- We value work-life balance, flexibility, and autonomy in our employees' lives.
- Reviewing cases that do not meet medical necessity guidelines or other imaging requests requiring specialty reviews by subject matter experts;
- Discussing determinations (peer-to-peer phone calls) with requesting physicians or ordering providers within regulatory timeframes;
- Utilizing clinical review guidelines and parameters to ensure consistency in MD review processes reflecting appropriate utilization compliance with policies/procedures, URAC, and NCQA guidelines;
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This critical role leads our Supply Chain Core Products team and develops analytics solutions using data engineering AI/ML and visualization technologies to deliver business impact. ...
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We are looking for a qualified individual to fill the Assessment Specialist position in the Office of Assessment and Accountability. · ...
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We are looking for an Assessment Specialist to work with schools, teachers and peers around the nation to develop high-quality assessments for students and help schools, parents and teachers understand what the results mean. · oversee the administration of the state-required asse ...
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Medical Director - Healthcare Utilization Specialist - Pierre - beBeeMedical Director
Job title: Field Medical Director, Pain Management
Description
Overview
Evolent Health Opportunity
We partner with health plans and providers to achieve better patient outcomes for individuals with complex and costly health conditions. Our approach connects the pieces of a fragmented healthcare system, ensuring patients receive consistent care and compassion.
Job Responsibilities
As a Physician Clinical Reviewer for Interventional Pain Management, you will be an integral part of our utilization management team. Your responsibilities include:
Benefits & Requirements
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Assessment Specialist
Only for registered members Pierre
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Phlebotomist - PRN
Only for registered members Pierre
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Clinical Specialist
Only for registered members Pierre
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Public Health Assistant
Only for registered members Pierre
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Director
Only for registered members Pierre, SD
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Manager Customer Insights
Only for registered members Pierre
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Assessment Specialist
Only for registered members Pierre, SD
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Assessment Specialist
Only for registered members Pierre, SD
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Assessment Specialist
Only for registered members Pierre, SD
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Primary Care Physician
Only for registered members Pierre
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Primary Care Physician
Only for registered members Pierre
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Physician Assistant
Only for registered members Pierre
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Nurse Practitioner
Only for registered members Pierre
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Phlebotomist - PRN
Only for registered members Pierre, SD
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Disabilities/Transition/Mental Health Specialist
Only for registered members Pierre, SD
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Program Administrator
Only for registered members Pierre, SD
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Educational Specialist
Only for registered members Pierre, SD
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Educational Specialist
Only for registered members Pierre, SD
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Public Health Assistant
Only for registered members Pierre, SD
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Public Health Assistant
Only for registered members Pierre, SD
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Nurse Practitioner
Only for registered members Pierre, SD