- Kelly Services (Oklahoma City, OK)
- …your community and earn extra income? Join Kelly Government Solutions as a Physician Disability Reviewer , performing one-time Disability Evaluations ... **Become a Physician Disability Evaluator for Veterans - Tulsa or Oklahoma City** **Kelly Government Solutions: Make a Meaningful Impact for Those Who Served**… more
- Evolent (Oklahoma City, OK)
- …Stay for the culture. **What You'll Be Doing:** The Nurse Practitioner/ Physician Assistant (ARNP/NP/PA) Cardiology is responsible for support and assistance for ... with the Director of UM to ensure client satisfaction. Perform all peer clinical review activities while located in a state or territory of the United States. Acts… more
- Parexel (Oklahoma City, OK)
- **Parexel FSP has an exciting opportunity for a Clinical Study Physician . This is a fully remote role! Oncology, Inflammation or CMR preferred** The Study ... Physician (SP) is a critical global role that is...important protocol deviations (iPD), providing input for compilation and review of trial iPD list from medical perspective, and… more
- Parexel (Oklahoma City, OK)
- The Study Physician (SP) is a critical global role that is created to take up medical responsibilities of clinical trials within Clinical Development & Operations by ... a qualified and clinically experienced physician . The SP is medically responsible at the trial...important protocol deviations (iPD), providing input for compilation and review of trial iPD list from medical perspective, and… more
- Evolent (Oklahoma City, OK)
- …for the mission. Stay for the culture. **What You'll Be Doing:** As a Physician Clinical Reviewer , Interventional Pain Management, you will be a key member ... **What You Will Be Doing:** + Serve as the Physician Clinical Reviewer for Interventional Pain Management,...the regulatory timeframe of the request. + Utilizes medical/clinical review guidelines and parameters to assure consistency in the… more
- Intermountain Health (Oklahoma City, OK)
- …equivalent (GED) required + One (1) years of experience in hospital or physician back-end revenue cycle (Payment Posting, Billing, Follow-Up) required + Knowledge of ... required + Two (2) years of experience in hospital or physician insurance related activities (Authorization, Billing, Follow-Up, Call-Center, or Collections)… more
- Evolent (Oklahoma City, OK)
- …Responsibilities** + **Clinical Review & Peer Collaboration** + Serve as the physician reviewer for oncology cases that do not initially meet medical ... focus on **value-based strategy and transformation** . Unlike traditional medical review roles that emphasize volume throughput, this position integrates utilization… more
- Evolent (Oklahoma City, OK)
- …`s input is needed or required. **What You Will Be Doing:** . Serve as the Physician match reviewer in Advanced Imaging cases, that do not initially meet the ... provides clinical rationale for standard and expedited appeals. . Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD … more
- Evolent (Oklahoma City, OK)
- …`s input is needed or required. **What You Will Be Doing:** + Serve as the Physician match reviewer in Imaging cases, that do not initially meet the applicable ... provides clinical rationale for standard and expedited appeals. + Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD … more
- Evolent (Oklahoma City, OK)
- …interacts with leadership and management staff, other Physicians, and staff whenever a physician `s input is needed or required. As well as, aids and acts as ... Will Be Doing:** + Serve as the specialty match reviewer in Cardiology cases, that do not initially meet...the regulatory timeframe of the request. + Utilizes medical/clinical review guidelines and parameters to assure consistency in the… more
- Evolent (Oklahoma City, OK)
- …interacts with leadership and management staff, other Physicians, and staff whenever a physician `s input is needed or required. **What You Will Be Doing:** + Serve ... as the specialty match reviewer in Vascular cases, that do not initially meet...rationale for standard and expedited appeals. + Utilizes medical/clinical review guidelines and parameters to assure consistency in the… more
- Intermountain Health (Oklahoma City, OK)
- …with Clinical Documentation Integrity (CDI) Registered Nurses (RN) and Intermountain Physician Advisors to review complex facility encounters and assign ... coding questions received by facility caregivers including CDI RNs, Quality and Physician Advisor Services MDs. This position supports higher level analytics for CDI… more
- Parexel (Oklahoma City, OK)
- …and time per task contracted) and according to the assigned role (Global Lead Physician GLP or Regional Lead Physician RLP). Medical support includes but is ... related to assigned project/study. + Participate in the development and/or review of study documents, such as clinical protocols, Medical Monitoring Plans… more
- CenterWell (Oklahoma City, OK)
- …this knowledge in their daily work. The Medical Director's work includes computer-based review of moderately complex to complex clinical scenarios, review of all ... their scope. The Medical Director may speak with contracted external physicians, physician groups, facilities, or community groups to support regional market care… more
- BioLife Plasma Services (Oklahoma City, OK)
- …determine donor eligibility to donate plasma, management of donor adverse events, review of laboratory test results, and donor notification of unsuitable test ... as applicable) for operational guidance and under the management of the Center Physician for medical issues. The Medical Support Specialist will be familiar with… more
- Cardinal Health (Oklahoma City, OK)
- …audits to determine organizational integrity of billing for professional ( physician ) services and/or hospital (technical) services. This position will also ... to determine accuracy and adequacy of documentation and coding related to physician or hospital (inpatient and outpatient) billing and/or medical necessity reviews.… more
- BioLife Plasma Services (Oklahoma City, OK)
- …determine donor eligibility to donate plasma, management of donor adverse events, review of laboratory test results, and donor notification of unsuitable test ... as applicable) for operational guidance and under the management of the Center Physician for medical issues. The Medical Support Specialist will be familiar with… more
- Parexel (Oklahoma City, OK)
- …time per task contracted) and according to the assigned role (Global Lead Physician or Regional Lead Physician ). **Medical Expertise** and experience in ... quality consultation on protocol development or drug development programs, medical review of various documents, collaboration on internal therapeutic area meetings,… more
- Sumitomo Pharma (Oklahoma City, OK)
- …input to Leadership + Oversee the regulatory activities at CROs, providing document review in order to ensure the quality and scientific integrity of documents ... + In collaboration with Commercial, Medical and Legal colleagues, conduct a detailed review and evaluation of the adequacy of clinical evidence provided to support… more
- Humana (Oklahoma City, OK)
- …provider relations, quality of care, audit, grievance and appeal and policy review . The Behavioral Health Medical Director will develop and present educational ... team and healthcare organization. The Medical Director's work includes computer based review of moderately complex to complex clinical scenarios, review of… more