Clinical Peer Reviewer - Utilization & Compliance Job at Health First, Florida, NY

  • Health First
  • Florida, NY

Job Description

Healthfirst is seeking a Medical Peer Reviewer in the Town of Florida, NY, to consult on medical necessity within utilization management. This vital role involves reviewing authorization requests and ensuring compliance with Healthfirst's regulations. The ideal candidate holds a valid medical license (M.D. or equivalent) and has expertise in utilization management. This position offers a salary range of $122,907 - $188,020 based on experience, as well as comprehensive benefits including health coverage, life insurance, and retirement contributions. #J-18808-Ljbffr

Job Tags

Similar Jobs

Sledgeview Consulting

Coordinated Entry + Crisis Response Manager Job at Sledgeview Consulting

 ...Job Description Job Description:\n\nThe Coordinated Entry + Crisis Response Manager leads the implementation and operational coordination of CSB's strategies to improve access to the Homeless Crisis Response System, reduce unsheltered homelessness, strengthen seasonal... 

SAIC

Firewall Engineer Job at SAIC

Description SAIC is seeking a Firewall Engineer with experience in US Navy IT networks to support the sustained operation and maintenance of a newly deployed naval enterprise transport network, ensuring 24/7/365 availability and reliability. This position is onsite in... 

Performance Food Group

Order Selector Night Shift Job at Performance Food Group

Performance Food Group - - Responsibilities: Select and move product between loading dock and warehouse; Operate pallet jacks/forklifts and related equipment; Wear required PPE and follow safety policies; Transport palletized orders to shipping dock staging; Meet productivity... 

Metropolitan Ministries, Inc.

Early Childhood Teacher Job at Metropolitan Ministries, Inc.

 ...and career development. Discounted membership at the YMCA. Job Functions: The Early Childhood Teacher is responsible for planning and implementing age-appropriate educational activities and curriculum for the assigned age group, fostering a safe and engaging... 

NTT DATA

Epic Analyst- REMOTE Job at NTT DATA

 ...work from home / remotely in US.Role ResponsibilitiesRespond to client incidents and requests regarding the clinical aspects of the Epic suite. (may include, but are not limited to, workflow issues, application errors, user access, etc.) Proactively manage all assigned...