Medical Reviewer - Chicago

The Medical 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 by providing scientific, strategic, and operational inp ...

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 ...

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

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

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 · ...

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

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 partne ...

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 ...

Job Summary: · The Medical Safety Reviewer supports medical affairs initiatives within a designated therapeutic area by conducting scientific and medical reviews of clinical and promotional materials. This role ensures all materials meet regulatory, scientific, and compliance sta ...

Job Summary: · The Medical Safety Reviewer supports medical affairs initiatives within a designated therapeutic area by conducting scientific and medical reviews of clinical and promotional materials. This role ensures all materials meet regulatory, scientific, and compliance sta ...

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 ...

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 and civ ...

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 ...

· Dane Street Seeking Board-Certified Neurological Surgeons Remote, Flexible Work · Dane Street, a nationally recognized Independent Review Organization (IRO), is expanding its panel of Physician Reviewers. We are currently seeking · Board-Certified Neurological Surgeons · with ...