Average salary: $54,818 /yearly
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...developmental disabilities, or substance use disorders. For many individuals, our programs literally save lives.
The Utilization Reviewer in the Behavioral Health department is responsible for obtaining initial and concurrent insurance authorizations for all...
Suggested
Hourly pay
Shift work
Monday to Friday
We are seeking a highly motivated and detail-oriented individual to join our team as a Credit Review Analyst II. The successful candidate will be responsible for conducting thorough analyses of financial statements and assessments for accuracy in loan presentations. The...
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Work experience placement
...pharmaceutical/ biopharmaceutical company, all while maintaining full-time benefits.
Key responsibilities:
Provides a variety of review and analytical functions that occur in the Commercial Quality Control (CQC) Lab supporting the commercial reference standard...
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Full time
Contract work
...The Utilization Management (UM) Review RN is responsible for day-to-day timely clinical and service authorization review for medical necessity and decision-making. The Utilization Management Review Nurse has a key role in ensuring CCA meets CMS compliance standards...
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Holiday work
Full time
Local area
Monday to Friday
...ultimate opportunity to gain new and challenging work experiences and create an unparalleled, direct impact.
Job Title: Promotional Review Committee (PRC) Manager
Location: Boston
Job Description
This position is part of the Marketing Operations team who...
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Contract work
Work experience placement
Remote job
Shift work
...We do not lose sight of that. It fuels our passion and drives every decision we make.
**Job Posting Title**
Physician Clinical Reviewer- GI - REMOTE
**Job Description Summary**
Key member of the utilization management team, and provides timely medical review of...
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Remote job
Work experience placement
Internship
Local area
...to Us
Position Summary:
Reporting to the VP Quality Controls Assurance, the incumbent is responsible for independent quality reviews of medical claims, and evaluating Call Center activities for compliance with policies and Standard Operating Procedures (SOP). Additionally...
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Remote job
Immediate start
...verbal responses with minimal supervision, including Clinical Dossiers, Letters and Frequently Asked Questions (FAQs), and periodic review of inquiries and responses. You will also provide advanced medical information / clinical expertise for assigned products to...
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Minimum wage
Holiday work
Full time
Temporary work
Local area
Night shift
...com to see how we empower creators to own their own destiny.
We're seeking a highly motivated Senior Manager of Security Risk & Reviews who will help us continue to evolve our Risk function by using engineering principles and data-driven strategies to precisely...
Suggested
Remote job
Hourly pay
Holiday work
Gangs
Flexible hours
...payer validation of medical necessity recommendations, as requested
Policy Setting Responsibilities
Responsible for utilization review and medical necessity recommendations, as requested
Decision-Making Authority:
Responsible for collaborating with the...
Suggested
Part time
Shift work
Utilization Review Specialist Location Lawrence, MA : The Utilization Review Specialist, under supervision and in collaboration with the Utilization Review Coordinator, Utilization Review Nurses, Physician advisor and healthcare team supports all administrative tasks/...
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Full time
...Job Description
Job Description Job Summary:
The DHR Reviewer/ Inspector will be responsible for product quality assurance activities. This includes interpretation and implementation of quality standards to routine manufacturing and product release activities....
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Work experience placement
Afternoon shift
...The Data Review Coordinator provides routine, real-time review and verification of Animal Rule/GLP study data, including all animal observation and procedure data, to ensure adherence to generally recognized good documentation practices as well as to the study protocol...
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For contractors
...Statement of Duties
This position is responsible for administration and review of projects under the Somerville Zoning Ordinance. Work duties include professional and technical work in planning, including project review, plan review for zoning consistency, assignment...
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Full time
Contract work
For contractors
Local area
Outdoor
Flexible hours
Afternoon shift
Responsible for obtaining initial insurance authorizations for all applicable coverage and for appropriate level of clinical care. Must demonstrate McLean values of integrity, compassion and respect, diversity and teamwork, excellence and innovation consistently in their...
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Medicare Advantage Claims Review Specialist Location Hybrid remote in Somerville, MA : Medicare Advantage Claims Review Specialist - (3271103) This is a hybrid role requiring an onsite presence in the office in Assembly Row, Somerville one day each quarter and when...
Full time
Remote job
Shift work
Day shift
86819 - SFO Reviewing and Investigations Manager
Number of jobs available 1
Detail of reserve list 12 Months
Region East Midlands
City/Town Boston , Buxton , Chesterfield , Coalville , Derby , Grantham , Leicester , Lincoln , Loughborough , Mansfield , Nottingham...
Holiday work
Permanent employment
Full time
Part time
Local area
Overseas
Trial period
Flexible hours
Rotating shift
Monday to Friday
Skills:
Thorougness Individuals need to review scanned document for clarity and orientation.
RATE: $14.23 - $17.21 Per Hour On W2
Required / Desired Skills
thorougness: Required
Hourly pay
Contract work
...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...
Remote job
Hourly pay
Full time
Flexible hours
...their assignment, with no exception.
Program: Child and Adult Care Food Program Positions Available: After-School Food Program Reviewer
Commitment Date:
August 21, 2023 - June 30, 2024 [program start and end dates are subject to change]
Job Description
The...
Hourly pay
Temporary work
Saturday
Monday to Friday