Search Results: 9,883 vacancies
...Summary:
Under the direction of the Manager of Medical Record Review Operations, the HEDIS Data Reviewer is responsible for performing... ...auditing abstraction criteria to medical records to determine compliance.
Utilizing various software applications to support department...
Suggested
Work experience placement
...Arrangement: Hybrid
An (Sr.) Analyst/Engineer in Performance Compliance assures the reliable, economic, and coordinated operation of... ...documenting the results. Key activities include the following:
Review and approve generation unit variable operations and maintenance...
Suggested
Work experience placement
Worldwide
Flexible hours
Genex Service LLC Utilization Reviewer 2 US--Remote Job ID: 24-16859 Type: Regular Full-Time # of Openings: 1 Category: Insurance & Administration... ...assessments.
* Evaluates medical documentation to ensure compliance with industry standards and regulatory requirements.
*...
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Holiday work
Full time
Second job
Remote job
Work from home
Flexible hours
...seeking an individual with an outstanding work ethic and a history of success in the Appraisal field to join our team as a full time Review Appraiser/Staff Appraiser. The ideal candidate will demonstrate initiative, integrity, honesty, professionalism, and will maintain...
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Full time
Remote job
Work from home
Monday to Friday
...and compensation with a business casual atmosphere.
Senior Compliance Analysts serve a varied purpose within FreedomPay's compliance... ...intervention, and response to emerging threats/vulnerabilities.
Review solutions being developed and vendors being onboarded for...
Suggested
Full time
Casual work
Flexible hours
Utilization Review Nurse /Workers Comp
Location - King of Prussia, PA
Job Purpose:
Review Workers Compensation requests submitted by... ...attorney, etc)
Participate in audits of work product to ensure compliance.
Monitor daily processing inventory, including rush/urgent requests...
Suggested
Immediate start
...ABOUT THIS POSITION
This is labor protection investigative work receiving and responding to informational inquiries, conducting compliance investigations, delivering written findings, and issuing violations when applicable under the law related to wage and benefits in...
Suggested
Full time
Part time
...development, tuition assistance, and
more .
The Director, Research Compliance will assist in the continued development and growth of the... ...direction of the Office of the Vice President and General Counsel, review proposals, confidentiality/non-disclosure agreements, and...
Suggested
Full time
Relocation
Flexible hours
Shift work
Monday to Friday
...the techniques and outcomes of surgery so patients can resume their lives as quickly as possible.
Position Summary :
The Compliance Manager works with the Director of Compliance and Chief Compliance Officer to support our Global business on compliance matters...
Suggested
...sight.
Description
Primary Function:
Under CNO supervision, the Utilization Coordinator provides utilization review, Amkai chart surveillance and denials management for the inpatient case load. This role utilizes the nationally recognized Milliman...
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Part time
Worldwide
Job Title: Compliance Manager
Company Name: Stream Financial
Location: West Conshohocken, PA
About Us: We co-develop innovative financial solutions with merchant partners who focus on providing energy-efficient home improvement solutions. With our technology, credit expertise...
Suggested
Holiday work
Remote job
...focused on the development and commercialization of novel cancer immunotherapies. Iovance is seeking a Sr. Manager, Quality Control Compliance, who will be responsible for the implementation and long-term sustainability of investigation closure within the Iovance Quality...
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Local area
Flexible hours
..., thereby directly impacting CUHC revenue generation for providers. The framework for provider enrollment credentialing includes compliance in an increasingly complex regulatory environment defined by The Joint Commission, Department of Health, National Committee for Quality...
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...introducing you to our mission and celebrated service orientation. Together, let's drive excellence in healthcare.
SUMMARY OF JOB:
To review each admission for appropriate assignment of level of care based upon clinical guidelines as well as to review documentation for...
Suggested
Full time
...specialists, all working together to leave this world better than we found it.
Who are we looking for?
Our Environmental / EHS Compliance team is looking for an Engineer or Scientist to join their team in King of Prussia, PA! On this team you will work...
Suggested
Night shift
...offices in various U.S. states, Canada, Japan, India and Vietnam.
Job Description
Customized Energy Solutions is seeking a Compliance Analyst to provide support on its Renewable Energy Services and Compliance Team. The position will function to provide support to...
...Pharmacovigilance, the Executive Director, Postmarketing Pharmacovigilance & Compliance will play a key role in management of the Pharmacovigilance... ...purposes, including but not limited to: quality surveillance, review of metrics, institution of any necessary additional monitoring...
Local area
Flexible hours
Spruce Street Compliance is political and nonprofit compliance consulting firm based out of Philadelphia, PA and Washington, DC. Our firm is committed to supporting progressive causes and candidates nation-wide.
The Compliance Assistant will work with our current Associates...
Weekend work
Afternoon shift
...financial services firm in the Glen Mills, PA area, is seeking a Compliance Director to join their growing team. This role will act as an... ..., but not limited to:
Conduct compliance testing and reviews and produce reports thereon.
Lead ongoing risk assessments...
Local area
..., parental leave.
And more!
About the role
The Program Manager works as a key member of the Balfour Beatty Communities Ethics & Compliance (E&C) team. The primary role of this position is to assist the team in design, measurement, and maintenance of the E&C program and...
Holiday work
Temporary work
Remote job
Worldwide
Flexible hours
