Contract Medical Reviewer jobs

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ASSOCIATE DIRECTOR, US MEDICAL REVIEW

Representing medical function in the Medical & Promotional Review Committees and ensures scientific / medical / clinical accuracy, relevance and completeness of data and that promotional claims within materials are adequately supp...

Company	Alexion Pharmaceuticalsinc
Address	Boston, MA
Category	Retail
Date Posted	18 hours ago See detail

Associate Director, US Medical Review New

Alexion Pharmaceuticalsinc

Boston, MA

18 hours ago seen See more...

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Medical Utilization Review Analyst

Nyc Health + Hospitals

New York, NY

Comprehensive Health Benefits for employees hired to work 20+ hrs. per week Retirement Savings and Pension Plans Loan Forgiveness Programs for eligible employees Paid Holidays and Vacation in accordance with employees' Collectivel...

5 days ago seen See more...

View all - jobs in New York, NY

Medical Reviewer II - RN (TX, OK, NM, MT & IL)

Hcsc

Richardson, TX

$63.9K - $80.9K a year

Registered Nurse with current, active, unrestricted Registered Nurse (RN) license in the state of operations (TX, OK, NM, MT & IL). For Compact Licensee changing permanent residence to State of Operations: you must obtain an activ...

a month ago seen See more...

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Remote WCRC Medical Reviewer

Maximus

Remote

$50 - $52 a day

Maximus- REMOTE. Must have Workers Compensation Experience . Must be available to review 25-30 hours per week. Supplemental Opportunity. Templates for reviewing. Flexible schedule. Active license and no history of major disciplina...

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Physician Spine Surgeon Telecommute Medical Review

Concentra Career Choice

Kansas City, KS

Meets (when required) with Concentra Physician Review Medical Director to discuss quality of care and credentialing and state licensure issues. -Medical direction shall also be provided consistent with the requirement that the phy...

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View all Concentra Career Choice jobs - jobs in Kansas City, KS

Medical Review Specialist / RN

Medwatch Llc

Remote - Florida, United States

From $61,000 a year

initial referral to Medical Director and, if unresolved,. referral to a specialist who is a peer to the attending physician. 401(k). 401(k) matching. Dental insurance. Employee assistance program. Employee discount. Flexible sched...

2 months ago seen See more...

View all Medwatch Llc jobs - jobs in Florida State

Associate Director, US Medical Review Committee Operations

Astrazeneca

Boston, MA

Providing oversight of US Medical Review Committee (MRC) process including maintaining system, training, management of coordinator, Standard Operating Procedures (SOPs). Assisting with project planning, development, and maintenanc...

2 months ago seen See more...

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Medical Review Scientist (Remote OK. Thousand Oaks, CA is best) - LPAM12532

Techdata Service Company, Llc

Remote

$65 - $70 an hour

Execute the Medical Review of ICSRs (narratives, coding, expectedness, causality and seriousness) to ensure quality reports. Produce medically accurate ICSRs reports. Execute ICSR case escalation as appropriate. Execute appropriat...

2 months ago seen See more...

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Medical Reviewer for Retinal Opthmalogy

Maximus

Remote

$400 - $429 a week

Review and/or Virtual panel conference only, no in-person exam required. Receive and assess the review materials provided by MLRM for completeness. Compose Summary of Care and Evaluation of Care. Compose Review Document (aka WESC)...

2 months ago seen See more...

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Quality Analyst - Medical Bill Review (Remote) 2023-1273

Managed Care Advisors

Orlando, FL

* Provides input to SGS managers and teams regarding analysis, updates, and recommendations for modifications for procedures and processes to continually improve operations and protocols. Citizenship * Prior to hiring and training...

2 weeks ago seen See more...

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Medical Economics (Medical Expense Review) Manager-Remote

Cvs Health

Connecticut, United States

***This role is classified as hybrid and will be filled in one of the core CVS locations of Hartford CT, Woonsocket RI, Northbrook IL, Scottsdale AZ, Irving TX, Atlanta GA, Cary NC, Concord CA, Chicago, IL, or Blue Bell, PA. Addit...

4 weeks ago seen See more...

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Medical Claims Review Coordinator-San Antonio, TX

Optum

San Antonio, TX

$43.9K - $55.6K a year

Research and resolve UM inventory accordingly to meet productivity and quality standards to include:. Claims reports with reconciliation needs. Information received through Right Fax. Information received through email. Or any oth...

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Clinical Claim Review RN - Medical Disability - Remote

Optum

Nashville, TN

$28.03 - $54.95 an hour

Remain up to date with the contract requirements. Use clinical judgement to ensure a clear, comprehensive, and concise exam documentation that is reflective of the patients service level conditions and in compliance to contract r...

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Clinical Reviewer (Medical Coding Academy - COC) San Juan, PR

Optum

San Juan, PR

$64.3K - $81.4K a year

Clinical Case Reviews -75%Perform clinical review of professional (or facility) claims vs. medical records to determine if the claim is supported or unsupported.Maintain standards for productivity and accuracy. Standards are defin...

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Client Relationship Manager - Medical Claim/Bill Review

Alaffia Health

Remote

$90,000 - $110,000 a year

Managing a portfolio of clients to achieve operation objectives, retain revenue, and identify upsell opportunities. Understand client scope of work and serve as the client advocate when working with internal teams to ensure that c...

2 months ago seen See more...

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Medical Interpreter - Not Remote. Local candidates only. Review Languages

International Translation Services Llc

Iowa, United States

From $30 an hour

International workforce. Flexible working hours. Understand and translate spoken and messages from one language to another. Sight translate written documents from one language to another. Provide people with a general introduction...

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