...core to our business.
Join Evolent for the mission. Stay for the culture.
What You’ll Be Doing:
As a Cardiology, Physician Clinical Reviewer you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in...
Suggested
...consideration for employment.
Nurse Reviewer I
+ Job Family: MED Licensed Nurse... ...health plan network.
+ Notifies ordering physician or rendering service provider office of... ...~ For candidates working in person or remotely in the below locations, the salary* range...
Remote job
Holiday work
Full time
Temporary work
Work experience placement
Local area
Shift work
Monday to Friday
....
Medical Oncology Medical Director – Utilization Review
+ Job Family: MED Licensed Physician/Doctor/Dentist
+ Type: Full time
+ Date Posted:Apr... ...PulsePoint locations with the opportunity to work remotely from home.
A proud member of the Elevance Health family...
Remote job
Holiday work
Full time
Work experience placement
Local area
Work from home
Relocation bonus
...at Citigroup in Wilmington, Delaware, United States
The Process Review Manager will report into the Business Control Head team for Branded Cards. The role will lead efforts to create standard methodology and processes for control execution across Branded Cards. Excellent...
Suggested
Holiday work
Full time
...Center is searching for a talented and patient centric Utilization Review Specialist!
Key Responsibilities include:
+ Completes pre-... ...underutilized days, and/or any payor-related problems.
+ Facilitates physician reviews promptly when a case is denied.
+ Maintains and...
Suggested
Relief
Immediate start
...United States
Guardian has an opportunity reporting to the Reviewing Dentist Manager for a Reviewing Dentist where you will be responsible... ...priorities and environments.
Location
?? This is a fully remote position.
Salary Range
$70,270.00 – $115,435.00
The...
Remote job
Holiday work
Full time
Flexible hours
Monday to Friday
...our caring community and help us put health first
The Claims Review Representative 2 makes appropriate claim decision based on strong... ...will be moving forward to next round of interviews. This is a remote role – #LI-Remote
Scheduled Weekly Hours
40
Pay Range...
Remote job
Weekly pay
Holiday work
Full time
Contract work
Temporary work
Apprenticeship
Work from home
Home office
...through in our work, as we are united by our mission of creating opportunities for people where they live, learn, and work.
The Loan Review Analyst ( LRA ) performs various functions which are primarily related to the oversight of underwriting and collection decisions,...
Suggested
Temporary work
Work experience placement
Local area
...Experience required.
Experience in InterQual Milliman
Understanding State Policies
Skills:
Prior Authorization, Clinical review, Licensed Practical Nurse, LPN , Interqual
About Actalent
Actalent is a global leader in engineering and sciences services...
Suggested
...States
We are looking for a fast-learner who can work independently and collaborate well with team members!
As the Consumer Credit Review Executive Director, you will be responsible leading a team that provides coverage of assigned portfolios within the Consumer &...
Suggested
Flexible hours
...see what we can achieve. Together.
Summary
DLA Piper seeks review attorneys for its internal Document Review Center. We are... ...sedentary criteria are met.
Work Environment
This position is a remote opportunity.
Pay Transparency
In accordance with New York,...
Remote job
...the culture.
What You’ll Be Doing:
As an Initial Clinical Reviewer, you will be a key member of the utilization management team.... ...’s (Initial Clinical Reviewers), providers, office staff and Physician Clinical reviewers.
What You Will Be Doing:
+ Functions in...
Suggested
Currently hiring
Monday to Friday
..., United States
The Manuals seeks a physician with experience in writing and editing, for... ....
+ Help identify, develop, and review digital content for the Manuals, such as... ...organization, with Friday designated as a remote-working day, unless business critical tasks...
Remote job
3 days per week
...awards.
Salary Range
$90,200.00 – $148,800.00
Target Openings
1
What Is the Opportunity?
This position is responsible for reviewing outside counsel’s invoices for compliance with Travelers’ Retention and Billing Policies, best practices and claim-specific...
Suggested
Holiday work
...at City National Bank in Newark, Delaware, United States
KYC REVIEW ANALYST - OPS
WHAT IS THE OPPORTUNITY ?
Conduct Enhanced Due Diligence background investigations for commercial loan borrowers in adherence with credit policy and compliance with BSA and...
Suggested
Hourly pay
...at Computer Aid, Inc in Newark, Delaware, United States
Case Review Analyst
Req number:
R1927
Employment type:
Full time
Worksite flexibility:
Onsite
Job Summary
Responsible for providing software testing and analytical support to CAI customers....
Full time
Apprenticeship
Local area
Saturday
...Beacon Hill Legal is registering licensed attorneys with document review experience in anticipation of upcoming projects. All candidates... ...but typically ranges from $26-32/hour. All projects are fully remote, but you must be located in and working from AL, FL, GA, NC, SC...
Remote job
Immediate start
Flexible hours
...privately owned and part of Beacon Hill Staffing Group, LLC. Beacon Hill Legal seeks US barred attorneys in the NJ market to join our remote review teams. We have a number of large reviews in the pipeline looking to kick off during April.
Please note -candidates applying...
Remote job
Hourly pay
Work from home
Flexible hours
...at Charles River Laboratories in Newark, Delaware, United States
Data Review Scientist- Sequencing
Req ID #: 221292
Location:
Newark, DE, US, 19711
For 75 years, Charles River employees have worked together to assist in the discovery, development and safe...
Contract work
Worldwide
Flexible hours
...staff.
Principal Duties and Responsibilities:
Timely prebill review and audit patient medical records (inpatient primarily) and... ...treatment, past medical history and identifies potential gaps in physician documentation.
Analyze and report trends for improvement...
Remote job
Full time
Local area
...at Wolters Kluwer in Dover, Delaware, United States
LOCATION : Remote U.S.
OVERVIEW
Wolters Kluwer Clinical Effectiveness (CE) is looking for a Physician Advisor with demonstrated strategic and executive leadership experience and passion for maximizing health...
Remote job
...+ Apply judgment within defined parameters
+ Receive general guidance and additional detailed instruction on new projects
+ Review work for sound reasoning and accuracy
+ Occasional travel to the office for training/meetings as needed
Responsibilities
+ Execute...
Temporary work
Work experience placement
Local area
Flexible hours
...at Citigroup in Wilmington, Delaware, United States
Global Risk Review ( GRR )provides independent, objective, reliable, valued, and timely assurance to the Boards, the Committees, the Citigroup Chief Risk Officer ( CRO ), the CBNA CRO , senior management and regulators...
Holiday work
Full time
...Remedial Actions. You’ll develop and implement standard and innovative technical solutions for proposals and projects; prepare and review geophysical work products and subcontractor procurements; travel for projects to train junior staff and kick off data collection efforts...
Remote job
Holiday work
Full time
For subcontractor
...with DevOps tools and AWS is a plus. This position is fully remote and available to candidates within the Continental United States... ...system performance.
+ Actively participate in code and sprint reviews, ensuring that all deliverables meet contractual obligations...
Remote job
Full time
...ensuretimelyand efficient feature rollouts.This position is fully remote and available to candidates within the Continental United... ...interaction patterns.
+ Participate actively in design and sprint reviews, ensuring all user interface deliverables are in line with user...
Remote job
Full time
...enthusiastic team. Based in the US or Canada with the option to work remotely, you’ll collaborate within many facets of our business and... ...consultant, regulatory subject matter expert, or senior QA/QC reviewer on ESG related projects. Through all your work, you’ll champion...
Remote job
Local area
...Department of Veterans Affairs (VA). This position will be fully remote.
Responsibilities
You will work directly with subject... ...satisfied across product lines.
+ Be assigned specific artifacts to review with stakeholders and be responsible to collect input providing...
Remote job
Full time
Currently hiring
...the Department of Homeland Security. This position will be fully remote.
Responsibilities
GCIO is seeking a candidate for the... ...writing, editing and design support to other team members Ability to review technical documentation for quality assurance
+ Ability to...
Remote job
Full time
Contract work
Currently hiring
...at Ryder System in Dover, Delaware, United States
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Summary
The Enterprise Architect is responsible for the architecture of large projects, which includes the...
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For contractors
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Work from home