- Molina Healthcare (Chandler, AZ)
- …manages Medical Directors + Develops medical policies and procedures + Conducts peer review **JOB QUALIFICATIONS** **REQUIRED EDUCATION:** * Doctorate Degree in ... in Utilization/Quality Program management + Previous leadership experience + Peer review , medical policy/procedure development, and provider contracting… more
- Evolent (Phoenix, AZ)
- …for the mission. Stay for the culture. **What You'll Be Doing:** As a Physician Clinical Reviewer, Interventional Pain Management, you will be a key member of the ... and management staff, other Physicians, and staff whenever a physician `s input is needed or required. Aids and acts...completed by the subject matter expert. + Discusses determinations ( peer to peer phone calls) with requesting… more
- Evolent (Phoenix, AZ)
- …interacts with leadership and management staff, other Physicians, and staff whenever a physician `s input is needed or required. **What You Will Be Doing:** . Serve ... as the Physician match reviewer in Advanced Imaging cases, that do...completed by the subject matter expert. . Discusses determinations ( peer to peer phone calls) with requesting… more
- Evolent (Phoenix, AZ)
- …interacts with leadership and management staff, other Physicians, and staff whenever a physician `s input is needed or required. **What You Will Be Doing:** + Serve ... as the Physician match reviewer in PM&R cases, that do not...completed by the subject matter expert. + Discusses determinations ( peer to peer phone calls) with requesting… more
- Evolent (Phoenix, AZ)
- …interacts with leadership and management staff, other Physicians, and staff whenever a physician `s input is needed or required. What You Will Be Doing: + Serve ... as the Physician match reviewer in Radiation Oncology and imaging cases,...completed by the subject matter expert. + Discusses determinations ( peer to peer phone calls) with requesting… more
- Evolent (Phoenix, AZ)
- …interacts with leadership and management staff, other Physicians, and staff whenever a physician `s input is needed or required. **What You Will Be Doing:** + Serve ... reviews to be completed by the subject matter expert. + Discusses determinations ( peer to peer phone calls) with requesting physicians or ordering providers,… more
- Evolent (Phoenix, AZ)
- …interacts with leadership and management staff, other Physicians, and staff whenever a physician `s input is needed or required. As well as, aids and acts as ... + Provides clinical rationale for standard and expedited appeals. + Discusses determinations ( peer to peer phone calls) with requesting physicians or ordering… more
- Mayo Clinic (Scottsdale, AZ)
- …correspondence with the Institutional Animal Care & Use Committee & Institutional Review Board, submit applications for new research projects, renew the application ... submission to scientific journals, complete manuscripts and submit to peer -reviewed journals. The PI (Dr. Rahmi Oklu) focuses on...33437588; Nature BME PMID: 31015715). Dr. Oklu is a physician -scientist with a Ph.D. in biochemistry and is a… more
- Veterans Affairs, Veterans Health Administration (Tucson, AZ)
- …patient population, to determine budgetary requirements, to report to accrediting and peer review organizations, to bill insurance companies and other agencies, ... from patient health records in the hospital setting, and/or physician -based settings, such as physician offices, group...well as all cost recovery programs. Performs a comprehensive review of the patient health record to abstract medical,… more
- Fresenius Medical Center (Tucson, AZ)
- …come together for professional and personal development, discussion, activities, and peer support. Our diverse workforce and culture encourage opportunity, equity, ... auditing activities. + Accountable for completion of the Annual Standing Order Review and Internal Classification of Disease (ICD) coding. + Manages clinic… more