Search Results: 7,976 vacancies
...Act as liaison between managed care organizations and the facility professional clinical staff.
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed care organizations (MCOs) and coordinate the flow of communication concerning...
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For contractors
...to small, multi-trade and permit-required projects. For additional information, visit
JOB DESCRIPTION:
The Contract Review Specialist will assist in reviewing legal and risk management issues in vendor contracts. Construction related background/experience is...
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Remote job
...are dedicated to Changing People’s Lives® .
The Utilization Review department plays an essential role in helping fulfill our... ...care providers for necessary treatment. As a Utilization Review Specialist, you will accurately and timely complete utilization review activities...
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Part time
Flexible hours
...+ 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...
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...City National Bank in Newark, Delaware, United States
KYC REVIEW ANALYST - OPS
WHAT IS THE OPPORTUNITY ?
Conduct Enhanced... ...from line units.
What you will do
+ The KYC Review (Specialist – Senior) will perform Enhance Due Diligence ( EDD ) reviews for...
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Hourly pay
...at Elevance Health in WILMINGTON, Delaware, United States
Reviewer – Therapy Services
Location: Within 50 miles of pulse point location
Hours: Monday – Friday from 9:30 am – 6:00 pm PST
The Reviewer -Therapy Services is responsible for the review of...
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Monday to Friday
...at Elevance Health in WILMINGTON, Delaware, United States
Nurse Reviewer I
Location: Within 50 miles of a pulse point
Shift : Monday – Friday, from 9:30 am – 6 pm
The Nurse Reviewer I is responsible for conducting preauthorization, out of network and appropriateness...
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Shift work
Monday to Friday
...Job Description Lexitas, a leader in legal contract staffing, is currently seeking experienced first and second level document review attorneys for several upcoming anticipated review projects. Candidates must be admitted and reside in Ohio, Illinois, Michigan, or...
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Monday to Friday
...at Humana in Dover, Delaware, United States
Become a part of our caring community and help us put health first
The Claims Review Representative 3 adjudicates claims in Humana’s legacy systems and Pareo upon making appropriate claim decisions. Decisions are made...
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...core to our business.
Join Evolent for the mission. Stay for the culture.
What You’ll Be Doing:
As a 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 patients lives...
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...will never ask you for a credit card, send you a check, or ask you for payment as part of consideration for employment.
Nurse Reviewer I
+ Job Family: MED Licensed Nurse
+ Type: Full time
+ Date Posted:Apr 22, 2024
+ Anticipated End Date:May 06, 2024
+ Reference...
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Monday to Friday
POSTAL CLERK
NO EXPERIENCE REQUIRED – PAID TRAINING PROVIDED – JOB SECURITY
The Postal Service is the largest government related agency in terms of employees. The Postal Service currently employs nearly 1 million people and is hiring nationwide. There is NO experience...
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Full time
Currently hiring
POSTAL MAIL PROCESSOR
NO EXPERIENCE REQUIRED – PAID TRAINING PROVIDED – JOB SECURITY
The Postal Service is the largest government related agency in terms of employees. The Postal Service currently employs nearly 1 million people and is hiring nationwide. There is...
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Full time
Currently hiring
...missed) inviting you to participate. You should anticipate this screen to take about 15 to 30 minutes. Your recorded screen will be reviewed, and you will subsequently be informed if you will be moving forward to next round of interviews.
Scheduled Weekly Hours
40...
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...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...
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Hourly pay
Full time
Flexible hours
...this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed, and you will subsequently be informed if you will be moving forward to next round of interviews.
Scheduled Weekly Hours
40...
Weekly pay
Holiday work
Full time
Temporary work
Home office
Monday to Friday
...This position is open until filled. Applications are being reviewed as they are received.
Are you looking for a new challenge?... ...serve the City of Westerville and its citizens as Facilities Specialist in our Department of Administrative Services could be for you!...
Full time
Gangs
Shift work
Weekend work
Afternoon shift
Early shift
...denial instances •Achieve maximum reimbursement for services provided •Deploy, maintain, and report on various programs •Do Medicare reviews •Do Medi-Cal reviews •Conduct audits
What We Expect from You
High School Graduate or equivalent
Minimum of three (3)...
Local area
Night shift
...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...
Holiday work
Full time
...County and northern Maryland.
Visit us online:
Rockford Center is searching for a talented and patient centric Utilization Review Specialist!
Key Responsibilities include:
Completes pre-certs and concurrent reviews as assigned, on appropriate day and by the...
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