Medical reviewer jobs in Miami, FloridaCreate job alerts

Three years minimum work experience in the health insurance industry, extensive knowledge of the Medicare and Medicaid programs. Peer reviewer will serve as a source of medical information to provide guidance or coverage determination as needed in certain claims review situations. Will conduct primary reviews or secondary level medical reviews to validate the initial findings. Statutory Requirements: Must be in-state of Florida, licensed and actively practicing. They would be expected to work off hours, nights and weekends. They do not have to live anywhere specific in Florida but have to be licensed and currently practicing in Florida. No interaction with patients. They only review Medical records and would work with the Medical Review Manager ***Must have experience in psychology or behavioral background ***Need to be currently practicing ABA services in Florida. MUST HAVE Additional Requirements: Spanish speaking and reading Degree/Specialty: Applied Behavioral Analysis and Psychology Estimated # hours: 20 hours a week x 2 weeks About Seneca Resources: Seneca Resources is a client driven provider of strategic Information Technology consulting services and Workforce Solutions to government and industry. Seneca Resources is a leading IT services provider with offices in Virginia, Alabama, Georgia, North Carolina and New York that service clients throughout the United States. We are an Equal Opportunity Employer and value the benefits of diversity in our workplace.