A leading health services company is seeking a Senior Medical Reviewer based in Nashville, TN. The role involves providing leadership in specialty programs and conducting second-level medical reviews of appeals. The ideal candidate must have an active RN license, strong clinical experience, and be proficient in Microsoft Office. The position allows for remote work and offers a comprehensive benefits package including health plans and a 401k with company match.
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...Summary We are currently hiring for a Medical Reviewer II to join BlueCross BlueShield of South Carolina. In this role as a Medical Reviewer II, you will perform medical reviews using clinical/medical information provided by physicians/providers and established criteria...
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