- Prime Therapeutics (Washington, DC)
- …that. It fuels our passion and drives every decision we make. **Job Posting Title** Physician Clinical Reviewer - Cardiology - REMOTE **Job Description ... necessity guidelines. Routinely interacts with physicians, leadership and management staff, other Physician Clinical Reviewers (PCR), and health plan members and… more
- Evolent Health (Washington, DC)
- …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
- Ascension Health (Baltimore, MD)
- …+ Oversee deployment of staff, employee development, performance and satisfaction. + Review credentials, procedures, skills and clinical performance. + Monitor ... **Details** + **Specialty:** Cardiology + **Schedule:** Monday through Friday + **Practice...candidate to partner with Ascension Saint Agnes to provide physician leadership and medical services to patients. **Responsibilities:** +… more
- Amgen (Washington, DC)
- …Executive Medical Director, Cardiovascular you will oversee a team of physician -scientists that support evidence generation for cardiovascular risk reduction as part ... of the Obesity organization. **Responsibilities:** + Provide clinical /scientific knowledge into the development, design, delivery, and communication of the global… more
- Evolent Health (Washington, DC)
- …accuracy and integrity of our clinical rule engine, impacting our clinical review and recommendations for thousands of patients every day. **Collaboration ... We are hiring for an Analyst to join our Clinical Rules Management Team. The Analyst will play a...Medicine, Genetic Testing, Pain Medicine, Sleep Study, Radiation Oncology, Cardiology , and any new specialty taken on by the… more
- University of Maryland, Baltimore (Baltimore, MD)
- …audits. 2. Directs activities related to the delivery of medical care and clinical services such utilization review , quality assurance, policies, procedures and ... physician relations and/or representation. Effectively handles and resolves clinical patient complaints. Manages the resolution of practice related issues of… more
- Insight Global (Washington, DC)
- …to produce accurate and appropriate anatomic and physiologic information for physician review . Prepares preliminary interpretation and/or interpretative ... of the data and to contribute relevant technical information. Obtains pertinent clinical information from the patient, referring physician or patient's record… more
- Johns Hopkins University (Columbia, MD)
- …the healthcare team. + Function under the direct supervision and authority of the physician when performing clinical tasks during patient care. + Report to the ... insurers or managed care providers. + Register patients for clinical appointments using computerized database. + Inform patients of...the patient may go directly to the floor. + Review patient charges and extract chargeable items. + Collect… more