Physician Clinical Reviewer (CDI) FT/REMOTE (CDIP or CCDS Cert.) CorroHealth
Philadelphia, PA
About CorroHealth:At CorroHealth our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programma ...
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Philadelphia,PA
About CorroHealth:At CorroHealth our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programma
ATI Live Review Educator Part Time - Northeast Region Ascend Learning
Philadelphia, PA
Ascend Learning is a national leader in data driven, online educational solutions for learners, educators and employers in high-growth, licensure-driven professions spanning healthcare, fitness and we ...
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Philadelphia,PA
Ascend Learning is a national leader in data driven, online educational solutions for learners, educators and employers in high-growth, licensure-driven professions spanning healthcare, fitness and we
Internal Revenue Agent (Appeals Quality Measurement Systems Reviewer) 12-Month Roster Department Of The Treasury
Philadelphia, PA
DutiesWHAT IS THE APPEALS DIVISION?A description of the business units can be found at: https://www.jobs.irs.gov/about/who/business-divisionsVacancies will be filled in the following specialty areas:O ...
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Philadelphia,PA
DutiesWHAT IS THE APPEALS DIVISION?A description of the business units can be found at: https://www.jobs.irs.gov/about/who/business-divisionsVacancies will be filled in the following specialty areas:O
Securities, ERISA, and Anti-Trust Claims Reviewer Angeion Group LLC
Philadelphia, PA
Job descriptionThe essential functions, duties, and responsibilities include, but are not limited to the following:Data entry, annotation and review of documentation submitted for various administered ...
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Philadelphia,PA
Job descriptionThe essential functions, duties, and responsibilities include, but are not limited to the following:Data entry, annotation and review of documentation submitted for various administered
Utilization Review Specialist Gaudenzia Inc.
Claymont, DE
We need hope-bringers and changemakers ? because the work we all do matters. If you?re passionate about making an impact with your time and being someone?s light in the darkness, we want you on our te ...
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Claymont,DE
We need hope-bringers and changemakers ? because the work we all do matters. If you?re passionate about making an impact with your time and being someone?s light in the darkness, we want you on our te
Privacy Engineer, Implementation Review Facebook
Trenton, NJ
Summary: Facebook is seeking a data center Critical Facility Engineer to join our Data Center Facility Operations team. Our data centers serve as the foundation upon which our software operates to mee ...
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Trenton,NJ
Summary: Facebook is seeking a data center Critical Facility Engineer to join our Data Center Facility Operations team. Our data centers serve as the foundation upon which our software operates to mee
Civil Engineer/ EIT - Sewer Development Review/Capital Projects The City of Vancouver
Philadelphia, PA
Salary Range7,969.00 - 10,782.00Job SummaryPerform professional engineering, work and/or administration focusing in the review, design, planning, investigation, and construction of sanitary sewer coll ...
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Philadelphia,PA
Salary Range7,969.00 - 10,782.00Job SummaryPerform professional engineering, work and/or administration focusing in the review, design, planning, investigation, and construction of sanitary sewer coll
Physician Reviewer Dane Street, LLC
Philadelphia, PA
Dane Street, a certified "Great Place to Work" company, is in search of a Board Certified Orthopaedic Spine Surgeon, Neurosurgeon, Neurologist, and Physical Medicine Rehabilitation physician to proce ...
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Philadelphia,PA
Dane Street, a certified "Great Place to Work" company, is in search of a Board Certified Orthopaedic Spine Surgeon, Neurosurgeon, Neurologist, and Physical Medicine Rehabilitation physician to proce
Principal Review Specialist Fifth Third Bank
Philadelphia, PA
Make banking a Fifth Third better®We connect great people to great opportunities. Are you ready to take the next step? Discover a career in banking at Fifth Third Bank.GENERAL FUNCTION:Performs broker ...
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Philadelphia,PA
Make banking a Fifth Third better®We connect great people to great opportunities. Are you ready to take the next step? Discover a career in banking at Fifth Third Bank.GENERAL FUNCTION:Performs broker
Associate Medical Director, Utilization Management Reviewer Cohere Health
Philadelphia, PA
Company Overview:Cohere Health is illuminating healthcare for patients, their doctors, and all those who are important in a patient's healthcare experience, both in and out of the doctor's office. Fou ...
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Philadelphia,PA
Company Overview:Cohere Health is illuminating healthcare for patients, their doctors, and all those who are important in a patient's healthcare experience, both in and out of the doctor's office. Fou
Clinical Reviewer - Remote Maximus
Philadelphia, PA
Description RequirementsMaximus is hiring a Clinical Reviewer to support our North Dakota QRTP program. The Clinical Reviewer reviews Independent Contractor Assessor's findings and writes determinati ...
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Philadelphia,PA
Description RequirementsMaximus is hiring a Clinical Reviewer to support our North Dakota QRTP program. The Clinical Reviewer reviews Independent Contractor Assessor's findings and writes determinati
Utilization Review Business Support Specialist - REMOTE Highmarkhealth
Philadelphia, PA
** **Company :****Allegheny Health Network ** **Job Description :******GENERAL OVERVIEW:**This position is responsible for covering vast roles within the Utilization Review management team that incl ...
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Philadelphia,PA
** **Company :****Allegheny Health Network ** **Job Description :******GENERAL OVERVIEW:**This position is responsible for covering vast roles within the Utilization Review management team that incl
Product Security Code Review Engineer Accenture
Philadelphia, PA
We Are Accenture is a global collective of innovators whose aim is to improve the way the world works and lives. Empowered with innovative tools, continuous learning and a global community of diver ...
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Philadelphia,PA
We Are Accenture is a global collective of innovators whose aim is to improve the way the world works and lives. Empowered with innovative tools, continuous learning and a global community of diver
Sr/Engineer - Design Review - 90374634 - Philadelphia (Hybrid) Amtrak
Philadelphia, PA
Your success is a train ride away!As we move America's workforce toward the future, Amtrak connects businesses and communities across the country. We employ more than 20,000 diverse, energetic profess ...
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Philadelphia,PA
Your success is a train ride away!As we move America's workforce toward the future, Amtrak connects businesses and communities across the country. We employ more than 20,000 diverse, energetic profess
SVP, Credit Review Senior Officer I - C14 (Hybrid) Citigroup Inc.
Wilmington, DE
Global Risk Review (GRR) provides independent, objective, reliable, valued, and timely assurance to the Boards, the Committees, the Citigroup Chief Risk Officer (CRO), the CBNA CRO, senior management ...
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Wilmington,DE
Global Risk Review (GRR) provides independent, objective, reliable, valued, and timely assurance to the Boards, the Committees, the Citigroup Chief Risk Officer (CRO), the CBNA CRO, senior management
Medical Review Nurse (Hybrid) NFP
Woodbury, NJ
Who We AreNFP is a seven-time Best Places to Work award winner in Business Insurance who has also earned the 5-Star Diversity, Equity and Inclusion (DEI) award from Insurance Business magazine and the ...
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Woodbury,NJ
Who We AreNFP is a seven-time Best Places to Work award winner in Business Insurance who has also earned the 5-Star Diversity, Equity and Inclusion (DEI) award from Insurance Business magazine and the
Full Stack Developer - Code Review/Security Specialist General Dynamics Corporation
Philadelphia, PA
Responsibilities for this Position Location: USA PA Philadelphia - 700 Robbins St (PAC037)Full Part/Time: Full timeJob Req: RQ174296 Type of Requisition: RegularClearance Level Must Currently Posse ...
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Philadelphia,PA
Responsibilities for this Position Location: USA PA Philadelphia - 700 Robbins St (PAC037)Full Part/Time: Full timeJob Req: RQ174296 Type of Requisition: RegularClearance Level Must Currently Posse
Coding Quality Reviewer Auditor Jefferson Health
Philadelphia, PA
003306 PRIMARY FUNCTION : Coding Audit and Compliance Administrator has the responsibility for developing, implementing and maintaining a data quality compliance plan for inpatient and outpatient codi ...
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Philadelphia,PA
003306 PRIMARY FUNCTION : Coding Audit and Compliance Administrator has the responsibility for developing, implementing and maintaining a data quality compliance plan for inpatient and outpatient codi
CASE MANAGER- Utilization Review Management- Fox Chase Cancer Ctr Temple University
Philadelphia, PA
In collaboration with the patient/family, physicians, and the interdisciplinary team, the Case Manager facilitates the patient's progress through the acute episode of care in an efficient and cost eff ...
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Philadelphia,PA
In collaboration with the patient/family, physicians, and the interdisciplinary team, the Case Manager facilitates the patient's progress through the acute episode of care in an efficient and cost eff
Senior Full-Stack Code Review/Security Specialist General Dynamics Information Technology
Philadelphia, PA
GDIT - Senior Full Stack - Code Review / Security Specialist How the Senior Full Stack - Code Review / Security Specialist will make an impact:Architecting, designing, coding, testing, implementing an ...
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Philadelphia,PA
GDIT - Senior Full Stack - Code Review / Security Specialist How the Senior Full Stack - Code Review / Security Specialist will make an impact:Architecting, designing, coding, testing, implementing an
RN - Utilization Review GHR Search - General Healthcare Resources, Inc.
Philadelphia, PA
The Compliance Specialist ensures staff compliance with Utilization Management regulations, including NCQA, CMS, and state requirements. Responsibilities include monitoring medical reviews, overseeing ...
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Philadelphia,PA
The Compliance Specialist ensures staff compliance with Utilization Management regulations, including NCQA, CMS, and state requirements. Responsibilities include monitoring medical reviews, overseeing
Manager, Regulatory Review Publicis Groupe
Philadelphia, PA
**Company Description**Digitas Health is the?Agency of Now: the first global connected-health agency, purpose-built for marketing today. Digitas Health specializes in helping health brands navigate a ...
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Philadelphia,PA
**Company Description**Digitas Health is the?Agency of Now: the first global connected-health agency, purpose-built for marketing today. Digitas Health specializes in helping health brands navigate a
Clinical Documentation Coordinator - Utilization Review Management (Temple Physicians, Inc./40 hours days) Temple University Health System
Philadelphia, PA
Responsible for accurately transposing and reconciling clinical documentation from the EMR into the payer specific systems to provide information for proper risk adjustment of patients and increase re ...
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Philadelphia,PA
Responsible for accurately transposing and reconciling clinical documentation from the EMR into the payer specific systems to provide information for proper risk adjustment of patients and increase re
Supervisory Internal Review Evaluator Department of Defense
Philadelphia, PA
SummarySee below for important information regarding this job.Learn more about this agencyHelpOverview* Accepting applications* Open closing dates04/26/2024 to 05/03/2024* Salary$113,792 - $147,934 p ...
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Philadelphia,PA
SummarySee below for important information regarding this job.Learn more about this agencyHelpOverview* Accepting applications* Open closing dates04/26/2024 to 05/03/2024* Salary$113,792 - $147,934 p
Director of Incident Response Review TransPerfect
Philadelphia, PA
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 100+ offices has its own individual ident ...
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Philadelphia,PA
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 100+ offices has its own individual ident
