Clinical Review Specialist at Dahl Consulting
Eagan, MN 55121, USA -
Full Time


Start Date

Immediate

Expiry Date

17 Oct, 25

Salary

45.0

Posted On

18 Jul, 25

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Coding Experience

Industry

Pharmaceuticals

Description

Join this dynamic and fun team! Dahl Consulting is currently partnering with a leader in the health insurance industry. We work one-on-one with great candidates to help connect them with local employment opportunities. This company is hiring a Clinical Review Specialist for a contract position. Interested? Get more details below!

  • Worksite Location: Eagan, MN
  • Compensation: $45.00 per hour

What you’ll do as the Clinical Review Specialist:

  • Perform retrospective/back-end clinical reviews (not lab reviews)
  • Review charts related to fraud, waste, and abuse
  • Perform clinical evaluation and documentation as part of Utilization Management

What you’ll bring to the Clinical Review Specialist role:

  • 5+ years of independent licensure
  • 2+ years of specialty-specific experience (e.g., autism, substance use)
  • Strong clinical background with field experience
  • Utilization Management experience is preferred
  • Coding experience is not required

Take the first step on your new career path! To submit yourself for consideration for this role, simply click the apply button and complete our mobile-friendly online application. Once we’ve reviewed your application details, a recruiter will reach out to you with the next steps! For questions or more information about this role, please call our office at (651) 772-9225.
As an equal opportunity employer, Dahl Consulting welcomes candidates of all backgrounds and experiences to apply. If this position sounds like the right opportunity for you, we encourage you to take the next step and connect with us. We look forward to meeting you!
Dahl Consulting is proud to offer a comprehensive benefits package to eligible employees that will allow you to choose the best coverage to meet your family’s needs. For details, please review the DAHL Benefits Summary: https://www.dahlconsulting.com/benefits-w2fta/.

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Responsibilities

What you’ll do as the Clinical Review Specialist:

  • Perform retrospective/back-end clinical reviews (not lab reviews)
  • Review charts related to fraud, waste, and abuse
  • Perform clinical evaluation and documentation as part of Utilization Managemen

What you’ll bring to the Clinical Review Specialist role:

  • 5+ years of independent licensure
  • 2+ years of specialty-specific experience (e.g., autism, substance use)
  • Strong clinical background with field experience
  • Utilization Management experience is preferred
  • Coding experience is not require
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