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Project Director - Grant and Contract Review Support Goldbelt Incorporated  Rockville, MD
OverviewGoldbelt Frontier is committed to providing support for a range of health technology management operations, projects, and services across the government and commercial industries. Frontier col ... Read more
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Rockville,MD

OverviewGoldbelt Frontier is committed to providing support for a range of health technology management operations, projects, and services across the government and commercial industries. Frontier col

Utilization Review RN - Virginia Hospital Center Kaiser Permanente  Arlington, VA
The Patient Care Coordinator is responsible for utilization review, discharge planning and transitions in care, in collaboration with MAPMG rounder in acute or alternative settings of care. Essential ... Read more
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Arlington,VA

The Patient Care Coordinator is responsible for utilization review, discharge planning and transitions in care, in collaboration with MAPMG rounder in acute or alternative settings of care. Essential

Revenue Officer (Technical Services Advisor/Reviewer) 12-month Roster - AMENDED Department Of The Treasury  Washington, DC
DutiesWHAT IS THE SBSE - Small Business Self EmployedDIVISION?A description of the business units can be found at: https://www.jobs.irs.gov/about/who/business-divisionsVacancies will be filled in the ... Read more
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Washington,DC

DutiesWHAT IS THE SBSE - Small Business Self EmployedDIVISION?A description of the business units can be found at: https://www.jobs.irs.gov/about/who/business-divisionsVacancies will be filled in the

Scientific Reviewer Guidehouse  Bethesda, MD
Job Family:Scientific Research Analysis (Digital)Travel Required:NoneClearance Required:Ability to Obtain Public TrustWhat You Will Do:We are currently searching for a Scientific Reviewer to support ... Read more
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Bethesda,MD

Job Family:Scientific Research Analysis (Digital)Travel Required:NoneClearance Required:Ability to Obtain Public TrustWhat You Will Do:We are currently searching for a Scientific Reviewer to support

Scientific Reviewer GAP Solutions, Inc  Bethesda, MD
Position Objective: Provide services as a Scientific Reviewer in support of the overall functions of the National Institute of Nursing Research (NINR) within the National Institutes of Health (NIH). T ... Read more
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Bethesda,MD

Position Objective: Provide services as a Scientific Reviewer in support of the overall functions of the National Institute of Nursing Research (NINR) within the National Institutes of Health (NIH). T

Tax Manager/Reviewer Kelly Services  Bethesda, MD
Job detailsOur client is looking for an experienced tax preparer to join their growing team. The ideal candidate will four or more years of experience with a strong understanding of tax laws and regul ... Read more
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Bethesda,MD

Job detailsOur client is looking for an experienced tax preparer to join their growing team. The ideal candidate will four or more years of experience with a strong understanding of tax laws and regul

Scientific Review Administrator Veear Projects Inc  Bethesda, MD
Work Details: Review and prepare written reviews of research grant applications. Assign applications to reviewers. Evaluate scientific aspects of concepts, proposals, protocols an ... Read more
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Bethesda,MD

Work Details: Review and prepare written reviews of research grant applications. Assign applications to reviewers. Evaluate scientific aspects of concepts, proposals, protocols an

Medical Reviewer/Safety Reviewer II-----Remote US Tech Solutions  Washington, DC
100% RemoteJob Description:Provides timely assessment of reported clinical trial data and participates in applicable safety surveillance activities for assigned studies including review of labs, vital ... Read more
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Washington,DC

100% RemoteJob Description:Provides timely assessment of reported clinical trial data and participates in applicable safety surveillance activities for assigned studies including review of labs, vital

ENT- Physician Clinical Reviewer Evolent Health  Washington, DC
**Your Future Evolves Here**Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primar ... Read more
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Washington,DC

**Your Future Evolves Here**Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primar

Research Manager - 360 Reviews US News  Washington, DC
U.S. News World Report is a multifaceted digital media company dedicated to helping citizens, consumers, business leaders and policy officials make important decisions in their lives. We publish inde ... Read more
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Washington,DC

U.S. News World Report is a multifaceted digital media company dedicated to helping citizens, consumers, business leaders and policy officials make important decisions in their lives. We publish inde

Kelly/NIH Scientific Reviewer Kelly Services, Inc.  Bethesda, MD
Of Discussion based on discussion notes from the meeting. Formats critiques to SRB standard practices. Validates and enters information into databases. Collaborate with staff on the preparation and ev ... Read more
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Bethesda,MD

Of Discussion based on discussion notes from the meeting. Formats critiques to SRB standard practices. Validates and enters information into databases. Collaborate with staff on the preparation and ev

Medical Review Subject Matter Expert Serco  Washington, DC
**Position Description**Serco is seekinga motivated Medical Review Subject Matter Expert to join our talented and fast-paced Public Sector Solutions team in supporting CMS' implementation of the Payme ... Read more
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Washington,DC

**Position Description**Serco is seekinga motivated Medical Review Subject Matter Expert to join our talented and fast-paced Public Sector Solutions team in supporting CMS' implementation of the Payme

Physician Clinical Reviewer- Oncology -REMOTE Prime Therapeutics  Washington, DC
Our work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make.**Job Posting Title**Phy ... Read more
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Washington,DC

Our work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make.**Job Posting Title**Phy

Medical Review Subject Matter Expert Serco Inc.  Washington, DC
Serco is seeking a motivated Medical Review Subject Matter Expert to join our talented and fast-paced Public Sector Solutions team in supporting CMS? implementation of the Payment Error Rate Measureme ... Read more
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Washington,DC

Serco is seeking a motivated Medical Review Subject Matter Expert to join our talented and fast-paced Public Sector Solutions team in supporting CMS? implementation of the Payment Error Rate Measureme

Executive Director, Report Review Committee The National Academies  Washington, DC
Job Description Summary:The National Academies of Sciences, Engineering, and Medicine is seeking an Executive Director for the Report Review Committee (RRC). This is an excellent opportunity to work a ... Read more
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Washington,DC

Job Description Summary:The National Academies of Sciences, Engineering, and Medicine is seeking an Executive Director for the Report Review Committee (RRC). This is an excellent opportunity to work a

IRB (Institutional Review Board) Coordinator Catholic University of America  Washington, DC
Posting TitleIRB ("Institutional Review Board") CoordinatorOverviewThe Office of Sponsored Programs administers the university's research operations. The office coordinates all pre- and non-financial ... Read more
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Washington,DC

Posting TitleIRB ("Institutional Review Board") CoordinatorOverviewThe Office of Sponsored Programs administers the university's research operations. The office coordinates all pre- and non-financial

Remote Doc Review 3/30 TransPerfect  Washington, DC
TransPerfect Is More Than Just a Job?Our greatest asset is our people, and nothing is more important to us than ensuring that everyone knows that. Each of our 90+ offices has its own individual identi ... Read more
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Washington,DC

TransPerfect Is More Than Just a Job?Our greatest asset is our people, and nothing is more important to us than ensuring that everyone knows that. Each of our 90+ offices has its own individual identi

Jr. Declassification Review Analyst Amentum  Springfield, VA
The Junior Declassification Review Analyst will work at a client site in Springfield, VA to provide support to government clients on a team of Declassification Review Analysts. They will provide initi ... Read more
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Springfield,VA

The Junior Declassification Review Analyst will work at a client site in Springfield, VA to provide support to government clients on a team of Declassification Review Analysts. They will provide initi

Lead Medical Review Specialist Hendall, Inc.  Rockville, MD
Hendall is seeking an experienced Lead Medical Review Specialist to perform Medicare claims review for payment accuracy determinations. The successful candidate will have a knowledge and understanding ... Read more
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Rockville,MD

Hendall is seeking an experienced Lead Medical Review Specialist to perform Medicare claims review for payment accuracy determinations. The successful candidate will have a knowledge and understanding

Lead Medical Review Specialist Hendall Inc  Rockville, MD
OVERVIEWHendall is seeking an experienced Lead Medical Review Specialist to perform Medicare claims review for payment accuracy determinations. The successful candidate will have a knowledge and under ... Read more
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Rockville,MD

OVERVIEWHendall is seeking an experienced Lead Medical Review Specialist to perform Medicare claims review for payment accuracy determinations. The successful candidate will have a knowledge and under

Analyst, Regulatory Review & Disclosure Financial Industry Regulatory Authority, Inc.  Rockville, MD
The Analyst performs a variety of specific duties depending on the core function to which assigned. Core functions in Regulatory Review and Disclosure (RRD) include but not limited to disclosure revie ... Read more
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Rockville,MD

The Analyst performs a variety of specific duties depending on the core function to which assigned. Core functions in Regulatory Review and Disclosure (RRD) include but not limited to disclosure revie

Senior Quality Reviewer - developmental disabilities Liberty Healthcare Corporation  College Park, MD
Job DescriptionHuman services professionals are encouraged to consider an outstanding career opportunity with Liberty Healthcare Corporation.In partnership with Maryland's Developmental Disabilities A ... Read more
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College Park,MD

Job DescriptionHuman services professionals are encouraged to consider an outstanding career opportunity with Liberty Healthcare Corporation.In partnership with Maryland's Developmental Disabilities A

Medical Nurse Reviewer Seneca Holdings LLC  Washington, DC
Great Hill Solutions is part of the Seneca Nation Group (SNG) portfolio of companies. SNG is the federal government contracting business wholly owned by the Seneca Nation. SNG meets mission-critical n ... Read more
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Washington,DC

Great Hill Solutions is part of the Seneca Nation Group (SNG) portfolio of companies. SNG is the federal government contracting business wholly owned by the Seneca Nation. SNG meets mission-critical n

Senior Therapist - Youth Clinical Utilization Review City of Alexandria (VA)  Alexandria, VA
Senior Therapist - Youth Clinical Utilization ReviewThe City of Alexandria is located in northern Virginia and is bordered by the District of Columbia (Potomac River), Arlington and Fairfax counties. ... Read more
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Alexandria,VA

Senior Therapist - Youth Clinical Utilization ReviewThe City of Alexandria is located in northern Virginia and is bordered by the District of Columbia (Potomac River), Arlington and Fairfax counties.

Case Review Specialist STG International  Rockville, MD
STG International is currently seeking a Case Review Specialist for Federal Occupational Health Services in Rockville, MD. Job Specific Duties and Responsibilities:Provide direct support to the missio ... Read more
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Rockville,MD

STG International is currently seeking a Case Review Specialist for Federal Occupational Health Services in Rockville, MD. Job Specific Duties and Responsibilities:Provide direct support to the missio

Claims Nurse Reviewer BlueCross and BlueShield of Massachusetts  Hingham, MA
Ready to help us transform healthcare? Bring your true colors to blue.The RoleThe Claims Nurse Reviewer is responsible for reviewing claims, validating coding and medical necessity of the services sub ... Read more
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Hingham,MA

Ready to help us transform healthcare? Bring your true colors to blue.The RoleThe Claims Nurse Reviewer is responsible for reviewing claims, validating coding and medical necessity of the services sub

Revenue Officer (Technical Services Advisor/Reviewer) 12-month Roster - AMENDED Department Of The Treasury  Boston, MA
DutiesWHAT IS THE SBSE - Small Business Self EmployedDIVISION?A description of the business units can be found at: https://www.jobs.irs.gov/about/who/business-divisionsVacancies will be filled in the ... Read more
Apply

Boston,MA

DutiesWHAT IS THE SBSE - Small Business Self EmployedDIVISION?A description of the business units can be found at: https://www.jobs.irs.gov/about/who/business-divisionsVacancies will be filled in the

DRG Nurse Reviewer Zelis  Boston, MA
Position Overview:The DRG Validation Nurse Reviewer will be primarily responsible for conducting post-service, pre-payment and post pay comprehensive inpatient DRG reviews based on industry standard i ... Read more
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Boston,MA

Position Overview:The DRG Validation Nurse Reviewer will be primarily responsible for conducting post-service, pre-payment and post pay comprehensive inpatient DRG reviews based on industry standard i

Medical Reviewer Orion Engineering Services  Boston, MA
Job descriptionLocation: Remote (US)Contract Length: 12 Months Pay Rate: $30-35/hr including individual healthcare coverageJob Description: Provides timely assessment of reported clinical trial data a ... Read more
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Boston,MA

Job descriptionLocation: Remote (US)Contract Length: 12 Months Pay Rate: $30-35/hr including individual healthcare coverageJob Description: Provides timely assessment of reported clinical trial data a

Clinical Reviewer - RN US Tech Solutions, Inc.  Canton, MA
Remote position but will be required to go on site as needed. Job Description Coordinates the review process for services requiring prior authorization by ***. This includes matching the coverage requ ... Read more
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Canton,MA

Remote position but will be required to go on site as needed. Job Description Coordinates the review process for services requiring prior authorization by ***. This includes matching the coverage requ

Nurse Reviewer, Endoscopy -Braintree Partners Healthcare System  Braintree, MA
Under the direction of the Nurse Director of the BWPO's South Shore Endoscopy Center (SSEC), the Registered Nurse GI Case Reviewer will work as a critical member of the procedural care team to support ... Read more
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Braintree,MA

Under the direction of the Nurse Director of the BWPO's South Shore Endoscopy Center (SSEC), the Registered Nurse GI Case Reviewer will work as a critical member of the procedural care team to support

Nurse Reviewer, Endoscopy -Braintree Brigham and Women's Hospital  Braintree, MA
Under the direction of the Nurse Director of the BWPO's South Shore Endoscopy Center (SSEC), the Registered Nurse GI Case Reviewer will work as a critical member of the procedural care team to support ... Read more
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Braintree,MA

Under the direction of the Nurse Director of the BWPO's South Shore Endoscopy Center (SSEC), the Registered Nurse GI Case Reviewer will work as a critical member of the procedural care team to support

Medical Reviewer/Safety Reviewer II-----Remote US Tech Solutions  Boston, MA
100% RemoteJob Description:Provides timely assessment of reported clinical trial data and participates in applicable safety surveillance activities for assigned studies including review of labs, vital ... Read more
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Boston,MA

100% RemoteJob Description:Provides timely assessment of reported clinical trial data and participates in applicable safety surveillance activities for assigned studies including review of labs, vital

Nurse Reviewer, Endoscopy -Braintree Brigham & Women's Physicians Organization(BWPO)  Braintree, MA
Under the direction of the Nurse Director of the BWPO's South Shore Endoscopy Center (SSEC), the Registered Nurse GI Case Reviewer will work as a critical member of the procedural care team to support ... Read more
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Braintree,MA

Under the direction of the Nurse Director of the BWPO's South Shore Endoscopy Center (SSEC), the Registered Nurse GI Case Reviewer will work as a critical member of the procedural care team to support

Research Therapist, PT - Inspire Lab (20 hrs) Spaulding Rehabilitation  Charlestown, MA
Research Therapist, PT - Inspire Lab (20 hrs) - ( 3282461 )**Description****Schedule** : Part-time, 20 hrs./wk.**Summary**Provide physical therapy services for several ongoing clinical research trials ... Read more
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Charlestown,MA

Research Therapist, PT - Inspire Lab (20 hrs) - ( 3282461 )**Description****Schedule** : Part-time, 20 hrs./wk.**Summary**Provide physical therapy services for several ongoing clinical research trials

Chemistry Data Reviewer GTT, LLC  Norwood, MA
Chemistry Data Reviewer / Quality Control Sample Management Associate Contract Duration 6+ months Pay rate up to $0.69 - $42.22/hr style="font-si ... Read more
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Norwood,MA

Chemistry Data Reviewer / Quality Control Sample Management Associate Contract Duration 6+ months Pay rate up to $0.69 - $42.22/hr style="font-si

Utilization Review Nurse Beth Israel Lahey Health  Burlington, MA
Job Type: RegularTime Type: Part timeWork Shift: Day (United States of America)FLSA Status: Non-ExemptWhen you join the growing BILH team, you're not just taking a job, you're making a difference in p ... Read more
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Burlington,MA

Job Type: RegularTime Type: Part timeWork Shift: Day (United States of America)FLSA Status: Non-ExemptWhen you join the growing BILH team, you're not just taking a job, you're making a difference in p

Senior Scientist - Data Review Thermo Fisher Scientific Inc.  Boston, MA
Job DescriptionAt Thermo Fisher Scientific, you'll discover meaningful work that makes a positive impact on a global scale. Join our colleagues in bringing our Mission to life - enabling our customers ... Read more
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Boston,MA

Job DescriptionAt Thermo Fisher Scientific, you'll discover meaningful work that makes a positive impact on a global scale. Join our colleagues in bringing our Mission to life - enabling our customers

ENT- Physician Clinical Reviewer Evolent Health  Boston, MA
**Your Future Evolves Here**Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primar ... Read more
Apply

Boston,MA

**Your Future Evolves Here**Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primar

Case Review Coordinator Brigham and Women's Faulkner Hospital  Boston, MA
Schedule: per diemPerforms the six essential activities of Case Management: Assessment, Planning, Implementation, Coordinate, Monitor and Reassess through the continuum of care to facilitate a safe co ... Read more
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Boston,MA

Schedule: per diemPerforms the six essential activities of Case Management: Assessment, Planning, Implementation, Coordinate, Monitor and Reassess through the continuum of care to facilitate a safe co

Associate Director, Medical Review Physician Moderna Theraputics  Cambridge, MA
The RoleThe Clinical Safety and Risk Management group within the Clinical Safety and Pharmacovigilance department promotes patient safety throughout the lifecycle of Moderna's product portfolio from f ... Read more
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Cambridge,MA

The RoleThe Clinical Safety and Risk Management group within the Clinical Safety and Pharmacovigilance department promotes patient safety throughout the lifecycle of Moderna's product portfolio from f

Associate Director, Medical Review Physician BioSpace  Cambridge, MA
Job DetailsThe RoleThe Clinical Safety and Risk Management group within the Clinical Safety and Pharmacovigilance department promotes patient safety throughout the lifecycle of Modernas product portfo ... Read more
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Cambridge,MA

Job DetailsThe RoleThe Clinical Safety and Risk Management group within the Clinical Safety and Pharmacovigilance department promotes patient safety throughout the lifecycle of Modernas product portfo

Associate Director, Medical Review Physician Moderna, Inc.  Cambridge, MA
The RoleThe Clinical Safety and Risk Management group within the Clinical Safety and Pharmacovigilance department promotes patient safety throughout the lifecycle of Moderna's product portfolio from f ... Read more
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Cambridge,MA

The RoleThe Clinical Safety and Risk Management group within the Clinical Safety and Pharmacovigilance department promotes patient safety throughout the lifecycle of Moderna's product portfolio from f

Physician Clinical Reviewer- Oncology -REMOTE Prime Therapeutics  Boston, MA
Our work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make.**Job Posting Title**Phy ... Read more
Apply

Boston,MA

Our work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make.**Job Posting Title**Phy

Senior Zoning Review Planner City of Somerville  Somerville, MA
Statement of DutiesThis position is responsible for administration and review of projects under the Somerville Zoning Ordinance. Work duties include professional and technical work in planning, includ ... Read more
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Somerville,MA

Statement of DutiesThis position is responsible for administration and review of projects under the Somerville Zoning Ordinance. Work duties include professional and technical work in planning, includ

Utilization Reviewer - Clinical Evaluation Center Per diem McLean Hospital(MCL)  Belmont, MA
Responsiblefor obtaining initial insurance authorizations for all applicable coverage andfor appropriate level of clinical care. Must demonstrateMcLean values of integrity, compassion and respect, div ... Read more
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Belmont,MA

Responsiblefor obtaining initial insurance authorizations for all applicable coverage andfor appropriate level of clinical care. Must demonstrateMcLean values of integrity, compassion and respect, div

Medical Writing Review Senior Specialist (Remote) Vertex Pharmaceuticals, Inc  Boston, MA
Job DescriptionThe Medical Writing Operations Senior Specialist is primarily responsible for independently performing in-depth quality control (QC) reviews on moderately complex clinical and regulator ... Read more
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Boston,MA

Job DescriptionThe Medical Writing Operations Senior Specialist is primarily responsible for independently performing in-depth quality control (QC) reviews on moderately complex clinical and regulator

Essay Reviewer Bright Horizons  Newton, MA
College Coach, a division of Bright Horizons Family Solutions, is the nation?s leading educational consulting organization. With a strong service mission and a commitment to excellence, College Coach ... Read more
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Newton,MA

College Coach, a division of Bright Horizons Family Solutions, is the nation?s leading educational consulting organization. With a strong service mission and a commitment to excellence, College Coach

Utilization Review Nurse Milford Regional Medical Center  Milford, MA
Per diem, 8a-4;30P as needed weekends + occ/ holidays About Us Milford Regional Medical Center is a full-service, community and regional teaching hospital located in Milford, Mass. and serves patients ... Read more
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Milford,MA

Per diem, 8a-4;30P as needed weekends + occ/ holidays About Us Milford Regional Medical Center is a full-service, community and regional teaching hospital located in Milford, Mass. and serves patients

DATA REVIEW COORDINATOR, School of Medicine, Microbiology Boston University  Boston, MA
The Data Review Coordinator provides routine, real-time review and verification of Animal Rule/ GLP study data, including all animal observation and procedure data, to ensure adherence to generally re ... Read more
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Boston,MA

The Data Review Coordinator provides routine, real-time review and verification of Animal Rule/ GLP study data, including all animal observation and procedure data, to ensure adherence to generally re

Revenue Officer (Technical Services Advisor/Reviewer) 12-month Roster - AMENDED Department Of The Treasury  Chicago, IL
DutiesWHAT IS THE SBSE - Small Business Self EmployedDIVISION?A description of the business units can be found at: https://www.jobs.irs.gov/about/who/business-divisionsVacancies will be filled in the ... Read more
Apply

Chicago,IL

DutiesWHAT IS THE SBSE - Small Business Self EmployedDIVISION?A description of the business units can be found at: https://www.jobs.irs.gov/about/who/business-divisionsVacancies will be filled in the

Physician Reviewer w3r Consulting  Chicago, IL
Description: This position requires an initial time commitment to undergo and complete training. After training, physician medical reviewer will provide weekend coverage, 8 hour shifts per Saturday an ... Read more
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Chicago,IL

Description: This position requires an initial time commitment to undergo and complete training. After training, physician medical reviewer will provide weekend coverage, 8 hour shifts per Saturday an

Physician Reviewer Integrated Resources, Inc  Chicago, IL
Seeking physician medical reviewer for REMOTE weekend work - at least 2 weekends per month Can work in any state Job Description This position requires an initial time commitment to undergo and com ... Read more
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Chicago,IL

Seeking physician medical reviewer for REMOTE weekend work - at least 2 weekends per month Can work in any state Job Description This position requires an initial time commitment to undergo and com

Claim Quality Review Consultant CNA Financial Corp.  Chicago, IL
You have a clear vision of where your career can go. And we have the leadership to help you get there. At CNA, we strive to create a culture in which people know they matter and are part of something ... Read more
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Chicago,IL

You have a clear vision of where your career can go. And we have the leadership to help you get there. At CNA, we strive to create a culture in which people know they matter and are part of something

Case Manager/Utilization Review Saint Anthony Hospital  Chicago, IL
Job Summary Assumes responsibility and accountability for the appropriate utilization of facilities and services.# Coordinates total care given by interdisciplinary team members and directs them to pr ... Read more
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Chicago,IL

Job Summary Assumes responsibility and accountability for the appropriate utilization of facilities and services.# Coordinates total care given by interdisciplinary team members and directs them to pr

Credit Review Manager Citizens Financial Group, Inc.  Chicago, IL
Credit Review Manager - Commercial Real Estate. The Credit Review Manager position is a team member in the banks third line Credit Review functions Commercial Real Estate team. The Credit Review team ... Read more
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Chicago,IL

Credit Review Manager - Commercial Real Estate. The Credit Review Manager position is a team member in the banks third line Credit Review functions Commercial Real Estate team. The Credit Review team

Medical Reviewer/Safety Reviewer II-----Remote US Tech Solutions  Chicago, IL
100% RemoteJob Description:Provides timely assessment of reported clinical trial data and participates in applicable safety surveillance activities for assigned studies including review of labs, vital ... Read more
Apply

Chicago,IL

100% RemoteJob Description:Provides timely assessment of reported clinical trial data and participates in applicable safety surveillance activities for assigned studies including review of labs, vital

Utilization Review (UR) Specialist Spectrum Billing Solutions  Skokie, IL
Spectrum Billing Solutions is an industry-leading revenue cycle management company for healthcare organizations. We are looking to add a Utilization Review (UR) Specialist to ou ... Read more
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Skokie,IL

Spectrum Billing Solutions is an industry-leading revenue cycle management company for healthcare organizations. We are looking to add a Utilization Review (UR) Specialist to ou

Physician Reviewer | Remote | Contract Walker Healthforce  Chicago, IL
Physician Reviewer | Remote | Contract to Hire Walker Healthforce is seeking a Physician Reviewer for a healthcare client located remotely. This is a contract opportunity. START DATE: ASAP Walker Heal ... Read more
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Chicago,IL

Physician Reviewer | Remote | Contract to Hire Walker Healthforce is seeking a Physician Reviewer for a healthcare client located remotely. This is a contract opportunity. START DATE: ASAP Walker Heal

Orthopedic Surgeon Telecommute Medical Review Stream Concentra  Chicago, IL
OverviewAre you an accomplished Board Certified Orthopedic Surgeon? Preferred candidates will have a IL license.Are you passionate about your work/life balance? We are seeking flexible and experienced ... Read more
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Chicago,IL

OverviewAre you an accomplished Board Certified Orthopedic Surgeon? Preferred candidates will have a IL license.Are you passionate about your work/life balance? We are seeking flexible and experienced

Tax Return Reviewer, Global Mobility Services KPMG  Chicago, IL
At KPMG, you can become an integral part of a dynamic team at one of the world's top tax firms. Enjoy a collaborative, future-forward culture that empowers your success. Work with KPMG's extensive net ... Read more
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Chicago,IL

At KPMG, you can become an integral part of a dynamic team at one of the world's top tax firms. Enjoy a collaborative, future-forward culture that empowers your success. Work with KPMG's extensive net

Claro, ProFee Chart Review Specialist Kaufman Hall & Associates LLC  Chicago, IL
ProFee Chart Review SpecialistThe OrganizationWe help society's foundational institutions-healthcare and higher education-to achieve their full potential in service to others.We are our clients' trust ... Read more
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Chicago,IL

ProFee Chart Review SpecialistThe OrganizationWe help society's foundational institutions-healthcare and higher education-to achieve their full potential in service to others.We are our clients' trust

Orthopedic Surgeon Telecommute Medical Review Stream Select Medical  Chicago, IL
Are you an accomplished Board Certified Orthopedic Surgeon? Preferred candidates will have a IL license. Are you passionate about your work/life balance? We are seeking flexible and experienced physic ... Read more
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Chicago,IL

Are you an accomplished Board Certified Orthopedic Surgeon? Preferred candidates will have a IL license. Are you passionate about your work/life balance? We are seeking flexible and experienced physic

Medical Director Clinical Coverage Review - Pharmacy - Remote UnitedHealth Group  Chicago, IL
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connectin ... Read more
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Chicago,IL

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connectin

Veterans Service Representative (Authorization Quality Review Specialist) Department of Veterans Affairs  Chicago, IL
SummaryThe Veterans Service Representative (Authorization Quality Review Specialist) is an integral part of the VSC and BEST quality assurance program and is a key technical adviser to the Veterans Se ... Read more
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Chicago,IL

SummaryThe Veterans Service Representative (Authorization Quality Review Specialist) is an integral part of the VSC and BEST quality assurance program and is a key technical adviser to the Veterans Se

Senior Audit Manager - Credit Risk Portfolio Reviews US Bank  Chicago, IL
At U.S. Bank, we're on a journey to do our best. Helping the customers and businesses we serve to make better and smarter financial decisions and enabling the communities we support to grow and succee ... Read more
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Chicago,IL

At U.S. Bank, we're on a journey to do our best. Helping the customers and businesses we serve to make better and smarter financial decisions and enabling the communities we support to grow and succee

Physician Reviewer PSG Global Solutions Careers  Chicago, IL
Apply now and our proprietary system will quickly have you in front of a live recruiter. The Opportunity Description We're looking for a Physician Reviewer, working in Insurance industry in Chicago, ... Read more
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Chicago,IL

Apply now and our proprietary system will quickly have you in front of a live recruiter. The Opportunity Description We're looking for a Physician Reviewer, working in Insurance industry in Chicago,

Physician Reviewer Integrated Resources  Chicago, IL
Seeking physician medical reviewer for REMOTE weekend work - at least 2 weekends per month Can work in any state Job Description This position requires an initial time commitment to undergo and compl ... Read more
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Chicago,IL

Seeking physician medical reviewer for REMOTE weekend work - at least 2 weekends per month Can work in any state Job Description This position requires an initial time commitment to undergo and compl

Physician Reviewer Mindlance  Chicago, IL
remote in our five states pay rate is ***/hour This position will work every weekend and possible holidays Evaluates clinical service requests made by an organization's members and providers. Uses cl ... Read more
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Chicago,IL

remote in our five states pay rate is ***/hour This position will work every weekend and possible holidays Evaluates clinical service requests made by an organization's members and providers. Uses cl

RN Utilization Specialist-Utilization Review Full Time Days Northwestern Medicine  Palos Heights, IL
Benefits* $10,000 Tuition Reimbursement per year ($5,700 part-time)* $10,000 Student Loan Repayment ($5,000 part-time)* $1,000 Professional Development per year ($500 part-time)* $250 Wellbeing Fund p ... Read more
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Palos Heights,IL

Benefits* $10,000 Tuition Reimbursement per year ($5,700 part-time)* $10,000 Student Loan Repayment ($5,000 part-time)* $1,000 Professional Development per year ($500 part-time)* $250 Wellbeing Fund p

Rating Analyst, Review & Validation S&P Global  Chicago, IL
**About the Role:****Grade Level (for internal use):**09Title: Rating Analyst, Review ValidationGrade (relevant for internal applicants only): **09**Location: New York, NY; Chicago, ILTeam:The Review ... Read more
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Chicago,IL

**About the Role:****Grade Level (for internal use):**09Title: Rating Analyst, Review ValidationGrade (relevant for internal applicants only): **09**Location: New York, NY; Chicago, ILTeam:The Review

Patient Balance Review Representative Medical Practice Midwest Orthopaedic Consultants  Orland Park, IL
Objective: The Patient Balance Review Representative is responsible for ensuring that outstanding patient balances are reviewed and addressed with the patients to reduce the practice AR. Outstanding b ... Read more
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Orland Park,IL

Objective: The Patient Balance Review Representative is responsible for ensuring that outstanding patient balances are reviewed and addressed with the patients to reduce the practice AR. Outstanding b

Psychiatrist Physician Reviewer - PRN - Remote (Within Illinois) Acentra Health  Lombard, IL
CNSI and Kepro are now Acentra Health! Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that de ... Read more
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Lombard,IL

CNSI and Kepro are now Acentra Health! Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that de

Psychiatrist Physician Reviewer - PRN - Remote (Within Illinois) CNSI  Lombard, IL
Company DescriptionCNSI and Kepro are now Acentra Health! Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate healt ... Read more
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Lombard,IL

Company DescriptionCNSI and Kepro are now Acentra Health! Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate healt

OBGYN Physician Reviewer (PRN, Remote within Illinois) Kepro  Lombard, IL
CNSI and Kepro are now Acentra Health! Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that de ... Read more
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Lombard,IL

CNSI and Kepro are now Acentra Health! Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that de

Payment Reviewer White Plains Hospital Center  White Plains, NY
At White Plains Hospital, you have an opportunity to work side-by-side with some of the most talented people in the world. We have been widely recognized for our exceptional culture, world-class physi ... Read more
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White Plains,NY

At White Plains Hospital, you have an opportunity to work side-by-side with some of the most talented people in the world. We have been widely recognized for our exceptional culture, world-class physi

Vice President Credit Review HSBC  New York, NY
Job descriptionOur purpose - Opening up a world of opportunity - explains why we exist. Here at HSBC we use our unique expertise, capabilities, breadth and perspectives to open up new kinds of opportu ... Read more
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New York,NY

Job descriptionOur purpose - Opening up a world of opportunity - explains why we exist. Here at HSBC we use our unique expertise, capabilities, breadth and perspectives to open up new kinds of opportu

CCAR Liquidity Review SVP (Hybrid) Citigroup Inc.  New York, NY
The SVP for CCAR Liquidity Review is responsible for executing independent review and challenge of the CCAR liquidity workstream, including quarterly internal refresh as well as the review and challen ... Read more
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New York,NY

The SVP for CCAR Liquidity Review is responsible for executing independent review and challenge of the CCAR liquidity workstream, including quarterly internal refresh as well as the review and challen

Credit Review Examiner, Vice President MUFG (DBA)  New York, NY
Do you want your voice heard and your actions to count?Discover your opportunity with Mitsubishi UFJ Financial Group (MUFG), the 7th largest financial group in the world. Across the globe, we're 120,0 ... Read more
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New York,NY

Do you want your voice heard and your actions to count?Discover your opportunity with Mitsubishi UFJ Financial Group (MUFG), the 7th largest financial group in the world. Across the globe, we're 120,0

Credit Review Vice President JPMorgan Chase  Jersey City, NJ
Key Responsibilities As Reviewer-in-Charge, lead a team of reviewers for commercial loan portfolios. This includes chairing meetings associated with planning, project kick-off, presentation of finding ... Read more
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Jersey City,NJ

Key Responsibilities As Reviewer-in-Charge, lead a team of reviewers for commercial loan portfolios. This includes chairing meetings associated with planning, project kick-off, presentation of finding

Quality Review Auditor MJHS  New York, NY
The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expan ... Read more
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New York,NY

The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expan

Physical Therapist - Inspir Spear Physical Therapy  New York, NY
Spear Physical and Occupational Therapy is seeking a per-diem PT to join our team within an ultra luxury assisted living facility on the Upper East Side of Manhattan. The therapist will be joining a s ... Read more
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New York,NY

Spear Physical and Occupational Therapy is seeking a per-diem PT to join our team within an ultra luxury assisted living facility on the Upper East Side of Manhattan. The therapist will be joining a s

Revenue Officer (Technical Services Advisor/Reviewer) 12-month Roster - AMENDED Department Of The Treasury  New York, NY
DutiesWHAT IS THE SBSE - Small Business Self EmployedDIVISION?A description of the business units can be found at: https://www.jobs.irs.gov/about/who/business-divisionsVacancies will be filled in the ... Read more
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New York,NY

DutiesWHAT IS THE SBSE - Small Business Self EmployedDIVISION?A description of the business units can be found at: https://www.jobs.irs.gov/about/who/business-divisionsVacancies will be filled in the

RN - Chart Review Infojini  New York, NY
Duties: Use clinical knowledge to review medical charts for accuracy and sequencing of diagnosis to those assigned from Consultation reports, History and Physical reports, Operative reports, Progress ... Read more
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New York,NY

Duties: Use clinical knowledge to review medical charts for accuracy and sequencing of diagnosis to those assigned from Consultation reports, History and Physical reports, Operative reports, Progress

AUDIT REVIEWER City of New York  New York, NY
Job DescriptionThe Home Care Services Program (HCSP) is a Medicaid funded program that provides long term care to medically fragile and vulnerable individuals who require assistance with activities of ... Read more
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New York,NY

Job DescriptionThe Home Care Services Program (HCSP) is a Medicaid funded program that provides long term care to medically fragile and vulnerable individuals who require assistance with activities of

Audit Reviewer New York City, NY  Brooklyn, NY
The Home Care Services Program (HCSP) is a Medicaid funded program that provides long term care to medically fragile and vulnerable individuals who require assistance with activities of daily living t ... Read more
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Brooklyn,NY

The Home Care Services Program (HCSP) is a Medicaid funded program that provides long term care to medically fragile and vulnerable individuals who require assistance with activities of daily living t

Clinical Reviewer (RN) IPRO  Great Neck, NY
As a Clinical Reviewer you will complete the full spectrum of activities related to State Independent Review Organization (IRO) case determinations. Conducting clinical level review, determining physi ... Read more
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Great Neck,NY

As a Clinical Reviewer you will complete the full spectrum of activities related to State Independent Review Organization (IRO) case determinations. Conducting clinical level review, determining physi

Clinical Reviewer (RN) IPro.org  Great Neck, NY
As a Clinical Reviewer you will complete the full spectrum of activities related to State Independent Review Organization (IRO) case determinations. Conducting clinical level review, determining physi ... Read more
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Great Neck,NY

As a Clinical Reviewer you will complete the full spectrum of activities related to State Independent Review Organization (IRO) case determinations. Conducting clinical level review, determining physi

Utilization Review Nurse SUNY Downstate Medical Center  Brooklyn, NY
The Department of Care Management at SUNY Downstate Health Sciences University is seeking a full-time Utilization Review Nurse. The successful candidate will:* Complete and send initial clinical revie ... Read more
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Brooklyn,NY

The Department of Care Management at SUNY Downstate Health Sciences University is seeking a full-time Utilization Review Nurse. The successful candidate will:* Complete and send initial clinical revie

Medical Reviewer/Safety Reviewer II-----Remote US Tech Solutions  New York, NY
100% RemoteJob Description:Provides timely assessment of reported clinical trial data and participates in applicable safety surveillance activities for assigned studies including review of labs, vital ... Read more
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New York,NY

100% RemoteJob Description:Provides timely assessment of reported clinical trial data and participates in applicable safety surveillance activities for assigned studies including review of labs, vital

Physical Therapy Reviewer Centers Plan for Healthy Living  Kew Gardens, NY
Physical Therapy Reviewer Jamaica, Queens, NY, USA Req #1050 Monday, April 29, 2024Centers Plan for Healthy Living's goal is to create the ultimate healthcare experience that provides our members, th ... Read more
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Kew Gardens,NY

Physical Therapy Reviewer Jamaica, Queens, NY, USA Req #1050 Monday, April 29, 2024Centers Plan for Healthy Living's goal is to create the ultimate healthcare experience that provides our members, th

Document Review Specialist Lenmar Consulting, Inc.  New York, NY
Title: Document Review Specialist Location: NYC Remote/Hybrid/Onsite: Hybrid Position Type: Contract, possible temp-to-perm Duration: 12+ months Rate: $23.00 - $25.00/hr Job ID: MOR2JP00014380 Clien ... Read more
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New York,NY

Title: Document Review Specialist Location: NYC Remote/Hybrid/Onsite: Hybrid Position Type: Contract, possible temp-to-perm Duration: 12+ months Rate: $23.00 - $25.00/hr Job ID: MOR2JP00014380 Clien

Document Review Specialist ApTask  New York, NY
About Client: Client is a global financial services firm that provides a wide range of investment banking, securities, wealth management, and investment management services. It is a prominent global f ... Read more
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New York,NY

About Client: Client is a global financial services firm that provides a wide range of investment banking, securities, wealth management, and investment management services. It is a prominent global f

Document Review Specialist US Tech Solutions, Inc.  New York, NY
Description: Client facing position within Brokerage?s Institutional Equity Division (IED) for a documentation specialist, responsible for handling all relationship level trading agreements, including ... Read more
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New York,NY

Description: Client facing position within Brokerage?s Institutional Equity Division (IED) for a documentation specialist, responsible for handling all relationship level trading agreements, including

Senior Medical Utilization Review Analyst NYC Health Hospitals  New York, NY
Woodhull Medical and Mental Health Center is attuned to the healthcare issues that matter to the people of North Brooklyn. Woodhull focuses on preventing disease and promoting healthy lifestyles by re ... Read more
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New York,NY

Woodhull Medical and Mental Health Center is attuned to the healthcare issues that matter to the people of North Brooklyn. Woodhull focuses on preventing disease and promoting healthy lifestyles by re

Applied Research Scientist - Quantum-inspired and Randomized Algorithms - Sr.Associate JPMorgan Chase & Co.  New York, NY
JobID: 210520773Category: Applied ResearchJobSchedule: Full timePosted Date: 2024-05-20T12:25:20+00:00JobShift:Base Pay/Salary: New York,NY $137,750.00-$195,000.00Are you looking for an exciting oppor ... Read more
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New York,NY

JobID: 210520773Category: Applied ResearchJobSchedule: Full timePosted Date: 2024-05-20T12:25:20+00:00JobShift:Base Pay/Salary: New York,NY $137,750.00-$195,000.00Are you looking for an exciting oppor

Chart Review - FMG Capital Staffing Solutions, Inc.  Brooklyn, NY
Job Title: Chart Review - FMG - Contract OpportunityEstimated Start Date: 06/10/2024Job Summary:We are seeking a detail-oriented and fast-learning Foreign Medical Graduate (FMG) to join our team as a ... Read more
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Brooklyn,NY

Job Title: Chart Review - FMG - Contract OpportunityEstimated Start Date: 06/10/2024Job Summary:We are seeking a detail-oriented and fast-learning Foreign Medical Graduate (FMG) to join our team as a

Loan Review Officer Natixis Corporate & Investment Banking  New York, NY
Natixis is searching for a director-level Loan Review Officer to join the New York team to help support the Managing Director and other team members in their various credit risk analysis and examinati ... Read more
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New York,NY

Natixis is searching for a director-level Loan Review Officer to join the New York team to help support the Managing Director and other team members in their various credit risk analysis and examinati

Professional, Concurrent Review - RN Mvp Health Plan Inc  Tarrytown, NY
Over 35 years strong and fueled by 1,700 smart, passionate employees across New York state and Vermont, MVP is full of opportunities to grow. We are a nationally recognized, award-winning leader for a ... Read more
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Tarrytown,NY

Over 35 years strong and fueled by 1,700 smart, passionate employees across New York state and Vermont, MVP is full of opportunities to grow. We are a nationally recognized, award-winning leader for a

Claims Examiner (Earnings Reviewer) (Temporary) Social Security Administration  Kew Gardens, NY
Summary LOCATION: This position is located in the Social Security Administration, Office of the Regional Commissioner, Office of the Assistant Regional Commissioner-Payment Center Operations, Northeas ... Read more
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Kew Gardens,NY

Summary LOCATION: This position is located in the Social Security Administration, Office of the Regional Commissioner, Office of the Assistant Regional Commissioner-Payment Center Operations, Northeas

Revenue Officer (Technical Services Advisor/Reviewer) 12-month Roster - AMENDED Department Of The Treasury  Chicago, IL
DutiesWHAT IS THE SBSE - Small Business Self EmployedDIVISION?A description of the business units can be found at: https://www.jobs.irs.gov/about/who/business-divisionsVacancies will be filled in the ... Read more
Apply

Chicago,IL

DutiesWHAT IS THE SBSE - Small Business Self EmployedDIVISION?A description of the business units can be found at: https://www.jobs.irs.gov/about/who/business-divisionsVacancies will be filled in the

Physician Reviewer w3r Consulting  Chicago, IL
Description: This position requires an initial time commitment to undergo and complete training. After training, physician medical reviewer will provide weekend coverage, 8 hour shifts per Saturday an ... Read more
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Chicago,IL

Description: This position requires an initial time commitment to undergo and complete training. After training, physician medical reviewer will provide weekend coverage, 8 hour shifts per Saturday an

Physician Reviewer Integrated Resources, Inc  Chicago, IL
Seeking physician medical reviewer for REMOTE weekend work - at least 2 weekends per month Can work in any state Job Description This position requires an initial time commitment to undergo and com ... Read more
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Chicago,IL

Seeking physician medical reviewer for REMOTE weekend work - at least 2 weekends per month Can work in any state Job Description This position requires an initial time commitment to undergo and com

Claim Quality Review Consultant CNA Financial Corp.  Chicago, IL
You have a clear vision of where your career can go. And we have the leadership to help you get there. At CNA, we strive to create a culture in which people know they matter and are part of something ... Read more
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Chicago,IL

You have a clear vision of where your career can go. And we have the leadership to help you get there. At CNA, we strive to create a culture in which people know they matter and are part of something

Case Manager/Utilization Review Saint Anthony Hospital  Chicago, IL
Job Summary Assumes responsibility and accountability for the appropriate utilization of facilities and services.# Coordinates total care given by interdisciplinary team members and directs them to pr ... Read more
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Chicago,IL

Job Summary Assumes responsibility and accountability for the appropriate utilization of facilities and services.# Coordinates total care given by interdisciplinary team members and directs them to pr

Credit Review Manager Citizens Financial Group, Inc.  Chicago, IL
Credit Review Manager - Commercial Real Estate. The Credit Review Manager position is a team member in the banks third line Credit Review functions Commercial Real Estate team. The Credit Review team ... Read more
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Chicago,IL

Credit Review Manager - Commercial Real Estate. The Credit Review Manager position is a team member in the banks third line Credit Review functions Commercial Real Estate team. The Credit Review team

Medical Reviewer/Safety Reviewer II-----Remote US Tech Solutions  Chicago, IL
100% RemoteJob Description:Provides timely assessment of reported clinical trial data and participates in applicable safety surveillance activities for assigned studies including review of labs, vital ... Read more
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Chicago,IL

100% RemoteJob Description:Provides timely assessment of reported clinical trial data and participates in applicable safety surveillance activities for assigned studies including review of labs, vital

Utilization Review (UR) Specialist Spectrum Billing Solutions  Skokie, IL
Spectrum Billing Solutions is an industry-leading revenue cycle management company for healthcare organizations. We are looking to add a Utilization Review (UR) Specialist to ou ... Read more
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Skokie,IL

Spectrum Billing Solutions is an industry-leading revenue cycle management company for healthcare organizations. We are looking to add a Utilization Review (UR) Specialist to ou

Physician Reviewer | Remote | Contract Walker Healthforce  Chicago, IL
Physician Reviewer | Remote | Contract to Hire Walker Healthforce is seeking a Physician Reviewer for a healthcare client located remotely. This is a contract opportunity. START DATE: ASAP Walker Heal ... Read more
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Chicago,IL

Physician Reviewer | Remote | Contract to Hire Walker Healthforce is seeking a Physician Reviewer for a healthcare client located remotely. This is a contract opportunity. START DATE: ASAP Walker Heal

Orthopedic Surgeon Telecommute Medical Review Stream Concentra  Chicago, IL
OverviewAre you an accomplished Board Certified Orthopedic Surgeon? Preferred candidates will have a IL license.Are you passionate about your work/life balance? We are seeking flexible and experienced ... Read more
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Chicago,IL

OverviewAre you an accomplished Board Certified Orthopedic Surgeon? Preferred candidates will have a IL license.Are you passionate about your work/life balance? We are seeking flexible and experienced

Tax Return Reviewer, Global Mobility Services KPMG  Chicago, IL
At KPMG, you can become an integral part of a dynamic team at one of the world's top tax firms. Enjoy a collaborative, future-forward culture that empowers your success. Work with KPMG's extensive net ... Read more
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Chicago,IL

At KPMG, you can become an integral part of a dynamic team at one of the world's top tax firms. Enjoy a collaborative, future-forward culture that empowers your success. Work with KPMG's extensive net

Claro, ProFee Chart Review Specialist Kaufman Hall & Associates LLC  Chicago, IL
ProFee Chart Review SpecialistThe OrganizationWe help society's foundational institutions-healthcare and higher education-to achieve their full potential in service to others.We are our clients' trust ... Read more
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Chicago,IL

ProFee Chart Review SpecialistThe OrganizationWe help society's foundational institutions-healthcare and higher education-to achieve their full potential in service to others.We are our clients' trust

Orthopedic Surgeon Telecommute Medical Review Stream Select Medical  Chicago, IL
Are you an accomplished Board Certified Orthopedic Surgeon? Preferred candidates will have a IL license. Are you passionate about your work/life balance? We are seeking flexible and experienced physic ... Read more
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Chicago,IL

Are you an accomplished Board Certified Orthopedic Surgeon? Preferred candidates will have a IL license. Are you passionate about your work/life balance? We are seeking flexible and experienced physic

Medical Director Clinical Coverage Review - Pharmacy - Remote UnitedHealth Group  Chicago, IL
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connectin ... Read more
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Chicago,IL

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connectin

Veterans Service Representative (Authorization Quality Review Specialist) Department of Veterans Affairs  Chicago, IL
SummaryThe Veterans Service Representative (Authorization Quality Review Specialist) is an integral part of the VSC and BEST quality assurance program and is a key technical adviser to the Veterans Se ... Read more
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Chicago,IL

SummaryThe Veterans Service Representative (Authorization Quality Review Specialist) is an integral part of the VSC and BEST quality assurance program and is a key technical adviser to the Veterans Se

Senior Audit Manager - Credit Risk Portfolio Reviews US Bank  Chicago, IL
At U.S. Bank, we're on a journey to do our best. Helping the customers and businesses we serve to make better and smarter financial decisions and enabling the communities we support to grow and succee ... Read more
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Chicago,IL

At U.S. Bank, we're on a journey to do our best. Helping the customers and businesses we serve to make better and smarter financial decisions and enabling the communities we support to grow and succee

Physician Reviewer PSG Global Solutions Careers  Chicago, IL
Apply now and our proprietary system will quickly have you in front of a live recruiter. The Opportunity Description We're looking for a Physician Reviewer, working in Insurance industry in Chicago, ... Read more
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Chicago,IL

Apply now and our proprietary system will quickly have you in front of a live recruiter. The Opportunity Description We're looking for a Physician Reviewer, working in Insurance industry in Chicago,

Physician Reviewer Integrated Resources  Chicago, IL
Seeking physician medical reviewer for REMOTE weekend work - at least 2 weekends per month Can work in any state Job Description This position requires an initial time commitment to undergo and compl ... Read more
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Chicago,IL

Seeking physician medical reviewer for REMOTE weekend work - at least 2 weekends per month Can work in any state Job Description This position requires an initial time commitment to undergo and compl

Physician Reviewer Mindlance  Chicago, IL
remote in our five states pay rate is ***/hour This position will work every weekend and possible holidays Evaluates clinical service requests made by an organization's members and providers. Uses cl ... Read more
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Chicago,IL

remote in our five states pay rate is ***/hour This position will work every weekend and possible holidays Evaluates clinical service requests made by an organization's members and providers. Uses cl

RN Utilization Specialist-Utilization Review Full Time Days Northwestern Medicine  Palos Heights, IL
Benefits* $10,000 Tuition Reimbursement per year ($5,700 part-time)* $10,000 Student Loan Repayment ($5,000 part-time)* $1,000 Professional Development per year ($500 part-time)* $250 Wellbeing Fund p ... Read more
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Palos Heights,IL

Benefits* $10,000 Tuition Reimbursement per year ($5,700 part-time)* $10,000 Student Loan Repayment ($5,000 part-time)* $1,000 Professional Development per year ($500 part-time)* $250 Wellbeing Fund p

Rating Analyst, Review & Validation S&P Global  Chicago, IL
**About the Role:****Grade Level (for internal use):**09Title: Rating Analyst, Review ValidationGrade (relevant for internal applicants only): **09**Location: New York, NY; Chicago, ILTeam:The Review ... Read more
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Chicago,IL

**About the Role:****Grade Level (for internal use):**09Title: Rating Analyst, Review ValidationGrade (relevant for internal applicants only): **09**Location: New York, NY; Chicago, ILTeam:The Review

Patient Balance Review Representative Medical Practice Midwest Orthopaedic Consultants  Orland Park, IL
Objective: The Patient Balance Review Representative is responsible for ensuring that outstanding patient balances are reviewed and addressed with the patients to reduce the practice AR. Outstanding b ... Read more
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Orland Park,IL

Objective: The Patient Balance Review Representative is responsible for ensuring that outstanding patient balances are reviewed and addressed with the patients to reduce the practice AR. Outstanding b

Psychiatrist Physician Reviewer - PRN - Remote (Within Illinois) Acentra Health  Lombard, IL
CNSI and Kepro are now Acentra Health! Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that de ... Read more
Apply

Lombard,IL

CNSI and Kepro are now Acentra Health! Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that de

Psychiatrist Physician Reviewer - PRN - Remote (Within Illinois) CNSI  Lombard, IL
Company DescriptionCNSI and Kepro are now Acentra Health! Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate healt ... Read more
Apply

Lombard,IL

Company DescriptionCNSI and Kepro are now Acentra Health! Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate healt

OBGYN Physician Reviewer (PRN, Remote within Illinois) Kepro  Lombard, IL
CNSI and Kepro are now Acentra Health! Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that de ... Read more
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Lombard,IL

CNSI and Kepro are now Acentra Health! Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that de

Regional Coding Review Manager Kaiser Permanente  Pasadena, CA
Description: Job Summary:Manages and plans high quality and accuracy Health Information Management Department related reviews such as, concurrent and retrospective pre-bill coding audits. Performs ana ... Read more
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Pasadena,CA

Description: Job Summary:Manages and plans high quality and accuracy Health Information Management Department related reviews such as, concurrent and retrospective pre-bill coding audits. Performs ana

Nurse Reviewer I Elevance Health  Los Angeles, CA
DescriptionNurse Reviewer ILocation: Within 50 miles of a pulse point in the following states:* California* Colorado* Nevada* TennesseeShift : An 8 hour shift between the hours of 7 am - 6 pm C STThe ... Read more
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Los Angeles,CA

DescriptionNurse Reviewer ILocation: Within 50 miles of a pulse point in the following states:* California* Colorado* Nevada* TennesseeShift : An 8 hour shift between the hours of 7 am - 6 pm C STThe

Revenue Officer (Technical Services Advisor/Reviewer) 12-month Roster - AMENDED Department Of The Treasury  Los Angeles, CA
DutiesWHAT IS THE SBSE - Small Business Self EmployedDIVISION?A description of the business units can be found at: https://www.jobs.irs.gov/about/who/business-divisionsVacancies will be filled in the ... Read more
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Los Angeles,CA

DutiesWHAT IS THE SBSE - Small Business Self EmployedDIVISION?A description of the business units can be found at: https://www.jobs.irs.gov/about/who/business-divisionsVacancies will be filled in the

Data Quality Reviewer Volunteers of America Los Angeles  Los Angeles, CA
Under the direction of a Data Quality Coordinator, the Data Quality Reviewer I performs Continuous Quality Improvement review and audit of VOALA Program documentation and database practices related to ... Read more
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Los Angeles,CA

Under the direction of a Data Quality Coordinator, the Data Quality Reviewer I performs Continuous Quality Improvement review and audit of VOALA Program documentation and database practices related to

Portfolio Review Officer BBCN Bank  Los Angeles, CA
* Review / validation documents for CECL (Current Expected Credit Loss)* Review / validation Financial Covenants* Assist and support seniors and PAD managers with varies tasks and projects* Coordinate ... Read more
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Los Angeles,CA

* Review / validation documents for CECL (Current Expected Credit Loss)* Review / validation Financial Covenants* Assist and support seniors and PAD managers with varies tasks and projects* Coordinate

Medical Reviewer/Safety Reviewer II-----Remote US Tech Solutions  Los Angeles, CA
100% RemoteJob Description:Provides timely assessment of reported clinical trial data and participates in applicable safety surveillance activities for assigned studies including review of labs, vital ... Read more
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Los Angeles,CA

100% RemoteJob Description:Provides timely assessment of reported clinical trial data and participates in applicable safety surveillance activities for assigned studies including review of labs, vital

Care Review Clinician, Inpatient Review (BH) Molina Healthcare  Long Beach, CA
**JOB DESCRIPTION**Care Review Clinician, Inpatient Review- Behavioral HealthFor this position we are seeking a LPC or LCSW who lives in and must be licensed for the state they reside. Strong inpatie ... Read more
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Long Beach,CA

**JOB DESCRIPTION**Care Review Clinician, Inpatient Review- Behavioral HealthFor this position we are seeking a LPC or LCSW who lives in and must be licensed for the state they reside. Strong inpatie

Loan Reviewer Shimento, Inc.  Los Angeles, CA
Loan ReviewerUS Citizenship requiredRemote support is OKResponsibilities:Conduct loan file transaction testing to determine regulatory credit risk grades by analyzing repayment capacity, including glo ... Read more
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Los Angeles,CA

Loan ReviewerUS Citizenship requiredRemote support is OKResponsibilities:Conduct loan file transaction testing to determine regulatory credit risk grades by analyzing repayment capacity, including glo

Surgical Clinical Reviewer (On-Site) UCLA Health  Santa Monica, CA
General InformationPress space or enter keys to toggle section visibilityWork Location: Santa Monica, USAOnsite or RemoteFully On-SiteWork ScheduleMonday-Friday, 8:00am-5:00pmPosted Date02/12/2024Sala ... Read more
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Santa Monica,CA

General InformationPress space or enter keys to toggle section visibilityWork Location: Santa Monica, USAOnsite or RemoteFully On-SiteWork ScheduleMonday-Friday, 8:00am-5:00pmPosted Date02/12/2024Sala

Remote Utilization Review Specialist (RN) Meleeo  Los Angeles, CA
Meleeo Healthcare Solutions is a boutique staffing and consulting firm specializing in Care Management. Unlike generalist staffing organizations our specialization allows us to have 100% focus within ... Read more
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Los Angeles,CA

Meleeo Healthcare Solutions is a boutique staffing and consulting firm specializing in Care Management. Unlike generalist staffing organizations our specialization allows us to have 100% focus within

Review Nurse ( LVN ) Regal Medical Group, Inc.  Northridge, CA
Job DescriptionPosition Summary:The role of the Nurse Reviewer is to promote the quality and cost effectiveness of medical care by applying clinical acumen and the appropriate application of policies ... Read more
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Northridge,CA

Job DescriptionPosition Summary:The role of the Nurse Reviewer is to promote the quality and cost effectiveness of medical care by applying clinical acumen and the appropriate application of policies

Plan Review Engineer TRB and Associates, Inc.  Los Angeles, CA
TRB and Associates is seeking an experienced and motivated plan review engineer with current registration as a civil, structural, mechanical, or architect (State of California preferred) and a minimum ... Read more
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Los Angeles,CA

TRB and Associates is seeking an experienced and motivated plan review engineer with current registration as a civil, structural, mechanical, or architect (State of California preferred) and a minimum

Product Review Specialist SHEIN Distribution Corporation  Los Angeles, CA
Job Title: Product Review AnalystReports to: Senior Product Review ManagerJob Class : Non-ExemptAbout SHEIN:SHEIN is a global online fashion and lifestyle retailer, offering SHEIN branded apparel and ... Read more
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Los Angeles,CA

Job Title: Product Review AnalystReports to: Senior Product Review ManagerJob Class : Non-ExemptAbout SHEIN:SHEIN is a global online fashion and lifestyle retailer, offering SHEIN branded apparel and

Facility Site Review Coordinator III L.A. Care Health Plan  Los Angeles, CA
Salary Range: $55,245.00 (Min.) - $69,045.00 (Mid.) - $82,867.00 (Max.)Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health c ... Read more
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Los Angeles,CA

Salary Range: $55,245.00 (Min.) - $69,045.00 (Mid.) - $82,867.00 (Max.)Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health c

Utilization Management Review Nurse (LVN) Robert Half  Monterey Park, CA
Description The Utilization Management Nurse Specialist LVN promotes the quality and cost effectiveness of medical care by applying clinical acumen and the appropriate application of policies and guid ... Read more
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Monterey Park,CA

Description The Utilization Management Nurse Specialist LVN promotes the quality and cost effectiveness of medical care by applying clinical acumen and the appropriate application of policies and guid

Utilization Review LPN LVN Providence Health & Services  Mission Hills, CA
Care Management is a collaborative practice model including the patients, nurses, social workers, physicians, other practitioners, caregivers and the community. The care management process encompasses ... Read more
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Mission Hills,CA

Care Management is a collaborative practice model including the patients, nurses, social workers, physicians, other practitioners, caregivers and the community. The care management process encompasses

Ikigai-Inspired Coach ? CrowdDoing Pro Bono Coaching Collective CrowdDoing  Los Angeles, CA
CrowdDoing's Pro Bono Initiative invites you to become an Ikigai-Inspired Coach, a unique role crafted for coaches who are passionate about guiding individuals to find their 'Ikigai' - the Japanese co ... Read more
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Los Angeles,CA

CrowdDoing's Pro Bono Initiative invites you to become an Ikigai-Inspired Coach, a unique role crafted for coaches who are passionate about guiding individuals to find their 'Ikigai' - the Japanese co

Portfolio Review Officer Bank of Hope  Los Angeles, CA
We are currently seeking a ?Portfolio Review Officer? to support our ?Portfolio Review Team of Portfolio Admin. Department?. As the ?Portfolio Review Officer?, you will be responsible for monitoring t ... Read more
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Los Angeles,CA

We are currently seeking a ?Portfolio Review Officer? to support our ?Portfolio Review Team of Portfolio Admin. Department?. As the ?Portfolio Review Officer?, you will be responsible for monitoring t

Utilization Clinical Reviewer (Remote) Must Reside in CA Kepro  Los Angeles, CA
CNSI and Kepro are now Acentra Health! Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that de ... Read more
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Los Angeles,CA

CNSI and Kepro are now Acentra Health! Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that de

Tax Return Reviewer, Global Mobility Services KPMG  Los Angeles, CA
At KPMG, you can become an integral part of a dynamic team at one of the world's top tax firms. Enjoy a collaborative, future-forward culture that empowers your success. Work with KPMG's extensive net ... Read more
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Los Angeles,CA

At KPMG, you can become an integral part of a dynamic team at one of the world's top tax firms. Enjoy a collaborative, future-forward culture that empowers your success. Work with KPMG's extensive net

Utilization Clinical Reviewer (Remote) Must Reside in CA Acentra Health  Los Angeles, CA
CNSI and Kepro are now Acentra Health! Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that de ... Read more
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Los Angeles,CA

CNSI and Kepro are now Acentra Health! Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that de

Utilization Review (UR) Specialist - Addiction Treatment Program Renewal Health Group  Los Angeles, CA
Renewal Health Group is currently looking for a UR Specialist for its Treatment Programs!The UR Specialist is responsible for working with healthcare providers to help ensure appropriate and consisten ... Read more
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Los Angeles,CA

Renewal Health Group is currently looking for a UR Specialist for its Treatment Programs!The UR Specialist is responsible for working with healthcare providers to help ensure appropriate and consisten

SVP/FVP, Loan Review Manager Cathay General Bancorp  El Monte, CA
People Drive Our SuccessAre you enthusiastic, highly motivated, and have a strong work ethic? If yes, come join our team! At Cathay Bank - we strive to provide a caring culture that supports your aspi ... Read more
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El Monte,CA

People Drive Our SuccessAre you enthusiastic, highly motivated, and have a strong work ethic? If yes, come join our team! At Cathay Bank - we strive to provide a caring culture that supports your aspi

Medical Review Manager (Full-time, Remote) Integrity Management Services, Inc.  Los Angeles, CA
About UsIntegrity Management Services, Inc. (IntegrityM) is an award-winning, women-owned small business specializing in assisting government and commercial clients in compliance and program integrity ... Read more
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Los Angeles,CA

About UsIntegrity Management Services, Inc. (IntegrityM) is an award-winning, women-owned small business specializing in assisting government and commercial clients in compliance and program integrity

Director of Specialty Bill Review Services - Remote Rising Medical Solutions  Los Angeles, CA
As our Director of Specialty Bill Review Services, you will maximize savings and client satisfaction by providing strategic direction for Rising's Specialty Services unit involving complex/large medic ... Read more
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Los Angeles,CA

As our Director of Specialty Bill Review Services, you will maximize savings and client satisfaction by providing strategic direction for Rising's Specialty Services unit involving complex/large medic

Claims Nurse Reviewer BlueCross and BlueShield of Massachusetts  Hingham, MA
Ready to help us transform healthcare? Bring your true colors to blue.The RoleThe Claims Nurse Reviewer is responsible for reviewing claims, validating coding and medical necessity of the services sub ... Read more
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Hingham,MA

Ready to help us transform healthcare? Bring your true colors to blue.The RoleThe Claims Nurse Reviewer is responsible for reviewing claims, validating coding and medical necessity of the services sub

Revenue Officer (Technical Services Advisor/Reviewer) 12-month Roster - AMENDED Department Of The Treasury  Boston, MA
DutiesWHAT IS THE SBSE - Small Business Self EmployedDIVISION?A description of the business units can be found at: https://www.jobs.irs.gov/about/who/business-divisionsVacancies will be filled in the ... Read more
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Boston,MA

DutiesWHAT IS THE SBSE - Small Business Self EmployedDIVISION?A description of the business units can be found at: https://www.jobs.irs.gov/about/who/business-divisionsVacancies will be filled in the

DRG Nurse Reviewer Zelis  Boston, MA
Position Overview:The DRG Validation Nurse Reviewer will be primarily responsible for conducting post-service, pre-payment and post pay comprehensive inpatient DRG reviews based on industry standard i ... Read more
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Boston,MA

Position Overview:The DRG Validation Nurse Reviewer will be primarily responsible for conducting post-service, pre-payment and post pay comprehensive inpatient DRG reviews based on industry standard i

Medical Reviewer Orion Engineering Services  Boston, MA
Job descriptionLocation: Remote (US)Contract Length: 12 Months Pay Rate: $30-35/hr including individual healthcare coverageJob Description: Provides timely assessment of reported clinical trial data a ... Read more
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Boston,MA

Job descriptionLocation: Remote (US)Contract Length: 12 Months Pay Rate: $30-35/hr including individual healthcare coverageJob Description: Provides timely assessment of reported clinical trial data a

Clinical Reviewer - RN US Tech Solutions, Inc.  Canton, MA
Remote position but will be required to go on site as needed. Job Description Coordinates the review process for services requiring prior authorization by ***. This includes matching the coverage requ ... Read more
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Canton,MA

Remote position but will be required to go on site as needed. Job Description Coordinates the review process for services requiring prior authorization by ***. This includes matching the coverage requ

Nurse Reviewer, Endoscopy -Braintree Partners Healthcare System  Braintree, MA
Under the direction of the Nurse Director of the BWPO's South Shore Endoscopy Center (SSEC), the Registered Nurse GI Case Reviewer will work as a critical member of the procedural care team to support ... Read more
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Braintree,MA

Under the direction of the Nurse Director of the BWPO's South Shore Endoscopy Center (SSEC), the Registered Nurse GI Case Reviewer will work as a critical member of the procedural care team to support

Nurse Reviewer, Endoscopy -Braintree Brigham and Women's Hospital  Braintree, MA
Under the direction of the Nurse Director of the BWPO's South Shore Endoscopy Center (SSEC), the Registered Nurse GI Case Reviewer will work as a critical member of the procedural care team to support ... Read more
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Braintree,MA

Under the direction of the Nurse Director of the BWPO's South Shore Endoscopy Center (SSEC), the Registered Nurse GI Case Reviewer will work as a critical member of the procedural care team to support

Medical Reviewer/Safety Reviewer II-----Remote US Tech Solutions  Boston, MA
100% RemoteJob Description:Provides timely assessment of reported clinical trial data and participates in applicable safety surveillance activities for assigned studies including review of labs, vital ... Read more
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Boston,MA

100% RemoteJob Description:Provides timely assessment of reported clinical trial data and participates in applicable safety surveillance activities for assigned studies including review of labs, vital

Nurse Reviewer, Endoscopy -Braintree Brigham & Women's Physicians Organization(BWPO)  Braintree, MA
Under the direction of the Nurse Director of the BWPO's South Shore Endoscopy Center (SSEC), the Registered Nurse GI Case Reviewer will work as a critical member of the procedural care team to support ... Read more
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Braintree,MA

Under the direction of the Nurse Director of the BWPO's South Shore Endoscopy Center (SSEC), the Registered Nurse GI Case Reviewer will work as a critical member of the procedural care team to support

Research Therapist, PT - Inspire Lab (20 hrs) Spaulding Rehabilitation  Charlestown, MA
Research Therapist, PT - Inspire Lab (20 hrs) - ( 3282461 )**Description****Schedule** : Part-time, 20 hrs./wk.**Summary**Provide physical therapy services for several ongoing clinical research trials ... Read more
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Charlestown,MA

Research Therapist, PT - Inspire Lab (20 hrs) - ( 3282461 )**Description****Schedule** : Part-time, 20 hrs./wk.**Summary**Provide physical therapy services for several ongoing clinical research trials

Chemistry Data Reviewer GTT, LLC  Norwood, MA
Chemistry Data Reviewer / Quality Control Sample Management Associate Contract Duration 6+ months Pay rate up to $0.69 - $42.22/hr style="font-si ... Read more
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Norwood,MA

Chemistry Data Reviewer / Quality Control Sample Management Associate Contract Duration 6+ months Pay rate up to $0.69 - $42.22/hr style="font-si

Utilization Review Nurse Beth Israel Lahey Health  Burlington, MA
Job Type: RegularTime Type: Part timeWork Shift: Day (United States of America)FLSA Status: Non-ExemptWhen you join the growing BILH team, you're not just taking a job, you're making a difference in p ... Read more
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Burlington,MA

Job Type: RegularTime Type: Part timeWork Shift: Day (United States of America)FLSA Status: Non-ExemptWhen you join the growing BILH team, you're not just taking a job, you're making a difference in p

Senior Scientist - Data Review Thermo Fisher Scientific Inc.  Boston, MA
Job DescriptionAt Thermo Fisher Scientific, you'll discover meaningful work that makes a positive impact on a global scale. Join our colleagues in bringing our Mission to life - enabling our customers ... Read more
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Boston,MA

Job DescriptionAt Thermo Fisher Scientific, you'll discover meaningful work that makes a positive impact on a global scale. Join our colleagues in bringing our Mission to life - enabling our customers

ENT- Physician Clinical Reviewer Evolent Health  Boston, MA
**Your Future Evolves Here**Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primar ... Read more
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Boston,MA

**Your Future Evolves Here**Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primar

Case Review Coordinator Brigham and Women's Faulkner Hospital  Boston, MA
Schedule: per diemPerforms the six essential activities of Case Management: Assessment, Planning, Implementation, Coordinate, Monitor and Reassess through the continuum of care to facilitate a safe co ... Read more
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Boston,MA

Schedule: per diemPerforms the six essential activities of Case Management: Assessment, Planning, Implementation, Coordinate, Monitor and Reassess through the continuum of care to facilitate a safe co

Associate Director, Medical Review Physician Moderna Theraputics  Cambridge, MA
The RoleThe Clinical Safety and Risk Management group within the Clinical Safety and Pharmacovigilance department promotes patient safety throughout the lifecycle of Moderna's product portfolio from f ... Read more
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Cambridge,MA

The RoleThe Clinical Safety and Risk Management group within the Clinical Safety and Pharmacovigilance department promotes patient safety throughout the lifecycle of Moderna's product portfolio from f

Associate Director, Medical Review Physician BioSpace  Cambridge, MA
Job DetailsThe RoleThe Clinical Safety and Risk Management group within the Clinical Safety and Pharmacovigilance department promotes patient safety throughout the lifecycle of Modernas product portfo ... Read more
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Cambridge,MA

Job DetailsThe RoleThe Clinical Safety and Risk Management group within the Clinical Safety and Pharmacovigilance department promotes patient safety throughout the lifecycle of Modernas product portfo

Associate Director, Medical Review Physician Moderna, Inc.  Cambridge, MA
The RoleThe Clinical Safety and Risk Management group within the Clinical Safety and Pharmacovigilance department promotes patient safety throughout the lifecycle of Moderna's product portfolio from f ... Read more
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Cambridge,MA

The RoleThe Clinical Safety and Risk Management group within the Clinical Safety and Pharmacovigilance department promotes patient safety throughout the lifecycle of Moderna's product portfolio from f

Physician Clinical Reviewer- Oncology -REMOTE Prime Therapeutics  Boston, MA
Our work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make.**Job Posting Title**Phy ... Read more
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Boston,MA

Our work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make.**Job Posting Title**Phy

Senior Zoning Review Planner City of Somerville  Somerville, MA
Statement of DutiesThis position is responsible for administration and review of projects under the Somerville Zoning Ordinance. Work duties include professional and technical work in planning, includ ... Read more
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Somerville,MA

Statement of DutiesThis position is responsible for administration and review of projects under the Somerville Zoning Ordinance. Work duties include professional and technical work in planning, includ

Utilization Reviewer - Clinical Evaluation Center Per diem McLean Hospital(MCL)  Belmont, MA
Responsiblefor obtaining initial insurance authorizations for all applicable coverage andfor appropriate level of clinical care. Must demonstrateMcLean values of integrity, compassion and respect, div ... Read more
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Belmont,MA

Responsiblefor obtaining initial insurance authorizations for all applicable coverage andfor appropriate level of clinical care. Must demonstrateMcLean values of integrity, compassion and respect, div

Medical Writing Review Senior Specialist (Remote) Vertex Pharmaceuticals, Inc  Boston, MA
Job DescriptionThe Medical Writing Operations Senior Specialist is primarily responsible for independently performing in-depth quality control (QC) reviews on moderately complex clinical and regulator ... Read more
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Boston,MA

Job DescriptionThe Medical Writing Operations Senior Specialist is primarily responsible for independently performing in-depth quality control (QC) reviews on moderately complex clinical and regulator

Essay Reviewer Bright Horizons  Newton, MA
College Coach, a division of Bright Horizons Family Solutions, is the nation?s leading educational consulting organization. With a strong service mission and a commitment to excellence, College Coach ... Read more
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Newton,MA

College Coach, a division of Bright Horizons Family Solutions, is the nation?s leading educational consulting organization. With a strong service mission and a commitment to excellence, College Coach

Utilization Review Nurse Milford Regional Medical Center  Milford, MA
Per diem, 8a-4;30P as needed weekends + occ/ holidays About Us Milford Regional Medical Center is a full-service, community and regional teaching hospital located in Milford, Mass. and serves patients ... Read more
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Milford,MA

Per diem, 8a-4;30P as needed weekends + occ/ holidays About Us Milford Regional Medical Center is a full-service, community and regional teaching hospital located in Milford, Mass. and serves patients

DATA REVIEW COORDINATOR, School of Medicine, Microbiology Boston University  Boston, MA
The Data Review Coordinator provides routine, real-time review and verification of Animal Rule/ GLP study data, including all animal observation and procedure data, to ensure adherence to generally re ... Read more
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Boston,MA

The Data Review Coordinator provides routine, real-time review and verification of Animal Rule/ GLP study data, including all animal observation and procedure data, to ensure adherence to generally re

Clinical Reviewer DOCTORS HEALTHCARE PLANS, INC.  Miami, FL
Position Purpose:  The Clinical Reviewer will be responsible for conducting clinical reviews of medical records during the course of fraud investigations, special investigations, claims reviews and / ... Read more
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Miami,FL

Position Purpose:  The Clinical Reviewer will be responsible for conducting clinical reviews of medical records during the course of fraud investigations, special investigations, claims reviews and /

Provider Contestment Reviewer Sentara Healthcare  Miami, FL
City/StateDoral, FLOverviewWork ShiftFirst (Days) (United States of America)AvMed, a division of Sentara Health Plans in the Florida market, is hiring a Provider Contestment Reviewer in Miami and/or G ... Read more
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Miami,FL

City/StateDoral, FLOverviewWork ShiftFirst (Days) (United States of America)AvMed, a division of Sentara Health Plans in the Florida market, is hiring a Provider Contestment Reviewer in Miami and/or G

Revenue Officer (Technical Services Advisor/Reviewer) 12-month Roster - AMENDED Department Of The Treasury  Miami, FL
DutiesWHAT IS THE SBSE - Small Business Self EmployedDIVISION?A description of the business units can be found at: https://www.jobs.irs.gov/about/who/business-divisionsVacancies will be filled in the ... Read more
Apply

Miami,FL

DutiesWHAT IS THE SBSE - Small Business Self EmployedDIVISION?A description of the business units can be found at: https://www.jobs.irs.gov/about/who/business-divisionsVacancies will be filled in the

Medical Reviewer/Safety Reviewer II-----Remote US Tech Solutions  Miami, FL
100% RemoteJob Description:Provides timely assessment of reported clinical trial data and participates in applicable safety surveillance activities for assigned studies including review of labs, vital ... Read more
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Miami,FL

100% RemoteJob Description:Provides timely assessment of reported clinical trial data and participates in applicable safety surveillance activities for assigned studies including review of labs, vital

Clinical Coordinator - Utilization Review Supervisor, Utilization Review, Full Time, Days Public Health Trust of Dade Co  Miami, FL
Department: Jackson Memorial Hospital - Utilization Review Case Management (two openings)Address: 1611 NW 12 Ave, Miami, FL 33136Shift Details: 8:00 am - 4:30 pm, Monday-Friday with weekends occasiona ... Read more
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Miami,FL

Department: Jackson Memorial Hospital - Utilization Review Case Management (two openings)Address: 1611 NW 12 Ave, Miami, FL 33136Shift Details: 8:00 am - 4:30 pm, Monday-Friday with weekends occasiona

Registered Nurse Utilization Review, Case Management, Per Diem, 8A-4:30P Baptist Health South Florida  Miami, FL
The purpose of this position is to conduct initial, concurrent, retrospective chart review for clinical, financial and resource utilization. Coordinates with healthcare Team for optimal efficient pati ... Read more
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Miami,FL

The purpose of this position is to conduct initial, concurrent, retrospective chart review for clinical, financial and resource utilization. Coordinates with healthcare Team for optimal efficient pati

Surgical Clinical Reviewer - FT - MPG Memorial Healthcare System  Hollywood, FL
At Memorial, we are dedicated to improving the health, well-being and, most of all, quality of life for the people entrusted to our care. An unwavering commitment to our service vision is what makes t ... Read more
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Hollywood,FL

At Memorial, we are dedicated to improving the health, well-being and, most of all, quality of life for the people entrusted to our care. An unwavering commitment to our service vision is what makes t

Clinical Documentation Specialist - Second Level Reviewer - Remote University of Miami Miller School of Medicine  Hialeah, FL
Current Employees:If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to ... Read more
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Hialeah,FL

Current Employees:If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to

Clinical Documentation Specialist - Second Level Reviewer - Remote University of Miami  Hialeah, FL
Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here (https://www.myworkday.com/umiami/d/task/1422$7248.htmld) to log in to Work ... Read more
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Hialeah,FL

Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here (https://www.myworkday.com/umiami/d/task/1422$7248.htmld) to log in to Work

Clinical Documentation Specialist - Second Level Reviewer - Remote The University of Miami  Hialeah, FL
Current Employees:If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to ... Read more
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Hialeah,FL

Current Employees:If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to

Medical Review Manager (Full-time, Remote) Integrity Management Services, Inc.  Miami, FL
About UsIntegrity Management Services, Inc. (IntegrityM) is an award-winning, women-owned small business specializing in assisting government and commercial clients in compliance and program integrity ... Read more
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Miami,FL

About UsIntegrity Management Services, Inc. (IntegrityM) is an award-winning, women-owned small business specializing in assisting government and commercial clients in compliance and program integrity

Director of Specialty Bill Review Services - Remote Rising Medical Solutions  Miami, FL
As our Director of Specialty Bill Review Services, you will maximize savings and client satisfaction by providing strategic direction for Rising's Specialty Services unit involving complex/large medic ... Read more
Apply

Miami,FL

As our Director of Specialty Bill Review Services, you will maximize savings and client satisfaction by providing strategic direction for Rising's Specialty Services unit involving complex/large medic

Travel Nurse ? Case Manager and Utilization Review RN UnitedHealth Group  Miami, FL
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connectin ... Read more
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Miami,FL

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connectin

Medical Oncology Medical Director - Utilization Review Elevance Health  Miami, FL
Clinical Operations Medical Director Utilization Management of Medical Oncology Benefits Carelon Benefits Management $20,000 Sign On Bonus Location : The ideal candidate will live within 50 miles of o ... Read more
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Miami,FL

Clinical Operations Medical Director Utilization Management of Medical Oncology Benefits Carelon Benefits Management $20,000 Sign On Bonus Location : The ideal candidate will live within 50 miles of o

Case Manager, Utilization Review-Case Management-FT BHC #8589 Broward Health  Fort Lauderdale, FL
Broward Health Corporate ISCShift: Shift 1FTE: 1.000000Summary:Performs and monitors integrated, concurrent utilization review and case referrals on patients, consistent with the approved Utilization ... Read more
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Fort Lauderdale,FL

Broward Health Corporate ISCShift: Shift 1FTE: 1.000000Summary:Performs and monitors integrated, concurrent utilization review and case referrals on patients, consistent with the approved Utilization

Credit Risk Review Advisor - Commercial Lending PNC  Fort Lauderdale, FL
**Position Overview**At PNC, our people are our greatest differentiator and competitive advantage in the markets we serve. We are all united in delivering the best experience for our customers. We wor ... Read more
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Fort Lauderdale,FL

**Position Overview**At PNC, our people are our greatest differentiator and competitive advantage in the markets we serve. We are all united in delivering the best experience for our customers. We wor

Clinical Documentation Specialist - Second Level Reviewer - Remote University of Miami - Miller School of Medicine  Hialeah, FL
Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to ... Read more
Apply

Hialeah,FL

Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to

Credit Representative - Accounts Receivable Swatch Group  Miami, FL
Credit Representative - Accounts ReceivableThe companySwatch Group is an international group active in the design, manufacture and sale of finished watches, jewelry, watch movements and components.Swa ... Read more
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Miami,FL

Credit Representative - Accounts ReceivableThe companySwatch Group is an international group active in the design, manufacture and sale of finished watches, jewelry, watch movements and components.Swa

Casino Credit - Clerk II - FT Seminole Gaming  Hollywood, FL
OverviewAbout Seminole Hard Rock Hotel Casino HollywoodSeminole Hard Rock Hotel Casino Hollywood is the flagship casino resort of Hard Rock International, owned by the Seminole Tribe of Florida. Thi ... Read more
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Hollywood,FL

OverviewAbout Seminole Hard Rock Hotel Casino HollywoodSeminole Hard Rock Hotel Casino Hollywood is the flagship casino resort of Hard Rock International, owned by the Seminole Tribe of Florida. Thi

CREDIT SPECIALIST (FULL TIME) Compass Group  Hollywood, FL
CREDIT SPECIALIST (FULL TIME)Click Here to Apply OnlineJob Description Canteen We are hiring immediately for a full time CREDIT SPECIALIST position.Location: Canteen - 1046 Southwest 113 Avenue, Pembr ... Read more
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Hollywood,FL

CREDIT SPECIALIST (FULL TIME)Click Here to Apply OnlineJob Description Canteen We are hiring immediately for a full time CREDIT SPECIALIST position.Location: Canteen - 1046 Southwest 113 Avenue, Pembr

Manager, Audit Credit Specialist KPMG  Miami, FL
Known for being a great place to work and build a career, KPMG provides audit, tax and advisory services for organizations in today's most important industries. Our growth is driven by delivering real ... Read more
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Miami,FL

Known for being a great place to work and build a career, KPMG provides audit, tax and advisory services for organizations in today's most important industries. Our growth is driven by delivering real

Private Credit Associate Selby Jennings  Miami, FL
Are you a finance professional eager to advance your career in the dynamic landscape of private credit? Do you thrive in an environment that values growth, both for the company and its employees? If y ... Read more
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Miami,FL

Are you a finance professional eager to advance your career in the dynamic landscape of private credit? Do you thrive in an environment that values growth, both for the company and its employees? If y

Clinical Document Specialist (CDI) - 100% Remote Amerit Consulting  Miami, FL
Overview:Our client, a Medical Center facility under the aegis of a California Public Ivy university and one of largest health delivery systems in California, seeks an accomplished Clinical Documentat ... Read more
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Miami,FL

Overview:Our client, a Medical Center facility under the aegis of a California Public Ivy university and one of largest health delivery systems in California, seeks an accomplished Clinical Documentat

Credit Specialist for Credit Cards and Consumer Loans (non-mortgage) Ascendo Resources  Miami, FL
About the Role:We are seeking a dynamic Credit Specialist for Credit Cards and Consumer Loans to lead the development, design, and enhancement of our consumer loans and credit card policies, procedure ... Read more
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Miami,FL

About the Role:We are seeking a dynamic Credit Specialist for Credit Cards and Consumer Loans to lead the development, design, and enhancement of our consumer loans and credit card policies, procedure

Head of International Field Marketing - Americas Inspire Brands  Miami, FL
The Head of International Field Marketing leads marketing strategy and initiatives for Inspire's portfolio of brands in the Americas region (LATAM, Caribbean and Canada). The person in this role is re ... Read more
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Miami,FL

The Head of International Field Marketing leads marketing strategy and initiatives for Inspire's portfolio of brands in the Americas region (LATAM, Caribbean and Canada). The person in this role is re

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