The Clinical Pharmacy Coordinator manages the end-to-end pharmacy review process, including screening requests and preparing materials for reviewers. They act as a liaison between clients, providers, and reviewers to ensure timely and accurate review outcome notifications.
MRIoA
35 Remote Job Openings at MRIoA
Responsible for developing and implementing corporate-wide marketing and sales activities to build a lead funnel for clinical review services. The role involves partnering with sales teams to identify new opportunities, scheduling qualified appointments, and tracking outcomes via Salesforce.
Lead and mentor a team of engineers while providing hands-on technical leadership for both modern web stacks and legacy platforms. Balance people leadership with delivery ownership to ensure the reliability and modernization of business-critical applications.
Conduct independent utilization reviews as a board-certified podiatrist. Perform peer-to-peer conversations during daytime hours to review clinical medical cases.
Conduct independent utilization reviews and clinical medical reviews. Perform peer-to-peer conversations during daytime hours.
Processes prior authorization requests by analyzing clinical protocols and verifying drug indications to ensure accuracy and timeliness. Coordinates with pharmacists and external providers to obtain missing information and document adjudication decisions.
Lead and mentor a team of engineers while providing hands-on technical leadership for both modern web stacks and legacy platforms. Balance people management with delivery ownership and technical strategy to ensure scalable and reliable business-critical applications.
Remote - Infectious Disease Utilization Review - 1099 (contract)
MRIoA
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Full Time
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a month ago
MRIoA
Conduct independent utilization reviews for infectious disease cases as a board-certified physician. Participate in peer-to-peer conversations as required during daytime hours.
Conduct independent utilization reviews for oncology cases as a board-certified physician. Participate in peer-to-peer conversations during daytime hours.
The physician will conduct independent utilization reviews for rheumatology cases. This role requires participating in peer-to-peer conversations and adhering to HIPAA regulations.
The Medical Director reviews medical records and leverages clinical expertise to determine the authorization of requested services and levels of care. They also conduct peer-to-peer communications with providers and ensure all decisions align with national guidelines and regulatory standards.
Perform clinical coverage reviews by interpreting benefit language, medical policies, and established clinical guidelines. Collaborate with a nationwide team of Medical Directors and engage in peer-to-peer discussions with treating providers.
Perform clinical coverage reviews by interpreting benefit language, medical policies, and established clinical guidelines. Collaborate with a nationwide team of Medical Directors and engage in peer-to-peer discussions with treating providers.
The Physician Advisor will apply clinical expertise to evaluate medical service requests, interpret benefit language and medical policies, and make sound coverage determinations. Core duties include performing clinical coverage reviews, documenting outcomes according to standards, and participating in peer-to-peer discussions with treating providers.
The role involves applying clinical expertise to evaluate medical service requests, interpret benefit language and medical policies, and make sound coverage determinations based on established guidelines. Responsibilities also include documenting review outcomes and engaging in peer-to-peer discussions with treating providers when necessary.
The primary responsibility is to conduct independent Utilization Reviews as a Board-Certified Podiatrist. This involves a flexible commitment, requiring only 1–2 hours per week.
Board-Certified physicians in Vascular Surgery are sought to conduct independent Utilization Reviews for the organization. This role requires adherence to all applicable HIPAA regulations and company policies regarding sensitive health information.
The role involves conducting independent Utilization Reviews for Endocrinology. It requires only 1-2 hours of work per week with no minimum commitment.
The Associate Medical Director is responsible for reviewing requests for medical services and making coverage determinations based on benefit plans and clinical guidelines. This role involves conducting utilization reviews and preparing documentation that meets quality standards.
Radiologist for Utilization Review - Remote - 1099 (contract)
MRIoA
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Full Time
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4 months ago
MRIoA
The Radiologist will conduct independent Utilization Reviews. This role requires adherence to HIPAA regulations and company policies regarding sensitive health information.
The role involves conducting independent Utilization Reviews for medical records. It requires flexible daytime availability for peer-to-peer conversations.
Rheumatology Physician Utilization Review - Remote-Contract (1099)
MRIoA
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Full Time
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4 months ago
MRIoA
Conduct independent Utilization Reviews as a Board-Certified physician in Rheumatology. The role requires adherence to HIPAA regulations and company policies regarding sensitive health information.
The role involves conducting independent Utilization Reviews for oncology patients. Physicians will be required to engage in peer-to-peer conversations during daytime hours.
Peds Hematology/Oncology (MD/DO) Utilization Review - REMOTE - Contract (1099)
MRIoA
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Full Time
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5 months ago
MRIoA
The physician will conduct independent Utilization Reviews in Pediatric Hematology Oncology. This role requires only 1-2 hours of work per week.
Gastroenterology (MD/DO) Utilization Review - Remote - Contract (1099)
MRIoA
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Full Time
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5 months ago
MRIoA
The physician will conduct independent Utilization Reviews in Gastroenterology. This role requires only 1-2 hours of work per week.
Dermatology (MD/DO) Utilization Review - Remote - Contract (1099)
MRIoA
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Full Time
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5 months ago
MRIoA
The physician will conduct independent Utilization Reviews in Dermatology. This role requires only 1-2 hours of work per week.
Rheumatology (MD/DO) Utilization Review - Remote-Contract (1099)
MRIoA
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Full Time
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5 months ago
MRIoA
The physician will conduct independent Utilization Reviews in Rheumatology. This role requires only 1-2 hours of work per week.
MD/DO Peds Hematology/Oncology Utilization Review - REMOTE - Contract (1099)
MRIoA
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Full Time
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5 months ago
MRIoA
The physician will conduct independent Utilization Reviews in Pediatric Hematology Oncology. This role requires only 1-2 hours of work per week.
PM&R Pain MD/DO Utilization Review - Remote - Contract (1099)
MRIoA
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Full Time
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5 months ago
MRIoA
The role involves providing expert Utilization Reviews for patients. Physicians will engage in peer-to-peer conversations as needed.
Oncology MD or DO Utilization Review - Remote - contract 1099
MRIoA
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Full Time
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5 months ago
MRIoA
The physician will conduct independent Utilization Reviews in Oncology. This role requires only 1-2 hours of work per week.
The Medical Director will perform clinical coverage reviews and interpret benefit language to support accurate determinations. They will also document review outcomes and engage in peer-to-peer discussions with treating providers.
Gastroenterology Utilization Review - Remote - Contract (1099)
MRIoA
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Full Time
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5 months ago
MRIoA
Conduct independent Utilization Reviews for Gastroenterology. The role requires 1-2 hours of work per week with no minimum commitment.
The role involves providing expert Utilization Reviews for PM&R with a Pain Fellowship. It requires adherence to HIPAA regulations and company policies regarding sensitive health information.
The role involves conducting independent Utilization Reviews for oncology cases. It requires adherence to HIPAA regulations and company policies regarding sensitive health information.
Conduct independent Utilization Reviews in Dermatology. Adhere to HIPAA regulations and company policies regarding sensitive health information.