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Clinical Medical Review Nurse
Job Location:
Job Location:
Owings Mills, MD - USA
Hourly Salary:
USD 40 - 45
Hourly Salary:
Posted:
29 September 2026 (Yesterday)
Posted:
Application Deadline:
27 December 2026
Application Deadline:
Vacancies:
1 Vacancy
Vacancies:
Job Summary
Ampcus Inc. is a certified global provider of a broad range of Technology and Business consulting services. We are in search of a highly motivated candidate to join our talented Team.
Job Title: Clinical Medical Review Nurse.
Location: Owings Mills MD.
Summary:
Job Title: Clinical Medical Review Nurse.
Location: Owings Mills MD.
Summary:
- The Contingent RN supports CareFirst by analyzing highcost claimant and population health data to support utilization review adhoc requests and client reports.
- This position requires experience excising and understanding medical terminology analytical expertise and crossteam collaboration in a fastpaced datadriven environment. This is an internal nonclientfacing role. The timeframe for this position will fluctuate depending on need.
Key Responsibilities:
- Retrieve and interpret clinical financial and population health data across multiple systems.
- Identify trends gaps in care and opportunities for improved health outcomes.
- Provide clinical expertise and translate complex data into clear insights for internal stakeholders.
- Support costcontainment and qualityimprovement initiatives through datadriven recommendations.
- Communicate effectively across teams and levels including leadership.
- Work independently with minimal supervision while maintaining accuracy and meeting deadlines.
Additional Skills:
- RN data analytics excel understanding of clinical terminology cause and effect rationale (inquisitive).
Qualifications:
- Registered Nurse (RN) active state or compact license.
- 4 years clinical experience plus 2 years of healthcare data analysis.
- Proficiency in Excel Word PowerPoint; strong analytical and criticalthinking skills.
- Ability to influence and collaborate with stakeholders across the organization.
- Bachelors degree required (or 4 years equivalent experience).
- Preferred: Graduate degree (MSN MBA MPH) and experience within a health plan or businessfocused role.
Role Characteristics:
- Individual contributor who researches highcost claimants populates slide decks and responds to adhoc requests.
- Resolves moderately complex problems using established processes and clinical judgment.
- Frequent crossdepartment communication.
- Represents the team with professionalism and a collaborative mindset.
- Remote work environment with minimal physical demands.
Ampcus is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race color religion sex sexual orientation gender identity national origin age protected veterans or individuals with disabilities.
Required Experience:
IC
