- Chenega Corporation (Rockville, MD)
- …(CSCS),** a **Chenega Professional Services Strategic Business Unit** company, is looking for a Physician - Contract Medical Reviewer (CMR) to support the ... innovative solutions for our clients. **Responsibilities** + Serve as Contract Medical Reviewers who write medical...or License to practice in the US as a physician 's assistant or nurse practitioner. + Licensure: Must possess… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …as appropriate. At the request of the Senior Medical Director of the Physician Review Unit (PRU), the reviewer also provides clinical leadership in ... Bring your true colors to blue. The Role The Physician Reviewer is responsible for evaluating pre...as determined by plan benefit design, plan riders, and medical necessity criteria. In making coverage decisions regarding level… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …with Provider Relations, explaining processes for accessing Health Plan to perform medical review , obtains case or disease management support, or otherwise ... regulatory and accreditation entities. Refers appropriate cases to the Medical Director for review . Refer to and...Makes accurate and consistent interpretation of required clinical criteria, medical policy, contract benefits, and State and… more
- TKL Research, Inc. (Fair Lawn, NJ)
- Hiring needs include an internal medicine, emergency medicine, or cardiology physician in the role of Medical Director. This role will provide medical and ... position will support our clinical teams to provide proper safety, medical , and scientific oversight on all clinical activities. Responsibilities include evaluating… more
- Veterans Affairs, Veterans Health Administration (Salt Lake City, UT)
- …The HBPC Medical Director, appointed by the Chief of Staff, must be a physician who is responsible for the overall medical care delivered by the HBPC team. ... NOTE: In facilities with academic affiliations, the HBPC Medical Director is encouraged to have a faculty appointment...assigned VA offers a comprehensive total rewards package. VHA Physician Total Rewards. Contract Buy Out Program:… more
- Veterans Affairs, Veterans Health Administration (Cincinnati, OH)
- Summary The Cincinnati, OH VA Medical Center is seeking a Physician to work as Gastroenterologist at our facility. The primary role is to provide clinical care ... board certification) Malpractice: Free liability protection with tail coverage provided Contract : No Physician Employment Contract Requirements Conditions… more
- Veterans Affairs, Veterans Health Administration (Cincinnati, OH)
- …with board certification) Malpractice: Free liability protection with tail coverage provided Contract : No Physician Employment Contract and no significant ... Summary The Staff Physician - Rheumatology's primary role is to provide...Rheumatology and to oversee the education of Residents and Medical Students within his/her practice area. All physicians will… more
- Veterans Affairs, Veterans Health Administration (Salem, VA)
- …with board certification) Malpractice: Free liability protection with tail coverage provided Contract : No Physician Employment Contract and no significant ... and older adults age 65+ as assigned by Chief, Medical Service; stabilizes presenting patients under the age of...critically ill or injured patients. Participates as a peer reviewer process when requested. Admit patients to the hospital… more
- EGA Associates (PA)
- …Certifications for Onboarding** AMA, DEA, NPI **Job Description** Physician Reviewer - Medicaid Grievance Hearings (1099 Contract Role) Location: Remote ... annual grievance review training sessions as required by PHW's Chief Medical Officer. Ethics & Integrity Disclose any potential conflicts of interest and recuse… more
- Veterans Affairs, Veterans Health Administration (Springfield, IL)
- Summary This position will serve as a Primary Care Physician and Medical Director at our Springfield Community Based Outpatient Clinic (CBOC) location. ... Responsibilities This position will serve as a Primary Care Physician and Medical Director at our Springfield CBOC location. Major duties include, but not… more