Clinical Reviewer - Makati

Para lamang sa mga rehistradong miyembro Makati, Pilipinas

1 linggo ang nakalipas

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Job summary

The Cadence Rx Clinical Reviewer performs the review of New York State (NYS) Level 1 Medication Prior Authorization Requests (PAR) and submits coverage determinations into the New York State Workers' Compensation Board (WCB) OnBoard Medical Portal in accordance with NYS workers compensation formulary regulations and procedures.


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Mga katulad na trabaho

  • Clinical Reviewer

    1 buwan ang nakalipas

    Para lamang sa mga rehistradong miyembro Makati City

    +Job summary · Cadence Rx está buscando Clinical Reviewers para unirse a su equipo diverso. · +ResponsibilitiesMakes clinical determinations to approve or deny medication prior authorization requests based on evidence-based guidelines. · ...

  • Clinical Reviewer

    1 buwan ang nakalipas

    Para lamang sa mga rehistradong miyembro Makati

    The Cadence Rx Clinical Reviewer performs the review of New York State (NYS) Level 1 Medication Prior Authorization Requests (PAR) and submits coverage determinations into the New York State Workers' Compensation Board (WCB) OnBoard Medical Portal in accordance with NYS workers c ...

  • Clinical Reviewer

    1 linggo ang nakalipas

    Para lamang sa mga rehistradong miyembro Makati, National Capital Region

    Cadence Rx is looking for Clinical Reviewers to join our diverse teams to make innovation possible. The Cadence Rx Clinical Reviewer performs the review of New York State (NYS) Level 1 Medication Prior Authorization Requests (PAR) and submits coverage determinations into the New ...

  • Clinical Reviewer

    2 linggo ang nakalipas

    Para lamang sa mga rehistradong miyembro Makati, Metro Manila

    Cadence Rx is looking for Clinical Reviewers to join our diverse teams to make innovation possible. The Cadence Rx Clinical Reviewer performs the review of New York State (NYS) Level 1 Medication Prior Authorization Requests (PAR) and submits coverage determinations into the New ...

  • Clinical Reviewer

    1 buwan ang nakalipas

    Para lamang sa mga rehistradong miyembro Makati, Metro Manila

    Cadence Rx is looking for Clinical Reviewers to join our diverse teams to make innovation possible. · The Cadence Rx Clinical Reviewer performs the review of New York State (NYS) Level 1 Medication Prior Authorization Requests (PAR) and submits coverage determinations into the Ne ...

  • Clinical Reviewer

    1 buwan ang nakalipas

    Para lamang sa mga rehistradong miyembro Makati

    The Cadence Rx Clinical Reviewer performs the review of New York State (NYS) Level 1 Medication Prior Authorization Requests (PAR) and submits coverage determinations into the New York State Workers' Compensation Board (WCB) · Make clinical determinations to approve or deny medic ...

  • Clinical Reviewer

    1 buwan ang nakalipas

    Para lamang sa mga rehistradong miyembro Makati Buong oras

    Cadence Rx es una empresa que busca Clinical Reviewers para unirse a su equipo. El puesto implica realizar revisiones médicas y determinar la necesidad de medicamentos según las directrices establecidas. · ...

  • Clinical Review Nurse

    1 buwan ang nakalipas

    Para lamang sa mga rehistradong miyembro Taguig, National Capital Region

    As a , you will review denied claims and evaluate denial reasons in a timely and accurate manner. · ...

  • Clinical Reviewer Specialist

    6 araw ang nakalipas

    Para lamang sa mga rehistradong miyembro Manila

    We are currently seeking a Clinical Reviewer Specialist to join our team in Manila.Clinical Reviewer Specialists perform clinical reviews needed to resolve and process appeals by reviewing medical records and clinical data to determine medical necessity for services in accordance ...

  • Clinical Reviewer Specialist

    6 araw ang nakalipas

    Para lamang sa mga rehistradong miyembro Manila Buong oras

    Prepares case reviews for Medical Directors by researching the appeal, reviewing applicable criteria, and analyzing the basis for the appeal. Ensures timely review, processing, · and response to appeal in accordance with State, Federal and NCQA standards. ...

  • Clinical Quality Reviewer

    4 linggo ang nakalipas

    Para lamang sa mga rehistradong miyembro Manila, National Capital Region

    Join a global leader in providing independent Medical Exams, · Peer Reviews, and Medical Compliance Services as a Medical QA Analyst – backed by decades of excellence and innovation in Healthcare Solutions. · The Opportunity · Support critical medical review operations by ensurin ...

  • Team Lead

    1 buwan ang nakalipas

    Para lamang sa mga rehistradong miyembro Makati, National Capital Region

    +Job summary · The Team Lead – Clinical Reviewer plays a key role in overseeing clinical review operations while providing direct clinical recommendations for injured workers.+ResponsibilitiesReview medical histories and develop evidence-based clinical recommendations consistent ...

  • Team Lead

    1 buwan ang nakalipas

    Para lamang sa mga rehistradong miyembro Makati City

    The Team Lead – Clinical Reviewer plays a key role in overseeing clinical review operations while providing direct clinical recommendations for injured workers. · ...

  • Team Lead

    1 buwan ang nakalipas

    Para lamang sa mga rehistradong miyembro Makati, Metro Manila

    The Team Lead – Clinical Reviewer (US Registered Nurse) plays a key role in overseeing clinical review operations while providing direct clinical recommendations for injured workers. · This position ensures that all clinical determinations align with established clinical guidelin ...

  • PHRN Utilization Reviewer

    1 buwan ang nakalipas

    Para lamang sa mga rehistradong miyembro Makati, National Capital Region

    Ista Solutions is seeking a Utilization Reviewer to join our rapidly expanding team. · ...

  • PHRN Utilization Reviewer

    1 linggo ang nakalipas

    Para lamang sa mga rehistradong miyembro Makati Buong oras

    +Job summary · We are looking for a Utilization Reviewer to join our team. · +ResponsibilitiesPerforms Utilization Management (UM) Reviews in accordance with US State/Federal and other mandated regulations. · Reviews UM request for services against established clinical review cri ...

  • PHRN Utilization Reviewer

    1 buwan ang nakalipas

    Para lamang sa mga rehistradong miyembro Makati

    Ista solutions is in search of utilization reviewer to join rapidly expanding team offering competitive salary and benefits health insurance free dependents attendance bonus paid time off convertible cash leave credits performance appraisal work life balance focus growing career ...

  • Utilization Review Nurse

    1 buwan ang nakalipas

    Para lamang sa mga rehistradong miyembro Makati, Metro Manila

    Ista Solutions busca un enfermero con experiencia en gestión de reclamos saludables basados en EE.UU. · Realiza revisiones de utilización (UM) según regulaciones estatales/federales y otras disposiciones mandatorias manteniendo cumplimiento con cambios regulatorios afectando UM. ...

  • Medical Scientific Liaison

    4 linggo ang nakalipas

    Para lamang sa mga rehistradong miyembro Makati, Metro Manila

    The Medical Scientific Liaison will build relationships with medical oncologists and discuss clinical studies, product updates, and treatment protocols. · ...

  • Finance Manager

    3 linggo ang nakalipas

    Para lamang sa mga rehistradong miyembro Makati City Buong oras

    Lead Statutory Tax and Internal Audits ensuring timely completion compliance and effective coordination with auditors Tax consultants and regulatory bodies Oversee monthly quarterly and annual tax governance including tax filings VAT withholding tax · and compliance reporting R ...