Healthcare Clinical Evaluator MD
VirtualVocationsDayton, Ohio, United States8 days ago
Job type
- Full-time
Job description
A company is looking for a Part Time Healthcare Clinical Evaluator SME, MD Required.
Key Responsibilities
Review prior authorizations (PAs) under the EPSDT program to determine medical necessity
Collaborate with medical staff and North Carolina Medicaid on PDN and DME cases
Manage incoming PAs and ensure compliance with service level agreements
Required Qualifications
Education : MD / DO
Experience : 15+ years of related experience
Technical skills : Proficiency in Microsoft products and Adobe PDF
Create a job alert for this search
Clinical Evaluator • Dayton, Ohio, United States
Related jobs
Joining Dayton Center for Neurological Disorders, Inc.DCND) means having a great work-life balance and being a part of an innovative, hardworking, forward-thinking, and interconnected team.As part ...Show moreLast updated: 30+ days ago
Leads and directs a team supporting clinical systems.Responsible for provision of product ownership of clinical applications including design, development, implementation, and oversight of technolo...Show moreLast updated: 19 hours ago Kettering Health is seeking a board-certified or board-eligible.RVU rate, uncapped productivity, quality incentive, and sign-on bonus.
Dedicated APP, RN, dietitian, nurse navigator, financial naviga...Show moreLast updated: 30+ days ago Kettering Health is actively recruiting an engaging Endocrinologist to join our provider team in Dayton, OH.Our commitment to providing the best medical options for our patients, backed by our comm...Show moreLast updated: 30+ days ago 
We are seeking a Clinical Manager to join our Advanced Illness Management (AIM) team.This role reports directly to the Director of AIM and is responsible for coordinating and managing the day-to-da...Show moreLast updated: 4 days ago
Seeking a full-time Urologist to join a private practice in Dayton, Ohio!.We do both office procedures and surgeries.For immediate consideration, please submit your resume to Tri-County Urology 893...Show moreLast updated: 30+ days ago
Are you in search of a top-tier ophthalmology practice that is committed to delivering exceptional eye care services, prioritizing the well-being and advancement of their patients' vision health? I...Show moreLast updated: 30+ days ago
LocumJobsOnline is working with CompHealth to find a qualified Pediatrics MD in Englewood, Ohio, 45322!.Whether you are searching for a position in your area or in another state, we have profession...Show moreLast updated: 25 days ago
Corcept is leading the way in the research and development of cortisol modulators, molecules that regulate cortisol activity at the glucocorticoid receptor (GR).
To date, we have discovered more tha...Show moreLast updated: 30+ days ago
Treatment Center Director / Program Director.A great Treatment Center Director leads a diverse team of nurses, counselors, and auxiliary staff to.
Essential Duties & Responsibilities : .Responsible for ...Show moreLast updated: 30+ days ago Kettering Health is expanding their employed Gastroenterology team.Join us for a good work-life balance, competitive compensation, and fun teammates that are innovative, hardworking, and collegial....Show moreLast updated: 30+ days ago 
Management - Clinical Documentation.Premier Health is seeking an experienced Manager - Clinical Documentation to join our team.
Are you looking for a role where you can make a significant impact on ...Show moreLast updated: 17 days ago
Turn your passion for luxury into a career opportunity.Explore the world of premium brands and make a lasting impact in fashion, beauty, jewelry, or automobiles.
Join CXG, the global leader in custo...Show moreLast updated: 7 days ago
YWCA Dayton, a 24-hour organization committed to eliminating racism and empowering women, is seeking an energetic and dedicated individual to join our team as a Clinical Manager.This exempt-level p...Show moreLast updated: 5 days ago
I am seeking a Medical Director for a full-service veterinary hospital that places the care, diagnosis, and treatment of pets as their primary concern.
The individual in this role will manage the ho...Show moreLast updated: 7 hours ago
Join the GBS RevCycle - Odyssey Health Systems Team and be a valuable member in the world of medical billing!.At GBS RevCycle, we're transforming healthcare with our comprehensive Revenue Cycle Man...Show moreLast updated: 30+ days ago
Legacy Impact is dedicated to empowering individuals on their journey toward lasting recovery and mental wellness.We believe that with compassionate support, evidence-based care, and a strong sense...Show moreLast updated: 3 hours ago Turn your passion for luxury into a career opportunity.Explore the world of premium brands and make a lasting impact in fashion, beauty, jewelry, or automobiles.
Join CXG, the global leader in custo...Show moreLast updated: 30+ days ago 
Data Analyst needs 3+ years experience in Operations in the Healthcare industry.Experience understanding claim adjudication for member and provider reimbursements.
Experience with Facets platform us...Show moreLast updated: 29 days ago
Billing / Invoicing Processor Location : Mason, OH 45040 Duration : 3+ Months (Temp to Hire) Pay Rate : $20-21 / h Position Overview : We are seeking a detail-oriented Billing / Invoicing Processor to ...Show moreLast updated: 30+ days ago
- Promoted
Make "Movements" With Your Career Growth - Movement Disorder Provider Needed - Dayton, Ohio
Kettering HealthDayton, OH, United StatesFull-time
- Promoted
- New!
Director, Clinical Systems
Molina HealthcareBEAVER CREEK, USFull-time
- Promoted
Medical Oncologist / Hematologist – 4-Day Clinic Week, Kettering Health (Troy, OH)
Kettering HealthTroy, OH, United StatesFull-time
- Promoted
Quick Ramp Up Engaging Community in Need of Endocrinologist - Greater Dayton, Ohio
Kettering HealthPiqua, OH, United StatesFull-time
- Promoted
RN Clinical Manager - Palliative Care Advanced Illness Management
GentivaDayton, OH, USFull-time
Urologist
Tri County UrologyDayton, Ohio, United StatesFull-time
Quick Apply
Cornea Specialist - Dayton, OH
Eyetastic ServicesDayton, Ohio, United StatesFull-time
Quick Apply
- Promoted
Physician (MD / DO) - Pediatrics - General / Other - $180,000 to $250,000 per year in Englewood, OH
LocumJobsOnlineEnglewood, OH, USFull-time +1
- Promoted
Clinical Sales Specialist (CS) - Dayton, OH
Corcept TherapeuticsDayton, OH, USFull-time
- Promoted
Treatment Center Director
BayMark Health Services CareersDayton, Ohio, USFull-time
- Promoted
Gastroenterology Inpatient and Outpatient
Kettering HealthDayton, OH, United StatesFull-time
- Promoted
MGR CLINICAL DOCUMENTATION
Premier HealthDayton, OH, USFull-time
Freelance Luxury Brand Evaluator - Cincinnati, OH
CXGKenwood, OH, USFull-time
Quick Apply
- Promoted
Clinical Manager
YWCA DaytonDayton, OH, USPermanent
- New!
Medical Director - Cincinnati, Ohio
GpacWest Chester, Ohio, United StatesFull-time
Quick Apply
Medical Billing A / R Specialists (Remote)
GBS-Odyssey Health SystemsOH, USARemote
Full-time
Quick Apply
- New!
Clinical Director (Legacy Impact Residential)
Atlantic Health StrategiesDayton, OH, USFull-time
Quick Apply
Become a Luxury Brand Evaluator in Central & Southern Ohio - Apply Now
CXGDayton, OH, USFull-time
Quick Apply
Healthcare Data Analyst
GlobalchannelmanagementMason, Ohio, United StatesFull-time
Quick Apply
Medical Biller
IntelliPro Group Inc.Mason, OH, USFull-time
Quick Apply