Medical Reviewer - Chicago, IL

This leader supports the development and execution of a therapeutic area medical strategy by providing scientific, strategic, and operational input into core medical affairs activities. · ...

This position involves reviewing and analyzing referrals and supporting documentation to determine medical necessity of services. The job requires composing approval and denial letters as needed. · Review urgent referrals and Plan renewals to determine Medical Necessity · ...

Review and analyze referrals and supporting documentation to determine medical necessity of medical and dental services. Compose approval and denial letters as deemed appropriate. · ...

The Medical Review Coordinator coordinates and reviews all medical records as assigned to caseload. · ...

This Medical Review Specialist role reviews and analyzes referrals and supporting documentation to determine medical necessity of medical and dental services. · Responds to inquiries sent to the department by other departments and from vendors. · Determines medical necessity on i ...

This position is responsible for pre-authorization reviews in accordance with the medical contract and regulations. · ...

The Medical Director provides physician support to Enterprise Clinical Services operations responsible for initial clinical review of service requests. · Conduct coverage reviews based on individual member plan benefits and national policies. · , ...

The Medical Device Safety Reviewer supports post-market safety surveillance activities for medical devices. This role focuses on evaluating adverse event reports and conducting medical safety assessments to ensure timely and accurate safety reporting. · Evaluate seriousness of ad ...

We are seeking an experienced Product Owner to lead and enhance medical bill review solutions. · Drive product roadmap execution for medical bill review and related capabilities · Translate market, client, and operational needs into product requirements and user stories · ...

The Med Reviewer has a key role within the designated Therapeutic Area.Working under the leadership of the Scientific Director, this leader supports the development and execution of the therapeutic area medical strategy, · specifically as it pertains to the specific asset or indi ...

We're seeking candidates who are looking for meaningful work, who want to invest in their growth, and contribute to a company built on timeless virtues and best business practices. · ...

Guarantee Trust Life Insurance Company is currently seeking a Medical Review Nurse to join our team. · We're seeking candidates who are looking for meaningful work, who want to invest in their growth and contribute to a company built on timeless virtues and best business practice ...

Guarantee Trust Life Insurance Company (GTL) is seeking a Medical Review Nurse to join their team in Glenview, IL. The ideal candidate will have a solid clinical nursing background and prior insurance experience. · Evaluate claims for Hospital Indemnity, Medicare Supplement, Long ...

Description · Guarantee Trust Life Insurance Company (GTL) is currently seeking a Medical Review Nurse to join our team · Since 1936, GTL has offered cutting-edge insurance solutions and personalized service for our policyholders and distributors, while supporting personal growth ...

Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. Lensa does not hire directly for these jobs, but promotes jobs on LinkedIn on behalf of its direct clients, recruitment ad agencies, and marketing partners. · Lensa part ...

501 3(c), Federally Qualified Health Center providing health services to the underserved in the Southland Chicago communities. We understand that a typical doctor s visit extends far beyond the exam room. That s why our approach is to address the whole person. Our care team inclu ...

Job Description · A travel CT technologist is responsible for operating computerized tomography equipment to take medical images of patients for diagnostic purposes. · Prepare patients for CT scans by explaining procedures and positioning them appropriately; · Operate CT equipmen ...

Ethos Medical Staffing is seeking a local contract nurse RN PACU - Post Anesthesia Care for a local contract nursing job in Chicago, Illinois. · Job Description & Requirements · Specialty: PACU - Post Anesthesia Care · Discipline: RN · Start Date: 03/30/2026 · Duration: 13 weeks ...

Ethos Medical Staffing is seeking a travel nurse RN PACU - Post Anesthesia Care for a travel nursing job in Chicago, Illinois. · Job Description & Requirements · Specialty: PACU - Post Anesthesia Care · Discipline: RN · Start Date: 03/30/2026 · Duration: 13 weeks · 40 hours per w ...

Ethos Medical Staffing is seeking a travel nurse RN OR - Operating Room for a travel nursing job in Chicago, Illinois. · Job Description & Requirements · Specialty: OR - Operating Room · Discipline: RN · Start Date: 03/30/2026 · Duration: 13 weeks · 40 hours per week · Shift: 8 h ...