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Gainwell Technologies

Remote Medical Reviewer (Physician) for Healthcare Claims

west sacramento, CA

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About this opportunity

Gainwell Technologies lists this Remote Medical Reviewer (Physician) for Healthcare Claims opportunity in west sacramento, California. Review the employer’s description below for duties, qualifications and application requirements.

Job description

Gainwell Technologies is seeking a Medical Reviewer (Physician) to support Medical Review Services for California healthcare programs. This role provides physician-level clinical expertise supporting medical policy, claim adjudication, TARs, appeals, provider-related medical review activities, and other healthcare program requirements.

Your role includes performing physician-level medical reviews of claims, applying clinical standards, and collaborating with multidisciplinary teams.

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Worksite address

west sacramento, CA, 95798, US

Who can apply

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