Average salary: $101,026 /yearly
More statsSearch Results: 17,060 vacancies
...Job Description
Job Description 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...
Suggested
Holiday work
Full time
Local area
Monday to Friday
...healthcare? Bring your true colors to blue.
The RoleThe Claims Nurse Reviewer is responsible for reviewing claims, validating coding and... ..., certifications, experience, skills, performance, shift, travel requirements, sales or revenue-based metrics, and business or organizational...
Travel
Hourly pay
Shift work
Night shift
...United States of America)
Lahey Hospital and Medical Center is now offering up to a $3,500 in signing bonuses for our Utilization Review positions.
Emergency Room 3:00-11:30pm
Important Details:
Signing Bonuses are paid out in three payments. You will receive...
Suggested
Full time
Local area
Relocation bonus
Shift work
Afternoon shift
...salary: $60.00 - 72.26 per hour
work hours: 9 to 5
education: Doctorate
responsibilities:
The Medical and Promotional Reviewer will be a contributing member of the Medical Review Committee (MRC) and the Promotional Material Review Team (PMRT). The Medical...
Suggested
Hourly pay
Contract work
Work experience placement
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...
Suggested
Work experience placement
Under the direction of the Nurse Director of the BWPO's South Shore Endoscopy Center (SSEC), the Registered Nurse GI Case Reviewer will work as a critical member of the procedural care team to support the quality, efficiency and satisfaction of care taking place at the...
Suggested
Monday to Friday
...Dossiers, Letters and Frequently Asked Questions (FAQs), and periodic review of inquiries and responses. You will also provide advanced... ...experience.
Board Certification in therapeutic area of interest.
Travel Requirements:
Ability to drive to or fly to various...
Travel
Minimum wage
Holiday work
Full time
Temporary work
Local area
Night shift
...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...
Suggested
Remote job
Immediate start
...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...
Suggested
Remote job
Work experience placement
Internship
Local area
...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...
Suggested
Contract work
Work experience placement
Remote job
Shift work
...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
...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
...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
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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...thousands of families for free through their corporate sponsored benefit.
One important aspect of this benefit is the expert review of college application essays. Our Essay Reviewers provide detailed evaluation and constructive feedback to prospective students,...
Suggested
Remote job
Hourly pay
Temporary work
Part time
Work from home
Home office
...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....
Work experience placement
Afternoon shift
**Overview**
Seeking Bias, Sensitivity, and Fairness Reviewers for a High-Stakes Standardized Assessment.AIR will contract directly with the Reviewer under a consulting purchase order agreement.
Established in 1946, with headquarters in Arlington, Virginia, AIR is...
Contract work
Immediate start
Remote job
Shift work
...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...
Full time
Contract work
For contractors
Local area
Outdoor
Flexible hours
Afternoon shift
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
