Utilization Review Physician - Philadelphia

The Physician leader is responsible for advancing the delivery of safe, high-quality, and cost-effective medical care across multiple health plan offerings. · ...

The Physician leader is responsible for advancing the delivery of safe, high-quality, and cost-effective medical care across multiple health plan offerings. · ...

The Principal Scientist Medical Consult Review Physician position provides clinical expertise and advice to internal stakeholders as well as medical training curricula for products addressing basic advanced training needs of V&I personnel. · ...

The Principal Scientist will provide clinical expertise and advice to internal stakeholders and serve as a member of several cross-functional teams.Ensure clinical relevance and medical accuracy of data/information in promotional materials. · Serve as a member of the Promotion Re ...

This role resides in the Value & Implementation organization and requires clinical expertise to provide advice to internal stakeholders. · ...

The Medical Consult and Review Physician position resides in the Value & Implementation (V&I) organization, which includes Global Medical and Scientific Affairs as well as Outcomes Research. · ...

Historic and exciting downtown Philadelphia seeking a Board Certified substance abuse/addictions experienced psychiatrist Competitive salary, benefits, PTO, CME allowance, M-F 8-5pm. Duties include: Participates in clinical management team meetings, Provides consultation to clini ...

Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, ...

We are hiring a physician advisor to provide clinical expertise and guidance to our Clinical Analysis and appeals team. The ideal candidate will have strong working knowledge of Interqual Criteria Set and hospital reimbursement systems. · ...

The Pharmacist reviews all medication orders received from Physicians and Physician Extenders. · ResponsibilitiesReviews patient allergies, past medical history. · ...

+The Pharmacist reviews all medication orders received from Physicians and Physician Extenders. · ,+Reviews patient allergies, past medical history drug interactions lab information for any potential clinical conflicts prior to dispensing medications. · ,+Provides drug informatio ...

DocCafe has an immediate opening for the position of Physician - Family Practice-Without OB in Philadelphia. Make $/yearly - $250,000/yearly. · ...

DocCafe has an immediate opening for a Physician - Family Practice-Geriatrics in Philadelphia. Make $250,000 yearly. · Career Matching Support Our experienced team can match you to your dream physician or PA job based on your unique preferences. · ...

Serves as the lead specialist to the Access Center staff. · ...

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 by o ...

Dane Street is expanding our physician panel We are seeking a skilled and board-certified Diagnostic Radiologist to join our team for Independent Medical Record Reviews. · Thorough review and analysis of prepared medical records · ...

The Pharmacist reviews all medication orders received from Physicians and Physician Extenders. · Reviews patient allergies, past medical history, drug interactions and lab information for any potential clinical conflicts prior to dispensing medications. · Provides drug informatio ...

This position will provide effective development, implementation, and assessment of the curriculum in accordance with the University and Program missions and goals. · ...

The Utilization Management Manager plays a vital role in ensuring patients have timely access to care by managing both front-end prior authorizations and in-house concurrent review authorizations. · This position blends strong relationship-building skills with clinical knowledge ...

DocCafe has an immediate opening for the following position: Physician - Psychiatric-Mental Health in Philadelphia. · Make $180/hourly - $220/hourly. · ...