Search Results: 14,347 vacancies
...well. We do not lose sight of that. It fuels our passion and drives every decision we make.
**Job Posting Title**
Physician Clinical Reviewer- GI - REMOTE
**Job Description Summary**
Key member of the utilization management team, and provides timely medical review...
Suggested
Remote job
Work experience placement
Internship
Local area
...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, diversity and teamwork, excellence and innovation consistently in their...
Suggested
...research, development and delivery of life-changing therapies. With clinical trials conducted in 100+ countries and ongoing development of... ...benefits.
Key responsibilities:
Provides a variety of review and analytical functions that occur in the Commercial Quality Control...
Suggested
Full time
Contract work
...healthcare? Bring your true colors to blue.
The RoleThe Claims Nurse Reviewer is responsible for reviewing claims, validating coding and... ...to appropriate guidelines. This position requires strong clinical and medical coding skills to review claims for medical necessity...
Suggested
Hourly pay
Shift work
Night shift
...individuals, our programs literally save lives.
The Utilization Reviewer in the Behavioral Health department is responsible for... ...authorizations for all applicable coverage and for appropriate level of clinical care across the Substance Use Disorder treatment/Behavioral...
Suggested
Hourly pay
Shift work
Monday to Friday
...include development of standard written and verbal responses with minimal supervision, including Clinical Dossiers, Letters and Frequently Asked Questions (FAQs), and periodic review of inquiries and responses. You will also provide advanced medical information / clinical...
Suggested
Minimum wage
Holiday work
Full time
Temporary work
Local area
Night shift
...be responsible for leading a project in support of the client's Clinical Area. The project manager will be responsible for driving... ...accurate, and aligned to all workstreams. Facilitating periodic reviews of resource plans with DRIs.
Accountable for proactively identifying...
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Remote job
...South Shore Endoscopy Center (SSEC), the Registered Nurse GI Case Reviewer will work as a critical member of the procedural care team to... ...is on anticoagulation therapy and work with the appropriate clinics for plans for management of anticoagulation therapy and the procedure...
Suggested
Monday to Friday
...**
**Position Summary:**
Reporting to the VP Quality & Controls Assurance, the incumbent is responsible for independent quality reviews of medical claims, and evaluating Call Center activities for compliance with policies and Standard Operating Procedures (SOP). Additionally...
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Remote job
Local area
Immediate start
...ultimate opportunity to gain new and challenging work experiences and create an unparalleled, direct impact.
Job Title: Promotional Review Committee (PRC) Manager
Location: Boston
Job Description
This position is part of the Marketing Operations team who...
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Contract work
Work experience placement
Remote job
Shift work
...Job Title: Bioanalytical Data reviewer
Job Location: Lexington, MA (Hybrid)
Job Duration: 12 Months
Job Description:
Must haves:
· Experience being responsible for quality control of all scientific data generated within the Nonclinical Pharmacology...
Suggested
...student/intern may under direct guidance of the Renal Dietitian:
Review of Renal Nutrition Basics and other applicable components of... ...or will be assigned to another patient.
SUPERVISION:
The Clinical Manager assigns and closely monitors all Dietetic Intern...
Suggested
Internship
...com to see how we empower creators to own their own destiny.
We're seeking a highly motivated Senior Manager of Security Risk & Reviews who will help us continue to evolve our Risk function by using engineering principles and data-driven strategies to precisely...
Suggested
Remote job
Hourly pay
Holiday work
Gangs
Flexible hours
We are seeking a highly motivated and detail-oriented individual to join our team as a Credit Review Analyst II. The successful candidate will be responsible for conducting thorough analyses of financial statements and assessments for accuracy in loan presentations. The...
Suggested
Work experience placement
...Policy Setting Responsibilities
Responsible for utilization review and medical necessity recommendations, as requested
Decision... ...activities
Key responsibilities:
Utilization review and inpatient clinical optimization: (include all utilization review, patient status,...
Suggested
Part time
Shift work
...thousands of families for free through their corporate sponsored benefit.
One important aspect of this benefit is the expert review of college application essays. Our Essay Reviewers provide detailed evaluation and constructive feedback to prospective students,...
Remote job
Hourly pay
Temporary work
Part time
Work from home
Home office
...Responsibilities
Utilization Review Coordinator Opportunity -
HRI Hospital is seeking a Full-time Utilization Review Coordinator to join our skilled and dedicated team of psychiatric professionals, who provide service excellence to our patients in a range of inpatient...
Full time
Local area
...Diversity & Inclusion, Integrity & Respect, Learning, Continuous Improvement & Personal Growth, Teamwork & Collaboration. The Claims Review Supervisor plans, directs, and coordinate the work of the Claims Review Team. Supervises staff, ensuring performance standards are...
...Applications close: General Summary:
The full-time Staff Clinical Social Worker for University Health Services Counseling Center... ...resume, cover letter and list of three professional references.Review of candidates will begin following the application closing date...
Full time
Traineeship
Remote job
...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...
Remote job
Hourly pay
Full time
Flexible hours
