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Compliance Analyst, Sales Marketing Review Unit New York Life Insurance Company  New York, NY
**Location Designation:** [[cust_rolelocationdesignation]]When you join New York Life, you're joining a company that values career development, collaboration, innovation, and inclusiveness. We want e ... Read more
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New York,NY

**Location Designation:** [[cust_rolelocationdesignation]]When you join New York Life, you're joining a company that values career development, collaboration, innovation, and inclusiveness. We want e

Medical Claim/Bill Reviewer (Inpatient) Alaffia Health  New York, NY
About Alaffia Our MissionEach year, the U.S. healthcare system suffers from over $500B in wasted spending due to medical billing fraud, waste, and administrative burden. At Alaffia, we?re on a missio ... Read more
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New York,NY

About Alaffia Our MissionEach year, the U.S. healthcare system suffers from over $500B in wasted spending due to medical billing fraud, waste, and administrative burden. At Alaffia, we?re on a missio

Student Review Session Tutor Stevens Institute of Technology  Hoboken, NJ
Job DescriptionThis position is for Stevens students currently enrolled. Must have at least 6 credits. This is a part-time hourly position. Students will serve as review session facilitators for selec ... Read more
Apply

Hoboken,NJ

Job DescriptionThis position is for Stevens students currently enrolled. Must have at least 6 credits. This is a part-time hourly position. Students will serve as review session facilitators for selec

Liquidity Risk Review, Recovery and Resolution Planning SVP (hybrid) Citigroup Inc.  New York, NY
The SVP Recovery and Resolution Planning (RRP) will be responsible for leading and overseeing the review of recovery and resolution strategies within Citi, with a specialized focus on conducting indep ... Read more
Apply

New York,NY

The SVP Recovery and Resolution Planning (RRP) will be responsible for leading and overseeing the review of recovery and resolution strategies within Citi, with a specialized focus on conducting indep

Tax Examiner Technician (Appeals Quality Measurement Systems Reviewer) (12 Month Roster) Department Of The Treasury  New York, NY
DutiesWHAT IS THE APPEALS (AP)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 are ... Read more
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New York,NY

DutiesWHAT IS THE APPEALS (AP)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 are

Portuguese -Fluent Attorneys for Upcoming Language Reviews TransPerfect  New York, NY
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 ... Read more
Apply

New York,NY

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

Compliance Analyst, Sales Marketing Review Unit New York Life  New York, NY
Location Designation: Hybrid - 3 days per weekWhen you join New York Life, you're joining a company that values career development, collaboration, innovation, and inclusiveness. We want employees to f ... Read more
Apply

New York,NY

Location Designation: Hybrid - 3 days per weekWhen you join New York Life, you're joining a company that values career development, collaboration, innovation, and inclusiveness. We want employees to f

Medical & Health Care Admissions Reviewer Princeton Review  New York, NY
A Medical and Health Care Admissions Reviewer on The Princeton Review's Medical Admissions Counseling (MAC) team is a professional editor and writer who crafts material for others, taking a student's ... Read more
Apply

New York,NY

A Medical and Health Care Admissions Reviewer on The Princeton Review's Medical Admissions Counseling (MAC) team is a professional editor and writer who crafts material for others, taking a student's

SY23-24 PER SESSION VACANCY NOTICE # 0880: Teacher - New York State Regents Assessments Appeals Reviewer (Office of Assessment) NYC Department of Education  New York, NY
Job Details(CONTINGENT UPON FUNDING AVAILABILITY AND PROGRAMMATIC APPROVAL; this position is subject to budget approval and availability and may be withdrawn at any time)POSITION:Teachers to serve as ... Read more
Apply

New York,NY

Job Details(CONTINGENT UPON FUNDING AVAILABILITY AND PROGRAMMATIC APPROVAL; this position is subject to budget approval and availability and may be withdrawn at any time)POSITION:Teachers to serve as

Associate Counsel, Contract Review St. John's Riverside Hospital  Yonkers, NY
St. John's Riverside Hospital is a leader in providing the highest quality, compassionate health care utilizing the latest, state-of-the-art medical technology. Serving the Westchester community from ... Read more
Apply

Yonkers,NY

St. John's Riverside Hospital is a leader in providing the highest quality, compassionate health care utilizing the latest, state-of-the-art medical technology. Serving the Westchester community from

Associate Counsel, Contract Review Riverside Medical Center  Yonkers, NY
OverviewSt. John's Riverside Hospital is a leader in providing the highest quality, compassionate health care utilizing the latest, state-of-the-art medical technology. Serving the Westchester communi ... Read more
Apply

Yonkers,NY

OverviewSt. John's Riverside Hospital is a leader in providing the highest quality, compassionate health care utilizing the latest, state-of-the-art medical technology. Serving the Westchester communi

Risk Management - Model Risk Governance and Review - Project Manager Associate JPMorgan Chase  New York, NY
As part of Risk Management and Compliance, you are at the center of keeping JPMorgan Chase strong and resilient. You help the firm grow its business in a responsible way by anticipating new and emergi ... Read more
Apply

New York,NY

As part of Risk Management and Compliance, you are at the center of keeping JPMorgan Chase strong and resilient. You help the firm grow its business in a responsible way by anticipating new and emergi

Quality Control / Credit Review Professional - 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
Apply

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

Vice President - Leveraged Finance Credit Risk Officer Santander Bank  New York, NY
Apply Req ID: Req1251357 Date posted 04/10/2024Vice President - Leveraged Finance Credit Risk OfficerNew York, United States of AmericaJob Description Summary:The Leveraged Finance Credit Risk Officer ... Read more
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New York,NY

Apply Req ID: Req1251357 Date posted 04/10/2024Vice President - Leveraged Finance Credit Risk OfficerNew York, United States of AmericaJob Description Summary:The Leveraged Finance Credit Risk Officer

Latin America Credit Risk Officer - Vice President Deutsche Bank  New York, NY
Latin America Credit Risk Officer - Vice PresidentJob ID:R0291519 Full/Part-Time: Full-time Regular/Temporary: Regular Listed: 2024-04-04 Location: New York ... Read more
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New York,NY

Latin America Credit Risk Officer - Vice PresidentJob ID:R0291519 Full/Part-Time: Full-time Regular/Temporary: Regular Listed: 2024-04-04 Location: New York

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
Apply

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

Temp- Senior Review Committee Specialist Regeneron Pharmaceuticals  Tarrytown, NY
The Review Committee Senior Specialist role is the lead for coordinating Regeneron's promotional Review Committee (Medical, Legal, and Regulatory) activities and for ensuring the promotional review pr ... Read more
Apply

Tarrytown,NY

The Review Committee Senior Specialist role is the lead for coordinating Regeneron's promotional Review Committee (Medical, Legal, and Regulatory) activities and for ensuring the promotional review pr

Credit Reporting Associate Fortress Investment  New York, NY
Credit Reporting AssociateNew YorkCredit FundsRef #3333Date published03-Apr-2024About FortressFortress Investment Group LLC is a leading, highly diversified global investment manager with approximatel ... Read more
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New York,NY

Credit Reporting AssociateNew YorkCredit FundsRef #3333Date published03-Apr-2024About FortressFortress Investment Group LLC is a leading, highly diversified global investment manager with approximatel

Manager, A&G Clinical Review 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

Nurse Reviewer I Elevance Health  New York, NY
DescriptionNurse Reviewer ILocation: Within 50 miles of a pulse pointShift : Monday - Friday, from 9:30 am - 6 pmThe Nurse Reviewer I is responsible for conducting preauthorization, out of network and ... Read more
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New York,NY

DescriptionNurse Reviewer ILocation: Within 50 miles of a pulse pointShift : Monday - Friday, from 9:30 am - 6 pmThe Nurse Reviewer I is responsible for conducting preauthorization, out of network and

Associate, Global Product Solutions ETF Regulatory Marketing Review BlackRock  New York, NY
**About this role**Elevate your career by joining the world's largest asset manager! At BlackRock, we are all connected by one mission: to help more and more people experience financial well-being. Ou ... Read more
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New York,NY

**About this role**Elevate your career by joining the world's largest asset manager! At BlackRock, we are all connected by one mission: to help more and more people experience financial well-being. Ou

Audit Reviewer City of New York  New York, NY
Job DescriptionAPPLICANTS MUST BE PERMANENT IN THE ACCOUNTANT CIVIL SERVICE TITLE.The Home Care Services Program (HCSP) is a Medicaid funded program that provides long term care to medically fragile a ... Read more
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New York,NY

Job DescriptionAPPLICANTS MUST BE PERMANENT IN THE ACCOUNTANT CIVIL SERVICE TITLE.The Home Care Services Program (HCSP) is a Medicaid funded program that provides long term care to medically fragile a

SVP, Global Risk Review Senior Officer (Infrastructure & Strategic Projects) - Hybrid Citigroup  New York, NY
**Global Risk Review Senior Officer (Infrastructure Strategic Projects)**Global Risk Review (GRR) provides independent, objective, reliable, valued and timely assurance to the Boards, the Committees, ... Read more
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New York,NY

**Global Risk Review Senior Officer (Infrastructure Strategic Projects)**Global Risk Review (GRR) provides independent, objective, reliable, valued and timely assurance to the Boards, the Committees,

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

Digital Content Producer, Reviews, Popular Mechanics Hearst  New York, NY
Job DescriptionWhy Hearst Magazines?Hearst Magazines is one of the largest publishers in the world, with more than 25 brands, including Cosmopolitan, ELLE, Esquire, Good Housekeeping, Harper's BAZAAR, ... Read more
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New York,NY

Job DescriptionWhy Hearst Magazines?Hearst Magazines is one of the largest publishers in the world, with more than 25 brands, including Cosmopolitan, ELLE, Esquire, Good Housekeeping, Harper's BAZAAR,

FTZ Administration, Operations, and Compliance Review Specialist Expeditors International of Washington, Inc.  Miami, FL
FTZ World Services LLC, a division of Expeditors International of Washington Inc., is backed by more than 100 years of experience in managing free trade zones. The savvy professionals at FTZWS serve a ... Read more
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Miami,FL

FTZ World Services LLC, a division of Expeditors International of Washington Inc., is backed by more than 100 years of experience in managing free trade zones. The savvy professionals at FTZWS serve a

Internal Revenue Agent (Appeals Quality Measurement Systems Reviewer) 12-Month Roster Department Of The Treasury  Miami, FL
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 ... Read more
Apply

Miami,FL

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

Financial Aid File Reviewer Keiser University  Fort Lauderdale, FL
Financial Aid File Reviewer responsibilities include, but are not limited to:1. Review and audit student loan packages before tasking and processing.2. Track all packages that have been returned to ca ... Read more
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Fort Lauderdale,FL

Financial Aid File Reviewer responsibilities include, but are not limited to:1. Review and audit student loan packages before tasking and processing.2. Track all packages that have been returned to ca

English Document Review Attorney CONTACT GOVERNMENT SERVICES  Miami, FL
English Document ReviewerContact Review - Washington, DCLocation: RemoteStart Date: NegotiableEXPERIENCE QUALIFICATIONS:Familiarity with document review workflowsExamples: Privilege/Responsiveness Re ... Read more
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Miami,FL

English Document ReviewerContact Review - Washington, DCLocation: RemoteStart Date: NegotiableEXPERIENCE QUALIFICATIONS:Familiarity with document review workflowsExamples: Privilege/Responsiveness Re

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

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 I - $16 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

Hospital Reviewer/Utilization Manager - Hybrid Position DOCTORS HEALTHCARE PLANS, INC.  Miami, FL
Position Purpose: Works in partnership with physicians, nurse case managers, and other disciplines to ensure the appropriateness for the corresponding level of care utilizing evidence-based criteria. ... Read more
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Miami,FL

Position Purpose: Works in partnership with physicians, nurse case managers, and other disciplines to ensure the appropriateness for the corresponding level of care utilizing evidence-based criteria.

FTZ Administration, Operations, and Compliance Review Specialist Expeditors  Miami, FL
Company Description FTZ World Services LLC, a division of Expeditors International of Washington Inc., is backed by more than 100 years of experience in managing free trade zones. The savvy professio ... Read more
Apply

Miami,FL

Company Description FTZ World Services LLC, a division of Expeditors International of Washington Inc., is backed by more than 100 years of experience in managing free trade zones. The savvy professio

Nurse Reviewer I Elevance Health  Miami, FL
DescriptionNurse Reviewer ILocation: Within 50 miles of a pulse pointShift : Monday - Friday, from 9:30 am - 6 pmThe Nurse Reviewer I is responsible for conducting preauthorization, out of network and ... Read more
Apply

Miami,FL

DescriptionNurse Reviewer ILocation: Within 50 miles of a pulse pointShift : Monday - Friday, from 9:30 am - 6 pmThe Nurse Reviewer I is responsible for conducting preauthorization, out of network and

Quality Assurance Reviewer Qlarant  Miami, FL
Job DescriptionQlarant is a not-for-profit corporation that partners with public and private sectors to create high quality, safe, and efficient delivery of health care and human services programs. We ... Read more
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Miami,FL

Job DescriptionQlarant is a not-for-profit corporation that partners with public and private sectors to create high quality, safe, and efficient delivery of health care and human services programs. We

Bilingual Intellectual/Developmental Disabilities Quality Assurance Reviewer - Miami, FL @Orchard  Miami, FL
DescriptionBilingual Intellectual/Developmental Disabilities Quality Assurance ReviewerMust reside in the Miami, FL area@Orchard LLC is retained by a not-for-profit corporation that partners with publ ... Read more
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Miami,FL

DescriptionBilingual Intellectual/Developmental Disabilities Quality Assurance ReviewerMust reside in the Miami, FL area@Orchard LLC is retained by a not-for-profit corporation that partners with publ

Utilization Review Case Manager, Non-RN The University of Miami  Miami, 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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Miami,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

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

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

Estimate Reviewer II Crawford & Co.  Miami, FL
Performs quality assurance review of network contractor estimates  Previous ... Read more
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Miami,FL

Performs quality assurance review of network contractor estimates  Previous

Remote Medical Review Registered Nurse GCP-Inc  Miami, FL
GCP is seeking Remote CMS Medical Review RNs RNs Staff will perform clinical reviews of Medicare Part A and Part B claims for Medical Review. ... Read more
Apply

Miami,FL

GCP is seeking Remote CMS Medical Review RNs RNs Staff will perform clinical reviews of Medicare Part A and Part B claims for Medical Review.

Utilization Review Case Manager, Non-RN University of Miami  Miami, 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
Apply

Miami,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 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

Team Leader - Development Center (DCE) M/F - fluent in French (Porto) - CDI BNP Paribas Cardif  Miami, FL
Team Leader - Development Center (DCE) M/F - fluent in French (Porto) - CDI ( **Job Number:**CS_DCE_618_2022 ) **BNP Paribas Cardif** 's mission is to insure individuals, their families and their ... Read more
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Miami,FL

Team Leader - Development Center (DCE) M/F - fluent in French (Porto) - CDI ( **Job Number:**CS_DCE_618_2022 ) **BNP Paribas Cardif** 's mission is to insure individuals, their families and their

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

Tax Manager Reviewer Arch Staffing & Consulting  Miami, FL
Job Title: Tax Manager - ReviewerJob Location : Coral Gables - FloridaModel: Hybrid after 90 DaysSalary: $115000-$120000 per year? Our annual firm cruise!? Competitive salary + bonus program? New busi ... Read more
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Miami,FL

Job Title: Tax Manager - ReviewerJob Location : Coral Gables - FloridaModel: Hybrid after 90 DaysSalary: $115000-$120000 per year? Our annual firm cruise!? Competitive salary + bonus program? New busi

Mandarin Language Document Reviewers Contact Government Services, LLC  Hollywood, FL
Mandarin Language Document Reviewer Employment Type: Full Time, Mid-LevelDepartment: LegalAs a CGS Mandarin Document Reviewer you will play a key role in supporting various aspects of the company's li ... Read more
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Hollywood,FL

Mandarin Language Document Reviewer Employment Type: Full Time, Mid-LevelDepartment: LegalAs a CGS Mandarin Document Reviewer you will play a key role in supporting various aspects of the company's li

Product Security Code Review Engineer Accenture  Miami, FL
We AreAccenture 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 diverse t ... Read more
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Miami,FL

We AreAccenture 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 diverse t

Quality Assurance Reviewer Delmarva Foundation  Miami, FL
Qlarant is a not-for-profit corporation that partners with public and private sectors to create high quality, safe, and efficient delivery of health care and human services programs. We have multiple ... Read more
Apply

Miami,FL

Qlarant is a not-for-profit corporation that partners with public and private sectors to create high quality, safe, and efficient delivery of health care and human services programs. We have multiple

Compliance Analyst, Sales Marketing Review Unit New York Life Insurance Company  New York, NY
**Location Designation:** [[cust_rolelocationdesignation]]When you join New York Life, you're joining a company that values career development, collaboration, innovation, and inclusiveness. We want e ... Read more
Apply

New York,NY

**Location Designation:** [[cust_rolelocationdesignation]]When you join New York Life, you're joining a company that values career development, collaboration, innovation, and inclusiveness. We want e

Medical Claim/Bill Reviewer (Inpatient) Alaffia Health  New York, NY
About Alaffia Our MissionEach year, the U.S. healthcare system suffers from over $500B in wasted spending due to medical billing fraud, waste, and administrative burden. At Alaffia, we?re on a missio ... Read more
Apply

New York,NY

About Alaffia Our MissionEach year, the U.S. healthcare system suffers from over $500B in wasted spending due to medical billing fraud, waste, and administrative burden. At Alaffia, we?re on a missio

Student Review Session Tutor Stevens Institute of Technology  Hoboken, NJ
Job DescriptionThis position is for Stevens students currently enrolled. Must have at least 6 credits. This is a part-time hourly position. Students will serve as review session facilitators for selec ... Read more
Apply

Hoboken,NJ

Job DescriptionThis position is for Stevens students currently enrolled. Must have at least 6 credits. This is a part-time hourly position. Students will serve as review session facilitators for selec

Liquidity Risk Review, Recovery and Resolution Planning SVP (hybrid) Citigroup Inc.  New York, NY
The SVP Recovery and Resolution Planning (RRP) will be responsible for leading and overseeing the review of recovery and resolution strategies within Citi, with a specialized focus on conducting indep ... Read more
Apply

New York,NY

The SVP Recovery and Resolution Planning (RRP) will be responsible for leading and overseeing the review of recovery and resolution strategies within Citi, with a specialized focus on conducting indep

Tax Examiner Technician (Appeals Quality Measurement Systems Reviewer) (12 Month Roster) Department Of The Treasury  New York, NY
DutiesWHAT IS THE APPEALS (AP)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 are ... Read more
Apply

New York,NY

DutiesWHAT IS THE APPEALS (AP)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 are

Portuguese -Fluent Attorneys for Upcoming Language Reviews TransPerfect  New York, NY
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 ... Read more
Apply

New York,NY

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

Compliance Analyst, Sales Marketing Review Unit New York Life  New York, NY
Location Designation: Hybrid - 3 days per weekWhen you join New York Life, you're joining a company that values career development, collaboration, innovation, and inclusiveness. We want employees to f ... Read more
Apply

New York,NY

Location Designation: Hybrid - 3 days per weekWhen you join New York Life, you're joining a company that values career development, collaboration, innovation, and inclusiveness. We want employees to f

Medical & Health Care Admissions Reviewer Princeton Review  New York, NY
A Medical and Health Care Admissions Reviewer on The Princeton Review's Medical Admissions Counseling (MAC) team is a professional editor and writer who crafts material for others, taking a student's ... Read more
Apply

New York,NY

A Medical and Health Care Admissions Reviewer on The Princeton Review's Medical Admissions Counseling (MAC) team is a professional editor and writer who crafts material for others, taking a student's

SY23-24 PER SESSION VACANCY NOTICE # 0880: Teacher - New York State Regents Assessments Appeals Reviewer (Office of Assessment) NYC Department of Education  New York, NY
Job Details(CONTINGENT UPON FUNDING AVAILABILITY AND PROGRAMMATIC APPROVAL; this position is subject to budget approval and availability and may be withdrawn at any time)POSITION:Teachers to serve as ... Read more
Apply

New York,NY

Job Details(CONTINGENT UPON FUNDING AVAILABILITY AND PROGRAMMATIC APPROVAL; this position is subject to budget approval and availability and may be withdrawn at any time)POSITION:Teachers to serve as

Associate Counsel, Contract Review St. John's Riverside Hospital  Yonkers, NY
St. John's Riverside Hospital is a leader in providing the highest quality, compassionate health care utilizing the latest, state-of-the-art medical technology. Serving the Westchester community from ... Read more
Apply

Yonkers,NY

St. John's Riverside Hospital is a leader in providing the highest quality, compassionate health care utilizing the latest, state-of-the-art medical technology. Serving the Westchester community from

Associate Counsel, Contract Review Riverside Medical Center  Yonkers, NY
OverviewSt. John's Riverside Hospital is a leader in providing the highest quality, compassionate health care utilizing the latest, state-of-the-art medical technology. Serving the Westchester communi ... Read more
Apply

Yonkers,NY

OverviewSt. John's Riverside Hospital is a leader in providing the highest quality, compassionate health care utilizing the latest, state-of-the-art medical technology. Serving the Westchester communi

Risk Management - Model Risk Governance and Review - Project Manager Associate JPMorgan Chase  New York, NY
As part of Risk Management and Compliance, you are at the center of keeping JPMorgan Chase strong and resilient. You help the firm grow its business in a responsible way by anticipating new and emergi ... Read more
Apply

New York,NY

As part of Risk Management and Compliance, you are at the center of keeping JPMorgan Chase strong and resilient. You help the firm grow its business in a responsible way by anticipating new and emergi

Quality Control / Credit Review Professional - 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
Apply

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

Vice President - Leveraged Finance Credit Risk Officer Santander Bank  New York, NY
Apply Req ID: Req1251357 Date posted 04/10/2024Vice President - Leveraged Finance Credit Risk OfficerNew York, United States of AmericaJob Description Summary:The Leveraged Finance Credit Risk Officer ... Read more
Apply

New York,NY

Apply Req ID: Req1251357 Date posted 04/10/2024Vice President - Leveraged Finance Credit Risk OfficerNew York, United States of AmericaJob Description Summary:The Leveraged Finance Credit Risk Officer

Latin America Credit Risk Officer - Vice President Deutsche Bank  New York, NY
Latin America Credit Risk Officer - Vice PresidentJob ID:R0291519 Full/Part-Time: Full-time Regular/Temporary: Regular Listed: 2024-04-04 Location: New York ... Read more
Apply

New York,NY

Latin America Credit Risk Officer - Vice PresidentJob ID:R0291519 Full/Part-Time: Full-time Regular/Temporary: Regular Listed: 2024-04-04 Location: New York

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
Apply

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

Temp- Senior Review Committee Specialist Regeneron Pharmaceuticals  Tarrytown, NY
The Review Committee Senior Specialist role is the lead for coordinating Regeneron's promotional Review Committee (Medical, Legal, and Regulatory) activities and for ensuring the promotional review pr ... Read more
Apply

Tarrytown,NY

The Review Committee Senior Specialist role is the lead for coordinating Regeneron's promotional Review Committee (Medical, Legal, and Regulatory) activities and for ensuring the promotional review pr

Credit Reporting Associate Fortress Investment  New York, NY
Credit Reporting AssociateNew YorkCredit FundsRef #3333Date published03-Apr-2024About FortressFortress Investment Group LLC is a leading, highly diversified global investment manager with approximatel ... Read more
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New York,NY

Credit Reporting AssociateNew YorkCredit FundsRef #3333Date published03-Apr-2024About FortressFortress Investment Group LLC is a leading, highly diversified global investment manager with approximatel

Manager, A&G Clinical Review 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

Nurse Reviewer I Elevance Health  New York, NY
DescriptionNurse Reviewer ILocation: Within 50 miles of a pulse pointShift : Monday - Friday, from 9:30 am - 6 pmThe Nurse Reviewer I is responsible for conducting preauthorization, out of network and ... Read more
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New York,NY

DescriptionNurse Reviewer ILocation: Within 50 miles of a pulse pointShift : Monday - Friday, from 9:30 am - 6 pmThe Nurse Reviewer I is responsible for conducting preauthorization, out of network and

Associate, Global Product Solutions ETF Regulatory Marketing Review BlackRock  New York, NY
**About this role**Elevate your career by joining the world's largest asset manager! At BlackRock, we are all connected by one mission: to help more and more people experience financial well-being. Ou ... Read more
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New York,NY

**About this role**Elevate your career by joining the world's largest asset manager! At BlackRock, we are all connected by one mission: to help more and more people experience financial well-being. Ou

Audit Reviewer City of New York  New York, NY
Job DescriptionAPPLICANTS MUST BE PERMANENT IN THE ACCOUNTANT CIVIL SERVICE TITLE.The Home Care Services Program (HCSP) is a Medicaid funded program that provides long term care to medically fragile a ... Read more
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New York,NY

Job DescriptionAPPLICANTS MUST BE PERMANENT IN THE ACCOUNTANT CIVIL SERVICE TITLE.The Home Care Services Program (HCSP) is a Medicaid funded program that provides long term care to medically fragile a

SVP, Global Risk Review Senior Officer (Infrastructure & Strategic Projects) - Hybrid Citigroup  New York, NY
**Global Risk Review Senior Officer (Infrastructure Strategic Projects)**Global Risk Review (GRR) provides independent, objective, reliable, valued and timely assurance to the Boards, the Committees, ... Read more
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New York,NY

**Global Risk Review Senior Officer (Infrastructure Strategic Projects)**Global Risk Review (GRR) provides independent, objective, reliable, valued and timely assurance to the Boards, the Committees,

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

Digital Content Producer, Reviews, Popular Mechanics Hearst  New York, NY
Job DescriptionWhy Hearst Magazines?Hearst Magazines is one of the largest publishers in the world, with more than 25 brands, including Cosmopolitan, ELLE, Esquire, Good Housekeeping, Harper's BAZAAR, ... Read more
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New York,NY

Job DescriptionWhy Hearst Magazines?Hearst Magazines is one of the largest publishers in the world, with more than 25 brands, including Cosmopolitan, ELLE, Esquire, Good Housekeeping, Harper's BAZAAR,

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 ... Read more
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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 ... Read more
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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

Tax Examiner Technician (Appeals Quality Measurement Systems Reviewer) (12 Month Roster) Department Of The Treasury  Philadelphia, PA
DutiesWHAT IS THE APPEALS (AP)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 are ... Read more
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Philadelphia,PA

DutiesWHAT IS THE APPEALS (AP)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 are

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 ... Read more
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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 ... Read more
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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 ... Read more
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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

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 ... Read more
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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

Senior Audit Strategist - Financial Risk Review KeyBank  Philadelphia, PA
Location:For Those Who Work At Home - Various, Ohio 44145Job SummaryThe Financial Risk Review is responsible for documenting SOX walkthroughs and performing independent testing of Key's Sarbanes-Oxley ... Read more
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Philadelphia,PA

Location:For Those Who Work At Home - Various, Ohio 44145Job SummaryThe Financial Risk Review is responsible for documenting SOX walkthroughs and performing independent testing of Key's Sarbanes-Oxley

Senior Specialist, Quality Control Review and Editing (GROW) - Remote PTC Therapeutics  Philadelphia, PA
Job Description Summary: The Senior Specialist, Quality Control Review and Editing performs quality control (QC) review and editing of regulatory documents and provides support to the development of h ... Read more
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Philadelphia,PA

Job Description Summary: The Senior Specialist, Quality Control Review and Editing performs quality control (QC) review and editing of regulatory documents and provides support to the development of h

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 ... Read more
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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 ... Read more
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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 ... Read more
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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

Review and Advancement of Anti-Racism & Social Justice Practices for AFSC Governance American Friends Service Committee  Philadelphia, PA
TO: Consultants on DEI Strategy Implementation for Not-for-profitsFROM: American Friends Service Committee (AFSC)SUBJECT: Review and Advancement of Anti-Racism Social Justice PracticesPERIOD OF PERFO ... Read more
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Philadelphia,PA

TO: Consultants on DEI Strategy Implementation for Not-for-profitsFROM: American Friends Service Committee (AFSC)SUBJECT: Review and Advancement of Anti-Racism Social Justice PracticesPERIOD OF PERFO

Sr/Engineer - Design Review - 90374637 - 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 ... Read more
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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 ... Read more
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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 ... Read more
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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

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 ... Read more
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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 ... Read more
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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

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 ... Read more
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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

Clinical Coverage Review Medical Director - Remote UnitedHealth Group  Philadelphia, PA
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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Philadelphia,PA

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

Credit Risk Review Advisor - Commercial Lending PNC  Philadelphia, PA
**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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Philadelphia,PA

**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

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 ... Read more
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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

Coding Quality Reviewer Auditor Thomas Jefferson University  Philadelphia, PA
Responsibilities003306PRIMARY FUNCTION:Coding Audit and Compliance Administrator has the responsibility for developing, implementing and maintaining a data quality compliance plan for inpatient and ou ... Read more
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Philadelphia,PA

Responsibilities003306PRIMARY FUNCTION:Coding Audit and Compliance Administrator has the responsibility for developing, implementing and maintaining a data quality compliance plan for inpatient and ou

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 ... Read more
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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

Product Security Code Review Engineer Accenture  Philadelphia, PA
We AreAccenture 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 diverse t ... Read more
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Philadelphia,PA

We AreAccenture 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 diverse t

FTZ Administration, Operations, and Compliance Review Specialist Expeditors International of Washington, Inc.  Miami, FL
FTZ World Services LLC, a division of Expeditors International of Washington Inc., is backed by more than 100 years of experience in managing free trade zones. The savvy professionals at FTZWS serve a ... Read more
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Miami,FL

FTZ World Services LLC, a division of Expeditors International of Washington Inc., is backed by more than 100 years of experience in managing free trade zones. The savvy professionals at FTZWS serve a

Internal Revenue Agent (Appeals Quality Measurement Systems Reviewer) 12-Month Roster Department Of The Treasury  Miami, FL
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 ... Read more
Apply

Miami,FL

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

Financial Aid File Reviewer Keiser University  Fort Lauderdale, FL
Financial Aid File Reviewer responsibilities include, but are not limited to:1. Review and audit student loan packages before tasking and processing.2. Track all packages that have been returned to ca ... Read more
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Fort Lauderdale,FL

Financial Aid File Reviewer responsibilities include, but are not limited to:1. Review and audit student loan packages before tasking and processing.2. Track all packages that have been returned to ca

English Document Review Attorney CONTACT GOVERNMENT SERVICES  Miami, FL
English Document ReviewerContact Review - Washington, DCLocation: RemoteStart Date: NegotiableEXPERIENCE QUALIFICATIONS:Familiarity with document review workflowsExamples: Privilege/Responsiveness Re ... Read more
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Miami,FL

English Document ReviewerContact Review - Washington, DCLocation: RemoteStart Date: NegotiableEXPERIENCE QUALIFICATIONS:Familiarity with document review workflowsExamples: Privilege/Responsiveness Re

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

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 I - $16 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

Hospital Reviewer/Utilization Manager - Hybrid Position DOCTORS HEALTHCARE PLANS, INC.  Miami, FL
Position Purpose: Works in partnership with physicians, nurse case managers, and other disciplines to ensure the appropriateness for the corresponding level of care utilizing evidence-based criteria. ... Read more
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Miami,FL

Position Purpose: Works in partnership with physicians, nurse case managers, and other disciplines to ensure the appropriateness for the corresponding level of care utilizing evidence-based criteria.

FTZ Administration, Operations, and Compliance Review Specialist Expeditors  Miami, FL
Company Description FTZ World Services LLC, a division of Expeditors International of Washington Inc., is backed by more than 100 years of experience in managing free trade zones. The savvy professio ... Read more
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Miami,FL

Company Description FTZ World Services LLC, a division of Expeditors International of Washington Inc., is backed by more than 100 years of experience in managing free trade zones. The savvy professio

Nurse Reviewer I Elevance Health  Miami, FL
DescriptionNurse Reviewer ILocation: Within 50 miles of a pulse pointShift : Monday - Friday, from 9:30 am - 6 pmThe Nurse Reviewer I is responsible for conducting preauthorization, out of network and ... Read more
Apply

Miami,FL

DescriptionNurse Reviewer ILocation: Within 50 miles of a pulse pointShift : Monday - Friday, from 9:30 am - 6 pmThe Nurse Reviewer I is responsible for conducting preauthorization, out of network and

Quality Assurance Reviewer Qlarant  Miami, FL
Job DescriptionQlarant is a not-for-profit corporation that partners with public and private sectors to create high quality, safe, and efficient delivery of health care and human services programs. We ... Read more
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Miami,FL

Job DescriptionQlarant is a not-for-profit corporation that partners with public and private sectors to create high quality, safe, and efficient delivery of health care and human services programs. We

Bilingual Intellectual/Developmental Disabilities Quality Assurance Reviewer - Miami, FL @Orchard  Miami, FL
DescriptionBilingual Intellectual/Developmental Disabilities Quality Assurance ReviewerMust reside in the Miami, FL area@Orchard LLC is retained by a not-for-profit corporation that partners with publ ... Read more
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Miami,FL

DescriptionBilingual Intellectual/Developmental Disabilities Quality Assurance ReviewerMust reside in the Miami, FL area@Orchard LLC is retained by a not-for-profit corporation that partners with publ

Utilization Review Case Manager, Non-RN The University of Miami  Miami, 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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Miami,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

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

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

Estimate Reviewer II Crawford & Co.  Miami, FL
Performs quality assurance review of network contractor estimates  Previous ... Read more
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Miami,FL

Performs quality assurance review of network contractor estimates  Previous

Remote Medical Review Registered Nurse GCP-Inc  Miami, FL
GCP is seeking Remote CMS Medical Review RNs RNs Staff will perform clinical reviews of Medicare Part A and Part B claims for Medical Review. ... Read more
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Miami,FL

GCP is seeking Remote CMS Medical Review RNs RNs Staff will perform clinical reviews of Medicare Part A and Part B claims for Medical Review.

Utilization Review Case Manager, Non-RN University of Miami  Miami, 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
Apply

Miami,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 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

Team Leader - Development Center (DCE) M/F - fluent in French (Porto) - CDI BNP Paribas Cardif  Miami, FL
Team Leader - Development Center (DCE) M/F - fluent in French (Porto) - CDI ( **Job Number:**CS_DCE_618_2022 ) **BNP Paribas Cardif** 's mission is to insure individuals, their families and their ... Read more
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Miami,FL

Team Leader - Development Center (DCE) M/F - fluent in French (Porto) - CDI ( **Job Number:**CS_DCE_618_2022 ) **BNP Paribas Cardif** 's mission is to insure individuals, their families and their

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

Tax Manager Reviewer Arch Staffing & Consulting  Miami, FL
Job Title: Tax Manager - ReviewerJob Location : Coral Gables - FloridaModel: Hybrid after 90 DaysSalary: $115000-$120000 per year? Our annual firm cruise!? Competitive salary + bonus program? New busi ... Read more
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Miami,FL

Job Title: Tax Manager - ReviewerJob Location : Coral Gables - FloridaModel: Hybrid after 90 DaysSalary: $115000-$120000 per year? Our annual firm cruise!? Competitive salary + bonus program? New busi

Mandarin Language Document Reviewers Contact Government Services, LLC  Hollywood, FL
Mandarin Language Document Reviewer Employment Type: Full Time, Mid-LevelDepartment: LegalAs a CGS Mandarin Document Reviewer you will play a key role in supporting various aspects of the company's li ... Read more
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Hollywood,FL

Mandarin Language Document Reviewer Employment Type: Full Time, Mid-LevelDepartment: LegalAs a CGS Mandarin Document Reviewer you will play a key role in supporting various aspects of the company's li

Product Security Code Review Engineer Accenture  Miami, FL
We AreAccenture 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 diverse t ... Read more
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Miami,FL

We AreAccenture 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 diverse t

Quality Assurance Reviewer Delmarva Foundation  Miami, FL
Qlarant is a not-for-profit corporation that partners with public and private sectors to create high quality, safe, and efficient delivery of health care and human services programs. We have multiple ... Read more
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Miami,FL

Qlarant is a not-for-profit corporation that partners with public and private sectors to create high quality, safe, and efficient delivery of health care and human services programs. We have multiple

Revenue Officer (Technical Services Advisor/Reviewer) 12-month Roster - AMENDED Department Of The Treasury  Dallas, TX
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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Dallas,TX

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

ED Charge Review Coordinator - FT - ED Methodist Health System  Dallas, TX
Hours of Work :Days Of Week :Work Shift :12X3 Day (United States of America)Job Description :Your Role: General purpose is to review and reconcile charges of all emergency department visits/encounters ... Read more
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Dallas,TX

Hours of Work :Days Of Week :Work Shift :12X3 Day (United States of America)Job Description :Your Role: General purpose is to review and reconcile charges of all emergency department visits/encounters

Bill Review Specialist II AmTrust Financial Services, Inc.  Dallas, TX
OverviewResponsible for assisting with all administrative aspects of Legal e-Billing program. Assists e-Billing unit to ensure timely and proper payment of legal invoices. Communicates directly with l ... Read more
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Dallas,TX

OverviewResponsible for assisting with all administrative aspects of Legal e-Billing program. Assists e-Billing unit to ensure timely and proper payment of legal invoices. Communicates directly with l

Case Mgt Utilization Review RN - REMOTE IASIS Healthcare  Dallas, TX
Case Mgt Utilization Review RN - REMOTEClick Here to Apply OnlineJob DescriptionLocation: Steward Health CarePosted Date: 10/10/2023The Care Manager assumes primary responsibility for documentation of ... Read more
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Dallas,TX

Case Mgt Utilization Review RN - REMOTEClick Here to Apply OnlineJob DescriptionLocation: Steward Health CarePosted Date: 10/10/2023The Care Manager assumes primary responsibility for documentation of

Charge Review Specialist II - Remote Tenet Healthcare Corporation  Frisco, TX
JOB SUMMARYThis job is responsible for ensuring that all appropriate billing charges for complex service lines are being captured, documented, charged and reimbursed for the assigned department in acc ... Read more
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Frisco,TX

JOB SUMMARYThis job is responsible for ensuring that all appropriate billing charges for complex service lines are being captured, documented, charged and reimbursed for the assigned department in acc

Senior Lead Credit Risk Officer / Personal Lending Wells Fargo  Dallas, TX
About this role:Wells Fargo is seeking a Senior Lead Credit Risk Officer for the Personal Lending CRO Loss Forecasting and Analytics group is looking for an experienced Senior Lead Credit Risk Officer ... Read more
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Dallas,TX

About this role:Wells Fargo is seeking a Senior Lead Credit Risk Officer for the Personal Lending CRO Loss Forecasting and Analytics group is looking for an experienced Senior Lead Credit Risk Officer

Private Credit Associate Fortress Investment  Dallas, TX
Private Credit AssociateDallasCredit FundsRef #3324Date published24-Mar-2024Private Credit AssociateDallas, TexasAbout FortressFortress Investment Group LLC is a leading, highly diversified global inv ... Read more
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Dallas,TX

Private Credit AssociateDallasCredit FundsRef #3324Date published24-Mar-2024Private Credit AssociateDallas, TexasAbout FortressFortress Investment Group LLC is a leading, highly diversified global inv

Utilization Review Specialist Springstone, Inc  Carrollton, TX
Carrollton Springs is a 72-bed behavioral hospital located Carrollton, TX. The hospital offers inpatient and outpatient mental health and addiction treatment to adults, adolescents and their families. ... Read more
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Carrollton,TX

Carrollton Springs is a 72-bed behavioral hospital located Carrollton, TX. The hospital offers inpatient and outpatient mental health and addiction treatment to adults, adolescents and their families.

SVP, Credit Review Senior Officer I (Hybrid) Citigroup Inc.  Irving, TX
Global Risk Review (GRR) provides independent, objective, reliable, valued and timely assurance to the Boards, the Committees, the Citigroup Chief Risk Officer, the Citigroup Chief Credit Officer, sen ... Read more
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Irving,TX

Global Risk Review (GRR) provides independent, objective, reliable, valued and timely assurance to the Boards, the Committees, the Citigroup Chief Risk Officer, the Citigroup Chief Credit Officer, sen

Credit Associate AutoNation, Inc.  Irving, TX
AutoNation Business Operations SupportPosition Summary:The Credit Associate is responsible for making credit limit decisions based on analysis of relevant data. The credit team responds to Credit Desk ... Read more
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Irving,TX

AutoNation Business Operations SupportPosition Summary:The Credit Associate is responsible for making credit limit decisions based on analysis of relevant data. The credit team responds to Credit Desk

Credit Coordinator Reece Ltd.  Addison, TX
Who We AreWorking at Reece Fortiline means being part of a growing global company that brings our purpose and values to life every day. We celebrate our team members living our values and provide opp ... Read more
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Addison,TX

Who We AreWorking at Reece Fortiline means being part of a growing global company that brings our purpose and values to life every day. We celebrate our team members living our values and provide opp

Credit Balance Clerk UnitedHealth Group Inc.  Richardson, TX
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
Apply

Richardson,TX

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

Credit Coordinator Ferguson  Euless, TX
Job Posting:Ferguson is North America's leading value-added distributor across residential, non-residential, new construction and repair, maintenance, and improvement (RMI) end markets. Spanning 34,00 ... Read more
Apply

Euless,TX

Job Posting:Ferguson is North America's leading value-added distributor across residential, non-residential, new construction and repair, maintenance, and improvement (RMI) end markets. Spanning 34,00

Risk Management - Asset Based Lending Credit - Associate JPMorgan Chase  Dallas, TX
As part of Risk Management and Compliance, you are at the center of keeping JPMorgan Chase strong and resilient. You help the firm grow its business in a responsible way by anticipating new and emergi ... Read more
Apply

Dallas,TX

As part of Risk Management and Compliance, you are at the center of keeping JPMorgan Chase strong and resilient. You help the firm grow its business in a responsible way by anticipating new and emergi

Nurse Reviewer I Elevance Health  Grand Prairie, TX
DescriptionNurse Reviewer ILocation: Within 50 miles of a pulse pointShift : Sunday - Thursday and/or Tuesday - Saturday from 8:30 am - 5 pm CSTThe Nurse Reviewer I is responsible for conducting preau ... Read more
Apply

Grand Prairie,TX

DescriptionNurse Reviewer ILocation: Within 50 miles of a pulse pointShift : Sunday - Thursday and/or Tuesday - Saturday from 8:30 am - 5 pm CSTThe Nurse Reviewer I is responsible for conducting preau

Registered Nurse Utilization Review CornerStone  Irving, TX
CornerStone Medical is looking for a Registered Nurse Utilization Review for a state of the art hospital system in Irving, TX. This is an onsite role. Current RN Compact License required 8 am - 5 pm M ... Read more
Apply

Irving,TX

CornerStone Medical is looking for a Registered Nurse Utilization Review for a state of the art hospital system in Irving, TX. This is an onsite role. Current RN Compact License required 8 am - 5 pm M

Radiation Oncology Preservice Review Nurse RN - Remote UnitedHealth Group  Dallas, TX
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
Apply

Dallas,TX

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

Utilization Review RN - Hybrid Baylor Scott & White Health  Dallas, TX
SCHEDULE:* Hybrid-remote. You will work mostly remote and are required to work onsite for quarterly meetings.* 3, 12 hour shifts. Saturday, Sunday, Monday.JOB SUMMARYThe Utilization Review Registered ... Read more
Apply

Dallas,TX

SCHEDULE:* Hybrid-remote. You will work mostly remote and are required to work onsite for quarterly meetings.* 3, 12 hour shifts. Saturday, Sunday, Monday.JOB SUMMARYThe Utilization Review Registered

Senior AML Specialist - Alert Review Stellar Bancorp, Inc.  Dallas, TX
The Senior AML Specialist - Alert Review is responsible for various functions related to BSA/AML/OFAC compliance. The Senior Specialist will work closely with the Assistant AML Manager and AML Manager ... Read more
Apply

Dallas,TX

The Senior AML Specialist - Alert Review is responsible for various functions related to BSA/AML/OFAC compliance. The Senior Specialist will work closely with the Assistant AML Manager and AML Manager

Senior Commercial Insurance Review Professional NEWMARK  Dallas, TX
Job DescriptionJOB DESCRIPTION (Senior Commercial Insurance Review Professional):Newmark is seeing contract-based professionals to fulfill commercial insurance review roles.ResponsibilitiesESSENTIAL D ... Read more
Apply

Dallas,TX

Job DescriptionJOB DESCRIPTION (Senior Commercial Insurance Review Professional):Newmark is seeing contract-based professionals to fulfill commercial insurance review roles.ResponsibilitiesESSENTIAL D

Submission for the position: Utilization Review RN - Hybrid - (Job Number: 24007088) Baylor Scott & White Healthcare  Dallas, TX
SCHEDULE: Hybrid-remote. You will work mostly remote and are required to work onsite for quarterly meetings. 3, 12 hour shifts. Saturday, Sunday, Monday.JOB SUMMARYThe Utilization Review Registered Nu ... Read more
Apply

Dallas,TX

SCHEDULE: Hybrid-remote. You will work mostly remote and are required to work onsite for quarterly meetings. 3, 12 hour shifts. Saturday, Sunday, Monday.JOB SUMMARYThe Utilization Review Registered Nu

Gastroenterology Chart reviews - Remote Full Time Max Populi, LLC  Dallas, TX
Are you looking for a non-clinical opportunity for work/life balance needs yet want to stay clinically active? Join us as an Medical Director to conduct chart and peer reviews from your home office. ... Read more
Apply

Dallas,TX

Are you looking for a non-clinical opportunity for work/life balance needs yet want to stay clinically active? Join us as an Medical Director to conduct chart and peer reviews from your home office.

Content Reviewer Gaggle  Dallas, TX
Description Gaggle is seeking Independent Contractors for temporary, non-renewing contract positions monitoring online student activity. This contract work allows you the flexibility to work within th ... Read more
Apply

Dallas,TX

Description Gaggle is seeking Independent Contractors for temporary, non-renewing contract positions monitoring online student activity. This contract work allows you the flexibility to work within th

Director, Lease Review Cushman & Wakefield  Dallas, TX
Job TitleDirector, Lease ReviewJob Description SummaryThis position will report to regional leadership and provide integral support to Cushman Wakefield's occupier brokerage professionals and corpora ... Read more
Apply

Dallas,TX

Job TitleDirector, Lease ReviewJob Description SummaryThis position will report to regional leadership and provide integral support to Cushman Wakefield's occupier brokerage professionals and corpora

Physician Reviewer - (Radiation Oncology, Cardiology, Rheumatology) Dane Street, LLC  Dallas, TX
This telework opportunity provides the ability to customize your schedule and caseload within the week while maintaining client-mandated turnaround times. Our reviewers are compensated on a per-case b ... Read more
Apply

Dallas,TX

This telework opportunity provides the ability to customize your schedule and caseload within the week while maintaining client-mandated turnaround times. Our reviewers are compensated on a per-case b

Revenue Officer (Technical Services Advisor/Reviewer) 12-month Roster - AMENDED Department Of The Treasury  Dallas, TX
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

Dallas,TX

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

ED Charge Review Coordinator - FT - ED Methodist Health System  Dallas, TX
Hours of Work :Days Of Week :Work Shift :12X3 Day (United States of America)Job Description :Your Role: General purpose is to review and reconcile charges of all emergency department visits/encounters ... Read more
Apply

Dallas,TX

Hours of Work :Days Of Week :Work Shift :12X3 Day (United States of America)Job Description :Your Role: General purpose is to review and reconcile charges of all emergency department visits/encounters

Bill Review Specialist II AmTrust Financial Services, Inc.  Dallas, TX
OverviewResponsible for assisting with all administrative aspects of Legal e-Billing program. Assists e-Billing unit to ensure timely and proper payment of legal invoices. Communicates directly with l ... Read more
Apply

Dallas,TX

OverviewResponsible for assisting with all administrative aspects of Legal e-Billing program. Assists e-Billing unit to ensure timely and proper payment of legal invoices. Communicates directly with l

Case Mgt Utilization Review RN - REMOTE IASIS Healthcare  Dallas, TX
Case Mgt Utilization Review RN - REMOTEClick Here to Apply OnlineJob DescriptionLocation: Steward Health CarePosted Date: 10/10/2023The Care Manager assumes primary responsibility for documentation of ... Read more
Apply

Dallas,TX

Case Mgt Utilization Review RN - REMOTEClick Here to Apply OnlineJob DescriptionLocation: Steward Health CarePosted Date: 10/10/2023The Care Manager assumes primary responsibility for documentation of

Charge Review Specialist II - Remote Tenet Healthcare Corporation  Frisco, TX
JOB SUMMARYThis job is responsible for ensuring that all appropriate billing charges for complex service lines are being captured, documented, charged and reimbursed for the assigned department in acc ... Read more
Apply

Frisco,TX

JOB SUMMARYThis job is responsible for ensuring that all appropriate billing charges for complex service lines are being captured, documented, charged and reimbursed for the assigned department in acc

Senior Lead Credit Risk Officer / Personal Lending Wells Fargo  Dallas, TX
About this role:Wells Fargo is seeking a Senior Lead Credit Risk Officer for the Personal Lending CRO Loss Forecasting and Analytics group is looking for an experienced Senior Lead Credit Risk Officer ... Read more
Apply

Dallas,TX

About this role:Wells Fargo is seeking a Senior Lead Credit Risk Officer for the Personal Lending CRO Loss Forecasting and Analytics group is looking for an experienced Senior Lead Credit Risk Officer

Private Credit Associate Fortress Investment  Dallas, TX
Private Credit AssociateDallasCredit FundsRef #3324Date published24-Mar-2024Private Credit AssociateDallas, TexasAbout FortressFortress Investment Group LLC is a leading, highly diversified global inv ... Read more
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Dallas,TX

Private Credit AssociateDallasCredit FundsRef #3324Date published24-Mar-2024Private Credit AssociateDallas, TexasAbout FortressFortress Investment Group LLC is a leading, highly diversified global inv

Utilization Review Specialist Springstone, Inc  Carrollton, TX
Carrollton Springs is a 72-bed behavioral hospital located Carrollton, TX. The hospital offers inpatient and outpatient mental health and addiction treatment to adults, adolescents and their families. ... Read more
Apply

Carrollton,TX

Carrollton Springs is a 72-bed behavioral hospital located Carrollton, TX. The hospital offers inpatient and outpatient mental health and addiction treatment to adults, adolescents and their families.

SVP, Credit Review Senior Officer I (Hybrid) Citigroup Inc.  Irving, TX
Global Risk Review (GRR) provides independent, objective, reliable, valued and timely assurance to the Boards, the Committees, the Citigroup Chief Risk Officer, the Citigroup Chief Credit Officer, sen ... Read more
Apply

Irving,TX

Global Risk Review (GRR) provides independent, objective, reliable, valued and timely assurance to the Boards, the Committees, the Citigroup Chief Risk Officer, the Citigroup Chief Credit Officer, sen

Credit Associate AutoNation, Inc.  Irving, TX
AutoNation Business Operations SupportPosition Summary:The Credit Associate is responsible for making credit limit decisions based on analysis of relevant data. The credit team responds to Credit Desk ... Read more
Apply

Irving,TX

AutoNation Business Operations SupportPosition Summary:The Credit Associate is responsible for making credit limit decisions based on analysis of relevant data. The credit team responds to Credit Desk

Credit Coordinator Reece Ltd.  Addison, TX
Who We AreWorking at Reece Fortiline means being part of a growing global company that brings our purpose and values to life every day. We celebrate our team members living our values and provide opp ... Read more
Apply

Addison,TX

Who We AreWorking at Reece Fortiline means being part of a growing global company that brings our purpose and values to life every day. We celebrate our team members living our values and provide opp

Credit Balance Clerk UnitedHealth Group Inc.  Richardson, TX
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
Apply

Richardson,TX

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

Credit Coordinator Ferguson  Euless, TX
Job Posting:Ferguson is North America's leading value-added distributor across residential, non-residential, new construction and repair, maintenance, and improvement (RMI) end markets. Spanning 34,00 ... Read more
Apply

Euless,TX

Job Posting:Ferguson is North America's leading value-added distributor across residential, non-residential, new construction and repair, maintenance, and improvement (RMI) end markets. Spanning 34,00

Risk Management - Asset Based Lending Credit - Associate JPMorgan Chase  Dallas, TX
As part of Risk Management and Compliance, you are at the center of keeping JPMorgan Chase strong and resilient. You help the firm grow its business in a responsible way by anticipating new and emergi ... Read more
Apply

Dallas,TX

As part of Risk Management and Compliance, you are at the center of keeping JPMorgan Chase strong and resilient. You help the firm grow its business in a responsible way by anticipating new and emergi

Nurse Reviewer I Elevance Health  Grand Prairie, TX
DescriptionNurse Reviewer ILocation: Within 50 miles of a pulse pointShift : Sunday - Thursday and/or Tuesday - Saturday from 8:30 am - 5 pm CSTThe Nurse Reviewer I is responsible for conducting preau ... Read more
Apply

Grand Prairie,TX

DescriptionNurse Reviewer ILocation: Within 50 miles of a pulse pointShift : Sunday - Thursday and/or Tuesday - Saturday from 8:30 am - 5 pm CSTThe Nurse Reviewer I is responsible for conducting preau

Registered Nurse Utilization Review CornerStone  Irving, TX
CornerStone Medical is looking for a Registered Nurse Utilization Review for a state of the art hospital system in Irving, TX. This is an onsite role. Current RN Compact License required 8 am - 5 pm M ... Read more
Apply

Irving,TX

CornerStone Medical is looking for a Registered Nurse Utilization Review for a state of the art hospital system in Irving, TX. This is an onsite role. Current RN Compact License required 8 am - 5 pm M

Radiation Oncology Preservice Review Nurse RN - Remote UnitedHealth Group  Dallas, TX
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
Apply

Dallas,TX

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

Utilization Review RN - Hybrid Baylor Scott & White Health  Dallas, TX
SCHEDULE:* Hybrid-remote. You will work mostly remote and are required to work onsite for quarterly meetings.* 3, 12 hour shifts. Saturday, Sunday, Monday.JOB SUMMARYThe Utilization Review Registered ... Read more
Apply

Dallas,TX

SCHEDULE:* Hybrid-remote. You will work mostly remote and are required to work onsite for quarterly meetings.* 3, 12 hour shifts. Saturday, Sunday, Monday.JOB SUMMARYThe Utilization Review Registered

Senior AML Specialist - Alert Review Stellar Bancorp, Inc.  Dallas, TX
The Senior AML Specialist - Alert Review is responsible for various functions related to BSA/AML/OFAC compliance. The Senior Specialist will work closely with the Assistant AML Manager and AML Manager ... Read more
Apply

Dallas,TX

The Senior AML Specialist - Alert Review is responsible for various functions related to BSA/AML/OFAC compliance. The Senior Specialist will work closely with the Assistant AML Manager and AML Manager

Senior Commercial Insurance Review Professional NEWMARK  Dallas, TX
Job DescriptionJOB DESCRIPTION (Senior Commercial Insurance Review Professional):Newmark is seeing contract-based professionals to fulfill commercial insurance review roles.ResponsibilitiesESSENTIAL D ... Read more
Apply

Dallas,TX

Job DescriptionJOB DESCRIPTION (Senior Commercial Insurance Review Professional):Newmark is seeing contract-based professionals to fulfill commercial insurance review roles.ResponsibilitiesESSENTIAL D

Submission for the position: Utilization Review RN - Hybrid - (Job Number: 24007088) Baylor Scott & White Healthcare  Dallas, TX
SCHEDULE: Hybrid-remote. You will work mostly remote and are required to work onsite for quarterly meetings. 3, 12 hour shifts. Saturday, Sunday, Monday.JOB SUMMARYThe Utilization Review Registered Nu ... Read more
Apply

Dallas,TX

SCHEDULE: Hybrid-remote. You will work mostly remote and are required to work onsite for quarterly meetings. 3, 12 hour shifts. Saturday, Sunday, Monday.JOB SUMMARYThe Utilization Review Registered Nu

Gastroenterology Chart reviews - Remote Full Time Max Populi, LLC  Dallas, TX
Are you looking for a non-clinical opportunity for work/life balance needs yet want to stay clinically active? Join us as an Medical Director to conduct chart and peer reviews from your home office. ... Read more
Apply

Dallas,TX

Are you looking for a non-clinical opportunity for work/life balance needs yet want to stay clinically active? Join us as an Medical Director to conduct chart and peer reviews from your home office.

Content Reviewer Gaggle  Dallas, TX
Description Gaggle is seeking Independent Contractors for temporary, non-renewing contract positions monitoring online student activity. This contract work allows you the flexibility to work within th ... Read more
Apply

Dallas,TX

Description Gaggle is seeking Independent Contractors for temporary, non-renewing contract positions monitoring online student activity. This contract work allows you the flexibility to work within th

Director, Lease Review Cushman & Wakefield  Dallas, TX
Job TitleDirector, Lease ReviewJob Description SummaryThis position will report to regional leadership and provide integral support to Cushman Wakefield's occupier brokerage professionals and corpora ... Read more
Apply

Dallas,TX

Job TitleDirector, Lease ReviewJob Description SummaryThis position will report to regional leadership and provide integral support to Cushman Wakefield's occupier brokerage professionals and corpora

Physician Reviewer - (Radiation Oncology, Cardiology, Rheumatology) Dane Street, LLC  Dallas, TX
This telework opportunity provides the ability to customize your schedule and caseload within the week while maintaining client-mandated turnaround times. Our reviewers are compensated on a per-case b ... Read more
Apply

Dallas,TX

This telework opportunity provides the ability to customize your schedule and caseload within the week while maintaining client-mandated turnaround times. Our reviewers are compensated on a per-case b

FTZ Administration, Operations, and Compliance Review Specialist Expeditors International of Washington, Inc.  Miami, FL
FTZ World Services LLC, a division of Expeditors International of Washington Inc., is backed by more than 100 years of experience in managing free trade zones. The savvy professionals at FTZWS serve a ... Read more
Apply

Miami,FL

FTZ World Services LLC, a division of Expeditors International of Washington Inc., is backed by more than 100 years of experience in managing free trade zones. The savvy professionals at FTZWS serve a

Internal Revenue Agent (Appeals Quality Measurement Systems Reviewer) 12-Month Roster Department Of The Treasury  Miami, FL
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 ... Read more
Apply

Miami,FL

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

Financial Aid File Reviewer Keiser University  Fort Lauderdale, FL
Financial Aid File Reviewer responsibilities include, but are not limited to:1. Review and audit student loan packages before tasking and processing.2. Track all packages that have been returned to ca ... Read more
Apply

Fort Lauderdale,FL

Financial Aid File Reviewer responsibilities include, but are not limited to:1. Review and audit student loan packages before tasking and processing.2. Track all packages that have been returned to ca

English Document Review Attorney CONTACT GOVERNMENT SERVICES  Miami, FL
English Document ReviewerContact Review - Washington, DCLocation: RemoteStart Date: NegotiableEXPERIENCE QUALIFICATIONS:Familiarity with document review workflowsExamples: Privilege/Responsiveness Re ... Read more
Apply

Miami,FL

English Document ReviewerContact Review - Washington, DCLocation: RemoteStart Date: NegotiableEXPERIENCE QUALIFICATIONS:Familiarity with document review workflowsExamples: Privilege/Responsiveness Re

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
Apply

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

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
Apply

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 I - $16 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
Apply

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

Hospital Reviewer/Utilization Manager - Hybrid Position DOCTORS HEALTHCARE PLANS, INC.  Miami, FL
Position Purpose: Works in partnership with physicians, nurse case managers, and other disciplines to ensure the appropriateness for the corresponding level of care utilizing evidence-based criteria. ... Read more
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Miami,FL

Position Purpose: Works in partnership with physicians, nurse case managers, and other disciplines to ensure the appropriateness for the corresponding level of care utilizing evidence-based criteria.

FTZ Administration, Operations, and Compliance Review Specialist Expeditors  Miami, FL
Company Description FTZ World Services LLC, a division of Expeditors International of Washington Inc., is backed by more than 100 years of experience in managing free trade zones. The savvy professio ... Read more
Apply

Miami,FL

Company Description FTZ World Services LLC, a division of Expeditors International of Washington Inc., is backed by more than 100 years of experience in managing free trade zones. The savvy professio

Nurse Reviewer I Elevance Health  Miami, FL
DescriptionNurse Reviewer ILocation: Within 50 miles of a pulse pointShift : Monday - Friday, from 9:30 am - 6 pmThe Nurse Reviewer I is responsible for conducting preauthorization, out of network and ... Read more
Apply

Miami,FL

DescriptionNurse Reviewer ILocation: Within 50 miles of a pulse pointShift : Monday - Friday, from 9:30 am - 6 pmThe Nurse Reviewer I is responsible for conducting preauthorization, out of network and

Quality Assurance Reviewer Qlarant  Miami, FL
Job DescriptionQlarant is a not-for-profit corporation that partners with public and private sectors to create high quality, safe, and efficient delivery of health care and human services programs. We ... Read more
Apply

Miami,FL

Job DescriptionQlarant is a not-for-profit corporation that partners with public and private sectors to create high quality, safe, and efficient delivery of health care and human services programs. We

Bilingual Intellectual/Developmental Disabilities Quality Assurance Reviewer - Miami, FL @Orchard  Miami, FL
DescriptionBilingual Intellectual/Developmental Disabilities Quality Assurance ReviewerMust reside in the Miami, FL area@Orchard LLC is retained by a not-for-profit corporation that partners with publ ... Read more
Apply

Miami,FL

DescriptionBilingual Intellectual/Developmental Disabilities Quality Assurance ReviewerMust reside in the Miami, FL area@Orchard LLC is retained by a not-for-profit corporation that partners with publ

Utilization Review Case Manager, Non-RN The University of Miami  Miami, 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

Miami,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

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
Apply

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

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
Apply

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

Estimate Reviewer II Crawford & Co.  Miami, FL
Performs quality assurance review of network contractor estimates  Previous ... Read more
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Miami,FL

Performs quality assurance review of network contractor estimates  Previous

Remote Medical Review Registered Nurse GCP-Inc  Miami, FL
GCP is seeking Remote CMS Medical Review RNs RNs Staff will perform clinical reviews of Medicare Part A and Part B claims for Medical Review. ... Read more
Apply

Miami,FL

GCP is seeking Remote CMS Medical Review RNs RNs Staff will perform clinical reviews of Medicare Part A and Part B claims for Medical Review.

Utilization Review Case Manager, Non-RN University of Miami  Miami, 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
Apply

Miami,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 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

Team Leader - Development Center (DCE) M/F - fluent in French (Porto) - CDI BNP Paribas Cardif  Miami, FL
Team Leader - Development Center (DCE) M/F - fluent in French (Porto) - CDI ( **Job Number:**CS_DCE_618_2022 ) **BNP Paribas Cardif** 's mission is to insure individuals, their families and their ... Read more
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Miami,FL

Team Leader - Development Center (DCE) M/F - fluent in French (Porto) - CDI ( **Job Number:**CS_DCE_618_2022 ) **BNP Paribas Cardif** 's mission is to insure individuals, their families and their

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

Tax Manager Reviewer Arch Staffing & Consulting  Miami, FL
Job Title: Tax Manager - ReviewerJob Location : Coral Gables - FloridaModel: Hybrid after 90 DaysSalary: $115000-$120000 per year? Our annual firm cruise!? Competitive salary + bonus program? New busi ... Read more
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Miami,FL

Job Title: Tax Manager - ReviewerJob Location : Coral Gables - FloridaModel: Hybrid after 90 DaysSalary: $115000-$120000 per year? Our annual firm cruise!? Competitive salary + bonus program? New busi

Mandarin Language Document Reviewers Contact Government Services, LLC  Hollywood, FL
Mandarin Language Document Reviewer Employment Type: Full Time, Mid-LevelDepartment: LegalAs a CGS Mandarin Document Reviewer you will play a key role in supporting various aspects of the company's li ... Read more
Apply

Hollywood,FL

Mandarin Language Document Reviewer Employment Type: Full Time, Mid-LevelDepartment: LegalAs a CGS Mandarin Document Reviewer you will play a key role in supporting various aspects of the company's li

Product Security Code Review Engineer Accenture  Miami, FL
We AreAccenture 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 diverse t ... Read more
Apply

Miami,FL

We AreAccenture 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 diverse t

Quality Assurance Reviewer Delmarva Foundation  Miami, FL
Qlarant is a not-for-profit corporation that partners with public and private sectors to create high quality, safe, and efficient delivery of health care and human services programs. We have multiple ... Read more
Apply

Miami,FL

Qlarant is a not-for-profit corporation that partners with public and private sectors to create high quality, safe, and efficient delivery of health care and human services programs. We have multiple

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