Physician Peer Review jobs

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Remote Physician-Peer Review Services
BHM Healthcare Solutions - St. Louis, MO
Psychiatric Peer Review Services-. Through remote access to our web-based Peer Review System Portal, physician advisors will complete clinical reviews of...
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Sponsored by BHM Healthcare Solutions - 30+ days ago
Medical Director/Medical Director Associate - Las Vegas, Nev...
Anthem, Inc. 566 reviews - Las Vegas, NV
Assists in the practitioner appeal reviews, appropriateness criteria reviews, medical policy and technology assessments, setting and implementing QI initiatives...
Sponsored by Anthem, Inc. - 7 days ago
Medical Director - Southern California - 103244SY
Anthem, Inc. 566 reviews - Glendale, CA
Participates in risk management, claims adjudication, utilization management, catastrophic case review, education and outreach programs, HEDIS reporting,...
Sponsored by Anthem, Inc. - 6 days ago

Physician Advisor Liaison

St. Luke's Hospital & Health Network - Bethlehem, PA
This Physician Advisor Liaison’s primary function is to provide clerical and operational support for the SLUHN Physician Utilization Management Program....

Physician Advisor Part Time\Days

Barnabas Health 310 reviews - Toms River, NJ
Utilization-specific training from ABQAURP (The American Board of Quality Assurance and Utilization Review Physicians), ACPE (American College of Physician...

Physician - Full Time, Part Time or Per Diem

Family Health Centers of San Diego 28 reviews - San Diego, CA
Maintains satisfactory peer reviews:. We are currently seeking a physician to provide float coverage. For more information, email Anna Jameson, Physician...

Ex Dir Med Staff/Credentialing

Mission Hospitals - Asheville, NC 28803
Serves as liaison to the System Credentials Council and System Peer Review Council. Under the direction of and in partnership with the Chief Medical Officer,...

Medical Director - Northern CaliforniaSY

Anthem, Inc. 566 reviews - Sacramento, CA - +1 location
Participates in risk management, claims adjudication, utilization management, catastrophic case review, education and outreach programs, HEDIS reporting,...

REGIONAL PRACTICE ADMIN MHR

Meridian Health 31 reviews - Neptune City, NJ
Conducts practice reviews including detailed review of profit and loss statement, incentive programs, operating indicators, and physician productivity....

Clinical Review Nurse

Children's Healthcare of Atlanta 143 reviews - Atlanta, GA
Assists and facilitates the peer to peer review process with the Medical Director of Case Management as indicated....

Physician - Medical Review - Full Time

Concentra Inc. 377 reviews - Addison, TX
Concentra is seeking a Board Certified Anesthesiologist, Critical Care, Pain Management, Occupational Medicine, Family Medicine or Internal Medicine physician...

Supervising Physician Specialist - Medical Director (Medical...

City & County of San Francisco 14 reviews - San Francisco, CA
2233 SUPERVISING PHYSICIAN SPECIALIST. The 2233 Supervising Physician Specialist - Medical Director performs other related duties as assigned and/or required....

Associate Medical Director - Utilization Review

Quality Health Strategies, Inc. - Columbia, MD
Physician peer review activities. Medical Review Oversight:. Discusses specific clinical issues with attending physicians....
Clinical Coverage Review Medical Director - Virtual
UnitedHealth Group 1,942 reviews - New York, NY
Active, unrestricted physician license. The Medical Director provides physician support to Clinical Coverage Review (CCR) operations, the organization...
Sponsored by UnitedHealth Group - 21 days ago
Medical Review Clinician
AllMed Healthcare Management, Inc 8 reviews - Portland, OR
Hospital peer reviews. This position is responsible for assisting with the completion of medical reviews and hospital peer reviews....
Sponsored by AllMed Healthcare Management, Inc - 30+ days ago

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Company with Physician Peer Review jobs
566 reviews
Anthem, Inc. is one of the nation's leading health benefits companies with nearly 69 million people served by its affiliated companies.