• Utilization Management Nurse Consultant…

    CVS Health (Columbus, OH)
    medical journeys. As a Utilization Management (UM) Nurse Consultant specializing in Medical Review , you'll play a vital role in ensuring members receive ... skills in a collaborative process to implement, coordinate, monitor and evaluate medical review cases. + Applies the appropriate clinical criteria/guideline and… more
    CVS Health (08/27/25)
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  • Medical Review Coordinator

    University of Utah (Salt Lake City, UT)
    …**Requisition Number** PRN39526B **Job Title** PS Program Assistant **Working Title** Medical Review Coordinator **Job Grade** C **FLSA Code** Nonexempt ... Date (Note - Posting may close at any time)** **Job Summary** The Medical Review Coordinator ( MRC ) is responsible for the completion of transplant donor… more
    University of Utah (08/07/25)
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  • PS Medical Review Coordinator

    University of Utah (Salt Lake City, UT)
    …**Requisition Number** PRN42418B **Job Title** PS Program Assistant **Working Title** PS Medical Review Coordinator **Job Grade** C **FLSA Code** Nonexempt ... life-changing daily impact. Join us and help give the gift of sight! The Medical Review Coordinator at the Utah Lions Eye Bank is responsible for evaluating the … more
    University of Utah (08/07/25)
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  • Medical Review Coordinator II - Rral

    Prime Healthcare (Gadsden, AL)
    … Graduate, Dental Graduate, PA, or Nursing Graduate required. 2. Three years of Utilization Review experience as a Medical Review Coordinator - I required. ... Connect With Us! (https://careers-primehealthcare.icims.com/jobs/223077/ medical - review -coordinator-ii… more
    Prime Healthcare (08/28/25)
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  • Utilization Management Nurse Consultant…

    CVS Health (Columbus, OH)
    …skills in a collaborative process to implement, coordinate, monitor and evaluate medical review cases. + Applies the appropriate clinical criteria/guideline and ... 3+ Years of clinical experience. + 1+ Year of Utilization Review Management and/or Medical Management experience. + Must have active and unrestricted RN license… more
    CVS Health (08/30/25)
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  • Medical Review Auditor Analyst…

    Conduent (Charlotte, NC)
    …and be part of a culture where individuality is noticed and valued every day. ** Medical Review Auditor Analyst (Remote - Charlotte Area)** **Are you a strong, ... you, then please apply!** **Job Summary:** Conduent is seeking an experienced Medical Review Auditor Analyst to join our team. This individual will work closely… more
    Conduent (06/21/25)
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  • Director, Medical Information…

    Takeda Pharmaceuticals (Lexington, MA)
    …assigned US Medical Team(s) to lead a high performing team responsible for medical information and medical review activities across a broad portfolio of ... company objectives and alliance partnerships for assigned therapeutic area. + Manage Medical Review personnel in the participation and contributions to… more
    Takeda Pharmaceuticals (08/15/25)
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  • Senior Manager, US Medical Information…

    Takeda Pharmaceuticals (Lexington, MA)
    …matter expert representative at Regional Medical Strategy Team meetings. + Medical review of other materials pertinent to Takeda business as required, ... **About the role:** Join Takeda as a Senior Manager, US Medical Information and Review where you will deliver high-quality, balanced and timely medical more
    Takeda Pharmaceuticals (08/15/25)
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  • Medical Benefit Review Services…

    Conduent (Baton Rouge, LA)
    …**Are you eager to learn new skills and help adults in need?** As a ** Medical Benefit Review Services Associate, Region 2,** you will help disadvantaged and ... expression, sex/gender, marital status, sexual orientation, physical or mental disability, medical condition, use of a guide dog or service animal, military/veteran… more
    Conduent (08/20/25)
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  • Temporary, Utilization Review

    Commonwealth Care Alliance (Boston, MA)
    …to the Senior Medical Director of Medical Policy and Utilization Review , the Utilization Review Medical Director will be responsible for providing ... **Essential Duties & Responsibilities:** + Primary responsibility for performing daily medical reviews, appeals as appropriate, correspondence regarding review more
    Commonwealth Care Alliance (08/20/25)
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