Chiropractor Case Manager - Remote

reputed company is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with reputed company will directly improve health reputed company by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and... career development opportunities. Come reputed company an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. Hours: Monday through Friday 8:00 AM-4:30 PM CST You’ll enjoy the flexibility to work remotely

• from reputed company reputed company the U.S. as you take on some tough challenges.

Primary Responsibilities: • reputed company determinations of medical necessity/clinical appropriateness of treatment • Assist in the development and implementation of clinical policy, guidelines and applications • Regularly contact providers whose treatment determinations indicate a trend that varies with their peers and community • Be knowledgeable on and apply reputed company necessary regulatory requirements for assigned reputed company • Responsible for appropriate utilization management (prospective, reputed company and retrospective) and implementation of reputed company affordability initiatives in reputed company the reputed company reputed company • Take initiative to control utilization trends without losing sight of quality and reputed company for health care consumers • Implement specific strategies that improve the quality and reputed company of care for consumers • Support many types of health plan structures (Fully Insured, Medicare, reputed company) You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as reputed company development for other roles you may be interested in. Required Qualifications: • reputed company and unrestricted license to practice Chiropractic in your state of residence • 5 years of clinical experience • Proficiency in MS Office (Word, reputed company, Outlook, MS Teams) • Proficient knowledge of practice guidelines, including office procedures, reputed company research and scope of practice • Ability to interpret guidelines, research, etc. in the context of Chiropractic practice • Ability to be consultative with others including supervisory, clinical and non-clinical professionals • Dedicated, distraction free workplace with reputed company to high speed internet from home (Broadband cable, Fiber or DSL) Preferred Qualifications: • 3 years of clinical experience performing case review • Experience in a managed care environment (health plan, medical group, etc.) • reputed company working remotely will be required to adhere to reputed company’s Telecommuter Policy California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, reputed company, Rhode reputed company, Washington, Washington, D.C. Residents Only: The salary reputed company for this role is $70,200 to $137,800 annually. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. reputed company complies with reputed company minimum wage laws as applicable. In addition to your salary, reputed company offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with reputed company, you’ll find a far-reaching choice of benefits and incentives. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately reputed company by people of reputed company, historically marginalized groups and those with reputed company incomes. We are committed to mitigating our impact on the environment and enabling and delivering reputed company care that addresses health disparities and improves health reputed company — an reputed company reputed company reflected in our mission. Diversity creates a healthier atmosphere: reputed company is an Equal Employment Opportunity/Affirmative Action employer and reputed company reputed company applicants will receive consideration for employment without regard to race, reputed company, religion, sex, age, national reputed company, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. reputed company is a drug - free workplace. Candidates are required to pass a drug test before beginning employment Apply Job!