Medical & Diagnostic reviewer | Remote

Insight Global is hiring a fully remote Physician Reviewers for a leading health insurance company. · ...

Looking to leave practice or for an engaging opportunity to apply your legal expertise in a cutting-edge legal tech environment? Trellis is looking for attorneys for a contract position. Join a leading provider of unparalleled trial court insights and be part of a team that's rev ...

We're a job application service that helps tech professionals land interviews faster. · We need detail-oriented specialists to submit job applications on behalf of our clients using their resume and information, · navigate job boards and company career pages, · fill out applicati ...

You will evaluate the medical appropriateness of inpatient outpatient and pharmacy services by reviewing clinical information and applying evidence-based guidelines. · Conduct timely medical reviews in alignment with established quality standards · Make clinical determinations us ...

We are seeking a Remote Client Relations and Review Management Specialist to follow up with our clients after service completion, · ensure they are satisfied, and encourage them to leave positive reviews.Follow up with clients via email, phone, or text to ensure they are satisfie ...

Remote RN-Utilization review - Torrance CA. This dept is 100% remote with a variety of service lines and levels of care (inpatient Extended Hospital Outpatient and OBS). Experience with HMOs IPAs etc. · ...

+Job Summary · Under the general direction of the Director of Risk Capture, the Pre-Visit Clinical Review Specialist (CRS) facilitates the accurate and appropriate identification of patient medical conditions. · +Minimum three (3) - five (5) years' experience required in either c ...

We are hiring a fully remote Physician Reviewers for a leading health insurance company.The Physician Reviewer will review requests for care before, during and after treatment to confirm they follow medical guidelines and company policies. · This includes checking different types ...

TCDI is seeking attorneys for upcoming document review projects. · We are seeking candidates barred in at least one U.S. jurisdiction who are willing and able to work from home. · Previous document review experience is required. ...

SOL Engineering Services LLC is searching for a Technical / Grammatical Document Reviewer to review draft documents and analyze graphic and technical information, · Must be a U.S. citizen, able to pass a background investigation (financial and criminal) and apply for and maintain ...

Insight Global is hiring a fully remote Physician Reviewers for a leading health insurance company. They will review requests for care before, during and after treatment to confirm they follow medical guidelines and company policies. · ...

SOL Engineering Services LLC is searching for a Technical / Grammatical Document Reviewer to review draft documents and analyze graphic and technical information. · ...

· Remote Coverage Review Pharmacist needs 3 years and Doctor of Pharmacy (PharmD) Degree · Coverage Review Pharmacist requires: · Clinical experience required, and/or completion of 1 year residency and/or board certification · Ability to work independently with minimal supervisi ...

Come join a company that strives for Extraordinary People and Exceptional Performance. Chenega Services & Federal Solutions, LLC is looking for a fully remote Clinical Quality Reviewer to ensure compliance with the contract. Supports activities of peer review and quality committe ...

We are immediately seeking to grow our national pool of document review attorneys for flexible · remote legal project opportunities. U.S. based attorney applicants should be barred (in good standing) in at least one U.S. · jurisdiction. ...

The incumbent reviews medical bills utilizing professional knowledge and clinical experience to determine relationship of services billed to the covered injury; applies appropriate review guidelines, assesses appropriate use of medical coding; identifies over-utilization of treat ...

TCDI is seeking attorneys for upcoming document review projects who are willing and able to work from home with previous document review experience required. · ...

The RN Care Review Clinician provides support for clinical member services review assessment processes. · Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations - ensuring members reach d ...

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. · Job Posting Title · Clinical Pharmacist Reviewer ...

We are hiring for one of our clients seeking senior clinical and research experts to review diagnostic and treatment materials focused on developmental disabilities. Deep expertise in diagnostic evaluation, developmental medicine, and intervention pathways is required. · ...