The Physician Reviewer conducts Clinical Appropriateness Reviews and coordinates care for patients across assigned territories. They also advise other reviewers and participate in process and quality improvement for Delegated Utilization Management.
Remote Healthcare Jobs in United States (10,087)
Remote in = United States
Job category = Healthcare
Provide holistic mental healthcare including ADHD diagnosis and medication management for patients. Develop tailored treatment plans and collaborate with a team of professionals to ensure coordinated care.
Provide holistic mental healthcare focusing on the diagnosis and medication management of adult ADHD. Develop tailored treatment plans and collaborate with a team of professionals to ensure coordinated patient care.
Develop and finalize clinical trial budgets and perform Medicare Coverage Analyses for Academic Medical Centers. Lead budget negotiations with sponsors and CROs while ensuring billing compliance with CMS and FDA guidelines.
Serve as a subject matter expert providing strategic guidance and operational support to independently owned pharmacies to drive profitability. Manage client relationships, analyze pharmacy data, and implement targeted business solutions to improve store performance.
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Serve as a subject matter expert providing strategic guidance and operational support to independently owned pharmacies to drive profitability. Manage client relationships and utilize CRM tools to track coaching activities and implement targeted business solutions.
Serve as a subject matter expert providing strategic guidance and operational support to independently owned pharmacies to drive profitability. Manage client relationships, analyze pharmacy data, and implement targeted business solutions to improve store performance.
Behavioral Therapist
COMMUNITY ADVOCATES FOR FAMILY & YOUTH (CAFY)
·
Full Time
·
4 Weeks Ago
COMMUNITY ADVOCATES FOR FAMILY & YOUTH (CAFY)
Provide virtual mental health services, including intakes, assessments, and individualized psychotherapy for clients in Maryland. Maintain accurate clinical documentation and deliver culturally competent, trauma-informed care via secure telehealth platforms.
Research Assistant (Health, Behavior and Society)
Johns Hopkins University
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Full Time
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4 Weeks Ago
Johns Hopkins University
The Research Assistant oversees data collection, organization, and management to support a PI or research team. Key tasks include running reports, cleaning data, conducting literature searches, and assisting with the formatting of publications.
Public Healthcare Consultant
Arizona Department of Administration
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Full Time
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4 Weeks Ago
Arizona Department of Administration
Monitor and evaluate Medical Management programs for AHCCCS contractors and provide oversight of the MM process. Responsibilities include conducting audits, managing transplant reinsurance, and developing policies related to medical management.
Serve as a frontline advocate for seniors by removing social and clinical barriers to improve health outcomes. Coordinate care plans with physicians, addressing social determinants of health and guiding patients through the complex US healthcare system.
Telehealth Physician (1099 Remote, CA-based)
Careway Health
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Full Time
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4 Weeks Ago
Careway Health
Conduct structured telehealth intake visits to establish care and identify high-risk conditions for seniors. Collaborate with Health Advocates to develop and oversee individualized care plans addressing medical and social needs.
The MSL will develop and manage peer-to-peer relationships with healthcare professionals and key opinion leaders to support medical affairs objectives. They are responsible for executing territory engagement plans and providing internal stakeholders with actionable insights from the clinical community.
Medical Science Liaison-North Central
Oruka Therapeutics
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Full Time
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4 Weeks Ago
Oruka Therapeutics
The MSL will build and execute a territory engagement plan to establish relationships with key external stakeholders and support medical strategy. They will serve as a scientific expert and conduit of communication between the clinical community and the internal team.
The MSL will develop and manage peer-to-peer relationships with healthcare professionals and key opinion leaders to support medical affairs objectives. They will also provide internal stakeholders with actionable insights and support clinical trial sites within their territory.
Medical Science Liaison / Sr Medical Science Liaison (North Central)
Acadia Pharmaceuticals Inc.
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Full Time
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4 Weeks Ago
Acadia Pharmaceuticals Inc.
Build and maintain strategic relationships with healthcare professionals and thought leaders to support education on current and emerging therapies. Provide scientific leadership and field insights to inform Medical Affairs objectives and clinical decision-making.
Medical Science Liaison-South Central
Oruka Therapeutics
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Full Time
·
4 Weeks Ago
Oruka Therapeutics
The MSL will develop and manage peer-to-peer relationships with healthcare professionals and key opinion leaders to support medical affairs objectives. They are responsible for executing territory engagement plans and providing internal stakeholders with actionable insights from the clinical community.
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The MSL will develop and manage peer-to-peer relationships with healthcare professionals and key opinion leaders to support medical affairs objectives. They are responsible for executing territory engagement plans and providing internal stakeholders with actionable insights from the clinical community.
The CRA is responsible for monitoring clinical studies at investigative sites or remotely to ensure compliance with protocols, SOPs, and regulatory requirements. Key tasks include conducting interim monitoring visits, verifying source documentation, and authoring high-quality monitoring reports.
Telehealth Triage Registered Nurse (New York + Compact State RN License Required)
Ophelia
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Full Time
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4 Weeks Ago
Ophelia
Serve as the primary clinical point of contact for patients with opioid use disorder, managing inbound communications and bridge prescription requests. Responsibilities include conducting check-in calls, performing triage, and providing evidence-based brief interventions.
Associate Director, Medical Science Liaison (MSL) - West Virginia, Virginia, Maryland, and Washington, DC
Cytokinetics
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Full Time
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4 Weeks Ago
Cytokinetics
Serve as a key field-based scientific resource for healthcare providers and investigators focusing on hypertrophic cardiomyopathy and heart failure. Develop territory strategic plans to engage Key Opinion Leaders and support clinical development programs.
Associate Director, Medical Science Liaison (MSL) - Central & Southern Florida, Puerto Rico
Cytokinetics
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Full Time
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4 Weeks Ago
Cytokinetics
Serve as a key scientific resource for healthcare providers and internal colleagues focusing on hypertrophic cardiomyopathy and heart failure. Develop territory strategic plans to engage Key Opinion Leaders and support clinical development programs.
Health Manager - Remote in Arizona
Blue Cross Blue Shield of Arizona
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Full Time
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4 Weeks Ago
Blue Cross Blue Shield of Arizona
Support members in managing chronic health conditions through assessment, planning, and the implementation of self-management strategies. Coordinate care among providers and families while maintaining accurate records and meeting department performance goals.
Conduct initial assessments and provide ongoing evidence-based counseling and education to patients. Collaborate with an integrated team to help patients achieve freedom from addiction while ensuring regulatory compliance.
The specialist manages the full revenue cycle process, including insurance verification, claims submission, and payment posting for a multi-site oral surgery group. They are also responsible for collaborating with practice managers to reinforce RCM policies and reporting trending data to identify opportunities.
Coordinate the onboarding, scheduling, and documentation of imaging readers for clinical trials. Partner with project management and physicians to ensure regulatory requirements and project timelines are met.
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Act as a scientific expert to build relationships with key opinion leaders. Support commercial sales efforts through scientific data dissemination.
Pathways Program - Primary Care Physician, (FM/IM), Eugene, Oregon
UnitedHealth Group
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Full Time
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4 Weeks Ago
UnitedHealth Group
The physician will operate within a value-based care model to drive population health initiatives. They will transition from training into practice through mentorship and the Quadruple Aim framework.
The Patient Care Advisor manages incoming and outgoing calls to schedule medical and behavioral health appointments via electronic health records. They act as the primary point of contact for patients, ensuring efficient access to services and updating patient demographics.
Mental Health Group Specialist
Charlie Health Clinical
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Full Time
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4 Weeks Ago
Charlie Health Clinical
Deliver 28 hours of evidence-based group facilitation weekly to clients with complex behavioral and emotional challenges. Maintain professional documentation and collaborate with treatment teams to foster client engagement and cohesion.
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