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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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.
Analytical Data Reviewer FL PL Developments
Miami, FL
JOB QUALIFICATIONS:Bachelor's degree in chemistry or related field5+ years Pharmaceutical analytical data review experience preferredSolid knowledge of cGMP, GLP, GDP concepts Federal RegulationsPrevi ...
Read more
Miami,FL
JOB QUALIFICATIONS:Bachelor's degree in chemistry or related field5+ years Pharmaceutical analytical data review experience preferredSolid knowledge of cGMP, GLP, GDP concepts Federal RegulationsPrevi
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
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
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
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
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
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
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
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
Senior Manager, Security Risk & Reviews (Remote) Klaviyo
Boston, MA
At Klaviyo, we value the unique backgrounds, experiences and perspectives each Klaviyo (we call ourselves Klaviyos) brings to our workplace each and every day. We believe everyone deserves a fair shot ...
Read more
Boston,MA
At Klaviyo, we value the unique backgrounds, experiences and perspectives each Klaviyo (we call ourselves Klaviyos) brings to our workplace each and every day. We believe everyone deserves a fair shot
Appeals Officer (Appeals Quality Measurement System Reviewer) (Temporary NTE 1 YR) Department Of The Treasury
Boston, MA
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 a ...
Read more
Boston,MA
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 a
ATI Live Review Educator Part Time - Northeast Region Ascend Learning
Boston, MA
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
Boston,MA
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
Privacy Engineer, Implementation Review Facebook
Boston, MA
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
Boston,MA
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
Credit Assistant Manager - Bilingual Preferred Rent-A-Center Inc.
Boston, MA
Rent A CenterReady to do your best work?Interested in a starting hourly rate up to $22/hr?Why should I apply in just a few clicks?* Paid Time Off and Sundays Off -- We are Closed!* Full-Time Employmen ...
Read more
Boston,MA
Rent A CenterReady to do your best work?Interested in a starting hourly rate up to $22/hr?Why should I apply in just a few clicks?* Paid Time Off and Sundays Off -- We are Closed!* Full-Time Employmen
Non-Credit Professional Training Course Instructors Roxbury Community College
Boston, MA
About Roxbury Community College:Founded in 1973 in Boston's historical neighborhood of Roxbury, Roxbury Community College (RCC) serves as a beacon of educational opportunity for the diverse population ...
Read more
Boston,MA
About Roxbury Community College:Founded in 1973 in Boston's historical neighborhood of Roxbury, Roxbury Community College (RCC) serves as a beacon of educational opportunity for the diverse population
Utilization Review Specialist Lawrence General Hospital
Lawrence, MA
The Utilization Review Specialist, under supervision and in collaboration with the Utilization Review Coordinator, Utilization Review Nurses, Physician advisor and healthcare team supports all adminis ...
Read more
Lawrence,MA
The Utilization Review Specialist, under supervision and in collaboration with the Utilization Review Coordinator, Utilization Review Nurses, Physician advisor and healthcare team supports all adminis
Nurse Reviewer I Elevance Health
Boston, MA
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
Boston,MA
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
Claims Nurse Reviewer Blue Cross and Blue Shield Association
Hingham, MA
The RoleThe Claims Nurse Reviewer is responsible for reviewing claims, validating coding and medical necessity of the services submitted and pricing the claims according to appropriate guidelines. Thi ...
Read more
Hingham,MA
The RoleThe Claims Nurse Reviewer is responsible for reviewing claims, validating coding and medical necessity of the services submitted and pricing the claims according to appropriate guidelines. Thi
Claims Nurse Reviewer BlueCross and BlueShield of Massachusetts
Hingham, MA
Ready to help us transform healthcare? Bring your true colors to blue.The RoleThe Claims Nurse Reviewer is responsible for reviewing claims, validating coding and medical necessity of the services sub ...
Read more
Hingham,MA
Ready to help us transform healthcare? Bring your true colors to blue.The RoleThe Claims Nurse Reviewer is responsible for reviewing claims, validating coding and medical necessity of the services sub
Medical and Promotional Reviewer Global Technical Talent
Boston, MA
Medical and Promotional Reviewer Contract Duration 6 Months Pay rate up to $80/hr The Role The Medical and Promotional Reviewer will be a contributing member of the Medical Review Committee (MRC) and ...
Read more
Boston,MA
Medical and Promotional Reviewer Contract Duration 6 Months Pay rate up to $80/hr The Role The Medical and Promotional Reviewer will be a contributing member of the Medical Review Committee (MRC) and
Medical and promotional reviewer Randstad
Cambridge, MA
job summary: As the largest staffing and recruitment agency in the world, we can commit to finding you the perfect role that gives you the opportunity to learn and grow in the life sciences arena. Uti ...
Read more
Cambridge,MA
job summary: As the largest staffing and recruitment agency in the world, we can commit to finding you the perfect role that gives you the opportunity to learn and grow in the life sciences arena. Uti
Manager, Medical Review Sarepta Therapeutics, Inc.
Cambridge, MA
The Manager, Medical Reviewer provides operational oversight of medical materials review within the Medical Affairs function reporting to the Director of Global Medical Review. This individual works c ...
Read more
Cambridge,MA
The Manager, Medical Reviewer provides operational oversight of medical materials review within the Medical Affairs function reporting to the Director of Global Medical Review. This individual works c
Associate, Global Product Solutions ETF Regulatory Marketing Review BlackRock, Inc.
Boston, MA
About this roleElevate 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. Our cl ...
Read more
Boston,MA
About this roleElevate 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. Our cl
DRG Nurse Reviewer Zelis
Boston, MA
Position Overview:The DRG Validation Nurse Reviewer will be primarily responsible for conducting post-service, pre-payment and post pay comprehensive inpatient DRG reviews based on industry standard i ...
Read more
Boston,MA
Position Overview:The DRG Validation Nurse Reviewer will be primarily responsible for conducting post-service, pre-payment and post pay comprehensive inpatient DRG reviews based on industry standard i
Travel Nurse RN - Case Manager, Utilization Review - $2,520 per week Hiring Now
Boston, MA
Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Boston, Massachusetts.Job Description RequirementsSpecialty: Utilization ReviewDiscipline: ...
Read more
Boston,MA
Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Boston, Massachusetts.Job Description RequirementsSpecialty: Utilization ReviewDiscipline:
Utilization Review RN Beth Israel Lahey Health
Boston, MA
When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives.Job Type:RegularScheduled Hours:40Work Shift:Day (United States of America)Position Summ ...
Read more
Boston,MA
When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives.Job Type:RegularScheduled Hours:40Work Shift:Day (United States of America)Position Summ
Utilization Reviewer - Clinical Evaluation Center Per diem McLean Hospital(MCL)
Belmont, MA
Responsiblefor obtaining initial insurance authorizations for all applicable coverage andfor appropriate level of clinical care. Must demonstrateMcLean values of integrity, compassion and respect, div ...
Read more
Belmont,MA
Responsiblefor obtaining initial insurance authorizations for all applicable coverage andfor appropriate level of clinical care. Must demonstrateMcLean values of integrity, compassion and respect, div
Utilization Reviewer - Clinical Evaluation Center Per diem Partners Healthcare System
Belmont, MA
Responsible for obtaining initial insurance authorizations for all applicable coverage and for appropriate level of clinical care. Must demonstrate McLean values of integrity, compassion and respect, ...
Read more
Belmont,MA
Responsible for obtaining initial insurance authorizations for all applicable coverage and for appropriate level of clinical care. Must demonstrate McLean values of integrity, compassion and respect,
Utilization Management Nurse Reviewer (RN) - Remote Commonwealth Care Alliance
Boston, MA
**Why This Role is Important to Us:**The Nurse Utilization Management (UM) Reviewer is responsible for day-to-day timely clinical and service authorization review for medical necessity and decision-ma ...
Read more
Boston,MA
**Why This Role is Important to Us:**The Nurse Utilization Management (UM) Reviewer is responsible for day-to-day timely clinical and service authorization review for medical necessity and decision-ma
Associate, Global Product Solutions ETF Regulatory Marketing Review BlackRock
Boston, MA
**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
Boston,MA
**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
After School Food Program Reviewer (SY23-24) Boston Public Schools
Boston, MA
Child and Adult Care Food Program - At-Risk After-School Care Program POSITIONS AVAILABLE 2023-2024 Note: Interviews will be held virtually. Employment for the SY24 school year is temporary. All indiv ...
Read more
Boston,MA
Child and Adult Care Food Program - At-Risk After-School Care Program POSITIONS AVAILABLE 2023-2024 Note: Interviews will be held virtually. Employment for the SY24 school year is temporary. All indiv
Nurse Reviewer, Endoscopy -Braintree Brigham and Women's Hospital
Braintree, MA
Under the direction of the Nurse Director of the BWPO's South Shore Endoscopy Center (SSEC), the Registered Nurse GI Case Reviewer will work as a critical member of the procedural care team to support ...
Read more
Braintree,MA
Under the direction of the Nurse Director of the BWPO's South Shore Endoscopy Center (SSEC), the Registered Nurse GI Case Reviewer will work as a critical member of the procedural care team to support
QC Inspector, Level II Review and Release - First Shift Nova Biomedical
Waltham, MA
Nova Biomedical is hiring a QC Inspector Level II on our Review and Release team in our Waltham, MA facility. In this position the QC Inspector will be partnering with the Quality Control Supervisor a ...
Read more
Waltham,MA
Nova Biomedical is hiring a QC Inspector Level II on our Review and Release team in our Waltham, MA facility. In this position the QC Inspector will be partnering with the Quality Control Supervisor a
Individual/Independent Consultant - Bias, Sensitivity, and Fairness Reviewers American Institutes for Research
Waltham, MA
**Overview**Seeking Bias, Sensitivity, and Fairness Reviewers for a High-Stakes Standardized Assessment.AIR will contract directly with the Reviewer under a consulting purchase order agreement.Establi ...
Read more
Waltham,MA
**Overview**Seeking Bias, Sensitivity, and Fairness Reviewers for a High-Stakes Standardized Assessment.AIR will contract directly with the Reviewer under a consulting purchase order agreement.Establi
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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.
Analytical Data Reviewer FL PL Developments
Miami, FL
JOB QUALIFICATIONS:Bachelor's degree in chemistry or related field5+ years Pharmaceutical analytical data review experience preferredSolid knowledge of cGMP, GLP, GDP concepts Federal RegulationsPrevi ...
Read more
Miami,FL
JOB QUALIFICATIONS:Bachelor's degree in chemistry or related field5+ years Pharmaceutical analytical data review experience preferredSolid knowledge of cGMP, GLP, GDP concepts Federal RegulationsPrevi
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
Senior Manager, Security Risk & Reviews (Remote) Klaviyo
Boston, MA
At Klaviyo, we value the unique backgrounds, experiences and perspectives each Klaviyo (we call ourselves Klaviyos) brings to our workplace each and every day. We believe everyone deserves a fair shot ...
Read more
Boston,MA
At Klaviyo, we value the unique backgrounds, experiences and perspectives each Klaviyo (we call ourselves Klaviyos) brings to our workplace each and every day. We believe everyone deserves a fair shot
Appeals Officer (Appeals Quality Measurement System Reviewer) (Temporary NTE 1 YR) Department Of The Treasury
Boston, MA
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 a ...
Read more
Boston,MA
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 a
ATI Live Review Educator Part Time - Northeast Region Ascend Learning
Boston, MA
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
Boston,MA
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
Privacy Engineer, Implementation Review Facebook
Boston, MA
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
Boston,MA
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
Credit Assistant Manager - Bilingual Preferred Rent-A-Center Inc.
Boston, MA
Rent A CenterReady to do your best work?Interested in a starting hourly rate up to $22/hr?Why should I apply in just a few clicks?* Paid Time Off and Sundays Off -- We are Closed!* Full-Time Employmen ...
Read more
Boston,MA
Rent A CenterReady to do your best work?Interested in a starting hourly rate up to $22/hr?Why should I apply in just a few clicks?* Paid Time Off and Sundays Off -- We are Closed!* Full-Time Employmen
Non-Credit Professional Training Course Instructors Roxbury Community College
Boston, MA
About Roxbury Community College:Founded in 1973 in Boston's historical neighborhood of Roxbury, Roxbury Community College (RCC) serves as a beacon of educational opportunity for the diverse population ...
Read more
Boston,MA
About Roxbury Community College:Founded in 1973 in Boston's historical neighborhood of Roxbury, Roxbury Community College (RCC) serves as a beacon of educational opportunity for the diverse population
Utilization Review Specialist Lawrence General Hospital
Lawrence, MA
The Utilization Review Specialist, under supervision and in collaboration with the Utilization Review Coordinator, Utilization Review Nurses, Physician advisor and healthcare team supports all adminis ...
Read more
Lawrence,MA
The Utilization Review Specialist, under supervision and in collaboration with the Utilization Review Coordinator, Utilization Review Nurses, Physician advisor and healthcare team supports all adminis
Nurse Reviewer I Elevance Health
Boston, MA
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
Boston,MA
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
Claims Nurse Reviewer Blue Cross and Blue Shield Association
Hingham, MA
The RoleThe Claims Nurse Reviewer is responsible for reviewing claims, validating coding and medical necessity of the services submitted and pricing the claims according to appropriate guidelines. Thi ...
Read more
Hingham,MA
The RoleThe Claims Nurse Reviewer is responsible for reviewing claims, validating coding and medical necessity of the services submitted and pricing the claims according to appropriate guidelines. Thi
Claims Nurse Reviewer BlueCross and BlueShield of Massachusetts
Hingham, MA
Ready to help us transform healthcare? Bring your true colors to blue.The RoleThe Claims Nurse Reviewer is responsible for reviewing claims, validating coding and medical necessity of the services sub ...
Read more
Hingham,MA
Ready to help us transform healthcare? Bring your true colors to blue.The RoleThe Claims Nurse Reviewer is responsible for reviewing claims, validating coding and medical necessity of the services sub
Medical and Promotional Reviewer Global Technical Talent
Boston, MA
Medical and Promotional Reviewer Contract Duration 6 Months Pay rate up to $80/hr The Role The Medical and Promotional Reviewer will be a contributing member of the Medical Review Committee (MRC) and ...
Read more
Boston,MA
Medical and Promotional Reviewer Contract Duration 6 Months Pay rate up to $80/hr The Role The Medical and Promotional Reviewer will be a contributing member of the Medical Review Committee (MRC) and
Medical and promotional reviewer Randstad
Cambridge, MA
job summary: As the largest staffing and recruitment agency in the world, we can commit to finding you the perfect role that gives you the opportunity to learn and grow in the life sciences arena. Uti ...
Read more
Cambridge,MA
job summary: As the largest staffing and recruitment agency in the world, we can commit to finding you the perfect role that gives you the opportunity to learn and grow in the life sciences arena. Uti
Manager, Medical Review Sarepta Therapeutics, Inc.
Cambridge, MA
The Manager, Medical Reviewer provides operational oversight of medical materials review within the Medical Affairs function reporting to the Director of Global Medical Review. This individual works c ...
Read more
Cambridge,MA
The Manager, Medical Reviewer provides operational oversight of medical materials review within the Medical Affairs function reporting to the Director of Global Medical Review. This individual works c
Associate, Global Product Solutions ETF Regulatory Marketing Review BlackRock, Inc.
Boston, MA
About this roleElevate 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. Our cl ...
Read more
Boston,MA
About this roleElevate 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. Our cl
DRG Nurse Reviewer Zelis
Boston, MA
Position Overview:The DRG Validation Nurse Reviewer will be primarily responsible for conducting post-service, pre-payment and post pay comprehensive inpatient DRG reviews based on industry standard i ...
Read more
Boston,MA
Position Overview:The DRG Validation Nurse Reviewer will be primarily responsible for conducting post-service, pre-payment and post pay comprehensive inpatient DRG reviews based on industry standard i
Travel Nurse RN - Case Manager, Utilization Review - $2,520 per week Hiring Now
Boston, MA
Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Boston, Massachusetts.Job Description RequirementsSpecialty: Utilization ReviewDiscipline: ...
Read more
Boston,MA
Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Boston, Massachusetts.Job Description RequirementsSpecialty: Utilization ReviewDiscipline:
Utilization Review RN Beth Israel Lahey Health
Boston, MA
When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives.Job Type:RegularScheduled Hours:40Work Shift:Day (United States of America)Position Summ ...
Read more
Boston,MA
When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives.Job Type:RegularScheduled Hours:40Work Shift:Day (United States of America)Position Summ
Utilization Reviewer - Clinical Evaluation Center Per diem McLean Hospital(MCL)
Belmont, MA
Responsiblefor obtaining initial insurance authorizations for all applicable coverage andfor appropriate level of clinical care. Must demonstrateMcLean values of integrity, compassion and respect, div ...
Read more
Belmont,MA
Responsiblefor obtaining initial insurance authorizations for all applicable coverage andfor appropriate level of clinical care. Must demonstrateMcLean values of integrity, compassion and respect, div
Utilization Reviewer - Clinical Evaluation Center Per diem Partners Healthcare System
Belmont, MA
Responsible for obtaining initial insurance authorizations for all applicable coverage and for appropriate level of clinical care. Must demonstrate McLean values of integrity, compassion and respect, ...
Read more
Belmont,MA
Responsible for obtaining initial insurance authorizations for all applicable coverage and for appropriate level of clinical care. Must demonstrate McLean values of integrity, compassion and respect,
Utilization Management Nurse Reviewer (RN) - Remote Commonwealth Care Alliance
Boston, MA
**Why This Role is Important to Us:**The Nurse Utilization Management (UM) Reviewer is responsible for day-to-day timely clinical and service authorization review for medical necessity and decision-ma ...
Read more
Boston,MA
**Why This Role is Important to Us:**The Nurse Utilization Management (UM) Reviewer is responsible for day-to-day timely clinical and service authorization review for medical necessity and decision-ma
Associate, Global Product Solutions ETF Regulatory Marketing Review BlackRock
Boston, MA
**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
Boston,MA
**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
After School Food Program Reviewer (SY23-24) Boston Public Schools
Boston, MA
Child and Adult Care Food Program - At-Risk After-School Care Program POSITIONS AVAILABLE 2023-2024 Note: Interviews will be held virtually. Employment for the SY24 school year is temporary. All indiv ...
Read more
Boston,MA
Child and Adult Care Food Program - At-Risk After-School Care Program POSITIONS AVAILABLE 2023-2024 Note: Interviews will be held virtually. Employment for the SY24 school year is temporary. All indiv
Nurse Reviewer, Endoscopy -Braintree Brigham and Women's Hospital
Braintree, MA
Under the direction of the Nurse Director of the BWPO's South Shore Endoscopy Center (SSEC), the Registered Nurse GI Case Reviewer will work as a critical member of the procedural care team to support ...
Read more
Braintree,MA
Under the direction of the Nurse Director of the BWPO's South Shore Endoscopy Center (SSEC), the Registered Nurse GI Case Reviewer will work as a critical member of the procedural care team to support
QC Inspector, Level II Review and Release - First Shift Nova Biomedical
Waltham, MA
Nova Biomedical is hiring a QC Inspector Level II on our Review and Release team in our Waltham, MA facility. In this position the QC Inspector will be partnering with the Quality Control Supervisor a ...
Read more
Waltham,MA
Nova Biomedical is hiring a QC Inspector Level II on our Review and Release team in our Waltham, MA facility. In this position the QC Inspector will be partnering with the Quality Control Supervisor a
Individual/Independent Consultant - Bias, Sensitivity, and Fairness Reviewers American Institutes for Research
Waltham, MA
**Overview**Seeking Bias, Sensitivity, and Fairness Reviewers for a High-Stakes Standardized Assessment.AIR will contract directly with the Reviewer under a consulting purchase order agreement.Establi ...
Read more
Waltham,MA
**Overview**Seeking Bias, Sensitivity, and Fairness Reviewers for a High-Stakes Standardized Assessment.AIR will contract directly with the Reviewer under a consulting purchase order agreement.Establi
Revenue Officer (Technical Services Advisor/Reviewer) 12-month Roster - AMENDED Department Of The Treasury
Washington, DC
DutiesWHAT IS THE SBSE - Small Business Self EmployedDIVISION?A description of the business units can be found at: https://www.jobs.irs.gov/about/who/business-divisionsVacancies will be filled in the ...
Read more
Washington,DC
DutiesWHAT IS THE SBSE - Small Business Self EmployedDIVISION?A description of the business units can be found at: https://www.jobs.irs.gov/about/who/business-divisionsVacancies will be filled in the
Hebrew-Fluent Attorneys for Upcoming Language Reviews TransPerfect
Washington, DC
TransPerfect Is More Than Just a Job?Our greatest asset is our people, and nothing is more important to us than ensuring that everyone knows that. Each of our 100+ offices has its own individual ident ...
Read more
Washington,DC
TransPerfect Is More Than Just a Job?Our greatest asset is our people, and nothing is more important to us than ensuring that everyone knows that. Each of our 100+ offices has its own individual ident
Associate Director, Appellate Review Programs US Government Other Agencies and Independent Organizations
Washington, DC
SummaryThe Associate Director of Appellate Review Programs (ARP) manages the EEOC's national federal sector appeals program. The Associate Director position is designated as SES, General. EEOC structu ...
Read more
Washington,DC
SummaryThe Associate Director of Appellate Review Programs (ARP) manages the EEOC's national federal sector appeals program. The Associate Director position is designated as SES, General. EEOC structu
Senior Merit Review Officer Pcori
Washington, DC
Staffing Advisors has been exclusively retained by Patient-Centered Outcomes Research Institute ("PCORI") to conduct a search for a Senior Merit Review Officer PCORI is an equal opportunity employer.I ...
Read more
Washington,DC
Staffing Advisors has been exclusively retained by Patient-Centered Outcomes Research Institute ("PCORI") to conduct a search for a Senior Merit Review Officer PCORI is an equal opportunity employer.I
Counsel to Chief Judge (Reviewer) Judicial Branch
Washington, DC
SummaryThis position is in the Office of the Chief Judge and reports directly to the Chief Judge. This vacancy is also posted as a Senior Level position and will be filled as either SL or GS-15 depend ...
Read more
Washington,DC
SummaryThis position is in the Office of the Chief Judge and reports directly to the Chief Judge. This vacancy is also posted as a Senior Level position and will be filled as either SL or GS-15 depend
Law Clerk I - Filter Privilege Review with SMU CACI International Inc.
Alexandria, VA
Law Clerk I - Filter Privilege Review with SMUJob Category: Service Contract ActTime Type: Full timeMinimum Clearance Required to Start: DOJ MBIEmployee Type: RegularPercentage of Travel Required: Up ...
Read more
Alexandria,VA
Law Clerk I - Filter Privilege Review with SMUJob Category: Service Contract ActTime Type: Full timeMinimum Clearance Required to Start: DOJ MBIEmployee Type: RegularPercentage of Travel Required: Up
Legal Project Assistant (Document review, Research, Data review) The Choice, Inc.
Washington, DC
The Choice, Inc. is supporting a global advisory firm, providing ongoing project support to their DC office?s litigation division.This project provides valuable entry-level professional experience, co ...
Read more
Washington,DC
The Choice, Inc. is supporting a global advisory firm, providing ongoing project support to their DC office?s litigation division.This project provides valuable entry-level professional experience, co
Legal Project Assistant (Document review, research) The Choice Inc.
Washington, DC
The Choice, Inc. is supporting a global advisory firm, providing ongoing project support to their DC office's litigation division.This project provides valuable entry-level professional experience, co ...
Read more
Washington,DC
The Choice, Inc. is supporting a global advisory firm, providing ongoing project support to their DC office's litigation division.This project provides valuable entry-level professional experience, co
Utilization Review Specialist Washington D.C.
Washington, DC
General Job InformationJob SummaryThe incumbent functions as a Utilization Review Specialist in Health Information Management. The Utilization Review Specialist performs studies/reviews of medical rec ...
Read more
Washington,DC
General Job InformationJob SummaryThe incumbent functions as a Utilization Review Specialist in Health Information Management. The Utilization Review Specialist performs studies/reviews of medical rec
Utilization Review RN - Virginia Hospital Center Kaiser Permanente
Arlington, VA
The Patient Care Coordinator is responsible for utilization review, discharge planning and transitions in care, in collaboration with MAPMG rounder in acute or alternative settings of care. Essential ...
Read more
Arlington,VA
The Patient Care Coordinator is responsible for utilization review, discharge planning and transitions in care, in collaboration with MAPMG rounder in acute or alternative settings of care. Essential
New Home Quality Reviewer 2M Quality
Davidsonville, MD
This is a part time, 1099 position.Job duties include:Looking at newly built homes from a customer's perspective to identify defects in workmanship, quality, completeness, consistency, and professiona ...
Read more
Davidsonville,MD
This is a part time, 1099 position.Job duties include:Looking at newly built homes from a customer's perspective to identify defects in workmanship, quality, completeness, consistency, and professiona
National External Diploma Program (NEDP) - Advisor/Assessor/Reviewer Howard Community College
Columbia, MD
About UsHoward Community College (HCC) is an exciting place to work, learn, and grow! We are proud to have received the Great Colleges to Work For honor for 12 consecutive years, 2009-2020.Howard Comm ...
Read more
Columbia,MD
About UsHoward Community College (HCC) is an exciting place to work, learn, and grow! We are proud to have received the Great Colleges to Work For honor for 12 consecutive years, 2009-2020.Howard Comm
Tax Credit - Assistant Community Manager Edgewood Management, LLC
Bethesda, MD
Assistant Community ManagerThe primary responsibility of this position is to fully prepare initial and annual recertification for all residents in full compliance with LIHTC regulations.Essential Duti ...
Read more
Bethesda,MD
Assistant Community ManagerThe primary responsibility of this position is to fully prepare initial and annual recertification for all residents in full compliance with LIHTC regulations.Essential Duti
English Document Review Attorney CONTACT GOVERNMENT SERVICES
Rockville, MD
English Document ReviewerContact Review - Washington, DCLocation: RemoteStart Date: NegotiableEXPERIENCE QUALIFICATIONS:Familiarity with document review workflowsExamples: Privilege/Responsiveness Re ...
Read more
Rockville,MD
English Document ReviewerContact Review - Washington, DCLocation: RemoteStart Date: NegotiableEXPERIENCE QUALIFICATIONS:Familiarity with document review workflowsExamples: Privilege/Responsiveness Re
Nurse Reviewer I Elevance Health
Washington, DC
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
Washington,DC
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
Privacy Engineer, Implementation Review Facebook
Annapolis, MD
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
Annapolis,MD
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
Sr. Manager, Sr. Counsel: Fair Credit Reporting Act Capital One
Mc Lean, VA
Sr. Manager, Sr. Counsel: Fair Credit Reporting ActAt Capital One, we're building a leading information-based technology company. We measure our efforts by the success our customers enjoy and the advo ...
Read more
Mc Lean,VA
Sr. Manager, Sr. Counsel: Fair Credit Reporting ActAt Capital One, we're building a leading information-based technology company. We measure our efforts by the success our customers enjoy and the advo
Senior Research Associate- Compliance Review Phase IDB Group
Washington, DC
Senior Research Associate- Compliance Review Phase The IDB Group is a community of diverse, versatile, and enthusiastic people who come together on a journey to improve lives in Latin America and th ...
Read more
Washington,DC
Senior Research Associate- Compliance Review Phase The IDB Group is a community of diverse, versatile, and enthusiastic people who come together on a journey to improve lives in Latin America and th
General Attorney (Tax) - Senior Technician Reviewer (Branch 1, Branch 3) Internal Revenue Service
Washington, DC
SummaryOffice of Chief Counsel, IRS, seeks enthusiastic individuals to serve taxpayers fairly and with integrity by providing correct and impartial interpretation of the internal revenue laws and the ...
Read more
Washington,DC
SummaryOffice of Chief Counsel, IRS, seeks enthusiastic individuals to serve taxpayers fairly and with integrity by providing correct and impartial interpretation of the internal revenue laws and the
Government Information Specialist (Senior FOIA Reviewer) Treasury, Departmental Offices
Washington, DC
SummaryThis position is located at Departmental Offices, Terrorism and Financial Intelligence-Office of Foreign Assets Control. As a Government Information Specialist (Senior FOIA Reviewer), you will ...
Read more
Washington,DC
SummaryThis position is located at Departmental Offices, Terrorism and Financial Intelligence-Office of Foreign Assets Control. As a Government Information Specialist (Senior FOIA Reviewer), you will
Attorney Foreign Investment Review (NTE 1 YEAR) (REIMBURSABLE DETAIL) Offices, Boards and Divisions
Washington, DC
SummaryThis reimbursable detail assignment is for a period of one year. Applicants must be current Federal Employees. The detail may be extended. Applicants should receive the approval of their superv ...
Read more
Washington,DC
SummaryThis reimbursable detail assignment is for a period of one year. Applicants must be current Federal Employees. The detail may be extended. Applicants should receive the approval of their superv
Medical Nurse Reviewer Seneca Holdings
Washington, DC
Great Hill Solutions is part of the Seneca Nation Group (SNG) portfolio of companies. SNG is the federal government contracting business wholly owned by the Seneca Nation. SNG meets mission-critical n ...
Read more
Washington,DC
Great Hill Solutions is part of the Seneca Nation Group (SNG) portfolio of companies. SNG is the federal government contracting business wholly owned by the Seneca Nation. SNG meets mission-critical n
JCIP ACAS Technical Reviewer Expert Pueo Business Solutions
Washington, DC
Pueo is known for bringing the best talent and unique tools to every opportunity. Pueo's Parliament (aka workforce) is composed of professionals who are seeking the opportunity to work in a small busi ...
Read more
Washington,DC
Pueo is known for bringing the best talent and unique tools to every opportunity. Pueo's Parliament (aka workforce) is composed of professionals who are seeking the opportunity to work in a small busi
Counsel to Chief Judge (Reviewer) U.S. Tax Court
Washington, DC
SummaryThis position is in the Office of the Chief Judge and reports directly to the Chief Judge. This vacancy is also posted as a Senior Level position and will be filled as either SL or GS-15 depend ...
Read more
Washington,DC
SummaryThis position is in the Office of the Chief Judge and reports directly to the Chief Judge. This vacancy is also posted as a Senior Level position and will be filled as either SL or GS-15 depend
Research Manager - 360 Reviews U.S. News & World Report
Washington, DC
Description U.S. News World Report is a multifaceted digital media company dedicated to helping citizens, consumers, business leaders and policy officials make important decisions in their lives. We ...
Read more
Washington,DC
Description U.S. News World Report is a multifaceted digital media company dedicated to helping citizens, consumers, business leaders and policy officials make important decisions in their lives. We
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
VP, Capital Planning Review - Recovery and Resolution Planning (Hybrid) Citigroup
New York, NY
**Capital Planning Review Team Recovery and Resolution Planning**The Capital Planning Review Team (CPRT) is mandated by the Capital Committee and Board of Directors to lead the holistic independent r ...
Read more
New York,NY
**Capital Planning Review Team Recovery and Resolution Planning**The Capital Planning Review Team (CPRT) is mandated by the Capital Committee and Board of Directors to lead the holistic independent r
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
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
Review Engineer City of New York
New York, NY
Job DescriptionThe NYC Department of Environmental Protection (DEP) enriches the environment and protects public health for all New Yorkers by providing 1.1 billion gallons of high quality drinking wa ...
Read more
New York,NY
Job DescriptionThe NYC Department of Environmental Protection (DEP) enriches the environment and protects public health for all New Yorkers by providing 1.1 billion gallons of high quality drinking wa
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
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
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,
Senior Manager, Security Risk & Reviews (Remote) Klaviyo
Boston, MA
At Klaviyo, we value the unique backgrounds, experiences and perspectives each Klaviyo (we call ourselves Klaviyos) brings to our workplace each and every day. We believe everyone deserves a fair shot ...
Read more
Boston,MA
At Klaviyo, we value the unique backgrounds, experiences and perspectives each Klaviyo (we call ourselves Klaviyos) brings to our workplace each and every day. We believe everyone deserves a fair shot
Appeals Officer (Appeals Quality Measurement System Reviewer) (Temporary NTE 1 YR) Department Of The Treasury
Boston, MA
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 a ...
Read more
Boston,MA
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 a
ATI Live Review Educator Part Time - Northeast Region Ascend Learning
Boston, MA
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
Boston,MA
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
Privacy Engineer, Implementation Review Facebook
Boston, MA
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
Boston,MA
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
Credit Assistant Manager - Bilingual Preferred Rent-A-Center Inc.
Boston, MA
Rent A CenterReady to do your best work?Interested in a starting hourly rate up to $22/hr?Why should I apply in just a few clicks?* Paid Time Off and Sundays Off -- We are Closed!* Full-Time Employmen ...
Read more
Boston,MA
Rent A CenterReady to do your best work?Interested in a starting hourly rate up to $22/hr?Why should I apply in just a few clicks?* Paid Time Off and Sundays Off -- We are Closed!* Full-Time Employmen
Non-Credit Professional Training Course Instructors Roxbury Community College
Boston, MA
About Roxbury Community College:Founded in 1973 in Boston's historical neighborhood of Roxbury, Roxbury Community College (RCC) serves as a beacon of educational opportunity for the diverse population ...
Read more
Boston,MA
About Roxbury Community College:Founded in 1973 in Boston's historical neighborhood of Roxbury, Roxbury Community College (RCC) serves as a beacon of educational opportunity for the diverse population
Utilization Review Specialist Lawrence General Hospital
Lawrence, MA
The Utilization Review Specialist, under supervision and in collaboration with the Utilization Review Coordinator, Utilization Review Nurses, Physician advisor and healthcare team supports all adminis ...
Read more
Lawrence,MA
The Utilization Review Specialist, under supervision and in collaboration with the Utilization Review Coordinator, Utilization Review Nurses, Physician advisor and healthcare team supports all adminis
Nurse Reviewer I Elevance Health
Boston, MA
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
Boston,MA
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
Claims Nurse Reviewer Blue Cross and Blue Shield Association
Hingham, MA
The RoleThe Claims Nurse Reviewer is responsible for reviewing claims, validating coding and medical necessity of the services submitted and pricing the claims according to appropriate guidelines. Thi ...
Read more
Hingham,MA
The RoleThe Claims Nurse Reviewer is responsible for reviewing claims, validating coding and medical necessity of the services submitted and pricing the claims according to appropriate guidelines. Thi
Claims Nurse Reviewer BlueCross and BlueShield of Massachusetts
Hingham, MA
Ready to help us transform healthcare? Bring your true colors to blue.The RoleThe Claims Nurse Reviewer is responsible for reviewing claims, validating coding and medical necessity of the services sub ...
Read more
Hingham,MA
Ready to help us transform healthcare? Bring your true colors to blue.The RoleThe Claims Nurse Reviewer is responsible for reviewing claims, validating coding and medical necessity of the services sub
Medical and Promotional Reviewer Global Technical Talent
Boston, MA
Medical and Promotional Reviewer Contract Duration 6 Months Pay rate up to $80/hr The Role The Medical and Promotional Reviewer will be a contributing member of the Medical Review Committee (MRC) and ...
Read more
Boston,MA
Medical and Promotional Reviewer Contract Duration 6 Months Pay rate up to $80/hr The Role The Medical and Promotional Reviewer will be a contributing member of the Medical Review Committee (MRC) and
Medical and promotional reviewer Randstad
Cambridge, MA
job summary: As the largest staffing and recruitment agency in the world, we can commit to finding you the perfect role that gives you the opportunity to learn and grow in the life sciences arena. Uti ...
Read more
Cambridge,MA
job summary: As the largest staffing and recruitment agency in the world, we can commit to finding you the perfect role that gives you the opportunity to learn and grow in the life sciences arena. Uti
Manager, Medical Review Sarepta Therapeutics, Inc.
Cambridge, MA
The Manager, Medical Reviewer provides operational oversight of medical materials review within the Medical Affairs function reporting to the Director of Global Medical Review. This individual works c ...
Read more
Cambridge,MA
The Manager, Medical Reviewer provides operational oversight of medical materials review within the Medical Affairs function reporting to the Director of Global Medical Review. This individual works c
Associate, Global Product Solutions ETF Regulatory Marketing Review BlackRock, Inc.
Boston, MA
About this roleElevate 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. Our cl ...
Read more
Boston,MA
About this roleElevate 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. Our cl
DRG Nurse Reviewer Zelis
Boston, MA
Position Overview:The DRG Validation Nurse Reviewer will be primarily responsible for conducting post-service, pre-payment and post pay comprehensive inpatient DRG reviews based on industry standard i ...
Read more
Boston,MA
Position Overview:The DRG Validation Nurse Reviewer will be primarily responsible for conducting post-service, pre-payment and post pay comprehensive inpatient DRG reviews based on industry standard i
Travel Nurse RN - Case Manager, Utilization Review - $2,520 per week Hiring Now
Boston, MA
Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Boston, Massachusetts.Job Description RequirementsSpecialty: Utilization ReviewDiscipline: ...
Read more
Boston,MA
Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Boston, Massachusetts.Job Description RequirementsSpecialty: Utilization ReviewDiscipline:
Utilization Review RN Beth Israel Lahey Health
Boston, MA
When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives.Job Type:RegularScheduled Hours:40Work Shift:Day (United States of America)Position Summ ...
Read more
Boston,MA
When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives.Job Type:RegularScheduled Hours:40Work Shift:Day (United States of America)Position Summ
Utilization Reviewer - Clinical Evaluation Center Per diem McLean Hospital(MCL)
Belmont, MA
Responsiblefor obtaining initial insurance authorizations for all applicable coverage andfor appropriate level of clinical care. Must demonstrateMcLean values of integrity, compassion and respect, div ...
Read more
Belmont,MA
Responsiblefor obtaining initial insurance authorizations for all applicable coverage andfor appropriate level of clinical care. Must demonstrateMcLean values of integrity, compassion and respect, div
Utilization Reviewer - Clinical Evaluation Center Per diem Partners Healthcare System
Belmont, MA
Responsible for obtaining initial insurance authorizations for all applicable coverage and for appropriate level of clinical care. Must demonstrate McLean values of integrity, compassion and respect, ...
Read more
Belmont,MA
Responsible for obtaining initial insurance authorizations for all applicable coverage and for appropriate level of clinical care. Must demonstrate McLean values of integrity, compassion and respect,
Utilization Management Nurse Reviewer (RN) - Remote Commonwealth Care Alliance
Boston, MA
**Why This Role is Important to Us:**The Nurse Utilization Management (UM) Reviewer is responsible for day-to-day timely clinical and service authorization review for medical necessity and decision-ma ...
Read more
Boston,MA
**Why This Role is Important to Us:**The Nurse Utilization Management (UM) Reviewer is responsible for day-to-day timely clinical and service authorization review for medical necessity and decision-ma
Associate, Global Product Solutions ETF Regulatory Marketing Review BlackRock
Boston, MA
**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
Boston,MA
**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
After School Food Program Reviewer (SY23-24) Boston Public Schools
Boston, MA
Child and Adult Care Food Program - At-Risk After-School Care Program POSITIONS AVAILABLE 2023-2024 Note: Interviews will be held virtually. Employment for the SY24 school year is temporary. All indiv ...
Read more
Boston,MA
Child and Adult Care Food Program - At-Risk After-School Care Program POSITIONS AVAILABLE 2023-2024 Note: Interviews will be held virtually. Employment for the SY24 school year is temporary. All indiv
Nurse Reviewer, Endoscopy -Braintree Brigham and Women's Hospital
Braintree, MA
Under the direction of the Nurse Director of the BWPO's South Shore Endoscopy Center (SSEC), the Registered Nurse GI Case Reviewer will work as a critical member of the procedural care team to support ...
Read more
Braintree,MA
Under the direction of the Nurse Director of the BWPO's South Shore Endoscopy Center (SSEC), the Registered Nurse GI Case Reviewer will work as a critical member of the procedural care team to support
QC Inspector, Level II Review and Release - First Shift Nova Biomedical
Waltham, MA
Nova Biomedical is hiring a QC Inspector Level II on our Review and Release team in our Waltham, MA facility. In this position the QC Inspector will be partnering with the Quality Control Supervisor a ...
Read more
Waltham,MA
Nova Biomedical is hiring a QC Inspector Level II on our Review and Release team in our Waltham, MA facility. In this position the QC Inspector will be partnering with the Quality Control Supervisor a
Individual/Independent Consultant - Bias, Sensitivity, and Fairness Reviewers American Institutes for Research
Waltham, MA
**Overview**Seeking Bias, Sensitivity, and Fairness Reviewers for a High-Stakes Standardized Assessment.AIR will contract directly with the Reviewer under a consulting purchase order agreement.Establi ...
Read more
Waltham,MA
**Overview**Seeking Bias, Sensitivity, and Fairness Reviewers for a High-Stakes Standardized Assessment.AIR will contract directly with the Reviewer under a consulting purchase order agreement.Establi