14 Medical Director And Reviewer Positions jobs in Seattle.

Hiring now: Care Review Clinician Inp @ Molina Hea, Physician Reviewer @ Dane Stree, Regional Medical Dir Conc @ Sollis Hea, Remote Child Adolescent B @ Centene, Licensed Psychiatrist @ Sondermind, Behavioral Health Medical @ Elevance H, Locum Physician Oncology @ Amky Physi, Physical Medicine And Reh @ Danestreet.Explore more at jobswithgpt.com.

🔥 Skills

credentialing (5) medical necessity (4) clinical expertise (3) insurance appeals (3) medical records (3) quality assurance (3) regulatory issues (3) financial responsibility (2) prior authorization (2) evidence-based guidelines (2)

đź“Ť Locations

Bellevue (9) Seattle (3) Des Moines (2)
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Molina Healthcare

Care Review Clinician, Inpatient Review (RN) Bellevue
Skills & Focus: inpatient reviews, clinical service requests, evidence-based clinical guidelines, medically appropriate care, cost-effective, financial responsibility, prior authorization, multidisciplinary team collaboration, Utilization Management Certification, hospital acute care
About the Company: Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance.
Experience: 3+ years hospital acute care/medical experience.
Salary: $23.76 - $51.49 / HOURLY
Benefits: Molina Healthcare offers a competitive benefits and compensation package.

Dane Street

Physician Reviewer Bellevue
Skills & Focus: clinical expertise, insurance appeals, medical necessity, client-specific criteria, nationally recognized guidelines, medical records, supporting documentation, credentialing, quality assurance, regulatory issues
Type: Contract
Benefits: Dane Street will pay for reasonable travel expenses and assist in obtaining WA L&I certification

Molina Healthcare

Specialist, Appeals & Grievances Bellevue
Skills & Focus: appeals, grievances, member complaints, provider complaints, research, resolution, medical records, claims processing, communication, regulatory guidelines
About the Company: Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance.
Experience: Min. 2 years operational managed care experience (call center, appeals or claims environment).
Salary: $21.16 - $38.37 / HOURLY
Type: Full Time
Benefits: Molina Healthcare offers a competitive benefits and compensation package.
Care Review Clinician, Inpatient Review (RN) Bellevue
Skills & Focus: inpatient services, clinical guidelines, financial responsibility, prior authorization, multidisciplinary teams, quality care, cost effectiveness, state and federal regulations, eligibility, long term care
About the Company: Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance.
Experience: 3+ years hospital acute care/medical experience
Salary: $26.41 - $51.49 / HOURLY
Benefits: Molina Healthcare offers a competitive benefits and compensation package.
Medical Director Bellevue
Skills & Focus: Utilization Management, Healthcare, Medical Oversight, Patient Care, Quality Improvement, Regulatory Compliance, Clinical Practice, Care Coordination, Policy Development, Data Analysis
Experience: 3+ years relevant experience, including: 2 years previous experience as a Medical Director in a clinical practice.

Dane Street

Physician Reviewer/Advisor Bellevue
Skills & Focus: Independent Medical Exams, physician advisor, medical records review, physical examination, peer-to-peer calls, AMA Guides, supplemental income, contract basis, schedule flexibility, board-certified specialties
About the Company: Dane Street is an Independent Review Organization and a national provider of Independent Medical Exams (IMEs), among other offerings.
Experience: Active practice, board certification in one of the following specialties: Orthopedic Surgery, Neurology, Physical Medicine and Rehabilitation (Physiatry), Chiropractic, Pain Management, Otolaryngology
Type: Contract
Benefits: Robust opportunity for supplemental income, schedule flexibility and predictable work hours, enhanced industry expertis…
Physician Reviewer Bellevue
Skills & Focus: clinical expertise, insurance appeals, medical necessity, healthcare professionals, evidence-based guidelines, medical records, credentialing, quality assurance, regulatory issues, audits
Type: Contract
Benefits: Dane Street will pay for reasonable travel expenses, assistance in obtaining WA L&I certification
Physician Reviewer Bellevue
Skills & Focus: clinical expertise, insurance appeals, medical necessity, evidence-based guidelines, documentation, credentialing, regulatory issues, quality assurance, telephonic communication, training and orientation
About the Company: Dane Street provides consulting between health insurance companies and consumers, with a focus on medical necessity reviews and appeals. They offer various sup…
Experience: Clinical experience in medical necessity reviews and insurance claims
Type: Contract
Benefits: Dane Street will pay for reasonable travel expenses and assist in obtaining WA L&I certification.

Sollis Health

Regional Medical Director - Concierge Emergency Medicine Physician Bellevue
Skills & Focus: Emergency Medicine, Leadership, Concierge Care, Patient Experience, Clinical Care, Virtual Care, Healthcare Delivery, Team Management, Quality Assurance, Medical Operations
About the Company: Sollis Health is the first and only medical membership that’s on-demand 24/7, 365. We live up to the concierge promise: with just one call, our members experie…
Experience: 5+ years experience as a physician in the emergency department and/or urgent care center along with previous leadership experience, required.
Salary: $400,000-$470,000 annually
Type: Full-time
Benefits: Unlimited Vacation, Medical Insurance, Vision Insurance, Dental Insurance, Health Spending Account (HSA), Flexible Spen…

Centene

Remote Child & Adolescent Behavioral Medical Director Des Moines
Skills & Focus: medical management, quality improvement, credentialing, utilization review, cost containment, performance improvement, clinical leadership, provider network, medical necessity, healthcare quality
About the Company: Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.
Experience: Utilization Management experience and knowledge of quality accreditation standards preferred. Actively practices medicine.
Salary: $231,900.00 - $440,500.00 per year
Type: Full time
Benefits: Competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, a…

Sondermind

Licensed Psychiatrist Des Moines
Skills & Focus: psychiatry, telemedicine, credentialing, clinical autonomy, insurance credentialing, pay, professional development, evidence-based care, community support, patient communication
About the Company: Becoming a SonderMind psychiatrist means joining a community of mental health professionals who are committed to making a difference in people’s lives through …
Experience: Licensed Psychiatrists residing in the state of Washington
Salary: up to $296 per hour
Type: Contract
Benefits: Flexible, collaborative care, streamlined credentialing process, supportive community, guaranteed pay, and professional…

Elevance Health

Behavioral Health Medical Director- Child Psychiatrist Seattle
Skills & Focus: medical necessity reviews, peer-to-peer clinical reviews, utilization review, clinical knowledge, health care quality, medical policies, patient office visits, Board Certified, clinical operations, innovation opportunities
About the Company: Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstandi…
Experience: Minimum of 10 years of clinical experience
Salary: $250,236 to $428,976
Type: Hybrid
Benefits: Comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution

Amky Physician Services Llc

Locum – Physician – Oncology Seattle
Skills & Focus: Physician, Oncology, Locum, Clinical Hours, Outpatient, EMR System, Epic, Patients Per Shift, Board Eligible, Board Certified
About the Company: We are a staffing and recruiting firm. For locum tenens positions, we are hiring physicians, assistant physicians, and nurse practitioners around the USA.
Experience: 1-3 years
Salary: $320 - $330/hr.
Type: Full time

Dane-Street-Llc

Physical Medicine and Rehabilitation Specialist Seattle
Skills & Focus: Independent Medical Examinations, Physical Exams, Medical Records, Clinical Questions, IME Reports, Board Certification, Analytical Skills, Communication Skills, Rehabilitation, In-Person Evaluations
Experience: Previous experience in performing IMEs is a plus but not required.
Benefits: Flexibility, competitive rates based on individual fee schedule, organized documentation