Max Populi, LLC

  • Chicago,IL
Max Populi, LLC Remote * (Chicago, IL, USA)
Mar 03, 2021
This is an exceptional opportunity to do Utilization Management and drive innovative work around better patient outcomes for our top tier client - a Fortune Top 50 Company. This position will be supporting our Commercial Business of our client organization. Responsible for the administration of medical services for company health plans including the overall medical policies of the business unit to ensure the appropriate and most cost effective medical care is received and for the day-to-day management of medical management staff. Primary duties may include, but are not limited to: • Interprets existing policies and develops new policies based on changes in the healthcare or medical arena. • Leads, develops, directs and implements clinical and non-clinical activities that impact health care quality cost and outcomes. • Identifies and develops opportunities for innovation to increase effectiveness and quality. • Serves as a resource and consultant to other areas...
Max Populi, LLC Remote * (Milwaukee, WI, USA)
Mar 03, 2021
100% Remote opportunity to conduct utilization management - chart reviews for a brand name specialty benefits company. We are seeking several physicians with a board certification in Orthopedic Surgery and Spine fellowship to support expansion needs for the musculoskeletal specialty. - No long commutes to an office - flexible schedules including weekend hours available - part time or full time opportunities open - Work from the comfort of your home office - Impact care within a growing MSK specialty - All State licenses welcome - Must be proficient using Windows - Must be willing to train "on the job" Minimum Requirements: The successful candidate will be an M.D. or D.O. with a current, active, U.S. state medical license and board certified in a specialty recognized by the American Board of Medical Specialties (ABMS), with recent practice experience in direct patient care (within the past 18 months). Knowledge of applicable state and federal laws, URAC and...
Max Populi, LLC Remote * (Fairbanks, AK, USA)
Mar 03, 2021
100% Remote opportunity to conduct utilization management - chart reviews for a brand name specialty benefits company. We are seeking several physicians with a board certification in Orthopedic Surgery and Spine fellowship to support expansion needs for the musculoskeletal specialty. - No long commutes to an office - flexible schedules including weekend hours available - part time or full time opportunities open - Work from the comfort of your home office - Impact care within a growing MSK specialty - All State licenses welcome - Must be proficient using Windows - Must be willing to train "on the job" Minimum Requirements: The successful candidate will be an M.D. or D.O. with a current, active, U.S. state medical license and board certified in a specialty recognized by the American Board of Medical Specialties (ABMS), with recent practice experience in direct patient care (within the past 18 months). Knowledge of applicable state and federal laws, URAC and...
Max Populi, LLC Remote * (Phoenix, AZ, USA)
Mar 03, 2021
Our client is a fast growing chain of behavioral clinics in CA and AZ. They offer a multitude of services to the community that include nutritional counseling, psychotherapy services, medication management and alternative therapies for the entire family. We are seeking several Clinicians with flexible schedules to work virtually, The clinicians are passionate to help patients live a life not constrained by mental illness. They strive to eliminate stigma, ensure confidentiality and provide individualized treatment. The holistic approach of care includes rTMS for Depression Ketamine Nasal Spray for Depression Medication Management Talk Therapy Telehealth If you have a PA or NP license in CA or AZ, we would like to chat with you. The Therapists will provide psychosocial assessment, individual/group treatment, individual/family therapy, discharge and aftercare planning to patient and their families. Serves as a liaison to community programs and develop...
Max Populi, LLC Remote * (Las Vegas, NV, USA)
Mar 03, 2021
100% Remote opportunity to conduct utilization management - chart reviews for a brand name specialty benefits company. .We are seeking several physicians with a board certification in Orthopedic Surgery and Spine fellowship to support expansion needs for the musculoskeletal specialty. - No long commutes to an office - flexible schedules including weekend hours available - part time or full time opportunities open - Work from the comfort of your home office - Impact care within a growing MSK specialty - All State licenses welcome - Must be proficient using Windows - Must be willing to train "on the job" Minimum Requirements: The successful candidate will be an M.D. or D.O. with a current, active, U.S. state medical license and board certified in a specialty recognized by the American Board of Medical Specialties (ABMS), with recent practice experience in direct patient care (within the past 18 months). Knowledge of applicable state and federal laws, URAC and...
Max Populi, LLC Remote * (Portland, OR, USA)
Mar 03, 2021
100% Remote opportunity to conduct utilization management - chart reviews for a brand name specialty benefits company. We are seeking several physicians with a board certification in Medical Oncology/Hematology to support expansion needs for the Oncology specialty. - No long commutes to an office - flexible schedules including weekend hours available - part time or full time opportunities open - Work from the comfort of your home office - Impact care within a growing MSK specialty - All State licenses welcome - Must be proficient using Windows - Must be willing to train "on the job" Minimum Requirements: The successful candidate will be an M.D. or D.O. with a current, active, U.S. state medical license and board certified in a specialty recognized by the American Board of Medical Specialties (ABMS), with recent practice experience in direct patient care (within the past 18 months). Knowledge of applicable state and federal laws, URAC and NCQA standards a...
Max Populi, LLC Remote * (St. Louis, MO, USA)
Mar 03, 2021
100% Remote opportunity to conduct utilization management - chart reviews for a brand name specialty benefits company. We are seeking several physicians with a board certification in Orthopedic Surgery and Spine fellowship to support expansion needs for the musculoskeletal specialty. - No long commutes to an office - flexible schedules including weekend hours available - part time or full time opportunities open - Work from the comfort of your home office - Impact care within a growing MSK specialty - All State licenses welcome - Must be proficient using Windows - Must be willing to train "on the job" Minimum Requirements: The successful candidate will be an M.D. or D.O. with a current, active, U.S. state medical license and board certified in a specialty recognized by the American Board of Medical Specialties (ABMS), with recent practice experience in direct patient care (within the past 18 months). Knowledge of applicable state and federal laws, URAC and...
Max Populi, LLC Remote * (West Virginia, USA)
Mar 03, 2021
This is an exceptional opportunity with our top tier managed care client to support the Medicaid Clinical Operations business in the state of West Virginia. The ideal candidate will be responsible for the administration of medical services for company health plans including the overall medical policies of the business unit to ensure the appropriate and most cost-effective medical care is received. Primary duties Interprets existing policies and develops new policies based on changes in the healthcare or medical arena. Leads, develops, directs and implements clinical and non-clinical activities that impact health care quality cost and outcomes. Identifies and develops opportunities for innovation to increase effectiveness and quality. Serves as a resource and consultant to other areas of the company, may chair or serve on company committees, may be required to represent the company to external entities and/or serve on external committees, conduct peer clinical and/or...
Max Populi, LLC Remote * (Pittsburgh, PA, USA)
Mar 03, 2021
This is an exceptional opportunity with our top tier managed care client to support the Medicaid Clinical Operations business in the state of West Virginia. The ideal candidate will be responsible for the administration of medical services for company health plans including the overall medical policies of the business unit to ensure the appropriate and most cost-effective medical care is received. Primary duties Interprets existing policies and develops new policies based on changes in the healthcare or medical arena. Leads, develops, directs and implements clinical and non-clinical activities that impact health care quality cost and outcomes. Identifies and develops opportunities for innovation to increase effectiveness and quality. Serves as a resource and consultant to other areas of the company, may chair or serve on company committees, may be required to represent the company to external entities and/or serve on external committees, conduct peer clinical and/or...
Max Populi, LLC Remote * (Washington, PA 15301, USA)
Mar 03, 2021
This is an exceptional opportunity with our top tier managed care client to support the Medicaid Clinical Operations business in the state of West Virginia. The ideal candidate will be responsible for the administration of medical services for company health plans including the overall medical policies of the business unit to ensure the appropriate and most cost-effective medical care is received. Primary duties Interprets existing policies and develops new policies based on changes in the healthcare or medical arena. Leads, develops, directs and implements clinical and non-clinical activities that impact health care quality cost and outcomes. Identifies and develops opportunities for innovation to increase effectiveness and quality. Serves as a resource and consultant to other areas of the company, may chair or serve on company committees, may be required to represent the company to external entities and/or serve on external committees, conduct peer clinical and/or...
Max Populi, LLC Remote * (Columbus, OH, USA)
Mar 03, 2021
100% Remote opportunity to conduct utilization management - chart reviews for a brand name specialty benefits company. We are seeking several physicians with a board certification in Orthopedic Surgery and Spine fellowship to support expansion needs for the musculoskeletal specialty. - No long commutes to an office - flexible schedules including weekend hours available - part time or full time opportunities open - Work from the comfort of your home office - Impact care within a growing MSK specialty - All State licenses welcome - Must be proficient using Windows - Must be willing to train "on the job" Minimum Requirements: The successful candidate will be an M.D. or D.O. with a current, active, U.S. state medical license and board certified in a specialty recognized by the American Board of Medical Specialties (ABMS), with recent practice experience in direct patient care (within the past 18 months). Knowledge of applicable state and federal laws, URAC and...
Max Populi, LLC Remote * (Phoenix, AZ, USA)
Mar 03, 2021
This is an exceptional opportunity to do Utilization Management and drive innovative work around better patient outcomes for our top tier client - a Fortune Top 50 Company. This position will be supporting our Commercial Business of our client organization. Responsible for the administration of medical services for company health plans including the overall medical policies of the business unit to ensure the appropriate and most cost effective medical care is received and for the day-to-day management of medical management staff. Primary duties may include, but are not limited to: • Interprets existing policies and develops new policies based on changes in the healthcare or medical arena. • Leads, develops, directs and implements clinical and non-clinical activities that impact health care quality cost and outcomes. • Identifies and develops opportunities for innovation to increase effectiveness and quality. • Serves as a resource and consultant to other areas...
Max Populi, LLC Remote * (Philadelphia, PA, USA)
Mar 03, 2021
This is an exceptional opportunity to do Utilization Management and drive innovative work around better patient outcomes for our top tier client - a Fortune Top 50 Company. This position will be supporting our Commercial Business of our client organization. Responsible for the administration of medical services for company health plans including the overall medical policies of the business unit to ensure the appropriate and most cost effective medical care is received and for the day-to-day management of medical management staff. Primary duties may include, but are not limited to: • Interprets existing policies and develops new policies based on changes in the healthcare or medical arena. • Leads, develops, directs and implements clinical and non-clinical activities that impact health care quality cost and outcomes. • Identifies and develops opportunities for innovation to increase effectiveness and quality. • Serves as a resource and consultant to other areas...
Max Populi, LLC Remote * (Tampa, FL, USA)
Mar 03, 2021
100% Remote opportunity to conduct utilization management - chart reviews for a brand name specialty benefits company. We are seeking several physicians with a board certification in Orthopedic Surgery and Spine fellowship to support expansion needs for the musculoskeletal specialty. - No long commutes to an office - flexible schedules including weekend hours available - part time or full time opportunities open - Work from the comfort of your home office - Impact care within a growing MSK specialty - All State licenses welcome - Must be proficient using Windows - Must be willing to train "on the job" Minimum Requirements: The successful candidate will be an M.D. or D.O. with a current, active, U.S. state medical license and board certified in a specialty recognized by the American Board of Medical Specialties (ABMS), with recent practice experience in direct patient care (within the past 18 months). Knowledge of applicable state and federal laws, URAC and...
Max Populi, LLC Remote * (Pittsburgh, PA, USA)
Mar 03, 2021
100% Remote opportunity to conduct utilization management - chart reviews for a brand name specialty benefits company. We are seeking several physicians with a board certification in Orthopedic Surgery and Spine fellowship to support expansion needs for the musculoskeletal specialty. - No long commutes to an office - flexible schedules including weekend hours available - part time or full time opportunities open - Work from the comfort of your home office - Impact care within a growing MSK specialty - All State licenses welcome - Must be proficient using Windows - Must be willing to train "on the job" Minimum Requirements: The successful candidate will be an M.D. or D.O. with a current, active, U.S. state medical license and board certified in a specialty recognized by the American Board of Medical Specialties (ABMS), with recent practice experience in direct patient care (within the past 18 months). Knowledge of applicable state and federal laws, URAC and...
Max Populi, LLC Remote * (New Orleans, LA, USA)
Mar 03, 2021
100% Remote opportunity to conduct utilization management - chart reviews for a brand name specialty benefits company. We are seeking several physicians with a board certification in Orthopedic Surgery and Spine fellowship to support expansion needs for the musculoskeletal specialty. - No long commutes to an office - flexible schedules including weekend hours available - part time or full time opportunities open - Work from the comfort of your home office - Impact care within a growing MSK specialty - All State licenses welcome - Must be proficient using Windows - Must be willing to train "on the job" Minimum Requirements: The successful candidate will be an M.D. or D.O. with a current, active, U.S. state medical license and board certified in a specialty recognized by the American Board of Medical Specialties (ABMS), with recent practice experience in direct patient care (within the past 18 months). Knowledge of applicable state and federal laws, URAC and...
Max Populi, LLC Remote * (Phoenix, AZ, USA)
Mar 03, 2021
100% Remote opportunity to conduct utilization management - chart reviews for a brand name specialty benefits company. We are seeking several physicians with a board certification in Medical Oncology/Hematology to support expansion needs for the Oncology specialty. - No long commutes to an office - flexible schedules including weekend hours available - part time or full time opportunities open - Work from the comfort of your home office - Impact care within a growing MSK specialty - All State licenses welcome - Must be proficient using Windows - Must be willing to train "on the job" Minimum Requirements: The successful candidate will be an M.D. or D.O. with a current, active, U.S. state medical license and board certified in a specialty recognized by the American Board of Medical Specialties (ABMS), with recent practice experience in direct patient care (within the past 18 months). Knowledge of applicable state and federal laws, URAC and NCQA standards a plus,...
Max Populi, LLC Remote * (Chicago, IL, USA)
Mar 03, 2021
Part time and full time opportunities for experienced clinical practitioner who would like to transition to a non-patient-facing clinical environment . Excellent interpersonal skills with the ability to work with provider physicians in a peer-to-peer conversation. Work from home positions. Conduct office-based pre-authorization of high-tech diagnostic imaging, cardiac testing, specialty pharmacy and sleep management services. Physician Reviewers determine the medical necessity of outpatient requests using clinical guidelines and health plan medical policy. **Perform physician-level case review, following initial nurse review, of high-tech diagnostic imaging, modalities. Imaging modalities include CT, CTA, MRI, MRA, PET, and Nuclear Cardiology. **Determine medical necessity of requests using AIM Medical Necessity Guidelines and client-specific health plan medical policy **Conduct peer-to-peer discussions with ordering physicians, physician assistants, and nurse practitioners...
Max Populi, LLC Remote * (Raleigh, NC, USA)
Mar 03, 2021
This is an exceptional opportunity to do Utilization Management and drive innovative work around better patient outcomes for our top tier client - a Fortune Top 50 Company. This position will be supporting our Commercial Business of our client organization. Responsible for the administration of medical services for company health plans including the overall medical policies of the business unit to ensure the appropriate and most cost effective medical care is received and for the day-to-day management of medical management staff. Primary duties may include, but are not limited to: • Interprets existing policies and develops new policies based on changes in the healthcare or medical arena. • Leads, develops, directs and implements clinical and non-clinical activities that impact health care quality cost and outcomes. • Identifies and develops opportunities for innovation to increase effectiveness and quality. • Serves as a resource and consultant to other areas...
Max Populi, LLC Remote * (Chicago, IL, USA)
Mar 03, 2021
100% Remote opportunity to conduct utilization management - chart reviews for a brand name specialty benefits company. We are seeking several physicians with a board certification in Medical Oncology/Hematology to support expansion needs for the Oncology specialty. - No long commutes to an office - flexible schedules including weekend hours available - part time or full time opportunities open - Work from the comfort of your home office - Impact care within a growing MSK specialty - All State licenses welcome - Must be proficient using Windows - Must be willing to train "on the job" Minimum Requirements: The successful candidate will be an M.D. or D.O. with a current, active, U.S. state medical license and board certified in a specialty recognized by the American Board of Medical Specialties (ABMS), with recent practice experience in direct patient care (within the past 18 months). Knowledge of applicable state and federal laws, URAC and NCQA standards a plus,...