Search Results: 17,980 vacancies
...Offering a strong foundation with deep roots in clinical and member advocacy, alongside decades of... ...data-driven solutions that improve cost, quality, and outcomes for employers and their... ...:
As the Clinical and Bill Review Advisor at Valenz Health, you will play a...
Quality
Holiday work
Immediate start
Remote job
Flexible hours
...every decision we make.
**Job Posting Title**
Physician Clinical Reviewer- GI- REMOTE
**Job Description Summary**
Key member of the... ...managed care organizations, experience with cost benefit analysis, quality assurance and the continuous quality improvement process is...
Quality
Remote job
Work experience placement
Internship
Local area
...-Based Care (VBC) programs within HOPCo Clinically Integrated Networks (CINs), promotes adherence... ...to evidence-based best practices and quality assurance standards by conducting chart... ...experience required.
Clinical review, utilization review, or quality assurance...
Quality
Part time
...provides more than 73 subspecialty services. The physicians provide clinical services in their areas of specialty and many serve in pivotal... ...and relevant State and Federal regulations related to quality monitoring and performance improvement. Oversees the day-to-day...
Quality
Local area
...for the culture.
**What You'll Be Doing:**
As a Physician Clinical Reviewer, Hematology and Medical Oncology you will be a key member of... ...Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA) guidelines.
+ Provides clinical rationale...
Quality
...live well. We do not lose sight of that. It fuels our passion and drives every decision we make.
Job Posting Title
Clinical Review Pharmacist
The Clinical Staff Pharmacist is responsible for the processing and documenting of Utilization Management requests...
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Local area
Visa sponsorship
Work visa
Weekend work
...everything for our 28 million members as a clinical professional on our Medical Management/... ...the appropriate medical team to promote quality and cost effectiveness of medical care.... ...Performs medical necessity and clinical reviews of authorization requests to determine...
Quality
Holiday work
Remote job
Flexible hours
...requirements.
+ Ensure second-level reviews have been performed and documented and may... ...health plans, providers, members, quality organizations and other naviHealth colleagues... ...letters, NOMNC letters, AOR forms, clinical information.
+ Act as a point person...
Quality
Hourly pay
Full time
Work experience placement
Remote job
Shift work
Weekend work
Monday to Friday
...Job Description
Central Admixture Pharmacy Services, Inc.
Quality Technician - Microbiology
US-AZ-Phoenix
Job ID: 2024-238... ...Standard Operating Procedures (SOPs) & specifications, quality review of documents, label control, assist with release activities and...
Quality
Hourly pay
Full time
Work experience placement
As the Clinical and Bill Review Advisor, you will play a pivotal role in guiding and advising on our internal clinical and bill review processes. Your expertise and insights will be crucial in informing strategic decisions and enhancing operational efficiencies.
What...
Suggested
Holiday work
Full time
Immediate start
Remote job
Flexible hours
..., Retrospective UM. Supervises staff who conduct retrospective review of medical claims for appropriate DRG or non-DR coding and processing... ...(CCS) or Certified Professional Coder (CPC)
•2+ years of clinical experience
•2+ years coding experience
•2+ years...
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...This proven approach provides unrivaled quality care for all of our patients. We have multiple... ...Hospital is looking for a Utilization Review Coordinator to coordinate patients... ...Precertification with payors.
Concurrent Clinical review with payors.
Document in the electronic...
Quality
...Job Title:
Sr. Credit Risk Review Officer
Location:
Scottsdale
What you'll do:
This position is responsible for planning... ...credit management process and key controls supporting credit quality. The Senior Credit Risk Review Officer independently monitors credit...
Quality
Matrix Medical Network is searching for physicians looking for additional income as a collaborating physician (Chart Reviews). Our collaborators over see our highly skilled Nurse Practitioners in the field as stated by state law. This is a Great Opportunity for physician...
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Full time
For contractors
Relief
Remote job
Flexible hours
Overview:
The Vice President of Quality and Compliance is a self starter who is r esponsible for advising the business as... ...readiness and facilitates the preparation and coordination of clinical record reviews by regulatory agencies.
Provides direct, real-time...
Quality
Holiday work
Temporary work
...Our Clinical and Pharmacovigilance teams manage studies to provide the safety and efficacy... ...existing products. We ensure we conduct high quality clinical trials by integrating state-of-... ...) perform a Therapeutic Area (TA) level review of quality plans and risk mitigation...
Quality
Remote job
Worldwide
...care network, outpatient surgery centers, clinical research, medical education, a foundation... ...volunteers dedicated to providing high quality care, HonorHealth strives to go beyond the... ...oversight for the hospital’s Medical Staff Peer Review System across the network to ensure it is...
Quality
Full time
Part time
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Overview of Responsibilities (NOT limited to the following):
Verifying insurance information
Updating insurance information
Contacts insurance plans to determine eligibility, obtains coverage, benefit information, and prior authorizations for services
EOBs
...
...drive has led to some of the most trusted, advanced, and highest-quality mobility solutions available in the world today. Colson Group's... ...and able to work with several part numbers simultaneously
Review blueprints and specifications to compare to produced goods
Willingness...
Quality
Local area
...manufacturer based in Tempe, Arizona. We strive to deliver the highest quality vitamin supplement products to our clients and maintain long-... ...Master Manufacturing Batch Records (MMBRs) from scratch.
? Review and Approve supplier documentation for ingredients.
? Collect...
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