- AMN Healthcare (Merced, CA)
- …Lead 80% administrative portfolio with 20% dedicated to quality improvement (QI) Oversee peer review , staff credentialing, and serve on the governing body Drive ... Job Description Requirements Medical Director StartDate: 4/1/2026 Pay Rate: $220000.00 -...to expand services on a newer campus Join a peer leadership team of 5 at this level, and… more
- Cardinal Health (Austin, TX)
- …as well as Reimbursement Staff performing benefit investigations for pharmacy and medical benefit coverage. Serving 1-2 clients, this position is responsible for ... and customers + Frequently interacts with subordinates, customers, and peer groups at various management levels + Interactions normally...benefits and programs to support health and well-being. + Medical , dental and vision coverage + Paid time off… more
- Amazon (Bellevue, WA)
- …recruiting directors and hiring managers. You carve out focused time to review UX prototypes for a self-service feature, providing feedback that balances candidate ... your team debates implementation approaches. A quick coffee chat with a peer in recruiting operations yields valuable insights about field challenges. Throughout it… more
- UHS (Austin, TX)
- …Hospital you are never alone, as you are part of a huge network of peer professionals and nursing leaders that routinely exchange ideas and review current topics ... development opportunities within UHS and its subsidiaries Competitive compensation Excellent Medical , Dental, Vision and Prescription Drug Plan 401k plan with… more
- Cardinal Health (Olympia, WA)
- …operations and customers + Frequently interacts with subordinates, customers and peer groups at various management levels + Interactions normally involve information ... benefits and programs to support health and well-being. + Medical , dental and vision coverage + Paid time off...other status protected by federal, state or local law._ _To read and review this privacy notice click_ here… more
- The Walt Disney Company (Corporate) (Los Angeles, CA)
- …in the corporate Global Security space. The Manager will internally collaborate with peer teams and management in the GSCC: Specialists and Dispatch to ensure ... and collecting metrics to evaluate internal processes and vendor performance for review by Global Security and GSCC leadership. Identify qualitative and quantitative… more
- Healthfirst (NY)
- **Duties//Responsibilities:** + **The Medical Peer Reviewer will assess// review requests for authorization, and claims payment, based on medical ... information and make informed clinical judgments and recommendations.** + **The Medical Peer Reviewer will render determinations in the format and… more
- Virginia Mason Franciscan Health (Tacoma, WA)
- … peer review processes? Virginia Mason Franciscan Health is seeking a dedicated Medical Staff Peer Review Specialist to support our medical staff ... a culture of safety. Professional Growth: Develop your expertise in medical staff peer review within a leading healthcare system. Collaborative Environment:… more
- Sanford Health (Bemidji, MN)
- …from data systems and ongoing monitoring activities to persons and committees for use in Medical Staff peer review processes and activities to include case ... Full time **Weekly Hours:** 40.00 **Salary Range:** 31.00 - 49.50 **Job Summary** The Peer Review Specialist facilitates provider peer review processes… more
- Veterans Affairs, Veterans Health Administration (Benton Harbor, MI)
- …in the qualifications section. THIS IS NOT A REMOTE/TELEWORK POSITION The Battle Creek VA Medical Center Network is hiring a Peer Specialists to serve in the ... Summary This Peer Specialist position may only be filled with...work has been completed with minimal supervisory oversight and review , however close supervision will have been provided for… more
- NANA Regional Corporation (Oak Ridge, TN)
- …of outstanding professionals, apply today! **Responsibilities** + Development, revision, and peer review of Nuclear Criticality Safety (NCS) documentation such ... at facility Operational Safety Boards, etc. + Must be Peer Review qualified. + Staff Augmentation ...successfully complete a post- offer, pre-employment drug test. + Medical Exam(s) - Job related pre-placement medical … more
- Commonwealth Care Alliance (Boston, MA)
- …Reviewer is responsible for day-to-day timely clinical and service authorization review for medical necessity and decision-making. The Nurse Utilization ... clinical teams on service planning as needed + Works closely with CCA Clinicians, Medical Staff and Peer Reviewers to facilitate escalated reviews in accordance… more
- Hartford HealthCare (Norwich, CT)
- …including meeting management and regulatory compliance for credentialing, peer review and disciplinary procedures * Collaborate with Medical Staff Leaders ... Hartford HealthCare central Credentials Verification Office * Directs and manages the Medical Staff Peer Review Program including data collection, review … more
- CommonSpirit Health (West Jordan, UT)
- …and oversight of all aspects of Medical Staff governance to include credentialing, peer review , medical staff relations, medical staff meetings, and ... practice reviews to ensure compliant and effective peer review at the hospital. + May direct Medical Staff peer review activities, ensuring both… more
- CommonSpirit Health (Garden City, KS)
- …and oversight of all aspects of Medical Staff governance to include credentialing, peer review , medical staff relations, medical staff meetings, and ... practice reviews to ensure compliant and effective peer review at the hospital. + May direct Medical Staff peer review activities, ensuring both… more
- CommonSpirit Health (Lakewood, CO)
- …and oversight of all aspects of Medical Staff governance to include credentialing, peer review , medical staff relations, medical staff meetings, and ... practice reviews to ensure compliant and effective peer review at the hospital. + May direct Medical Staff peer review activities, ensuring both… more
- Intermountain Health (Murray, UT)
- …patient safety of the facility, including through OPPE, FPPE, and Peer Review . Maintains a solid working relationship with medical staff, advanced practice ... practitioners. + Oversees Medical Staff quality programs, including medical staff peer review , Ongoing Professional Practice Evaluation (OPPE), Focused… more
- Ascension Health (Tulsa, OK)
- …risk-related data. + Coordinate the medical staff's professional performance evaluation and peer review programs in a manner that fulfills the mission and ... coordinate the activities and flow of work for the peer review program. + Collect, evaluate, and...action where appropriate. + Collaborate in any investigative, judicial review or appeal process involving medical or… more
- Elevance Health (Morristown, NJ)
- …clinical guidelines and supports new policies based on changes in the healthcare or medical arena. + Conducts peer -to- peer clinical reviews with attending ... **Plan Performance Medical Director- New York Commercial** Location: This role...physicians or other providers to discuss review determinations. + May conduct peer -to-… more
- Centene Corporation (Baton Rouge, LA)
- …for medical necessity and appropriateness of care + Conduct peer reviews with psychologists, behavioral health therapists and/or Board Certified Behavior ... for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering… more
