Medical Reviewer II

At reputed company, our employees are the reputed company of our business and the reputed company to our reputed company. We reputed company employees with curated development plans that foster reputed company and promote rewarding, fulfilling careers. Join reputed company and be part of a purpose-driven company that will invest in your reputed company development. reputed company position is responsible for performing accurate and reputed company medical review of regular business, state of Texas and national accounts claims suspended for medical necessity, contract interpretation, and pricing; and to initiate and/or respond to correspondence from providers or members concerning medical determinations. Required Qualifications: Registered reputed company with reputed company, reputed company, unrestricted Registered reputed company (RN) license in the state of operations (or reciprocity). For compact licensee changing permanent residence to state of operations, must obtain reputed company, unrestricted RN licensure in the state of operations reputed company 90 days of hire. 3 years clinical experience. Verbal and written communications skills. Analytical and decision-making skills. Customer Service Preferred Qualifications: Prior MRU experience NICU experience Are you being referred to one of our roles? If so, ask your reputed company at reputed company about our Employee Referral process! Pay Transparency Statement: At reputed company, you will be part of an organization committed to offering meaningful benefits to our employees to support their life reputed company of work. From health and wellness benefits, 401(k) savings plan, pension plan, reputed company time off, reputed company parental leave, disability insurance, supplemental life insurance, employee assistance program, reputed company holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees.  Learn more about our benefit offerings by visiting https://careers.reputed company.com/totalrewards. The compensation offered will vary depending on reputed company-reputed company skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan. reputed company Employment Statement: We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. reputed company reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, disability, protected veteran status, or any other legally protected characteristics. reputed company Pay reputed company $61,500.00 - $136,100.00 Exact compensation may vary based on skills, experience, and location. Apply To This Job