Medical Review

Job Title: Medical Review /Safety Reviewer (Dermatology)Location: 100% remote Duration: 06 MonthsProvide a Medical Review consultant to support the US Immunology Medical Affair teams.Services provided will be, but are not limited to:• Provides medical oversight for scientific review and approval of promotional and medical materials in compliance with...

Job Title: Medical Review Specialist (Dermatology)Location: Remote OpportunityDuration: 6 MonthsSPECTRAFORCE is seeking a Medical Review Specialist to support our US Immunology Medical Affairs teams.Responsibilities include:Providing medical oversight for scientific review and approval of promotional and medical materials in compliance with corporate...

Job Title: Medical Review Specialist (Dermatology)Location: 100% remoteDuration: 06 MonthsSPECTRAFORCE is seeking a Medical Review Specialist to support the US Immunology Medical Affair teams. As a Medical Review Specialist, you will provide medical oversight for scientific review and approval of promotional and medical materials in compliance with corporate...

Job SummaryWe are seeking a highly skilled Medical Reviewer III to join our team at Randstad. As a Medical Reviewer III, you will provide medical oversight for scientific review and approval of promotional and medical materials in compliance with corporate standards and government/industry regulations.ResponsibilitiesProvide medical review consultant to...

Job SummaryWe are seeking a highly skilled Medical Review Specialist to join our team at Mindlance. As a key member of our organization, you will play a critical role in evaluating medical benefit medication service requests made by our members and providers.Key ResponsibilitiesEvaluate medical benefit medication service requests using clinical judgment and...

Dane Street, a certified "Great Place to Work" company, is seeking Board Certified Internal Medicine physicians to conduct Independent Medical Exams (IME) and Peer Reviews.This opportunity allows you to customize your schedule and caseload within a standard Monday - Friday work week while maintaining client-mandated turnaround times.We will reach out when we...

Job Title: Nurse Reviewer IJob Summary:The Nurse Reviewer I is a critical role in our organization, responsible for conducting preauthorization, out of network, and appropriateness of treatment reviews for diagnostic imaging services. This position requires a strong understanding of clinical and department guidelines, as well as excellent communication...

Description: Evaluates clinical service requests made by an organization's members and providers. Uses clinical judgment in conjunction with organization's criteria to adjudicate these requests. May also provide clinical leadership in other areas of the organization. Identifies opportunities to manage members' clinical situations with a view toward creative...

Job Title: Utilization Review NurseAlbany Medical Center is seeking a skilled Utilization Review Nurse to join our team. As a Utilization Review Nurse, you will play a critical role in ensuring that patients receive the most appropriate care while minimizing unnecessary costs.Key Responsibilities:Conduct thorough reviews of patient records to identify areas...

Job SummaryAlbany Medical Center is seeking a skilled Clinical Utilization Review Specialist to join our team. As a key member of our Care Management department, you will be responsible for ensuring the efficient and effective use of healthcare resources.Key ResponsibilitiesConduct thorough reviews of patient records to identify opportunities for improvement...

Job SummaryWe are seeking a skilled Utilization Review Nurse to join our team at Albany Medical Center. As a key member of our Care Management department, you will play a critical role in ensuring the efficient and effective use of healthcare resources.Key ResponsibilitiesConduct thorough utilization reviews to identify opportunities for improvement in...

Job SummaryWe are seeking a skilled Utilization Review Nurse to join our Care Management team at Albany Medical Center. As a key member of our team, you will be responsible for ensuring the efficient and effective use of healthcare resources while maintaining high-quality patient care.Key ResponsibilitiesConduct thorough utilization reviews to identify...

Job SummaryWe are seeking a skilled Physician to join our Medical Review team as a Telecommute Medical Review Specialist. As a Telecommute Medical Review Specialist, you will be responsible for reviewing health claims and providing medical interpretation and decisions about the appropriateness of services provided by other healthcare...

About the RoleAon is seeking a skilled Contract Review Specialist to join its contracts management team. As a key member of the team, you will be responsible for reviewing, drafting, and negotiating complex contracts for the Human Capital Solutions (Health, Wealth and Talent) division.Key ResponsibilitiesReview and analyze contracts to ensure compliance with...

Job SummaryWe are seeking a highly skilled and experienced Clinical Utilization Review Specialist to join our team at Innovative Systems Group. As a key member of our team, you will be responsible for ensuring compliance with utilization management and quality review functions performed by medical groups and IPAs participating in our networks.Key...

Job Description Location: Chicago, IL Hospital: RUSH University Medical Center Department: System Center Qlt Analytics Work Type: Full Time (Total FTE between 0.9 and 1.0) Shift: Shift 1 Work Schedule: 8 Hr (9:00:00 AM - 5:00:00 PM) Summary: The Surgical Clinical Reviewer’s chief responsibility is to oversee and optimize the American College of...

Job Title: Clinical Utilization Review SpecialistCentene Corporation is seeking a highly skilled Clinical Utilization Review Specialist to join our Medical Management/Health Services team. As a key member of our team, you will play a critical role in ensuring that our members receive high-quality, medically necessary care.Job Summary:The Clinical Utilization...

Job SummaryWe are seeking a highly skilled Clinical Utilization Review Specialist to join our Medical Management/Health Services team at Centene Corporation. As a key member of our team, you will play a critical role in ensuring the quality and appropriateness of mental health and substance abuse services for our 28 million members.Key...

Job SummaryWe are seeking a highly skilled Clinical Utilization Review Specialist to join our Medical Management/Health Services team at Centene Corporation. As a key member of our team, you will play a critical role in ensuring the quality and appropriateness of mental health and substance abuse services for our 28 million members.Key...

Job SummaryWe are seeking a skilled and experienced Physician Reviewer to join our team at Concentra Career Choice. As a Physician Reviewer, you will play a critical role in reviewing health claims and providing medical interpretation and decisions about the appropriateness of services provided by other healthcare professionals.ResponsibilitiesReviews...