clinical data reviewer jobs in Savannah, GA

Role OverviewMercor is collaborating with a leading AI-driven lab to strengthen the accuracy and reliability of large language models. Independent contractors in this engagement will design research-style prompts, validate model outputs, and carefully cross-check information across multiple sources. This opportunity is well-suited for detail-oriented individuals with strong research and...

Description & Requirements Maximus is hiring a Clinical Review Coordinator (Remote) to support the OR MED program. The Clinical Review Coordinator will review assessments for quality and review medical records and other documentation as needed. **This is a Part-Time fully remote position that requires Oregon licensure. About the program: We partner with Oregon DHS to manage in-person...

Job Description Job Summary The Director, Clinical Data Acquisition for Risk Adjustment, is responsible for the implementation, monitoring, and oversight of all chart collection for Risk Adjustment, RADV, or Risk Adjustment-like projects, and other state specific audit projects and deliverables related to accurate billing and coding. This role also works with the Health Plan Risk/Quality...

Earn up to $16 USD/hourly and work fully remotely and flexibly. Outlier, a platform owned and operated by Scale AI, is looking for English speakers to contribute their expertise toward training and refining cutting-edge AI systems. If you're passionate about improving models and excited by the future of AI, this is your opportunity to make a real impact. What You’ll Do - Work from a real user...

Optim Health System is seeking (2) full time Certified Coder/Surgical Case Reviewer(s). This is a remote position. JOB TITLE: Surgical Case Reviewer: Certified Coder SUPERVISION RECEIVED: Reports directly to Patient Access Director SUPERVISION EXERCISED: None TYPICAL WORKING CONDITIONS: Remote ESSENTIAL DUTIES AND RESPONSIBILITIES: (This list may not include all of the duties assigned.) •...

Job Description Job Description Clinical Psychologist – Veteran Disability Assessments We are seeking a dedicated Clinical Psychologist to join our team in performing medical assessments for U.S. Veterans as part of the VA's disability benefits process. In performing Disability Assessments, you will review behavioral health records electronically through a secure Web Portal and perform a...

Role OverviewMercor is looking for freelance contributors who are able to analyze the output of various B2B SAAS systems, ranging from Slack messages to Linear tickets to Salesforce entries. This project involves interpreting the output from these types of software, and translating them into high-quality prompt-response data, rubrics, and documentation. This is a short-term, part-time engagement...

A healthcare organization in Savannah, Georgia, seeks a Director for Clinical Data Acquisition to manage data collection related to Risk Adjustment projects. Responsibilities include operational process implementation, collaboration with leadership, and oversight of training programs. Candidates should have at least 8 years of managed healthcare experience with a focus on Risk Adjustment and...

Earn up to $16 USD/hourly and work fully remotely and flexibly. Outlier, a platform owned and operated by Scale AI, is looking for English speakers to contribute their expertise toward training and refining cutting-edge AI systems. If you're passionate about improving models and excited by the future of AI, this is your opportunity to make a real impact. What You’ll Do - Work from a real user...

A healthcare organization in Georgia seeks a Clinical Informatics Data Analyst to develop and maintain reports, analyze data for department initiatives, and support the electronic medical record application, Epic. The ideal candidate should have strong SQL programming skills, along with experience in Business Intelligence and relevant tools such as SSRS and Power BI. This role demands effective...

Earn up to $16 USD/hourly and work remotely and flexibly.Outlier, a platform owned and operated by Scale AI, is looking for English speakers to contribute their expertise toward training and refining cutting-edge AI systems. If you're passionate about improving models and excited by the future of AI, this is your opportunity to make a real impact. What You’ll Do Adopt a “user mindset” to...

Earn up to $16 USD/hourly and work remotely and flexibly.Outlier, a platform owned and operated by Scale AI, is looking for English speakers to contribute their expertise toward training and refining cutting-edge AI systems. If you're passionate about improving models and excited by the future of AI, this is your opportunity to make a real impact. What You’ll Do Adopt a “user mindset” to...

JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations - ensuring members reach desired outcomes through integrated delivery of care across the continuum. Contributes to overarching strategy to provide...

Job Description Job Summary The Medical Review Nurse provides support for medical claim and internal appeals review activities - ensuring alignment with applicable state and federal regulatory requirements, Molina policies and procedures, and medically appropriate clinical guidelines. Contributes to overarching strategy to provide quality and cost-effective member care. This position will be...

Earn up to $16 USD/hourly and work remotely and flexibly.Outlier, a platform owned and operated by Scale AI, is looking for English speakers to contribute their expertise toward training and refining cutting-edge AI systems. If you're passionate about improving models and excited by the future of AI, this is your opportunity to make a real impact. What You’ll Do Adopt a “user mindset” to...

JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations - ensuring members reach desired outcomes through integrated delivery of care across the continuum. Contributes to overarching strategy to provide...

Earn up to $16 USD/hourly and work remotely and flexibly.Outlier, a platform owned and operated by Scale AI, is looking for English speakers to contribute their expertise toward training and refining cutting-edge AI systems. If you're passionate about improving models and excited by the future of AI, this is your opportunity to make a real impact. What You’ll Do Adopt a “user mindset” to...

Earn up to $16 USD/hourly and work remotely and flexibly.Outlier, a platform owned and operated by Scale AI, is looking for English speakers to contribute their expertise toward training and refining cutting-edge AI systems. If you're passionate about improving models and excited by the future of AI, this is your opportunity to make a real impact. What You’ll Do Adopt a “user mindset” to...

JOB DESCRIPTION Job Summary Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. HCS staff work to ensure that patients progress toward desired outcomes with quality care...

JOB DESCRIPTION Job Summary The RN Care Review Clinician provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations - ensuring members reach desired outcomes through integrated delivery of care across the continuum. Contributes to...