Performing audits of other physicians. Applicants must meet the following qualifications: Must be a board certified dermatologist. Ability to adjucate requests for commercial and Medicare D medications. Ability to provide recommendations for improving the quality of care.
Must be able to: Review the literature alongside a team of scientists and physicians. Determine whether the evidence is appropriate for inclusion in company medical journal. Monitor journals within your specialty. Applicants must meet the following qualifications:
Interact with physician's offices, hospitals, and members. Applicants must meet the following qualifications: Working from home after about 6 months at the office (must live within commuting distance of the Glendale, AZ office) Certified Pharmacy Technician.
3 years experience as business analyst or relevant education. Strong grasp of Six Sigma DMAIC and Lean methodologies. Understands Third Party reimbursement for physicians and/or hospitals. Experience in other healthcare areas listed by company. Proficiency in Microsoft Office applications.
Perform outbound calls to notify physicians, providers and members of coverage determination decisions. Qualifications Include: High School Diploma / GED or higher. Certified Pharmacy Technician (CPhT), licensed practical nurse (LPN) or medical assistant (MA)
2 years of direct clinical care as an RN to the patient/consumer in a clinical setting. 3 years wellness or managed care experience as an RN presenting clinical issues with members/physicians. Knowledge of the health and wellness marketplace and employer trends.
Submit health records for physicians to approve. Position Requirements Include: In-depth understanding of medical terminology, anatomy, physiology, procedures, and treatment. Able to translate abbreviations and to reference terms through printed and electronic reference materials.
A major healthcare company is searching for a person to fill their position for a Remote Addiction Medicine Physician in Memphis. Must be able to: Provide initial evaluation, diagnosis, treatment and ongoing support for individuals.
A healthcare company needs applicants for an opening for a Telecommute Physician Clinical Reviewer in Chicago. Must be able to: Review all cases in which clinical determinations cannot be made by the Initial Clinical Reviewer. Provide clinical rationale for standard and expedited appeals.
A healthcare company is searching for a person to fill their position for a Telecommuting Pulmonologist Physician. Individual must be able to fulfill the following responsibilities: Working in the topics surrounding anatomy, physiology, and pathology of the lungs.