Search Results: 10,945 vacancies
...for the culture.
What You’ll Be Doing:
As a Physician Clinical Reviewer, Hematology and Medical Oncology you will be a key member of... ...guidelines.
Provides clinical rationale for standard and expedited appeals.
Ensures documentation of all communications with medical...
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...experience doesn’t match every requirement .
The Utilization Review Nurse reviews and processes medical service requests for... ...groups in an inpatient setting. This Nu rse acquires all clinical documentation in order to process the requests within the designated...
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...our caring community and help us put health first
The Appeals Nurse 2 resolves clinical complaints and appeals. The Appeals Nurse 2 work assignments... ...appropriate courses of action.
The Appeals Nurse 2 reviews documentation and interprets data obtained from clinical...
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Duties
WHAT IS THE APPEALS (AP)DIVISION?
A description of the business units can be found at:
Vacancies will be filled in the following... ...organizations to promote customer outreach and satisfaction.
Reviews and analyzes reports (e.g., Appeals Quality Measurement System,...
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Description
Summary:
The Credit Review Team Leader Sr. will report directly to the Credit Review Group Manager. This role involves leading a team in various credit risk review engagements and continuous monitoring activities associated with a strong independent credit...
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Local area
...way up to small, multi-trade and permit-required projects. For additional information, visit
JOB DESCRIPTION:
The Contract Review Specialist will assist in reviewing legal and risk management issues in vendor contracts. Construction related background/...
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...Job Description Lexitas, a leader in legal contract staffing, is currently seeking experienced first and second level document review attorneys for several upcoming anticipated review projects. Candidates must be admitted and reside in Ohio, Illinois, Michigan, or...
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Monday to Friday
...at Elevance Health in WILMINGTON, Delaware, United States
Reviewer – Therapy Services
Location : 50 miles of a Pulse Point
Hours... ....
+ Researches and obtains additional data, consults with clinical reviewers and medical directors, when necessary.
+ Acts as a...
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...available for this opportunity.
Requisition #: 73054
The Role at a Glance
We are excited to bring on an Appeals Specialist to join our Appeal Review Department in a fully remote environment. Appeal Specialists conduct reviews, investigation, and analysis of an...
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...are dedicated to Changing People’s Lives® .
The Utilization Review department plays an essential role in helping fulfill our... ...Requirements:
Bachelor’s Degree preferred
Current unencumbered clinical licensure and valid driver’s license
CPR and CPI...
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Flexible hours
...Experienced Document Review Attorney – Remote
Great opportunity for l icensed attorneys with document review experience interested in quality focused e-Discovery. We have some projects anticipated to start soon and others in the pipeline. Please apply to get on...
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...practice of your own, we’re excited to support you in reaching your goals!
Wage: Between $84 - $131 an hour
Are you a licensed Clinical Psychologist looking to launch a private practice, or grow your existing practice?
Headway supports thousands of mental health...
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Private practice
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...you motivated by driving business outcomes and interested in partnering closely with the business leadership in Income Tax Audit and Appeals within Lumen? Does working in a fast-paced environment with agility sound exciting?
We are seeking a Senior Tax Manager to lead...
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...at Humana in Dover, Delaware, United States
Become a part of our caring community and help us put health first
The Claims Review Representative 3 adjudicates claims in Humana’s legacy systems and Pareo upon making appropriate claim decisions. Decisions are made...
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...Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate Medical Director works on problems of... ...communication skills
+ 5 years of established clinical experience
+ Knowledge of the managed care industry...
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...at City National Bank in Newark, Delaware, United States
KYC REVIEW ANALYST - OPS
WHAT IS THE OPPORTUNITY ?
Conduct Enhanced Due Diligence background investigations for commercial loan borrowers in adherence with credit policy and compliance with BSA and...
Hourly pay
...in Wilmington, Delaware, United States
Clinical Operations Medical Director... ...Summary:
+ Perform physician-level case review, following initial nurse review, of Medical... ...expert.
+ Perform first level provider appeals as designated by the client for adverse determinations...
Work experience placement
Local area
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Relocation bonus
...-depth evaluation of variable factors.
Humana MarketPoint is seeking a Senior Compliance Professional with a focus on Marketing Review who will work within the business to develop and maintain key relationships with internal and external business partners to evaluate...
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Job Description
\n\t\n\t\tCodebeautify.org Text to HTML Converter\n\t\n\t\n\t\t Summary\n \nCorrections professionals who foster a humane and secure environment and ensure public safety by preparing individuals for successful reentry into our communities. Our highly...
Elevance Health
Medicare Medical Director Clinical Programs
Waukesha ,
Wisconsin
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Wellpoint, formerly Amerigroup, is a proud... ...territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US military base,...
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Monday to Friday
