- Evolent Health (Dover, DE)
- …Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** As a Cardiology , Physician Clinical Reviewer you will be a key member ... Will Be Doing:** + Serve as the specialty match reviewer in Cardiology cases, that do not...within the regulatory timeframe of the request. + Utilizes medical/ clinical review guidelines and parameters to assure… more
- Elevance Health (Wilmington, DE)
- …Our platform delivers significant cost-of-care savings across an expanding set of clinical domains, including radiology, cardiology and oncology._ The ** ... ** Clinical Operations Medical Director** **Utilization Management of Medical...decisions to members and providers. **Job Summary:** + Perform physician -level case review , following initial nurse … more
- Elevance Health (Wilmington, DE)
- …medical necessity of requests using clinical criteria. + Performs physician -level case review of musculoskeletal utilization requests. + Conducts ... Our platform delivers significant cost-of-care savings across an expanding set of clinical domains, including radiology, cardiology and oncology._ The **… more
- Elevance Health (Wilmington, DE)
- …Our platform delivers significant cost-of-care savings across an expanding set of clinical domains, including radiology, cardiology and oncology._ The ** ... ** Clinical Operations Associate Medical Director** **Carelon Medical Benefit...Medical Director** **Carelon Medical Benefit Management** **Interventional Pain Benefit Review ** **Location** : This position will work a hybrid… more