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Remote Offshore Team Member Jobs in Rio Rancho, NM

DataAnnotation

Physician

Albuquerque, NM · Remote

$40 - $60/hr

... of remote work and setting your own schedule. We are looking for a Medical Expert (part-time work from home) to help advance AI development. As a member of DataAnnotation's Medical team, you'll be ...

DataAnnotation

Quality Assurance Developer

Rio Rancho, NM · Remote

$40 - $75/hr

... of remote work and setting your own schedule. We are looking for a proficient Coder (part-time work from home) to help advance AI development. As a member of DataAnnotation's coding team, you'll be ...

DataAnnotation

LVN

Rio Rancho, NM · Remote

$40 - $60/hr

... of remote work and setting your own schedule. We are looking for a Medical Expert (part-time work from home) to help advance AI development. As a member of DataAnnotation's Medical team, you'll be ...

DataAnnotation

Physicians Assistant

Albuquerque, NM · Remote

$40 - $60/hr

... of remote work and setting your own schedule. We are looking for a Medical Expert (part-time work from home) to help advance AI development. As a member of DataAnnotation's Medical team, you'll be ...

DataAnnotation

Quality Assurance Engineer

Albuquerque, NM · Remote

$40 - $75/hr

... of remote work and setting your own schedule. We are looking for a proficient Coder (part-time work from home) to help advance AI development. As a member of DataAnnotation's coding team, you'll be ...

DataAnnotation

SDLC Engineer - AI Trainer

Rio Rancho, NM · Remote

$40 - $75/hr

... of remote work and setting your own schedule. We are looking for a proficient Coder (part-time work from home) to help advance AI development. As a member of DataAnnotation's coding team, you'll be ...

DataAnnotation

Full Stack Engineer

Rio Rancho, NM · Remote

$40 - $75/hr

... of remote work and setting your own schedule. We are looking for a proficient Coder (part-time work from home) to help advance AI development. As a member of DataAnnotation's coding team, you'll be ...

DataAnnotation

Software Developer

Albuquerque, NM · Remote

$40 - $75/hr

... of remote work and setting your own schedule. We are looking for a proficient Coder (part-time work from home) to help advance AI development. As a member of DataAnnotation's coding team, you'll be ...

DataAnnotation

Phlebotomists

Albuquerque, NM · Remote

$40 - $60/hr

... of remote work and setting your own schedule. We are looking for a Medical Expert (part-time work from home) to help advance AI development. As a member of DataAnnotation's Medical team, you'll be ...

DataAnnotation

Nurse Care Manager

Rio Rancho, NM · Remote

$40 - $60/hr

... of remote work and setting your own schedule. We are looking for a Medical Expert (part-time work from home) to help advance AI development. As a member of DataAnnotation's Medical team, you'll be ...

DataAnnotation

Full Stack Software Engineer

Rio Rancho, NM · Remote

$40 - $75/hr

... of remote work and setting your own schedule. We are looking for a proficient Coder (part-time work from home) to help advance AI development. As a member of DataAnnotation's coding team, you'll be ...

DataAnnotation

DevOps Engineer

Rio Rancho, NM · Remote

$40 - $75/hr

... of remote work and setting your own schedule. We are looking for a proficient Coder (part-time work from home) to help advance AI development. As a member of DataAnnotation's coding team, you'll be ...

DataAnnotation

Back End Developer

Rio Rancho, NM · Remote

$40 - $75/hr

... of remote work and setting your own schedule. We are looking for a proficient Coder (part-time work from home) to help advance AI development. As a member of DataAnnotation's coding team, you'll be ...

DataAnnotation

Frontend Engineer

Rio Rancho, NM · Remote

$40 - $75/hr

... of remote work and setting your own schedule. We are looking for a proficient Coder (part-time work from home) to help advance AI development. As a member of DataAnnotation's coding team, you'll be ...

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How much do remote offshore team member jobs pay per hour?

As of May 30, 2026, the average hourly pay for remote offshore team member in Rio Rancho, NM is $15.28, according to ZipRecruiter salary data. Most workers in this role earn between $9.28 and $18.32 per hour, depending on experience, location, and employer.
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Remote Offshore Team Member jobs near you
Physician Clinical Reviewer - Pediatric Gastroenterology- REMOTE

Physician Clinical Reviewer - Pediatric Gastroenterology- REMOTE

Prime Therapeutics LLC

Albuquerque, NM • On-site, Remote

$90.87 - $154.33/hr

Part-time

Posted 16 days ago

Prime Therapeutics rating

8.0

Company rating: 8.0 out of 10

Based on 43 frontline employees who took The Breakroom Quiz

14th of 97 rated pharmacies

Job description

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us.
Job Posting Title
Physician Clinical Reviewer - Pediatric Gastroenterology- REMOTEJob Description
Key member of the utilization management team, and provides timely medical review of service requests that do not initially meet the applicable medical necessity guidelines. Routinely interacts with physicians, leadership and management staff, other Physician Clinical Reviewers (PCR), and health plan membersand staff whenever a physician`s input is needed or required.
Responsibilities
Physician Clinical Reviewer - Job Description Responsibilities
  • Reviews cases in which clinical determinations cannot be made by the Initial Clinical Reviewer.
  • Discusses determinations with requesting physicians or ordering providers, when available, within the regulatory time frame of the request by phone or fax.
  • Provides clinical rationale for standard and expedited appeals.
  • Provides assistance and acts as a resource to Initial Clinical Reviewers as needed to discuss cases and problems.
  • Utilizes medical/clinical review guidelines and parameters to assure consistency in the physician review process so as to reflect appropriate utilization and compliance with Prime's policies/procedures, as well as URAC and NCQA guidelines.
  • Ensures documentation of all communications with medical office staff and/or physician/provider is recorded in a timely and accurate manner.
  • Participates in on-going inter-rater reliability training and testing
  • Assists the Medical Director and/or VP, Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines, and/or system support.
  • On a requested basis, reviews appeal cases and/or attends hearings for discussion of utilization management decisions.
  • On a requested basis, may function as Medical Director for select health plans or regions, assuming overall accountability for utilization management while working in conjunction with the VP, Medical Director
  • Other duties as assigned.

Education & Experience
  • Education Level
    • DO
    • MBBS
    • MD
  • Required
    • Yes
    • Yes
    • Yes
  • Fields of Study
  • Experience Level
    • 5+ years
  • Required
    • Yes
  • Details
    • Clinical

Must be eligible to work in the United States without the need for work visa or residency sponsorship.
Additional Qualifications
Preferred Qualifications
Physical Demands
  • Must be able to remain in a stationary position 50% of the time. Must be able to "move or traverse"
  • Must be able to constantly operate a computer and/or other office productivity equipment
  • Must be able to hear and constantly communicate information and ideas. Must be able to exchange accurate information
  • Occasionally required to lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds

Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.
Potential pay for this position ranges from $90.87 - $154.33 based on experience and skills.
To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page and click on the "Benefits at a glance" button for more detail (https://www.primetherapeutics.com/benefits).
Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (including pregnancy), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law.
We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law.
Prime Therapeutics LLC is a Tobacco-Free Workplace employer.
Positions will be posted for a minimum of five consecutive workdays.

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About Prime Therapeutics

Sourced by ZipRecruiter

Prime Therapeutics, located in Eagan, MN, is a pharmacy benefits management company that has been serving the healthcare industry since its foundation. They are an integral participant in the medical sector, specifically in the realm of health insurance. They focus on providing innovative pharmacy benefits and services to more than 30 million members nationwide. Besides their main pharmacy benefit management, they offer mail service pharmacy, specialty pharmacy, benefits management, and consultative engagement services to ensure individuals have continuous access to affordable prescription drugs. Prime Therapeutics, founded around three decades ago, has grown to stand out as a leader in its industry, thanks to its commitment to improving the health of its clients.

Industry

Insurance services

Company size

1,001 - 5,000 Employees

Headquarters location

Eagan, MN, US

Year founded

1987

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