Average salary: $107,041 /yearly

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  • $27 - $30 per hour

     ...The 340B Pharmacy Claims Reviewer performs scheduled reviews of prescription claims and supporting documentation to verify 340B eligibility...  ...and other internal stakeholders to strengthen compliance, data integrity, and realized program savings.     Pay Range $27.... 
    Data
    Hourly pay
    Temporary work
    Work at office
    Remote work
    Flexible hours

    VytlOne

    United States
    4 days ago
  •  ...results portfolio-wide. Document Control Execution Administer recurring document cycles, including monthly cost closings, schedule data-date archives, and monthly project status report retention. Maintain procurement documentation by work package, including... 
    Data

    LanceSoft, Inc.

    Gary, IN
    2 days ago
  • $85k - $95k

     ...The Opportunity MedReview is seeking an experienced DRG Reviewer to join our Payment Integrity team. This role is responsible for...  ...reporting as required. Adhere to confidentiality, HIPAA, and data security requirements. Team Collaboration and Professional Development... 
    Data
    Work at office
    Remote work
    Flexible hours

    MedReview

    Remote
    1 day ago
  •  ...Behavioral Health Utilization Reviewer The Behavioral Health Utilization Reviewer is responsible for conducting clinical reviews of behavioral...  ...via phone and written correspondence. Analyze BH member data to improve quality and appropriate utilization of services... 
    Data
    Work at office
    Remote work

    Louisiana Blue

    United States
    1 day ago
  •  ...are looking for detail-oriented Video Annotation Specialists to review and annotate videos of robotic arms performing various tasks. The role involves accurate video labeling and structured data annotation to support AI and machine-learning projects. Key... 
    Data
    For contractors
    Remote work

    YO AI Labs

    Raleigh, NC
    16 hours ago
  •  ...HEDIS Data Reviewer The HEDIS Data Reviewer is responsible for performing high-volume, detail-oriented medical record abstraction, overread, and quality review activities in support of annual Healthcare Effectiveness Data and Information Set (HEDIS), State EQRO, and... 
    Data
    Work at office
    Remote work
    Shift work

    Pacer Group

    United States
    1 day ago
  •  ...HEDIS Reviewer III job at SGS Consulting. Remote. Job Responsibilities: ~ Work from home in Michigan area. Position will potentially...  ...live IN or NEAR Michigan. ~ Complete assigned abstraction and data entry each day. ~ Work with provider offices as needed to schedule... 
    Data
    Live in
    Remote work
    Work from home

    SGS Consulting

    United States
    2 days ago
  •  ...Role Overview Our Utilization Management Reviewers evaluate medical necessity for inpatient and outpatient services, ensuring treatment...  ...optimize patient care Analyze medical records and clinical data to ensure compliance with regulatory and payer guidelines... 
    Data
    Remote work
    Monday to Friday
    Flexible hours
    Weekend work

    AmeriHealth Caritas

    Newtown Square, PA
    1 day ago
  • $44.46k - $52.3k

     ...assisting with high-stakes application processing. Team members review, validate, and process application documentation for accuracy and...  .... The role also provides general operational support, including data entry and customer service tasks, to maintain efficiency. By... 
    Data
    Hourly pay
    Temporary work
    Work experience placement
    Remote work

    Association of American Medical Colleges

    Remote
    2 days ago
  • $25 - $30 per hour

     ...QC Reviewer The QC Reviewer is responsible for performing the quality control reviews of data generated and work conducted in the laboratory to ensure accuracy, compliance, and adhere to applicable standards. What You'll Do Here # Ensure all batch-related documentation... 
    Data
    Hourly pay
    Remote work

    Altasciences Compagnie Inc. (QUEBEC FRENCH VERSION)

    Everett, WA
    2 days ago
  • A national consulting firm seeks a HEDIS Reviewer III to work remotely, primarily in the Michigan area. The ideal candidate will possess...  ...auditing and abstracting medical records. Responsibilities include data entry, scheduling appointments, and following up with provider... 
    Data
    Remote work

    SGS Consulting

    New York, NY
    1 day ago
  •  .... To learn how to apply for a faculty or staff position, please review this tip sheet ( . The Clinical Documentation Integrity (CDI)...  ...diagnosis, secondary diagnoses, and/or procedures based on clinical data to facilitate appropriate DRG assignment.11. Records review... 
    Data
    Full time
    Temporary work
    Work at office
    Remote work
    Worldwide

    University of Miami

    Miami Lakes, FL
    5 days ago
  •  ...AvonRisk Medical Bill Reviewer AvonRisk is the nation's leading specialty risk manager for self-insured organizations, uniting respected...  ...or general education degree (GED), plus minimum of one year data entry/medical billing experience; additional two years bill review... 
    Data
    Remote work

    AS&G Claims Administration

    United States
    2 days ago
  •  ...Residential Reviewer This Residential Reviewer fills a remote role in MountainSeed's Appraisal Review Department. The Residential Reviewer...  ...not include an opinion of value and there is no confirmation of data. All communications, including uploading and downloading of... 
    Data
    Work at office
    Remote work
    Flexible hours

    MountainSeed

    Atlanta, GA
    3 days ago
  • $1,000 per month

     ...Tax Reviewer Doola is seeking a detail-oriented and customer-focused Tax Reviewer to join our growing Tax team. As our customer base...  ...Review tax calculations, supporting documentation, and client data before returns are finalized. Work closely with Tax Preparers... 
    Data
    Permanent employment
    Work at office
    Local area
    Remote work
    Worldwide

    Doola

    United States
    4 days ago
  •  ...About Technology:Our Technology practice helps clients manage the risk and cost of e-discovery. From forensic data collection to fully managed document review services we collaborate with our clients to deliver strategic solutions tailored to their unique legal requirements... 
    Data
    Full time
    Work from home
    Relocation

    FTI Consulting

    Washington DC
    2 days ago
  •  ...Job Title: HEDIS Reviewer III Address: Working Offsite from Caremark Location anywhere in US Job Description: Participate in the collection...  ...review of medical records, annotate via Adobe PDF, and populate data collection tools to ensure compliance with HEDIS and CMS... 
    Data
    Full time
    Local area
    Remote work
    Monday to Friday

    A-Line Staffing Solutions

    Woonsocket, RI
    2 days ago
  •  ...Clinical Documentation Integrity (CDI) Second Level Reviewer The Clinical Documentation Integrity (CDI) Second Level Reviewer performs...  ...diagnosis, secondary diagnoses, and/or procedures based on clinical data to facilitate appropriate DRG assignment. Recording review... 
    Data
    Work at office
    Remote work

    University of Miami

    United States
    5 days ago
  •  ...delivery and acknowledgment. Maintain and administer document management systems (SharePoint, Unifier, or equivalent), ensuring data integrity and accessibility for all project team members. Track and log submittals, RFIs, and project correspondence; follow up on... 
    Data
    Full time
    For contractors
    Work at office
    Remote work

    Logic

    San Diego, CA
    1 day ago
  •  ...Supporting the Bill Review process, the full-time Document Retrieval Specialist will accurately enter, review, and validate healthcare...  ...advancing claims through the Bill Review process Validates entered data against source documents and performs quality checks to identify... 
    Data
    Full time
    Work at office
    Remote work

    Virtual Vocations Inc

    United States
    1 day ago
  • $18 per hour

     ..., and exceptionally talented team members, Valeris provides the data and strategic insights, patient support services and healthcare...  ...Valeris Lynk in accordance with Program rules and work instructionso Review and identification of information that is missing and/or... 
    Data
    Contract work
    Temporary work
    Remote work

    TEKsystems

    Morrisville, NC
    3 days ago
  •  ...Our Client, a Retail Pharmacy company, is looking for a HEDIS Reviewer II/ III for their Remote location. Responsibilities:...  ...review of medical records, annotates via Adobe PDF and populates a data collection tool to support compliance with HEDIS and CMS performance... 
    Data
    Local area
    Remote work

    ICONMA

    United States
    3 days ago
  • $86k - $117.3k

     ...Under the direction of a supervisor, the Utilization Management Reviewer evaluates medical necessity for inpatient and outpatient services...  ...optimize patient care Analyze medical records and clinical data to ensure compliance with regulatory and payer guidelines Communicate... 
    Data
    Hourly pay
    Contract work
    Remote work
    Monday to Friday
    Flexible hours
    Weekend work
    2 days per week

    AmeriHealth Caritas

    Washington DC
    4 days ago
  •  ...create results for the government. We are currently seeking Merit Reviewers to join our team and fully embrace our commitment to deliver,...  ...evaluating cloud-native architectures (IaaS/PaaS/SaaS), data platforms, and distributed systems, including cost/performance... 
    Data
    Full time
    Temporary work
    For contractors
    Local area
    Immediate start
    Remote work
    Afternoon shift

    Corner Alliance

    Washington DC
    4 days ago
  • $100k - $150k

     ...We are seeking an experienced and detail-oriented Tax Reviewer to join our growing firm. In this role, you will play a critical...  ...are updated regularly using the most reliable compensation survey data for our industry. New hire offers are made based on a candidate'... 
    Data
    Full time
    Temporary work
    Work at office
    Local area
    Remote work
    Monday to Friday

    Crete Professionals Alliance

    Tucson, AZ
    4 days ago
  • $60.52k - $129.62k

     ...one community at a time. Position Summary The Care Plan Reviewer (Clinical Case Manager BH) utilizes advanced clinical judgment and...  ...Plan: o Through the use of clinical tools and information/data review, review assessments of member's needs and determines approach... 
    Data
    Hourly pay
    Full time
    Temporary work
    Local area
    Remote work

    CVS Health

    United States
    1 day ago
  •  ...significant ownership, from establishing document structures and review processes to maintaining governance and reporting standards. You...  ...interest and wish you the best! Why Apply Through Jobgether? Data Privacy Notice: By submitting your application, you acknowledge... 
    Data
    Remote work
    Flexible hours

    Jobgether

    Oregon State
    3 days ago
  •  ...Role Document Reviewer Location Remote (Work from Anywhere) Below covers everything you need to know about what this opportunity...  ...extracting key information from various document types. Accurate data entry and quality assurance of processed documents are required.... 
    Data
    Full time
    Work at office
    Remote work
    Work from home

    Hired

    United, PA
    4 days ago
  •  ...setting What You Will Be Doing Entering and validating data Labeling and organizing loan documents Ordering and...  ...documentation Monitoring requirements for a loan to be approved Reviewing state and federal compliance information Handling inbound... 
    Data
    Full time
    Contract work
    Work at office
    Shift work

    United Wholesale Mortgage

    Pontiac, MI
    3 days ago
  •  ...Document Retrieval Specialist (aka Intake Coordinator for Bill Review), you'll support the Bill Review process by accurately entering,...  ...advancing information through the Bill Review process.Validates entered data against source documents and performs quality checks to identify... 
    Data
    Work at office
    Immediate start
    Remote work

    Valenz Group

    Phoenix, AZ
    16 hours ago