Medical Review Director

Job SummaryWe are seeking a highly skilled and experienced Medical Review Director to lead our medical review, clinical pricing, and re-determination teams. As a key member of our leadership team, you will be responsible for directing and overseeing operations to ensure performance expectations, compliance standards, and budgetary limits are maintained.Key...

Job SummaryWe are seeking a highly skilled Medical Reviewer to join our team at Hornet Staffing, Inc. As a Medical Reviewer, you will be responsible for performing medical reviews using established criteria sets and/or performing utilization management of professional, inpatient or outpatient, facility benefits or services, and appeals.Key...

Job SummaryWe are seeking a highly skilled Medical Reviewer to join our team at Mindlance. As a Medical Reviewer, you will be responsible for performing medical reviews using established criteria sets and/or performing utilization management of professional, inpatient or outpatient, facility benefits or services, and appeals.Key ResponsibilitiesPerforms...

Job Description:We are seeking a skilled Medical Reviewer to join our team at US Tech Solutions. As a Medical Reviewer, you will be responsible for performing medical reviews using established criteria sets and/or performing utilization management of professional, inpatient or outpatient, facility benefits or services, and appeals.Key...

{"Responsibilities": "As a Medical Reviewer with US Tech Solutions, you will be responsible for performing medical reviews using established criteria sets and/or performing utilization management of professional, inpatient or outpatient, facility benefits or services, and appeals. You will document decisions using indicated protocol sets or clinical...

About the RoleUS Tech Solutions is seeking a highly skilled Medical Reviewer to join our team. As a Medical Reviewer, you will be responsible for reviewing medical claims and determining the medical necessity of services. You will work closely with our team to ensure that all claims are processed efficiently and accurately.Key ResponsibilitiesReview medical...

Job Title: Medical Claims ReviewerExperis is seeking a skilled Medical Claims Reviewer to join our team. As a Medical Claims Reviewer, you will be responsible for conducting medical reviews using established criteria sets, performing utilization management of professional, inpatient or outpatient, facility benefits or services, and addressing appeals.Key...

Job Title: Medical Claims ReviewerJob Summary:We are seeking a skilled Medical Claims Reviewer to join our team at Experis. As a Medical Claims Reviewer, you will be responsible for conducting medical reviews using established criteria sets, performing utilization management of professional, inpatient or outpatient, facility benefits or services, and...

Job Title: Medical Reviewer ILocation: RemoteDuration: 5 months assignment with possible extensionsShift: M - F, 8 am - 4:30 pmJob Summary:As a Medical Reviewer I, you will perform medical reviews using established criteria sets and/or perform utilization management of professional, inpatient or outpatient, facility benefits or services, and appeals. You...

Job Title: Medical Reviewer ILocation: RemoteDuration: 3 months assignment with possible extensionsShift: M - F, 8:30 am - 5:00 pmSummary:Performs medical reviews using established criteria sets and/or performs utilization management of professional, inpatient or outpatient, facility benefits or services, and appeals. Documents decisions using indicated...

Job Title: Medical Review NurseUS Tech Solutions is seeking a skilled Medical Review Nurse to join our team. As a Medical Review Nurse, you will play a critical role in ensuring the quality and accuracy of medical reviews and utilization management services.Responsibilities:Perform medical reviews using established criteria sets and/or perform utilization...

Job Title: Medical Director/PhysicianVitalCore Health Strategies is seeking a highly skilled and experienced Medical Director/Physician to join our team at the Sheriff Al Cannon Detention Center in North Charleston, South Carolina.Job Summary:The Medical Director/Physician will serve as the responsible Physician and health authority required by national...

Medical Reviewer II Job DescriptionWe are seeking a highly skilled Medical Reviewer II to join our team at BlueCross BlueShield of South Carolina. As a Medical Reviewer II, you will play a critical role in ensuring the accuracy and quality of medical claims and utilization practices.Key Responsibilities:Perform medical claim reviews for complex services,...

Job SummaryWe are seeking a highly skilled and experienced Medical Review Director to join our team at Palmetto GBA. As a key member of our leadership team, you will be responsible for directing and overseeing operations in the medical review, clinical pricing, and re-determination areas.Key ResponsibilitiesDirect and oversee operations in the medical...

Job Title: Assoc Med Dir/Med DirWe are seeking a highly skilled and experienced Medical Director to join our team at Thermo Fisher Scientific. As a Medical Director, you will play a critical role in ensuring the medical oversight of clinical trials, ensuring that company SOPs, client directives, good clinical practice, and regulatory requirements are...

Medical Director OpportunityTheoria Medical is seeking a highly skilled Medical Director to lead our team of healthcare professionals in skilled nursing facilities across the country. As a Medical Director, you will be responsible for overseeing the medical care of residents in our facilities, collaborating with Nurse Practitioners and Physician Assistants,...

Medical Director Opportunity in North CarolinaWe are seeking an experienced Board Certified Emergency Medicine Physician to join our team as Medical Director at a 204-bed community hospital in North Carolina. The hospital features a 26-bed emergency department with strong support from NP and PA teams, 24-hour hospitalist and radiology support, and a range of...

Unlock Your Potential as a Dermatologist at ParexelJoin a Team of Experts in DermatologyParexel is a leading provider of clinical research services, and we're seeking a talented Dermatologist to join our Medical and Sciences team. As an Associate/Medical Director, you'll play a critical role in providing medical monitoring for assigned projects, serving as a...

Medical Director Opportunity in North CarolinaWe are seeking an experienced Board Certified Emergency Medicine Physician to lead our team as Medical Director at a 204-bed community hospital in North Carolina.About the OpportunityThis is a permanent position with a strong compensation and benefits package, including a medical director stipend and relocation...

About the RoleParexel is seeking a highly skilled Dermatologist to join our Medical and Sciences team as an Associate/Medical Director. As a key member of our team, you will provide medical monitoring for assigned projects, serve as a medical representative on the project team, and provide medical consultation as required or requested to clients/sponsors or...