Broadway Ventures

Hematology/Oncology, Physician Medical Case Reviewer (Remote, Part-Time, Flexible Hours)

Broadway Ventures · Full Time · 15 days ago

Broadway Ventures

🌎 United States ⭐ 5-10 yrs exp 💼 Healthcare

Conduct objective medical case audits and quality reviews for the Department of Veterans Affairs to assess care appropriateness. Provide expert medical advisory opinions and identify opportunities for performance improvement based on clinical best practices.

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Remote Home Health RN – Medical Claims Reviewer

Broadway Ventures · Full Time · 16 days ago

Broadway Ventures

🌎 United States 💵 $60000 - $63000 per year ⭐ 2-5 yrs exp 💼 Legal

The role involves conducting pre- and post-payment medical reviews to ensure compliance with clinical criteria and guidelines. Responsibilities include reviewing claims, assessing payment determinations, and providing guidance to team members.

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Nephrology Physician, Medical Case Reviewer (Remote, Part-Time, Flexible Hours)

Broadway Ventures · Full Time · a month ago

Broadway Ventures

🌎 United States ⭐ 5-10 yrs exp 💼 Healthcare

Conduct independent medical case reviews and audits for the Department of Veterans Affairs to assess quality of care and adherence to standards. Provide expert medical advisory opinions and identify opportunities for performance improvement.

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Gastroenterology Physician, Medical Case Reviewer (Remote, Part-Time, Flexible Hours)

Broadway Ventures · Full Time · a month ago

Broadway Ventures

🌎 United States ⭐ 5-10 yrs exp 💼 Healthcare

Conduct independent medical case reviews for the Department of Veterans Affairs to assess quality of care and adherence to standards. Provide expert medical advisory opinions and identify opportunities for performance improvement.

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Surgical Physician, Medical Case Reviewer (Remote, Part-Time, Flexible Hours)

Broadway Ventures · Full Time · a month ago

Broadway Ventures

🌎 United States ⭐ 5-10 yrs exp 💼 Healthcare

Conduct independent medical case reviews and audits for the Department of Veterans Affairs to assess quality of care and adherence to standards. Provide expert medical advisory opinions and identify opportunities for performance improvement.

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Cardiology Physician, Medical Case Reviewer (Remote, Part-Time, Flexible Hours)

Broadway Ventures · Full Time · a month ago

Broadway Ventures

🌎 United States ⭐ 5-10 yrs exp 💼 Healthcare

Conduct independent medical case reviews and audits for the Department of Veterans Affairs to assess quality of care and adherence to standards. Provide expert medical advisory opinions and identify opportunities for performance improvement based on evidence-based perspectives.

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Radiology Physician, Medical Case Reviewer (Remote, Part-Time, Flexible Hours)

Broadway Ventures · Full Time · a month ago

Broadway Ventures

🌎 United States ⭐ 5-10 yrs exp 💼 Healthcare

Conduct independent medical case reviews and audits for the Department of Veterans Affairs to assess quality of care and adherence to standards. Provide expert medical advisory opinions and identify opportunities for performance improvement.

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Medical Claim Reviewer (CGS, DMEC)

Broadway Ventures · Full Time · 2 months ago

Broadway Ventures

🌎 United States ⭐ 0-2 yrs exp 💼 Healthcare

This role involves conducting pre- and post-payment medical reviews to ensure compliance with established clinical criteria and guidelines, assessing medical necessity, appropriateness, and reimbursement eligibility. Key duties include reviewing complex claims, appeals, and fraud referrals, and providing well-documented rationales for service approvals or denials.

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Physician, Medical Case Reviewer (Remote, Part-Time, Flexible Hours)

Broadway Ventures · Full Time · 5 months ago

Broadway Ventures

🌎 United States ⭐ 5-10 yrs exp 💼 Healthcare

The physician will conduct independent medical case reviews to assess quality of care and adherence to standards. They will also provide expert medical opinions and identify opportunities for improvement.

recruiting medical communication hiring testing compliance

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