Top 42 Physician reviewer Jobs in Miami, Fl

Licensed Physician Reviewer
Chen Medical Associates —Miami, FL
- Full-time
- Remote
- Mid-level
- Opportunities for advancement
Licensed Physician Reviewer, Ophthalmology - Remote PRN
Chen Medical Associates —Miami, FL
- $204,761 - $292,515 a year
- Full-time
- Remote
- Medicine
- Microsoft Excel
- Microsoft Outlook
- Opportunities for advancement
5d
Licensed Physician Reviewer - Urologist , PRN (remote)
Chen Medical Associates —Miami, FL
- $204,761 - $292,515 a year
- Full-time
- Remote
- Medicine
- Microsoft Excel
- Microsoft Outlook
- Opportunities for advancement
5d
Licensed Physician Reviewer (Remote) PRN - Radiology
Chen Medical Associates —Miami, FL
- $204,761 - $292,515 a year
- Full-time
- Remote
- Medicine
- Microsoft Excel
- Microsoft Outlook
- Opportunities for advancement
Licensed Physician Reviewer-GI (remote)
Chen Medical Associates —Miami, FL
- $204,761 - $292,515 a year
- Full-time
- Remote
- Medicine
- Microsoft Excel
- Microsoft Outlook
- Opportunities for advancement
Licensed Physician Reviewer- Pulmonology - PRN - Remote
Chen Medical Associates —Miami, FL
- $204,761 - $292,515 a year
- Full-time
- Remote
- Medicine
- Microsoft Excel
- Microsoft Outlook
- Opportunities for advancement
4d
Licensed Physician Reviewer- Endocrinology - PRN - Remote
Chen Medical Associates —Miami, FL
- $204,761 - $292,515 a year
- Full-time
- Remote
- Medicine
- Microsoft Excel
- Microsoft Outlook
- Opportunities for advancement
4d
Licensed Physician Reviewer- Orthopedics - PRN - Remote
Chen Medical Associates —Miami, FL
- $204,761 - $292,515 a year
- Full-time
- Remote
- Medicine
- Microsoft Excel
- Microsoft Outlook
- Opportunities for advancement
4d
Physician Reviewer
Independent Living Systems —Miami, FL
- Medicine
- HIPAA
- Mid-level
Licensed Physician Reviewer- Infectious Disease - PRN - REMOTE
Chen Medical Associates —Miami, FL
- $204,761 - $292,515 a year
- Full-time
- Remote
- Medicine
- Microsoft Excel
- Microsoft Outlook
- Opportunities for advancement
4d
Licensed Physician Reviewer- - Otorhinolaryngology (ENT) PRN Remote
Chen Medical Associates —Miami, FL
- $204,761 - $292,515 a year
- Full-time
- Remote
- Medicine
- Microsoft Excel
- Microsoft Outlook
- Opportunities for advancement
4d
Licensed Physician Reviewer - Dermatology PRN (remote)
Chen Medical Associates —Miami, FL
- $204,761 - $292,515 a year
- Full-time
- Remote
- Medicine
- Microsoft Excel
- Microsoft Outlook
- Opportunities for advancement
4d
Clinical Documentation Integrity - Second Level Reviewer
University of Miami —Hialeah, FL
- Full-time
- Remote
- Nursing
- Medicine
- Microsoft Excel
- Health insurance
- Dental insurance
Licensed Physician Reviewer- Neurology - PRN (REMOTE)
Chen Medical Associates —Miami, FL
- $204,761 - $292,515 a year
- Full-time
- Remote
- Medicine
- Microsoft Excel
- Microsoft Outlook
- Opportunities for advancement
4d
Medical Assistant/ Medical Reviewer
All Sea Medical —North Miami, FL
- $18 - $30 an hour
- Full-time
- Background check
- Spanish
- Nursing
- Opportunities for advancement
Quick Apply
12d
Chiropractor
Dane Street, LLC —Miami, FL
- Contract
- Mid-level
- Analysis skills
- Communication skills
Quick Apply
Outpatient Coder 1, Full Time
Jackson Health —Miami, FL
- 12 hour shift
- HIPAA
- Mid-level
- High school diploma or GED
Quick Apply
Manager, Research Support
University of Miami —Miami, FL
- Full-time
- Hybrid work
- Mid-level
- 3 years
- Databases
- Health insurance
- Dental insurance
1d
UM Authorization Analyst 2 Bilingual
The Oncology Institute of Hope and Innovation —Fort Lauderdale, FL
- $71,000 - $85,000 a year
- Remote
- Spanish
- Customer service
- English
Quick Apply
Manager, Research Support (SPORE)
University of Miami —Miami, FL
- Weekends as needed
- Microsoft Excel
- Microsoft Outlook
- Mid-level
- Health insurance
- Dental insurance

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Licensed Physician Reviewer

Chen Medical Associates -
Miami, FL

Apply Now

Job Details

Full-time

Benefits

Opportunities for advancement

Qualifications

Collaborate with healthcare professionals
Utilization review
Mid-level
Health insurance knowledge
Utilization management
Quality improvement
Resource utilization in healthcare
Care coordination

Full Job Description

Job Description

We’re unique. You should be, too.

We’re changing lives every day. For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with your kindness and joy?

We’re different than most primary care providers. We’re rapidly expanding and we need great people to join our team.

The Physician Reviewer is the primary physician reviewer for Utilization Management (UM) cases in our organization. Other duties include advising other physician reviewers and attending daily calls with health plan teams and our local teams assisting with this function and coordinating care for our patients. The position will also participate in Process and Quality improvement in our developing area of Delegated Utilization Management.

ESSENTIAL JOB DUTIES/RESPONSIBILITIES:

Provides Delegated UM by covering the specified territories as assigned:
- Establish 2-3 cases a day for each market covered (up to 6 markets); ensures attendance on all health plan and local calls; calls in for the weekly Primary Care Provider (PCP) and Skilled Nursing Facility (SNF) meetings covering the assigned territories.
Advises other physician reviewers.
Other duties as assigned and modified by manager.

PAY RANGE:

$0.0 - $0.00 Hourly

The posted pay range represents the base hourly rate or base annual full-time salary for this position. Final compensation will depend on a variety of factors including but not limited to experience, education, geographic location, and other relevant factors. This position may also be eligible for a bonuses or commissions.

EMPLOYEE BENEFITS

https://chenmed.makeityoursource.com/helpful-documents

We’re ChenMed and we’re transforming healthcare for seniors and changing America’s healthcare for the better. Family-owned and physician-led, our unique approach allows us to improve the health and well-being of the populations we serve. We’re growing rapidly as we seek to rescue more and more seniors from inadequate health care.

ChenMed is changing lives for the people we serve and the people we hire. With great compensation, comprehensive benefits, career development and advancement opportunities and so much more, our employees enjoy great work-life balance and opportunities to grow. Join our team who make a difference in people’s lives every single day.

Current employees, if you want to apply to our internal career site, please click HERE

#LI-Remote

Read Full Job Description

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Refine Your Search

physician reviewer jobs in miami, fl

Licensed Physician Reviewer

Licensed Physician Reviewer, Ophthalmology - Remote PRN

Licensed Physician Reviewer - Urologist , PRN (remote)

Licensed Physician Reviewer (Remote) PRN - Radiology

Licensed Physician Reviewer-GI (remote)

Licensed Physician Reviewer- Pulmonology - PRN - Remote

Licensed Physician Reviewer- Endocrinology - PRN - Remote

Licensed Physician Reviewer- Orthopedics - PRN - Remote

Physician Reviewer

Licensed Physician Reviewer- Infectious Disease - PRN - REMOTE

Licensed Physician Reviewer- - Otorhinolaryngology (ENT) PRN Remote

Licensed Physician Reviewer - Dermatology PRN (remote)

Clinical Documentation Integrity - Second Level Reviewer

Licensed Physician Reviewer- Neurology - PRN (REMOTE)

Medical Assistant/ Medical Reviewer

Chiropractor

Outpatient Coder 1, Full Time

Manager, Research Support

UM Authorization Analyst 2 Bilingual

Manager, Research Support (SPORE)

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