDiscovery, one of the largest national eDiscovery providers...  ...6 or later, or Android OS version 16 or later Proficiency in utilizing modern technology, especially computers and related remote... 
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    Temporary work
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    Home office
    Monday to Thursday
    Flexible hours

    KLDiscovery India

    Virginia, MN
    15 hours ago
  •  ...class works under administrative supervision, performs technical review of architectural drawings, building and construction plans and...  ...and fire codes, and any required third-party listed designs. Utilizes strong organizational and time management skills to efficiently... 
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    Afternoon shift

    City of Fairfax

    Virginia, MN
    1 day ago
  • $18 per hour

     ...brand are highly recognized and respected for our strong commitment to quality and safety. We are America's leader in underground utility damage prevention and advanced infrastructure services, performing more than 84 million locates each year for the more than 1,400... 
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    USIC

    Two Harbors, MN
    22 days ago
  •  ...Document Review Specialist We are a leading provider of financial technology solutions, specializing in remote deposit capture, image capture SDKs, fraud prevention, and compliance tools. Our mission is to help banks and financial institutions deliver secure, innovative... 
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    Urban FT

    Minnetonka, MN
    2 days ago
  •  ...layouts, sketches, and technical drawings using CAD tools • Utilize software such as CAD, CAM, CATIA, ProEngineer, SolidWorks, or Siemens...  ...efficiency • Train or guide lower-level technicians and review work when needed Must Have • Minimum 8 years of relevant... 
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    Three Point Solutions

    Minnesota
    12 days ago
  • $90.87 - $154.33 per hour

    A leading healthcare firm is seeking a Physician Clinical Reviewer for a remote position in Minneapolis. This role involves providing...  ...and participating in the Behavioral Health Case Management and Utilization Management programs. Candidates should possess a DO, MBBS, or... 
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    Prime Therapeutics

    Minneapolis, MN
    1 day ago
  • $60 per hour

     ...work environment where they are valued and respected. Document Reviewers will review documents for complex litigation matters using an...  ...Android OS version 16 or later is required. Proficiency in utilizing modern technology, especially computers and related remote work... 
    Temporary work
    Remote work
    Home office
    Monday to Thursday
    Flexible hours

    KLDiscovery

    Eden Prairie, MN
    3 days ago
  • $20 per hour

    We are looking for a Peer Review Coordinator to join our team to train AI models. You will measure the progress of these AI chatbots, evaluate their logic, and solve problems to improve the quality of each model. In this role, you will need to be an expert in healthcare... 
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    DataAnnotation

    Saint Paul, MN
    10 days ago
  • $13.5 per hour

     ...Job Description Job Description Description: We are seeking to hire a friendly, energetic, and helpful person as a Bagger/Utility. This position helps complete our customers shopping experience by providing full service while bagging their grocery purchases. A successful... 
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    Super One Foods

    Two Harbors, MN
    2 days ago
  •  ...Valuation Advisors (PVA) is searching for a certified general license appraiser to assist with on‑site property inspections and final review of appraisal reports. This role will primarily focus on the inspection requirements and will require a large amount of travel (50%+... 
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    Partner Valuation Advisors (PVA)

    Virginia, MN
    15 hours ago
  • $29.86 per hour

     ...Description & Requirements Maximus is seeking a Clinical Reviewer (LPN) supporting the Colorado HMA (Health Maintenance Activities) Review Program. This role requires completion of desk based clinical reviews to determine appropriateness of recommended services, supports... 
    Remote job
    Minimum wage
    Full time
    Contract work
    Temporary work
    Work experience placement
    Work at office
    Work from home
    Home office
    Monday to Friday
    Weekend work

    Maximus

    Plymouth, MN
    4 days ago
  • $90.87 - $154.33 per hour

    Job Title Physician Clinical Reviewer - Cardiology (REMOTE) Job Description Key member of the utilization management team, providing timely medical review of service requests that do not initially meet the applicable medical necessity guidelines. Routinely interacts with... 
    Remote job
    Work at office
    Local area
    Visa sponsorship
    Work visa

    Prime Therapeutics

    Saint Paul, MN
    15 hours ago
  •  ...healthcare management organization is seeking a Physician Clinical Reviewer to provide medical review of service requests. This remote...  ...guidelines. A commitment to patient care and teamwork in the utilization management process is essential. Candidates must be eligible to... 
    Remote job
    Visa sponsorship

    Prime Therapeutics

    Saint Paul, MN
    1 day ago
  • $90.87 - $154.33 per hour

     ...leading pharmacy benefits manager is seeking a Physician Clinical Reviewer specializing in Pediatric Rheumatology. This remote role...  ...should possess strong communication skills and experience in utilization management. This position offers competitive compensation ranging... 
    Remote job

    Prime Therapeutics

    Saint Paul, MN
    1 day ago
  • A healthcare organization is seeking a Physician Clinical Reviewer-Oncologist to join their utilization management team. This remote position involves timely medical reviews of service requests, interaction with physicians, and documentation management. The ideal candidate... 
    Remote job

    Prime Therapeutics

    Minneapolis, MN
    4 days ago
  • As Physician Reviewer/Advisor for Independent Medical Exams (IME), you will utilize clinical expertise and reviews insurance appeals, and prospective and retrospective claims. The Physician Reviewer will provide an interpretation of the medical necessity of services provided... 
    Extra income

    Dane Street, LLC

    Minneapolis, MN
    1 day ago
  •  ...in our recruitment practices. Please be advised that OpenKyber utilizes artificial intelligence (AI) tools as part of its initial...  ...in different ways, including but not limited to, assistance in reviewing application materials to help identify candidates whose qualifications... 
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    Local area
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    Openkyber

    Minnesota
    5 days ago
  • $90.87 - $154.33 per hour

     ...a purpose-driven career? Come build the future of pharmacy with us. Job Title Physician Clinical Reviewer - Psychiatry- REMOTE Job Description Key member of the utilization management team, and provides timely medical review of service requests that do not initially meet... 
    Remote job
    Work at office
    Local area
    Visa sponsorship
    Work visa

    Prime Therapeutics

    Saint Paul, MN
    2 days ago
  • $90.87 - $154.33 per hour

    A healthcare organization is seeking a Physician Clinical Reviewer for a remote position. This role involves reviewing service requests...  ...on experience and skills, with the chance to make a significant impact in utilization management. #J-18808-Ljbffr Prime Therapeutics
    Remote job

    Prime Therapeutics

    Saint Paul, MN
    2 days ago
  • $60k - $121.3k

     ...Credit Review Analyst / Associate Old National Bank has been serving clients and communities since 1834. With over $70 billion in total assets, we are a regional powerhouse deeply rooted in the communities we serve. As a trusted partner, we thrive on helping our clients... 

    Old National Bancorp

    Lake Elmo, MN
    4 days ago
  • $110k - $165k

    Overview Boulay is currently looking for an Audit Manager (Quality Review) who will be responsible for managing technical accounting and auditing research to ensure audits and assurance engagements are performed in accordance with GAAS, PCAOB, GAAP, and other relevant... 
    Remote work
    Work from home
    Flexible hours

    Boulay

    Eden Prairie, MN
    3 days ago