Top 1797 oncologist Jobs

Physician Clinical Reviewer-Oncologist- REMOTE
Prime Therapeutics —Remote
- $90.87 - $154.33 a day
- Part-time
- Remote
- Medicine
- Surgery
- Research
Radiation Oncologist
Emanate Health Medical Group —West Covina, CA
- From $2,000 a day
- Contract
- Medicine
- Doctoral degree
- BC/BE
Quick Apply
Physician Hematology Oncology
Emanate Health Medical Group —Covina, CA
- $506,000 - $640,000 a year
- Full-time
- Background check
- Medicine
- Hospital
- Health savings account
- Loan repayment program
Quick Apply
Oncology Physician Assistant
John Muir Medical Group —Walnut Creek, CA
- $180,000 - $250,000 a year
- Weekends as needed
- Hybrid work
- Acute care
- Hospital
- Word processing
- Health insurance
- Dental insurance
Quick Apply
Locums Hematology and Oncology Physician in Michigan - Phone Only Call, Flexible Blocks
Curative —Midland, MI
- $400 - $475 an hour
- Temporary
- Medicine
- BC/BE
- BLS Certification
- Mileage reimbursement
Quick Apply
Physician Associate or Nurse Practitioner Hematology/Oncology
Sky Lakes Medical Center —Klamath Falls, OR
- Monday to Friday
- Mid-level
- Outpatient
- Clinic
Quick Apply
Locums Hematology and Oncology Physician in Pennsylvania - Two Week Blocks, Licensing Support
Curative —Williamsport, PA
- $475 - $525 an hour
- Temporary
- Medicine
- BLS Certification
- Inpatient
- Mileage reimbursement
Quick Apply
Medical Oncologist/Hematologist
Mount Sinai Health System —Jamaica, NY
- $342,000 - $347,000 a year
- Full-time
- Medicine
- Inpatient
- Outpatient
- Health insurance
- Dental insurance
Quick Apply
Medical Oncologist
The Queen’s Health Systems —Waimea, HI
- $650,000 - $700,000 a year
- Full-time
- Acute care
- BC/BE
- Outpatient
- Relocation assistance
Locums Hematology and Oncology Physician in Oregon - No Call, Long Term Coverage
Curative —Klamath Falls, OR
- $500.00 - $531.25 an hour
- Temporary
- Medicine
- BLS Certification
- Outpatient
Quick Apply
Medical Oncologist
Kingman Regional Medical Center —Kingman, AZ
- Full-time
- Mid-level
- Outpatient
- Clinic
- Flexible schedule
Nurse Practitioner or Physician Assistant Hematology/Oncology
Kadlec —Kennewick, WA
- $139,910 - $177,393 a year
- Full-time
- Hospital
- Inpatient
- Mid-level
- Relocation assistance
Locums Hematology and Oncology Physician in Virginia - Phone Only Call, Four-Day Schedule
Curative —Martinsville, VA
- $500 - $530 an hour
- Temporary
- Medicine
- BLS Certification
- ACLS Certification
Quick Apply
Breast Medical Oncologist
Swedish —Seattle, WA
- $351,741 - $574,073 a year
- Full-time
- Mid-level
- 3 years
- Clinic
Locums Hematology Oncology Physician in New Mexico - Outpatient Only, Weekday Schedule
Curative —Las Cruces, NM
- $425 - $495 an hour
- Temporary
- Medicine
- BC/BE
- BLS Certification
- Mileage reimbursement
Quick Apply
Locums Medical Oncology Physician Near Lincoln, Nebraska - Minimal Call, Outpatient Focus
Curative —Hastings, NE
- $550 - $565 an hour
- Temporary
- Medicine
- BC/BE
- BLS Certification
Quick Apply
Locums Hematology and Oncology Physician in Potsdam, New York - No Call, Flexible Schedule
Curative —Potsdam, NY
- $500 - $520 an hour
- Temporary
- Medicine
- BC/BE
- Outpatient
- Flexible schedule
Quick Apply
Locums Hematology and Oncology Physician in Michigan - 2 Weeks Per Month, Low Call
Curative —Marquette, MI
- $480 - $520 an hour
- Temporary
- Medicine
- BC/BE
- BLS Certification
Quick Apply
Locum - Physician - Hematology Oncology Waterbury, Connecticut
Curative —Waterbury, CT
- $530 - $550 an hour
- Temporary
- Hospital
- BLS Certification
- Inpatient
Quick Apply
Hematologist/Oncologist
Mount Sinai Health System —Elmhurst, NY
- $342,000 - $367,000 a year
- Full-time
- Medicine
- BC/BE
- Inpatient
- Health insurance
- Dental insurance
Quick Apply

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Physician Clinical Reviewer-Oncologist- REMOTE

Prime Therapeutics -
Remote

Apply Now

Job Details

Part-time
$90.87 - $154.33 a day

Qualifications

Research
Medical License

Full Job Description

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us.

Job Posting Title

Physician Clinical Reviewer-Oncologist- REMOTE

Job Description

The Physician Clinical Reviewer is a key member of the utilization management team and provides timely medical review of service requests that do not initially meet the applicable medical necessity guidelines. This role routinely interacts with physicians, leadership and management staff, other Physician Clinical Reviewers (PCR), and health plan members and staff whenever a physician`s input is needed or required.

Responsibilities

Physician Clinical Reviewer – Job Description Responsibilities

Reviews cases in which clinical determinations cannot be made by the Initial Clinical Reviewer.
Discusses determinations with requesting physicians or ordering providers, when available, within the regulatory time frame of the request by phone or fax.
Provides clinical rationale for standard and expedited appeals.
Provides assistance and acts as a resource to Initial Clinical Reviewers as needed to discuss cases and problems.
Utilizes medical/clinical review guidelines and parameters to assure consistency in the physician review process so as to reflect appropriate utilization and compliance with Prime's policies/procedures, as well as URAC and NCQA guidelines.
Ensures documentation of all communications with medical office staff and/or physician/provider is recorded in a timely and accurate manner.
Participates in on-going inter-rater reliability training and testing
Assists the Medical Director and/or VP, Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines, and/or system support.
On a requested basis, reviews appeal cases and/or attends hearings for discussion of utilization management decisions.
On a requested basis, may function as Medical Director for select health plans or regions, assuming overall accountability for utilization management while working in conjunction with the VP, Medical Director
Other duties as assigned.

Minimum Qualifications

Doctor of Medicine (MD), Doctor of Osteopathic Medicine (DO) or Bachelor of Medicine, Bachelor of Surgery (MBBS) international degree with successful completion of United States based internship and residency (and successful completion of United States based fellowship for subspecialists) required
Current, unrestricted license to practice medicine in one or more states of the United States
Board Certified by one of the following: American Board of Medical Specialties (ABMS), American Board of Osteopathic Specialties (ABOS), American Board of Internal Medicine or American Board of Osteopathic Internal Medicine (ABIM/ABOIM)
1 year of work experience in clinical review

Must be eligible to work in the United States without the need for work visa or residency sponsorship.

Additional Qualifications

Familiarity with the principles and procedures of utilization management as practiced in managed care organizations

Preferred Qualifications

Medicare Part D experience.
Experience with cost benefit analysis, quality assurance and the continuous quality improvement process

Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures

Every employee must be able to perform the essential functions of the job and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions, absent undue hardship. In addition, Prime retains the right to change or assign other duties to this job

Potential pay for this position ranges from $90.87 - $154.33 based on experience and skills.

Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (including pregnancy), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law.

We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law.

Prime Therapeutics LLC is a Tobacco-Free Workplace employer.

Positions will be posted for a minimum of five consecutive workdays.

Apply Now

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