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Remote Case Reviewer Jobs in Minnesota (NOW HIRING)

This includes medical record review, policy analysis and interpretation, preparing other ALJ team ... Required Work Experience : 5 years clinical experience in medical insurance, managed care, case ...

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Remote Case Reviewer information

What are the key skills and qualifications needed to thrive as a remote case reviewer?

To thrive as a Remote Case Reviewer, you need strong analytical skills, attention to detail, and relevant professional credentials, often in fields like healthcare, insurance, or law. Familiarity with case management software, electronic documentation systems, and industry regulations (such as HIPAA for healthcare) is typically required. Excellent written communication, time management, and independent decision-making are standout soft skills for this role. These abilities ensure accurate, compliant, and efficient case evaluations while maintaining high-quality standards in a remote work environment.

What is the difference between Remote Case Reviewer vs Remote Claims Processor?

AspectRemote Case ReviewerRemote Claims Processor
Required CredentialsHigh school diploma or equivalent; healthcare or legal background often preferredHigh school diploma or equivalent; experience in insurance or claims processing beneficial
Work EnvironmentHome-based, independent review settingHome-based, processing insurance claims
Industry UsageHealthcare, legal, insurance sectorsInsurance companies, third-party administrators
Common Search/ComparisonRemote Case Reviewer vs Remote Claims Processor

While both roles are remote and involve handling cases or claims, Remote Case Reviewers primarily evaluate and assess cases, often requiring specialized knowledge in healthcare or legal fields. Remote Claims Processors focus on processing insurance claims, verifying information, and ensuring accurate payment. Understanding these differences helps job seekers identify the role that best matches their skills and career goals.

What are some common challenges remote case reviewers face, and how can they effectively manage them?

Remote Case Reviewers often encounter challenges such as managing a high volume of cases, staying organized with digital documentation, and maintaining clear communication with team members across different locations. To address these, it's important to develop strong time management skills, utilize standardized review checklists, and take advantage of collaboration tools like secure messaging platforms. Regular virtual meetings and clear protocols help ensure consistency and quality, while ongoing training can keep reviewers up to date on best practices.

What is a remote case reviewer?

Remote case reviewers are professionals who assess and evaluate cases, such as medical, legal, or insurance files, from a remote location rather than working on-site. Their responsibilities typically include reviewing documentation, ensuring compliance with policies and regulations, and providing recommendations or decisions based on their findings. Remote case reviewers use secure digital platforms to access and analyze case materials, enabling flexibility and efficiency in their work. This role can be found in industries like healthcare, law, insurance, and finance. Strong attention to detail and analytical skills are essential for success in this position.
What are the most commonly searched types of Case Reviewer jobs in Minnesota? The most popular types of Case Reviewer jobs in Minnesota are:
What cities in Minnesota are hiring for Remote Case Reviewer jobs? Cities in Minnesota with the most Remote Case Reviewer job openings:

Medical Affairs Manager (Remote)

Coloplast A/S

Minneapolis, MN โ€ข Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

This job post hasย expired today.ย Applications are no longer accepted.


Job description

The Medical Affairs Program Manager is responsible for supporting evidence strategies and for executing Coloplast agenda in the clinical community.

The Chronic Care business at Coloplast has products to help patients with intimate healthcare needs. The patient population spans spinal cord injury, cancer, Multiple Sclerosis, spina bifida, and many more.

The candidate will do this by covering a broad range of medical affairs activities, such as:

  • Driving acceptance of Coloplast product claims through publications and strategic evidence dissemination
  • Developing evidence roadmaps consisting of surveys, pre-clinical and clinical data, patient reported outcomes, case studies, consensus studies, literature reviews, opinion papers etc. with the goal of improving the guidelines
  • Generating new evidence, such as observational studies, registries, case studies, consensus and opinion papers, etc.
  • Interpretating published and new evidence, summarizing it in a form suitable for education of healthcare professionals, payors, and government agencies
  • Cultivating relationships with Key Opinion Leaders (KOLs) to shape the clinical agenda resulting in guideline and medical policies enhancement
  • Identifying external clinical opinions, perceptions and trends that influence Coloplast performance in the US, where warranted, executing appropriate mitigating strategies

Ideal candidates will have a strong ability to translate clinical and real-world evidence into simple but relevant messages, business acumen, KOL influence skills, broad knowledge of evidence dissemination and marketing claims substantiation practices used in the medical device industry in the US.

Major Areas of Accountability

  • Partner with US and global cross functional teams to identify business priorities and lead evidence strategy development 
  • Leverage literature, regulations, and guidelines to build and execute on evidence strategies
  • Drive execution of new evidence, including study design, data collection and interpretation as well as publications to ensure relevant content is presented at medical congresses and at Coloplast events
  • Partner with global cross functional teams, including Medical Affairs to identify research and publication opportunities using new and existing data
  • Develop and maintain KOL network able to support Coloplast evidence generation, advocacy, and education needs
  • Support preparation for Coloplast meetings with government agencies, such as FDA, CMS, etc. and commercial payors by providing medical expertise, leveraging KOL networks, preparing evidence summaries and presentations
  • Inform and shape outcomes of medical advisory boards as applicable
  • Provide medical expertise for novel ideas, questions and information requests related to Chronic Care products
  • Monitor trends and share new clinical evidence that address unmet needs (i.e. improved clinical, financial or patient satisfaction outcomes) substantiated through medical congresses, expert networks and library searches
  • Coloplast employees are required to conduct business to the highest ethical and professional standards; comply with applicable laws and regulations, the Advamed Code of Ethics on Interactions with Healthcare Professionals, and company policies.
  • Other job duties as assigned

Additional Responsibilities

      • Strong understanding of Coloplast products and therapies, relevant anatomy, and accepted applications and uses associated with our products
      • Financial budget modeling and scenario planning around evidence needs
      • Monitoring project progress for timely intervention and problem solving
      • Understanding of the compliance requirements, best practices accepted in the market and competitive space

Basic Qualifications

  • Bachelorโ€™s degree in a technical discipline (e.g., medicine, science, nursing)
  • 8+ yearsโ€™ experience working in a medical device or health policy
  • 3+ years of clinical or outcomes research experience
  • International and domestic travel required up to 25%

 

Preferred Qualifications

  • Clinical or Advanced degree in a technical discipline (e.g., scientific, clinical or engineering)
  • Knowledge of US clinical practices related to patient care for intermittent catheterization, ostomy and/or bowel management in patients with neurogenic bladder and/or bowel
  • Experience with digital data collection and analysis of patient reported outcomes

Required Knowledge, Skills, and Abilities:

  • Strong ability to review and interpret evidence and outcomes research
  • Demonstrated ability to work across functions to prioritize and drive strategic objectives
  • Excellent oral and written communication skills
  • Excellent project management and organizational skills
  • High degree of initiative and self-motivation with a strong sense of accountability
  • Ability to identify, analyze and solve problems and propose a solution
  • Aptitude to successfully prioritize and manage multiple tasks while adhering to deadlines
  • Adaptability to realign initiatives quickly to meet shifts in the market
  • Microsoft Word, Excel, PowerPoint proficiency required

At Coloplast, we believe in recognizing and rewarding the contributions of our employees. Our total rewards package is designed to support your well-being, foster your professional growth, and ensure a healthy work-life balance. Here is some of what you can expect:

  • Health and Wellness: Comprehensive medical, dental, and vision insurance plans to keep you and your family healthy. Plus, access to company sponsored wellness programs and mental health resources, paid leave of absence for qualifying events and generous paid parental leave for both birthing and non-birthing parents.
  • Financial Security: A competitive 401(k) plan with company match that vest immediately, financial planning services to help you secure your future, and corporate discount programs for goods and services.
  • Work-Life Balance: Generous paid time off, flexible work hours, and flexible work arrangement options to help you balance your personal and professional life may be available.
  • Professional Development: Opportunities for continuous learning and career advancement through training programs, mentorship, and tuition reimbursement.
  • Recognition and Rewards: Recognition programs to celebrate achievements and contributions, including peer recognition, bonuses, awards, and special events.
  • Community and Culture: A supportive work environment where everyone feels valued, and has a sense of belonging.  Participate in team-building activities, volunteer opportunities, and company-sponsored events. Sustainability strategy that outlines our ambitions for how to run our company in a more sustainable way.
  • Competitive Compensation: The compensation range for this position is $129,000 โ€“ 190,000. Actual compensation is influenced by a variety of factors including but not limited to skills, experience, qualifications, and geographic location. Hired candidates may be eligible to receive additional compensation in the form of bonuses and/or incentives.

Pursuing an ambitious growth agenda, Coloplast develops and markets products and services that make life easier for people with intimate healthcare needs. Employing about 16,000 people and with products available in more than 143 countries, we are one of the worldยดs leading medical device companies. We are constantly growing our business and always looking for new ways to move forward โ€“ we explore, learn and look for new ways of doing things.

Visit us on Coloplast.com.

Watch the film. Follow us on LinkedIn.

Coloplast employees are required to conduct business to the highest ethical and professional standards; comply with applicable laws and regulations, the Advamed Code of Ethics on Interactions with Healthcare Professionals, and company policies.

Coloplast is committed to a policy of Equal Employment Opportunity (EEO) which means we employ and promote individuals based on their merits, regardless of race, color, religion, sex, national origin, age, disability, veteran status, pregnancy, sexual orientation, gender identity or expression, genetic information, marital status, citizenship status, status with regards to public assistance or any other protected classification.

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