Average salary: $128,439 /yearly

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  • $40 - $44 per hour

     ...description for your reference: Job title: Clinical Quality Reviewer Location: Remote Duration: 6 months (Contract To...  ...medical records retrospectively for potential quality, safety, and utilization issues by using organizational, national, TRICARE, and URAC... 
    Suggested
    Contract work
    Interim role
    Work at office
    Remote work
    Shift work

    Pacer Group

    Remote
    5 days ago
  • $14 per hour

     ...Position: Content Reviewer – US Date Posted: April 7, 2026 Industry: AI / Data Annotation / Content Moderation / Digital Services Employment Type: Part Time / Freelance Experience: Not Required Qualification: Not Specified Salary: USD 14/hour... 
    Suggested
    Full time
    Part time
    Freelance
    Remote work
    Work from home
    Worldwide
    Flexible hours

    TELUS Digital

    Remote
    5 hours agonew
  •  ...board-certified physicians to join our team as External Medical Reviewers. In this role, you will provide independent, evidence-based...  ...Preferred Qualifications: Experience with Medicaid, utilization review, prior authorization, peer review, or external medical... 
    Suggested
    Full time
    Contract work
    Remote work
    Flexible hours

    Qsource

    Remote
    22 hours ago
  • $130k - $150k

     ...Conditions Office The Senior Medical Writer - Promotional Review, provides high-quality medical and scientific writing from...  ...supervise program staff providing medical/clinical information, utilizing medical/clinical background to participate in, manage, and... 
    Suggested
    Remote job
    Full time
    Contract work
    Temporary work
    Work experience placement
    Work at office

    Thermo Fisher Scientific

    Remote
    12 days ago
  •  ...The Commercial team is hiring a  Clinical Review Manager  to support the Commercial lines of business through BlueCross BlueShield...  ...medical service requests using established criteria and supports utilization management activities such as pre‑certifications, appeals, and... 
    Suggested
    Remote job
    Contract work
    Casual work
    Work at office
    Monday to Friday

    BlueCross BlueShield of Tennessee

    Remote
    a month ago
  •  ...: Medicare Advantage Claims Review Specialist - (3271103) This is a hybrid role requiring an onsite presence in the office in Assembly Row, Somerville one day each quarter and when employees have connectivity issues. The Medicare Advantage Claims Review Specialist... 
    Suggested
    Full time
    Work at office
    Shift work
    Day shift

    Mass General Brigham Health Plan

    Remote
    1 day ago
  •  ...with the potential to extend. Skills and Qualifications : ~5+ years of public accounting experience ~3+ years of experience reviewing tax returns ~ CPA, Enrolled Agent, or Master in Taxation preferred ~ Active PTIN ~ Technical tax competencies in preparing... 
    Suggested
    Remote job
    Full time
    Contract work
    Part time
    Freelance
    Work at office

    Beech Valley Solutions

    Remote
    5 days ago
  •  ...Contract Review Attorney - eDiscovery Our company handles a large number of e-Discovery cases and for a multitude of clients. We have the only privately run FBI certified e-forensics lab in the country. We host data as a Relativity licenser. Benefits of working... 
    Suggested
    Remote job
    Full time
    Contract work
    Flexible hours

    Ricoh E-Discovery

    Remote
    5 days ago
  •  ...Hmong Chinese Language Document Reviewer  Employment Type: Full Time, Mid-Level Department: Legal As a CGS Hmong Chinese Document...  ...; Produces a variety of written documents and materials utilizing a wide range of office software applications; Establishes... 
    Suggested
    Remote job
    Full time
    Work at office
    Flexible hours

    Contact Government Services, LLC

    Remote
    more than 2 months ago
  •  ...Job Title: Oracle Utilities Functional Consultant Location: Remote with monthly travel (3 4 days, paid) Must Have Skills: ~3+ years of Oracle Utilities experience ~ Strong hands-on WACS (Work and Asset Cloud Service) ~ Requirements gathering &... 
    Suggested
    Remote work

    Akaasa Technologies

    Remote
    3 days ago
  •  ...Administration Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2 performs varied...  ...telephone experience desired Experience with Utilization Review and/or Prior Authorization, preferably within a Managed Care/Insurance... 
    Suggested
    Full time
    For contractors
    Apprenticeship
    Work from home
    Home office
    Monday to Friday
    Weekend work

    Humana

    Remote
    6 days ago
  • $95 per hour

     ...Job Description Job Description Long-Term Care Registered Nurse (VA Reviewer) - Remote (#25278) Location: Remote Employment Type: Contract (Case-based) Hourly Rate: Per Case Compensation (See details below) About Greenlife Healthcare Staffing:... 
    Suggested
    Hourly pay
    Price work
    Contract work
    Private practice
    Work at office
    Remote work
    Flexible hours

    Greenlife Healthcare Staffing

    Remote
    13 days ago
  • $90k - $120k

    A Remote Material Review Board Engineer job with Belcan Engineering Group is currently available. This job is a full-time direct position. To be considered for this role, you will need Bachelor's Degree in Engineering. In this job your primary responsibility will be reviewing... 
    Suggested
    Full time
    Local area
    Remote work

    Belcan

    Remote
    25 days ago
  •  ...by providing services that help the government ensure the well being and support of U.S. citizens. Job Description Scientific Review Officer (Part Time On Call) GDIT assists federal, state and private grant-funding agencies helping them identify the most... 
    Suggested
    Remote job
    Part time
    Work experience placement
    Immediate start
    Work from home
    Flexible hours

    General Dynamics Information Technology

    Remote
    11 days ago
  •  ...Job Responsibilities: ~ This position interprets relevant clinical criteria through review of medical records, annotates via Adobe PDF and populates a data collection tool to support compliance with HEDIS and CMS performance measures. Ensures accurate and complete documentation... 
    Suggested
    Remote job

    SGS Consulting

    Remote
    more than 2 months ago
  •  ...BLEW is excited to announce an opening for a Sr. ESA Reviewer. In this role, you will be instrumental in managing projects that involve the assessment of environmental conditions for various projects across the United States. This is a fantastic opportunity in the commercial... 
    Remote job
    Temporary work

    Blew & Associates, P.A.

    Remote
    more than 2 months ago
  •  ...offices as needed to schedule/confirm appointments, follow up on medical record submission, and provide patient rosters ~ Locate and review ALL assigned medical charts, perform abstraction, copy all supporting documentation per specifications and data enter the... 
    Remote job
    Live in
    Work from home

    SGS Consulting

    Remote
    more than 2 months ago
  •  ...expert for customer inquiries, RFQs, and project opportunities. Review customer specifications, drawings, and scope of documents to...  ...supporting mission-critical infrastructure, data centers, utilities, or industrial customers. Knowledge of switchgear, transformers... 
    Full time
    Currently hiring
    Work at office
    Immediate start

    DVM

    Remote
    17 days ago
  •  ...German Document Reviewer Contact Review - Washington, DC Location: Remote Start Date: Negotiable EXPERIENCE & QUALIFICATIONS: Fluency in Hebrew Familiarity with document review workflows  Examples: Privilege/Responsiveness Review, Redactions, Conceptual... 
    Remote job

    Contact Government Services, LLC

    Remote
    more than 2 months ago
  •  ...costs, we're developing more personalized solutions for tomorrow, utilizing machine learning, intelligent care paths, and predictive...  ...recruiting team. We are looking to hire an experienced OASIS Review Coding Specialist. This is a remote position that provides flexibility... 
    Remote job
    Relief
    Work at office
    Immediate start

    MatrixCare

    Remote
    more than 2 months ago
  • $207k - $253k

     ...highest value to those who need it most. The Medical Director, Utilization Management, will be responsible for the evaluation of all...  ...Determinations, Milliman Care Criteria, Clover Health’s medical policies reviews to determine medical necessity or if an alternate treatment... 
    Remote job
    Work experience placement
    Work at office
    Local area
    Flexible hours

    Clover Health

    Remote
    more than 2 months ago
  • $3,000 per month

     ...filing and client interaction. We are seeking a Part-Time Legal Quality Control Attorney to join our team as the sole attorney reviewer . This role is designed for an experienced attorney who thrives in detail-oriented work and wants the flexibility of part-time... 
    Remote job
    Full time
    Contract work
    Part time
    For contractors
    10 hours per week
    Flexible hours

    Dalal & Mehta Law Firm

    Remote
    5 days ago
  •  ...in people with the ongoing demands of the workplace by providing high-quality staffing and executive search services. Medical Reviewer / Healthcare Provider – Reasonable Accommodation Evaluations Job Type: Contract Location: Remote (with occasional U.S. domestic... 
    Remote job
    Contract work

    AdNet AccountNet, Inc.

    Remote
    5 days ago
  •  ...offices as needed to schedule/confirm appointments, follow up on medical record submission, and provide patient rosters ~ Locate and review ALL assigned medical charts, perform abstraction, copy all supporting documentation per specifications and data enter the... 
    Remote job

    SGS Consulting

    Remote
    23 days ago
  •  ...GIS Data Collector – Electric Utility Systems Position Overview Vantage Point Solutions is seeking GIS Data Collectors to support electric utility mapping and engineering projects in the McKinney, Texas area. This role is responsible for collecting and validating... 
    Remote job
    Full time
    Long distance

    Vantage Point Solutions

    Remote
    5 days ago
  •  ...Job Responsibilities: Review clinical information and apply medical necessity criteria, clinical guidelines, policies, and professional...  ...support. Identify opportunities to optimize resource utilization, reduce unnecessary services, and promote cost-effective, high... 
    Remote job

    SGS Consulting

    Remote
    3 days ago
  • $145k - $165k

     ...Sense is seeking a proven and dynamic Strategic Account Executive to contribute to our sales efforts to utilities across North America.  The ideal candidate for this role is a self-motivated, driven, relationship builder who can manage all aspects of growing Software-as... 
    Remote job
    Full time
    Work at office
    Flexible hours

    Sense

    Remote
    a month ago
  •  ...Location: Remote Salary: Base + commission About Us FlexEnergi is solving some of the toughest challenges facing today’s utilities. With rising data center demand, more renewables, and increasing extreme weather, utilities need reliable capacity that can be... 
    Remote job
    Full time

    Accurant International

    Remote
    more than 2 months ago
  • $65k - $89k

     ...Become a part of our caring community and help us put health first The Utilization Management Behavioral Health Professional utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit... 
    Remote job
    Bi-weekly pay
    Full time
    Temporary work
    Apprenticeship
    Work at office
    Work from home
    Home office
    Monday to Friday

    Humana

    Remote
    a month ago
  •  ...territory. Sales Director Position Overview UWorld Themis Bar Review is looking for new grads and experienced individuals to join...  ...knowledge of Company products and services and how they can be utilized for multiple purposes and audiences _ Qualifications &... 
    Remote job
    Work from home
    Worldwide
    Home office

    UWorld, LLC

    Remote
    more than 2 months ago