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Medical Review Remote Jobs

28 fresh jobs found

Remote Medical Director - South Carolina
Remote-SC, United States

Centene Corporation

Utilization Medical management programs Clinical quality improvement Health care quality Government programs Provider network development Health financing Personnel management Accreditation Standards +39

Exec Mid Full Time

USD 221K+

Associate Medical Director, Global Medical Strategy Nephrology
Remote, United States

Otsuka Pharmaceutical Companies

KOL mapping Scientific review Impactful Communication Medical Review Pharmaceutical Development Nephrology Evidence Generation Customer Centricity Medical Education +21

USD 164K+

Remote Child / Adolescent Medical Director - Florida
Remote-FL, United States

Centene Corporation

Utilization Claims review Clinical quality improvement Medical management programs Health care quality Provider network development Health financing Personnel management Accreditation Standards +39

Exec Senior Full Time

USD 231K+

Associate Medical Director, Global Medical Strategy - Nephrology/Immunology
Remote, United States

Otsuka Pharmaceutical Companies

Data Gap Analysis Non-Promotional Review Promotional Review Literature Searches KOL mapping Impactful Communication Medical Review Pharmaceutical Development Nephrology +24

USD 164K+

Remote TEAM COORD, SIU
Virginia Premier Health Plan Richmond, United States

Healthcare Fraud Speaking Service orientation Active learning Medical Review Healthcare Compliance Health Plan Verification Judgment +29

Senior Mid Full Time

USD 76K+

Remote PRN Medical Director - Missouri
Remote-MO, United States

Centene Corporation

Clinical quality improvement Pediatrics Health financing Clinical programs Personnel management Clinical Quality Medical Review Health administration Medical Services +24

Exec Mid Part Time

USD 212K+

Associate Director Medical Review and Medical Information - Remote opportunity
Deerfield, IL, US

Process efficiencies Medical Review AI Technology Medical Writing Neuroscience Regulatory Guidelines Biopharmaceutical Medical Information Scientific communication +16

Senior Mid Full Time

USD 170K+

General Liability and Product Liability Claim Consultant
Maitland, FL, United States

Claim Investigation Damage Estimation Claim handling standards Claim Adjustment Legal Review Damage estimates Adjustment Claims Adjustment Multi-line Claims +13

USD 82K+

Multi-Line Claim Consultant
Maitland, FL, United States

Claim handling standards Claim Adjustment Damage estimates Legal Review Adjustment Multi-line Claims Subrogation Claims Medical Review Report Preparation +9

Senior Mid Full Time

USD 82K+

Remote Beahvioral Medical Director - Kentucky
Remote-KY, United States

Centene Corporation

Culturally diverse care Clinical quality improvement Health care quality Medical management programs Health financing Provider network development Government programs Clinical Quality Medical Review +39

Exec Mid Full Time

USD 231K+

Grievance & Appeals Coordinator II
Remote-PA, United States

Centene Corporation

Grievance Grievance resolution Grievances Claims analysis Medical Review Appeals Medical management Health Services Procedures +17

USD 44K+

Workers’ Compensation Claim Representative II
Reading, MA, United States

Claims Handling Procedures Invoice review Legal Review Claims Adjustment Subrogation Claims Medical Review Report Preparation Claims handling Workers Compensation +9

USD 70K+

Remote Medical Director (PRN) - California
Remote-CA, United States

Centene Corporation

Clinical quality improvement Clinical programs Health financing Medical Review Clinical Quality Personnel management Health Plan Health administration Medical Services +24

Exec Mid Part Time

USD 222K+

Associate Medical Director, Global Medical Strategy
Remote, United States

Otsuka Pharmaceutical Companies

Scientific review KOL mapping Impactful Communication Medical Review Pharmaceutical Development Evidence Generation Medical Education Scientific communication MS Word +19

USD 164K+

Medical Director - Kansas
Remote-KS, United States

Centene Corporation

Clinical quality improvement Provider network development Medical management programs Government programs Health care quality Health financing Personnel management Medical Review Accreditation Standards +38

Exec Senior Full Time

USD 221K+

Remote Medical Director - Texas
Remote-TX, United States

Centene Corporation

Clinical quality improvement Provider network development Medical management programs Government programs Health care quality Health financing Personnel management Health administration Accreditation Standards +37

Exec Senior Full Time

USD 231K+

Remote Medical Director
Remote-MO, United States

Centene Corporation

Clinical quality improvement Provider network development Medical management programs Government programs Health care quality Health financing Personnel management Health administration Accreditation Standards +37

Exec Senior Full Time

USD 231K+

Remote Behavioral Medical Director - western region
Remote-CA, United States

Centene Corporation

Clinical practice improvement Clinical quality improvement Medical management programs Provider network development Health care quality Health financing Personnel management Health administration Accreditation Standards +36

Exec Senior Full Time

USD 231K+

General Liability BI Claim Adjuster
Maitland, FL, United States

Claim Adjustment Damage Estimation Damage estimates Legal Review Adjustment Multi-line Claims Subrogation Claims Medical Review Subrogation +8

USD 80K+

Remote Behavioral Medical Director – West Region
Remote-CA, United States

Centene Corporation

Culturally diverse care Clinical quality improvement Medical management programs Provider network development Health care quality Health financing Personnel management Health administration Medical Review +36

Exec Senior Full Time

USD 231K+

Remote Child & Adolescent Behavioral Medical Director - Washington
Remote-WA, United States

Centene Corporation

Adverse trend evaluation Clinical quality improvement Medical Necessity Review Provider network development Medical management programs Health care quality Health financing Clinical collaboration Personnel management +36

Exec Mid Full Time

USD 231K+

Senior Medical Director, Global Medical Strategy Franchise Lead (MD)- Psychiatry / CNS
Remote, United States

Otsuka Pharmaceutical Companies

Therapeutic Area Strategy Reimbursement strategies CNS Healthcare Landscape Translational Medicine Medical Review Impactful Communication Psychiatry Pharmaceutical Development +24

Senior Full Time

USD 245K+

Remote Medical Director - Arizona
Remote-AZ, United States

Centene Corporation

Health financing Medical management programs Provider network development Health care quality Personnel management Government programs Medical Review Accreditation Standards Health administration +34

Exec Senior Full Time

USD 221K+

Remote Behavioral Medical Director
Remote-IL, United States

Centene Corporation

Clinical practice improvement Health financing Provider network development Medical management programs Health care quality Health administration Personnel management Medical Review Clinical Quality +31

Exec Senior Full Time

USD 231K+

Medical Director - Post-Acute Care - Evernorth Home-based Care - Remote
Tennessee Work at Home, United States

The Cigna Group

Case conferences Medical care management Board certification Educational training Ncqa standards Peer-to-peer discussions Medical Review Quality of care Federal Laws +21

Exec Senior Full Time

USD 203K+

Part-Time Weekend Medical Director
Remote-FL, United States

Centene Corporation

Health financing Government programs Medical management programs Provider network development Health administration Health care quality Personnel management Medical Review Clinical Quality +32

Exec Senior Part Time Full Time

USD 231K+

National Director, Thought Leader Liaison (TLL) (Remote)
Remote, United States

Otsuka Pharmaceutical Companies

Insight gathering Renal rare disease Key accounts Sponsorship management Healthcare Landscape Scientific Communications Medical Review KOL Engagement Pharmaceutical products +29

Senior Full Time

USD 183K+

Manager, Autism Clinical Care
Remote-LA, United States

Centene Corporation

Functional behavioral analysis Behavioral services Quality of care Medical Review Behavioral Analysis Accreditation Claims resolution Clinical Oversight Provider Relations +21

USD 86K+

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