- Evolent Health (Des Moines, IA)
- …Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** As a Cardiology , Physician Clinical Reviewer you will be a key member ... Will Be Doing:** + Serve as the specialty match reviewer in Cardiology cases, that do not...within the regulatory timeframe of the request. + Utilizes medical/ clinical review guidelines and parameters to assure… more
- Trinity Health (Des Moines, IA)
- …paid malpractice and a 403B match. Essential Job Details: . Lead physician -driven clinical resource utilization program, and work with MercyOne Leadership ... appropriate level of care based on medical necessity, and apply regulatory, health plan, and clinical guidelines in the review of denials . Serve as a resource… more