We are currently seeking Board-Certified physicians in RADIOLOGY to conduct independent Utilization Reviews . This is a flexible remote opportunity requiring just 1-2 hours per week -with no minimum ...
We are currently seeking Board-Certified physicians in RADIOLOGY to conduct independent Utilization Reviews . This is a flexible remote opportunity requiring just 1-2 hours per week -with no minimum ...
We are currently seeking Board-Certified physicians in RADIOLOGY to conduct independent Utilization Reviews . This is a flexible remote opportunity requiring just 1-2 hours per week -with no minimum ...
We are currently seeking Board-Certified physicians in RADIOLOGY to conduct independent Utilization Reviews . This is a flexible remote opportunity requiring just 1-2 hours per week -with no minimum ...
Behavioral Health Utilization Management Specialist
Draper, UT · On-site +1
$60K - $70K/yr
Utah (Hybrid & Remote Options Available) Job Type: Full-time Department: Behavioral Health ... Champion patient care by reviewing medical records and clinical documentation to determine medical ...
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Behavioral Health Utilization Management Specialist
Draper, UT · On-site +1
$60K - $70K/yr
Utah (Hybrid & Remote Options Available) Job Type: Full-time Department: Behavioral Health ... Champion patient care by reviewing medical records and clinical documentation to determine medical ...
Medical Director - Utilization Management (Remote)
Salt Lake City, UT · On-site +1
$240K/yr
An award-winning remote work environment Position Summary Our Medical Director, also known as a ... Perform utilization management case reviews. * Maintain productivity score per company standard.
Medical Director - Utilization Management (Remote)
Salt Lake City, UT · On-site +1
$240K/yr
An award-winning remote work environment Position Summary Our Medical Director, also known as a ... Perform utilization management case reviews. * Maintain productivity score per company standard.
Compliance Coordinator (Remote)
Salt Lake City, UT · On-site +1
... utilization management company offering expert clinical reviews, regulatory guidance, and ... This role is designed to be a remote position (work-from-home). Diversity Statement: Diversity ...
Compliance Coordinator (Remote)
Salt Lake City, UT · On-site +1
... utilization management company offering expert clinical reviews, regulatory guidance, and ... This role is designed to be a remote position (work-from-home). Diversity Statement: Diversity ...
Dental Director, Health Plan - REMOTE
Provo, UT · Remote
$129K - $215K/yr
Essential Job Duties Oversees all aspects of utilization review and quality management activities related to dental care services for members, including appropriateness and medical necessity of ...
Dental Director, Health Plan - REMOTE
Provo, UT · Remote
$129K - $215K/yr
Essential Job Duties Oversees all aspects of utilization review and quality management activities related to dental care services for members, including appropriateness and medical necessity of ...
Manages/facilitates custom Pharmacy and Therapeutics (P&T) committees and Drug Utilization Review Board meetings for select clients, per contractual requirements * Prepare meeting material * Present ...
Manages/facilitates custom Pharmacy and Therapeutics (P&T) committees and Drug Utilization Review Board meetings for select clients, per contractual requirements * Prepare meeting material * Present ...
Manages/facilitates custom Pharmacy and Therapeutics (P&T) committees and Drug Utilization Review Board meetings for select clients, per contractual requirements * Prepare meeting material * Present ...
Manages/facilitates custom Pharmacy and Therapeutics (P&T) committees and Drug Utilization Review Board meetings for select clients, per contractual requirements * Prepare meeting material * Present ...
Remote Care Management Nurse
Salt Lake City, UT · Remote
$34.20 - $55.70/hr
Remote Care Management Nurse (Future Opportunities) Work from home within Oregon, Washington, Idaho ... utilization management, disease management, auditing, or retrospective review * Active ...
Remote Care Management Nurse
Salt Lake City, UT · Remote
$34.20 - $55.70/hr
Remote Care Management Nurse (Future Opportunities) Work from home within Oregon, Washington, Idaho ... utilization management, disease management, auditing, or retrospective review * Active ...
... utilization management company offering expert clinical reviews, regulatory guidance, and ... An award-winning remote work environment POSITION OVERVIEW Our Principal Cloud Engineer is a senior ...
... utilization management company offering expert clinical reviews, regulatory guidance, and ... An award-winning remote work environment POSITION OVERVIEW Our Principal Cloud Engineer is a senior ...
Remote Triage Nurse
Provo, UT · On-site +1
$80K/yr
... are utilization. Together with our health plan partners, we are changing the way our society ... Such requests will be subject to review and approval by the Company, and exemptions will be granted ...
Remote Triage Nurse
Provo, UT · On-site +1
$80K/yr
... are utilization. Together with our health plan partners, we are changing the way our society ... Such requests will be subject to review and approval by the Company, and exemptions will be granted ...
... utilization management company offering expert clinical reviews, regulatory guidance, and ... An award-winning remote work environment Position Summary * Our Clinical Pharmacy Technician ...
... utilization management company offering expert clinical reviews, regulatory guidance, and ... An award-winning remote work environment Position Summary * Our Clinical Pharmacy Technician ...
... utilization management company offering expert clinical reviews, regulatory guidance, and ... An award-winning remote work environment POSITION OVERVIEW As a Quality Management Specialist, you ...
... utilization management company offering expert clinical reviews, regulatory guidance, and ... An award-winning remote work environment POSITION OVERVIEW As a Quality Management Specialist, you ...
Primary Responsibilities * Assist in the production and review of appraisal and consulting ... Applications will be accepted until August 21, 2026 #LI-CR1 #LI-Remote What We Offer * The ...
Primary Responsibilities * Assist in the production and review of appraisal and consulting ... Applications will be accepted until August 21, 2026 #LI-CR1 #LI-Remote What We Offer * The ...
... utilization management company offering expert clinical reviews, regulatory guidance, and ... This role is designed to be a remote position (work-from-home). Diversity Statement: Diversity ...
... utilization management company offering expert clinical reviews, regulatory guidance, and ... This role is designed to be a remote position (work-from-home). Diversity Statement: Diversity ...
Ensure quality control and regulatory compliance for appraisal reports by reviewing and approving ... Applications will be accepted until August 21, 2026 #LI-CR1 #LI-Remote What We Offer * The ...
Ensure quality control and regulatory compliance for appraisal reports by reviewing and approving ... Applications will be accepted until August 21, 2026 #LI-CR1 #LI-Remote What We Offer * The ...
We value inclusion and diversity Click Here to review our U.S. Eligibility Requirements Inclusion ... CIGNA, OSCAR, BRIGHT, Golden Rule, Surebridge, Optimed, Pivot Health, National General, etc)
We value inclusion and diversity Click Here to review our U.S. Eligibility Requirements Inclusion ... CIGNA, OSCAR, BRIGHT, Golden Rule, Surebridge, Optimed, Pivot Health, National General, etc)
Social Worker
Murray, UT · Remote
$39.16 - $60.42/hr
Maintains records by reviewing case notes, logging events and progress according to applicable ... Experience working successfully g in a remote environment or using Advanced Microsoft Suite ...
Social Worker
Murray, UT · Remote
$39.16 - $60.42/hr
Maintains records by reviewing case notes, logging events and progress according to applicable ... Experience working successfully g in a remote environment or using Advanced Microsoft Suite ...
Analyze utilization and renewal readiness * Support AI license tracking and cost analysis ... Support compliance reviews and audits * Interpret licensing terms and requirements Automation ...
Analyze utilization and renewal readiness * Support AI license tracking and cost analysis ... Support compliance reviews and audits * Interpret licensing terms and requirements Automation ...
Patient Billing Representative
Provo, UT · On-site +1
$14/hr
This is a remote position for those that reside in = AL, GA, ID, IA, IN, KS, LA, MI, MS, NV, NC, ND ... Resource & System Utilization * Utilize Privia-approved billing systems, EMR platforms, tools, and ...
Patient Billing Representative
Provo, UT · On-site +1
$14/hr
This is a remote position for those that reside in = AL, GA, ID, IA, IN, KS, LA, MI, MS, NV, NC, ND ... Resource & System Utilization * Utilize Privia-approved billing systems, EMR platforms, tools, and ...
Cigna Utilization Review Remote information
What are the key skills and qualifications needed to thrive as a Cigna Utilization Review Remote Nurse, and why are they important?
How can I make 2000 a week working from home?
What is the difference between Cigna Utilization Review Remote vs Cigna Medical Reviewer?
| Aspect | Cigna Utilization Review Remote | Cigna Medical Reviewer |
|---|---|---|
| Credentials | RN or licensed healthcare professional | RN or licensed physician |
| Work Environment | Remote, telehealth setting | Remote or onsite, clinical setting |
| Employer & Industry | Cigna, health insurance industry | Cigna, healthcare and insurance industry |
| Primary Focus | Review of insurance utilization for appropriateness | Clinical assessment and direct patient care |
While both roles involve healthcare review, Cigna Utilization Review Remote focuses on evaluating insurance claims remotely, whereas Cigna Medical Reviewer provides direct clinical assessments, often with more patient interaction. Both require healthcare credentials and are integral to Cigna's healthcare services, but their daily tasks and focus differ.
Does Cigna offer remote jobs?
What are some common challenges faced by Cigna Utilization Review professionals working remotely, and how can these be effectively managed?
Why is Cigna laying people off?
What is a Cigna Utilization Review Remote position?
Is Cigna a good company to work for remotely?
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Contractor
Posted 8 days ago
Job description
Flexible Independent Contractor (1099)
Require a DC or Maryland State Medical License
ABOUT MRIoA
Founded in 1983, Medical Review Institute of America (MRIoA) is a nationally recognized Independent Review Organization (IRO) specializing in technology-driven utilization management and clinical medical review solutions. We're a leader in Peer and Utilization Reviews, known for excellence and continuous improvement.
THE OPPORTUNITY:
We are currently seeking Board-Certified physicians in RADIOLOGY to conduct independent Utilization Reviews. This is a flexible remote opportunity requiring just 1-2 hours per week-with no minimum commitment.
ADDITIONAL INFORMATION:
- Work remotely from anywhere in the US (Per HIPAA Regulations, patient records cannot leave the US).
- Covered under MRIoA's Errors and Omissions policy.
- Independent Contractor (1099) opportunity.
- Workers are required to adhere to all applicable HIPAA regulations and company policies and procedures regarding the confidentiality, privacy, and security of sensitive health information.
Requirements
- Must have a Medical Degree MD or DO
- Must have a current state medical license in DC or Maryland
- Current Board Certification in Radiology
- Must have 5 years of clinical experience residency to be included
- Daytime availability is required for peer-to-peer conversations
California Consumer Privacy Act (CCPA) Information (California Residents Only):
- Sensitive Personal Info: MRIoA may collect sensitive personal info such as real name, nickname or alias, postal address, telephone number, email address, Social Security number, signature, online identifier, Internet Protocol address, driver's license number, or state identification card number, and passport number.
- Data Access and Correction: Applicants can access their data and request corrections. For questions and/or requests to edit, delete, or correct data, please email the Medical Review Institute at HR@mrioa.com.