...ABOUT THE ROLE As a Document Quality Review Specialist (Reporting Specialist), you will provide high-level operations support to the service delivery organization by working to assemble, format, and review time-sensitive and highly technical reports. The ability to... 
Quality
Remote job
Holiday work
Full time

A-LIGN External

Remote
15 days ago

$104k - $130k

 ...experience of your career.  Join us, and help change mental healthcare for the better. As the Senior Associate, supporting Clinical Quality Review at Headway, you will play a pivotal role in ensuring the delivery of high-quality patient care as we scale to clinical... 
Quality
Remote job
Holiday work
Work from home
Flexible hours

Headway

Remote
13 days ago

$67k - $76k

 ...providers and increase a health plan's ability to connect members to quality care. With the industry's largest network of care navigators...  ...difference in their lives. Job Summary The Concurrent Review Clinician is responsible for completing continued stay requests... 
Quality
Full time
Contract work
Remote job
Home office

Lucet

Remote
3 days ago
 ...Location: Must reside within the Contiguous United States Hours: M-F, 8:00 AM - 5:00 PM EST Job Description: As a Desktop Reviewer/Applications Processor our successful team members perform in a variety of exciting areas geared towards delivering an exceptional... 
Suggested
Remote job
Full time

AdNet AccountNet, Inc.

Remote
20 days ago
 ...Target PR Range: 75-100/hr *Depending one experience Provide Medical Review consultant to support the US Immunology Medical Affair teams. Services provided will be, but are not limited to: • Provides medical oversight for scientific review and approval of promotional... 
Suggested
Remote job
Contract work

Planet Group

Remote
1 day ago
 .... Licensing: US any bar in good standing acceptable. Experience: A minimum of 6 months experience working on remote document reviews; experience with eDiscovery platform, relativity preferred. Experience with 1st level; (2nd level, Priv., QC preferred). Please... 
Suggested
Remote job
Work from home

Consilio - Enterprise Talent Solutions

Remote
25 days ago
 ...Overview Utilization Review RN is responsible for the review of medical records for appropriate admission status and continued hospitalization. Works in collaboration with the attending physician, consultants, second level physician reviewer and the Care Coordination... 
Suggested
Remote job
Full time

Employment Type Full Time

Remote
4 days ago
 ...technologies and operations has an exciting opening for a Fraud Review Analyst.  Radial’s omnichannel solutions use cutting-edge...  ...Responsibilities Quickly analyze multiple data points to make quality decisions that impact our clients and their customers... 
Quality
Remote job
Full time

Radial Inc.

Remote
5 days ago
 ...Remote The Professional Review Nurse provides analysis of medical services to determine appropriateness of charges on multiple types of medical bills and review of medical reports to determine appropriateness of medical care. Clinical and/or technical expertise is... 
Suggested
Minimum wage
Full time
Local area
Remote job
Flexible hours

CorVel Corporation

Remote
14 days ago
 ...follow the trends. We set them. Job Summary As a Tech Review Adjuster , you will enjoy the flexibility of working from the...  ...Detail-oriented and organized, with a focus on producing high-quality work Notice of Licensing Requirement As a condition of... 
Quality
Remote job
Full time
Contract work
Work from home
Home office
Work visa
Relocation bonus

Allstate Insurance Company

Remote
14 days ago

$1,600 per week

 ...Job Description We are seeking a Utilization Review Registered Nurse for an assignment in Remote Kansas City Kansas. A Registered Nurse (RN) primarily cares for patients by monitoring them, administering medications, consulting with health care providers, updating... 
Suggested
Remote job
Remote
1 day ago
 ...Job Title: Care Review Clinician Location: Remote (USA) Schedule: Monday - Friday, 8 AM to 5 PM MST Salary: $80,000-$100,...  ...Health and Long-Term Care. Maintain department productivity and quality measures. Attend regular staff meetings. Assist in... 
Quality
Permanent employment
Temporary work
Remote job
Monday to Friday

Morgan Stephens

Remote
22 hours ago
 ...helps our clients navigate the complex disability benefits journey to improve their life trajectory. The remote Medical Records Review Specialist is a medical professional working to build medical evidence for the veteran from the veteran’s medical records. The Medical... 
Suggested
Holiday work
Full time
Remote job
Flexible hours

Trajector Inc.

Remote
1 day ago
Call Center Case Review Aide Location Remote : TITLE: Call Center Case Review Aide LOCATION: Nationwide TRAVEL: Minimal (up to 10%, as...  ...is completed. Provide feedback and elevate poor quality for corrective action to management. Identifies and investigates... 
Quality
Permanent employment
Full time
Part time
Local area
Remote job
Flexible hours
Night shift

Providencia Group

Remote
1 day ago
 ...Desktop Application Reviewer/Auditor About Us AdNet/AccountNet, Inc. is an 8(a), WOSB, LGBTE and WBE owned management consulting...  ...people with the ongoing demands of the workplace by providing high quality staffing and executive search services.  Job Description... 
Quality
Remote job
Full time
For contractors
Flexible hours

AdNet AccountNet, Inc.

Remote
20 days ago
 ...BerryDunn is seeking a Per Diem Coding & OASIS Reviewer to join our Healthcare group. This position is responsible for accurate review...  ...5 years recent Home Health coding and OASIS operational and/or quality experience. Knowledge of medical terminology, anatomy and... 
Quality
Hourly pay
Interim role
Remote job

BerryDunn

Remote
9 days ago
 ...the Opportunity As the Product Manager for the Veza Access Reviews product, you’ll work with various internal stakeholders and customers...  ...quarterly Passionate about delivering the highest quality products and user experiences that lead to delighted users and... 
Quality
Remote job
Local area
Flexible hours

Veza Technologies, Inc.

Remote
15 days ago
 ...Objectives and Functions: 1. Achieve center performance target on Quality metric ○ In-charge of the center’s overall performance on...  ...Operations compliance on the QA programs and action plans ○ Reviews and approve the weekly monitoring calendar ○ Ensures team... 
Quality
Remote job
Work experience placement

Qualfon

Remote
9 days ago
 ...that patients progress seamlessly through their care journey according to appropriate admission statuses. Proficient in Utilization Review processes, you'll maintain effective procedures to meet regulatory and reimbursement requirements for various payers, both... 
Remote job

Morgan Stephens

Remote
6 days ago
 ...Position Title: Medical Claims Review Nurse Type: Fully Remote Schedule: Monday to Friday, 9:00 AM to 5:00 PM local time.  Daily...  ...accurate billing and claims processing. Identify and report quality of care issues. Refer members with special needs to... 
Quality
Local area
Remote job
Monday to Friday

Morgan Stephens

Remote
22 hours ago
 ...death of a loved one, depression/anxiety, and other traumatic events. This system flags about 1% of reflections for a thoughtful human review before sending out alerts to the concerned teachers, admins and counselors. We are looking to hire highly skilled, thoughtful and... 
Remote job
Hourly pay
Internship
Flexible hours

Sown To Grow

Remote
20 days ago

$61k - $70k

 ...Warby Parker is on the lookout for a sharp-as-a-tack Quality Analyst to join our Product Strategy and Operations team. Reporting to the...  ...61,250—$70,000 USD If you are a California resident, please review the additional privacy disclosures available in Section 8 of... 
Quality
Remote job
Holiday work
Full time
Temporary work
Flexible hours

Warby Parker

Remote
15 days ago

$144k - $179k

 ...billions of people. Location: San Francisco, California The Quality Assurance Auditor supports the organization with initial...  ...compliance. Provide Audit KPIs as part of Quality Management Review. Work cross-functionally to lead and provide the necessary support... 
Quality
Remote job
Work experience placement
Flexible hours

Invitae

Remote
10 days ago
 ...Remote CorVel is seeking a Quality Assurance Nurse with experience in worker's compensation to conduct utilization review and case management quality assurance audits. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Develop, implement and provide ongoing quality... 
Quality
Minimum wage
Full time
Local area
Remote job
Flexible hours

CorVel Corporation

Remote
10 days ago
 ...JavaScript Quality Engineer Remote Description Role and Responsibilities Reporting to the Head of Digital Web...  ...implementation of complex, large-scale system projects. Reviews, analyzes, and modifies programming systems including encoding,... 
Quality
Work experience placement
Remote job
Shift work

Cerebra Consulting Inc

Remote
10 days ago
 ...The Sr Quality Analyst tests web applications and software to ensure standards are met by reviewing requirements, specification, and technical design documentation, identifying risk to system functionality, creating test plans and executing test cases. Writes and... 
Quality
Holiday work
Full time
Work experience placement
Remote job

Cotiviti

Remote
11 days ago
 ...of Health (NIH). Axle is seeking a Data Engineering - Data Quality to join our vibrant team at the National Institutes of Health...  ...functional, regression, integration, load and system testing. Review and edit requirements, specifications, business processes and... 
Quality
Remote job
Holiday work
Local area
Flexible hours

Axle

Remote
12 days ago
 ...can work ad hoc as we have estate plan drafts that need to be reviewed and finalized for attorneys in our drafting program. The primary...  ...depending on volume. Pay is negotiable depending on experience and quality of references. • This position will pay a flat fee per draft... 
Quality
Remote job
Flexible hours
Weekday work

Legacy System

Remote
a month ago

$185k - $201k

 ...as we grow and advance our pipeline. The Director, Product Quality is responsible for managing GMP manufacturing, release, stability...  ..., drug product, packaging, and labeling which will include review/approval of protocols, methods, reports, and related GMP source... 
Quality
Remote job
Holiday work
Contract work
Temporary work
Work experience placement
Local area

Neumora

Remote
10 days ago
 ...based on the Scrum and Agile methodologies; dev-friendly processes such as Continuous Integration, Continuous Delivery, Code Review, and bug bashes; working as a team to solve common issues Benefits In return, we offer: ~100% remote, flexible... 
Full time
Freelance
Remote job
Flexible hours

Netguru

Remote
15 days ago