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About the role
Key responsibilities & impact- Works with Regional Medical Directors to make sound clinical decisions regarding treatment requests
- Performs retrospective clinical reviews utilizing criteria set forth by the client and Medicare
- Makes clinical decisions to approve or deny cases based on coverage criteria
- Coordinates peer to peer case discussions as applicable
Requirements
What you’ll need- Bachelor Degree in relevant field with 6- 8 years of relevant experience
Benefits
Comp & perks- 🌐 Worldwide ❌ Jobs You've Hidden ⭐️ Saved Jobs ✅ Applied Jobs ✉️ Email Alerts 👤 Account EXL Website LinkedIn All Job Openings 10,000+ employees 💰 $2M Venture Round on 2015-01 Choosing a digital partner is about more than capabilities — it’s about collaboration and character. Pricing Manager 🔥 2 minutes ago 🏢🏡 Noida – Hybrid ⏰ Full Time 🟡 Mid-level 🟠 Senior 💰 Pricing Analyst Apply Now Find Hiring Managers Customize resume for this job Report problem ☆ Save ☑️ Mark as applied ❌ Hide 📋 Description
- Works with Regional Medical Directors to make sound clinical decisions regarding treatment requests
- Performs retrospective clinical reviews utilizing criteria set forth by the client and Medicare
- Makes clinical decisions to approve or deny cases based on coverage criteria
- Coordinates peer to peer case discussions as applicable 🎯 Requirements
- Bachelor Degree in relevant field with 6- 8 years of relevant experience Apply Now 📊 Check your resume score for this job Improve your chances of getting an interview by checking your resume score before you apply. Check Resume Score 🌐 Worldwide Built by Lior Neu-ner. I'd love to hear your feedback — Get in touch via DM or support@remoterocketship.com Search Search Jobs by country Search jobs by city Search jobs by job title Search entry-level jobs Search junior-level jobs Search senior-level jobs Search jobs by tech stack Search jobs by contract type Search remote internships Search remote part-time jobs Remote jobs Anywhere in the World Companies Hiring Anywhere in the World Companies Hiring Sales People Anywhere in the World Companies Hiring Software Engineers Anywhere in the World Resources Advice Tips for finding remote jobs Interview questions and answers Resume examples Cover letter examples Post a job Affiliates Privacy policy Terms of service Job board SEO course AI Apply Copilot OpenClaw job finder Jobs by Country Remote jobs anywhere in the world (Worldwide remote jobs) Remote jobs United States Remote jobs Australia Remote jobs Brazil Remote jobs Canada Remote jobs France Remote jobs Ireland Remote jobs Germany Remote jobs Netherlands Remote jobs Spain Remote jobs UK Popular Jobs Remote data analyst jobs Remote customer support jobs Remote executive assistant jobs Remote marketing jobs Remote product designer jobs Remote product manager jobs Remote project manager jobs Remote recruiter jobs Remote sales jobs Remote software engineer jobs Jobs by Type Remote full-time jobs Remote part-time jobs Remote contract jobs Remote internship jobs Remote entry-level jobs Remote jobs with no experience required Remote junior jobs (1-3 years of experience) Digital nomad jobs Remote jobs with no degree required Freelance remote jobs Temporary remote jobs Remote jobs hiring now Stay at home mom jobs
ATS Keywords
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Soft Skills
clinical decision makingcase coordinationpeer to peer communication