- Lilly (Indianapolis, IN)
- …to make life better for people around the world. Purpose: The Case Management Medical Review Physician is responsible for conducting comprehensive medical ... and any related duties that might be required for the role/position. Medical review of ICSRs + Conduct comprehensive ICSR medical reviews across… more
- Lilly (Indianapolis, IN)
- …make life better for people around the world. **Purpose:** The Case Management Medical Review Scientist is responsible for conducting comprehensive medical ... and any related duties that might be required for the role/position. Medical review of ICSRs + Conduct comprehensive ICSR medical reviews across… more
- Abbott (Kansas City, MO)
- …lab results for millions of people. We have an exciting opportunity for a Medical Review Officer within our Toxicology BU of Abbott Rapid Diagnostics division ... located in Kansas City, MO. In this role, the Medical Review Officer is responsible for accuracy and integrity of the Workplace Solutions drug testing review … more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** We are looking for a Director, Medical Review & Appeals for our Government Programs lines of business. The incumbent will ... care or health insurance environment with a focus on Clinical Medical Review and Appeals and Grievances. **Preferred Qualifications:** + Significant experience… more
- System One (Baltimore, MD)
- Job Title: Clinical Medical Review Nurse Location: Baltimore, MD 21224 Type: Contract, 5 mos with chance of extension Compensation: Based on experience starting ... plus occassional travel to providers for record retrieval, as needed. Clinical Medical Review Nurse / Medical Records Abstraction Specialist Schedule: 8-hour… more
- Molina Healthcare (Rio Rancho, NM)
- JOB DESCRIPTION **Job Summary** Provides support for medical claim and internal appeals review activities - ensuring alignment with applicable state and federal ... years clinical nursing experience, including at least 1 year of utilization review , medical claims review , long-term services and supports (LTSS), claims… more
- Merck (North Wales, PA)
- …to US guidelines committees when needed. **Responsibilities and Primary Activities** ** Medical Review of Promotional Materials** + Provides clinical expert ... Medical Directors as headquarters (HQ) point of contact and SME for medical review . + Serves as a product SME during V&I global assurance process for country… more
- Integra Partners (Troy, MI)
- …needs require. The Senior MD provides clinical oversight to the Utilization Review Medical Director(s), ensures consistent application of criteria, leads ... Integra's clinical position to internal and external stakeholders. The Senior Utilization Review Medical Director's responsibilities include but are not limited… more
- STG International (San Francisco, CA)
- STGi is currently seeking a Medical Assistant- Case Review Specialist to support our Federal Occupational Health (FOH) contract in San Francisco, CA. The ... will ensure that complete exams are sent to the Reviewing Medical Officer (RMO) for review in a timely manner via secure transmission. The RMO determinations… more
- Integra Partners (Troy, MI)
- The Utilization Review Medical Director is responsible for conducting clinical reviews of Durable Medical Equipment (DME) and related requests to support ... are committed to consistency, compliance, and evidence-based decision making. The Utilization Review Medical Director 's responsibilities include but are not… more
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