Senior Physician Specialist

Responsibilities: Our Utilization Review Specialist - Physician will play a critical role in evaluating medical necessity and appropriateness of treatment or services. They will conduct electronic reviews of escalated cases, participate in peer-to-peer discussions, and compose rationales for member and provider notifications.The ideal candidate will have a...

Job Summary:The Accounts Receivable Specialist will perform advanced level work related to resolution of physician claim denials. This role will be responsible for root cause analysis of physician payer denials, identifying procedures impacted by National Correct Coding Initiative Edits (NCCI), technical payer policies, appeal documentation, and resolution.

OverviewPresbyterian Medical Group is seeking a dedicated and compassionate Nurse Practitioner or Physician Assistant to join our established practice in Santa Fe, New Mexico. Our team provides high-quality, patient-centered care to the community, and we are committed to fostering a supportive and inclusive environment.Salary and BenefitsWe offer a...

Radiology Clinical Management SpecialistBetter Patient Outcomes through CollaborationEvolent partners with health plans and providers to achieve better health outcomes for patients. As a Radiology Clinical Management Specialist, you'll be an integral part of the utilization management team, working to bridge the gaps in the healthcare system.We prioritize...

We are seeking a skilled healthcare professional to join our team as a Field Medical Director, Radiology. The ideal candidate will have a strong background in medicine and experience working in a utilization management environment.Routinely interacts with leadership and management staff, other Physicians, and staff whenever a physician's input is needed or...

We are seeking a highly skilled and experienced Senior Marketing Specialist to join our team. As a key member of the marketing department, you will play a vital role in developing and implementing global marketing strategies that align with the company's business objectives.Key Responsibilities:Develop and execute thought leadership content and strategy...

Our Business Platforms team at Endava Limited develops and manages integrated digital platforms that support various business functions, efficiency, connectivity, and innovation across the organization.About the RoleWe are seeking a Senior CRM Specialist to provide advice in Salesforce technical areas, configure and develop new functionalities on top of...

Humana is committed to putting health first for our customers and teammates. As a Chief Medical Officer - Utilization Management, you will be responsible for overseeing the utilization management of care received by members in assigned markets, member populations, or condition types. Your expertise in medical interpretation and utilization management will...

Vitaly Health is currently seeking a highly qualified Gastroenterology Physician to join our medical center on an ongoing locum tenens basis. As a valued member of our team, you will contribute to the delivery of top-notch care to our patients while enjoying a competitive compensation package and comprehensive benefits.Key Responsibilities:Deliver...

High-Voltage Electrical Specialist Wanted!About CDM SmithWe're a company that prides itself on fostering growth and development. As a High-Voltage Electrical Specialist, you will have opportunities to expand your skill set and tackle challenging projects that make a real difference in people's lives.Main Responsibilities:Create detailed designs of electric...

Company Overview:Evolent partners with health plans and providers to achieve better outcomes for people with complex and costly health conditions. We seek to connect the pieces of a fragmented healthcare system and ensure people receive the same level of care and compassion as we would want for our loved ones.We value work/life balance, flexibility, and...

We are seeking a highly skilled Gastroenterology Physician to join our team at Vitaly Health.The selected candidate will work in an outpatient setting, providing medical care to patients. They must be able to handle varying caseloads and communicate effectively with colleagues and patients.About the Opportunity:Contribute to the success of our team by...

Cognizant Accounts Receivable Specialist (remote) in Santa Fe, New MexicoAccounts Receivable Specialist (remote)This is a remote position open to any qualified applicant in the United States.The successful candidate performs advanced level work related to resolution of physician claim denials. This position will be responsible for root cause analysis of...

CDM Smith Senior Electrical Specialist in Santa Fe, New Mexico40515BRRequisition ID: 40515BRBusiness Unit: TSUJob Description:Are you interested in working on design and construction projects that impact our world? CDM Smith offers employees opportunities to delve into many aspects of electrical engineering, including the design of complex power systems,...

**Key Responsibilities:**We are seeking a highly skilled Radiology Utilization Specialist to join our team. In this role, you will be responsible for reviewing imaging requests and determining medical necessity. You will work closely with our healthcare partners to ensure that patients receive appropriate care while maintaining compliance with regulatory...

About the Role">This is a Field Medical Director opportunity for a highly skilled and experienced physician to join our team in radiology. As a key member of our utilization management team, you will play a meaningful role in making a difference in patients' lives in a non-clinical environment.You will work closely with leadership and management staff, other...

**Why Join Our Team?:**Evolent is committed to delivering exceptional patient care while maintaining compliance with regulatory guidelines. As a valued member of our team, you will have the opportunity to make a meaningful difference in the lives of our patients.In this role, you will work closely with our healthcare partners to ensure that patients receive...

Required Skills and QualificationsTo be successful in this role, candidates must have:A Bachelor's or College degree.At least one year of working experience as a safety officer 3.BOSH and LCM certification.Benefits:An opportunity to work in a dynamic and growing company.The chance to contribute to the development of occupational safety and health programs.

BenefitsWe offer comprehensive benefits, including health insurance benefits, to qualifying employees. All compensation determinations are based on the skills and experience required for the position and commensurate with the experience of selected individuals.

At Stellantis, we are seeking a Senior Business Process Optimization Specialist to join our team. As a key member of our Supplier Quality organization, you will play a critical role in driving process improvements and ensuring the highest level of quality for our suppliers.Key ResponsibilitiesProcess Optimization: Develop and implement process improvements...