- Prime Therapeutics (Washington, DC)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Physician Clinical Reviewer- GI- REMOTE **Job Description Summary** Key member of ... the utilization management team, and provides timely medical review of service requests that do not initially meet the applicable medical necessity guidelines.… more
- STG International (Washington, DC)
- STGi is seeking an Internist to perform medical review work and provide consultation and guidance to the Department of Labor (DOL) for a variety of workers' ... compensation cases. Each physician will receive work on a case by case...mission. STGi offers a competitive benefits package which includes Medical , Dental, Vision, 401k with company match and a… more
- Merck (Washington, DC)
- **Job Description** The Manuals seeks a physician with experience in writing and editing, for the unique position of Physician Editor at the Manuals. This is an ... opportunity to use your medical knowledge and editorial skills to contribute to medical education and clinical decision support for healthcare professionals,… more
- University of Virginia (Haymarket, VA)
- …the UVA Medical Center, Schools of Medicine and Nursing, UVA Physician 's Group and the Claude Moore Health Sciences Library,_ _are fundamentally committed to ... Haymarket, Prince William, and Culpepper locations, in a hybrid (partially remote ) work environment. Position Compensation Range: $29.54 - $47.26 Hourly MINIMUM… more
- Highmark Health (Washington, DC)
- …the APP, RN and SW as needed to interact/ communicate with the primary care physician as necessary for appropriate medical care. The role will provide oversight ... of physician services by complementing the primary care physician , acting as a medical resource to the interdisciplinary group, assuring continuity of care,… more
- Highmark Health (Washington, DC)
- …**Job Description :** **JOB SUMMARY** This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with ... current clinical standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical necessity and… more
- Sutherland Global Services (Washington, DC)
- Have you kept up with the changes in medical coding, physician practices, and the healthcare industry in general? Are you proficient with ICD-10, CPT and HCPCS ... with some of the country's largest healthcare systems and physician practices to help support their coding organizations in...in these efforts, we're looking for Multispecialty Pro Fee Medical Coders to join us on a **work from… more
- Prime Therapeutics (Washington, DC)
- …every decision we make. **Job Posting Title** Infusion Referral Nurse- REMOTE **Job Description Summary** Under supervision, is responsible for performing referral ... services to support independent physician offices with maintaining member drug infusions in office...development of effective teams. + Comprehensive clinical knowledge of medical specialty drugs and the management of those drugs.… more
- Huron Consulting Group (Washington, DC)
- …internal processes and deliver better consumer outcomes. Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and ... clinical outcomes, create a more consumer-centric healthcare experience, and drive physician , patient and employee engagement across the enterprise. Join our team… more
- Huron Consulting Group (Washington, DC)
- …internal processes and deliver better consumer outcomes. Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and ... clinical outcomes, create a more consumer-centric healthcare experience, and drive physician , patient and employee engagement across the enterprise. Join our team… more
- Huron Consulting Group (Washington, DC)
- …internal processes and deliver better consumer outcomes. Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and ... clinical outcomes, create a more consumer-centric healthcare experience, and drive physician , patient and employee engagement across the enterprise. Join our team… more
- Humana (Washington, DC)
- …The Medical Director may speak with contracted external physicians, physician groups, facilities, or community groups to support regional market priorities, ... caring community and help us put health first** The Medical Director actively uses their medical background,...protect member PHI / HIPAA information This is a remote position \#LI- Remote **Scheduled Weekly Hours** 40… more
- Cardinal Health (Washington, DC)
- …This role's primary focus is to work diligently to ensure optimal reimbursement for physician services and physician satisfaction as it relates to managed care ... to the VP, Operations for Navista. This is a remote , work from home role with travel up to...reimbursement rates for clinical procedures. Develop and communicate with physician and executive leadership teams, payer specific Managed Care… more
- Cardinal Health (Washington, DC)
- …for driving complex, consultative sales of Navista memberships to new physician practice customers through face-to-face or telephone contact to meet individual ... customers at all levels, leads the acquisition of new physician practices, and focuses on winning to meet development...on winning to meet development objectives. This is a remote , work from home position with travel. This position… more
- Sedgwick (Washington, DC)
- …environment, who are driven to deliver great work. + Apply your medical /clinical or rehabilitation knowledge and experience to assist in the management of ... complex medical conditions, treatment planning and recovery from illness or...on the health and lives of others, and a remote work environment.. + Enjoy flexibility in your career… more
- Cardinal Health (Washington, DC)
- …+ Manage workload of inbound faxes (if applicable) + Investigate and resolve patient/ physician inquiries and concerns in a timely manner + Have the ability to ... confirmations or to obtain missing information + Mail out appropriate documents to physician offices + Interact with the patient referral sources to process new… more
- Cardinal Health (Washington, DC)
- …a variety of career opportunities in pharmacy leadership, clinical specialties, remote order entry, business management, medication therapy management and more. ... **Hospital Pharmacist Remote Order Entry** Through our remote service,...licenses + Performs as staff pharmacist as needed + Physician and nursing consultations + Clinical medication dosing services… more
- Takeda Pharmaceuticals (Washington, DC)
- …Unit - Primary Immunodeficiency who are responsible for calling on multiple physician specialties including Allergy/Immunology. Territory Consists of TN, GA, MS, AL, ... and controls the sales and business activities within the physician setting to attain sales volume, product mix and...US based employees may be eligible to participate in medical , dental, vision insurance, a 401(k) plan and company… more
- Takeda Pharmaceuticals (Washington, DC)
- …Sales Team, you will be empowered to drive product demand in targeted physician offices, key clinics and hospital accounts. **How you will contribute:** + Support ... continuum * Support initial clinical educational support and in-service for medical staff (infusion procedures) * Coordinate and support clinical education… more
- Cardinal Health (Washington, DC)
- …+ Manage workload of inbound faxes (if applicable) + Investigate and resolve patient/ physician inquiries and concerns in a timely manner + Enter detailed information ... team members regarding next steps + Communicate with external constituents including physician offices and pharmacies + Ability to identify, document and submit… more