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- Any US State

Locations: Northeast (e.g. NY/NJ/Boston, CT, etc) and Midwest (MN, Chicago, etc) Our client is a global consulting organization that is growing its Insurance Practice nationwide. This is a terrific opportunity to lead and work on high impact activities within the systems development lifecycle, and provide advisory work for the IT function itself. Ideal candidates have experience applying innovations in digital, analytics and intelligent automation to improve business performance. Some....


Opportunity to conduct peer to peer reviews to determine best possible patient care at the lowest cost. After initial onsite training, this position can be based remote. Participate in pre-authorization and quality improvement solutions for radiation therapy and related radiology requests. Determine the medical necessity of outpatient requests using clinical appropriateness guidelines and health plan medical policy. Responsibilities include: **Perform physician-level case review of radiation....

- New York, NY

This Medical Director is a part time position (20 hrs/week) supporting Medicaid business in NY. Work at home may be considered for this role. Responsible for the administration of medical services for company health plans including the overall medical policies of the business unit to ensure the appropriate and most cost effective medical care is received and for the day-to-day management of medical management staff. Primary duties may include, but are not limited to: Interprets existing....


Our client is a Federally Qualified Health Center with over 22 locations and they serve over 88,000 individual patients. They provide outpatient primary healthcare, dental care, limited specialty care, lab, radiology including mammography, a full service pharmacy, and behavioral health. these are regular day shifts. Ideal candidate: Board certified MD, no license restrictions - TX license. 3+ years experience FQHC experience a plus The ideal candidate will - Perform comprehensive physical....

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