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...Act as a liaison with internal and external customers, fostering positive and professional relationships to facilitate an effective review process
Attending training and scheduled meetings, maintaining up-to-date information for case preparation
Uphold medical...
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...work remotely one day. A member of our recruitment team will provide more details.
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We're searching for a Senior Credit Review Officer, Vice President to provide a comprehensive assessment of enterprise-wide risk management practices. You will evaluate,...
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...organization offering competitive benefits including a fresh perspective on workplace flexibility.
Position Purpose: Performs a clinical review and assesses care related to mental health and substance abuse. Monitors and determines if level of care and services related to...
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We're searching for a Credit Examiner to provide a comprehensive assessment of enterprise-wide risk management practices. You will evaluate, monitor, and report on the quality of risk assets and effectiveness of the Bank's processes to control credit Vice President, Examiner...
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...Job Description
Job Description Responsible for review, auditing and data-entry of medical bills for multiple states and lines of business.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
Responsible for auditing medical bills to ensure that they are appropriate and...
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...Job Description
Job Description
Job Summary
We are seeking an experienced Compliance Reviewer/Examiner to join our team! The Compliance Reviewer/Examiner is responsible for conducting onsite or desk audit compliance reviews under the Affordable Care Act regulation...
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...Senior Vice President, Capital Planning Review
About the Company
Globally-renowned commercial & investment banking company
Industry... ....
Hiring Manager Title
Review and Challenge Lead
Travel Percent
Less than 10%
Functions
Finance
Strategy...
Travel
...accelerate the shift toward alternative payment models, while enhancing efficiency and supporting better patient outcomes.
The DRG Reviewer is responsible for performing DRG payment validation (clinical/coding) reviews of medical records
and/or other documentation as...
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...ESSENTIAL FUNCTIONS:
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...
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...and effectiveness of the sub-function/job family.
Responsibilities:
Serving as a data scientist for fair lending and fairness model review for a qualitative review of models including AI/ML natural language processing (NLP) models. Responsibilities include:
Evaluating...
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...Vice President, Global Risk Review Operations Officer
About the Company
Globally-renowned commercial & investment banking company... ...Hiring Manager Title
GRR Business Execution Lead (BEL) (C14)
Travel Percent
Less than 10%
Functions
Operations
General...
Travel
...Tampa, FL 33637
Responsible for review, auditing and data-entry of medical bills for multiple states and lines of business.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
Responsible for auditing medical bills to ensure that they are appropriate and adhere to the State...
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Minimum wage
Full time
Local area
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...because it's an investment in our people, our future, and what we stand for as a firm.
KPMG is currently seeking a Tax Return Reviewer, Global Mobility Services to join our Global Mobility Services (GMS) practice.
Responsibilities:
* Review and sign Individual...
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The Global Risk Review (GRR) Analyst reports to the Team Lead and provides analytical support for the Regional or Global GRR teams, including reporting for Regional or Global Review Entities and support for Lead Reviewers in their management of Business Monitoring and...
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...assessment of reported clinical trial data and participates in applicable safety surveillance activities for assigned studies including review of labs, vital signs, cardiac, medications, medical history, and can communicate with Study Lead any findings.
Provide review of...
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...The Credit Review Senior Manager is a strategic professional who closely follows latest trends in own field and adapts them for application within own job and the business. Typically a small number of people within the business that provide the same level of expertise...
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...assessment of liquidity reporting data processes and related controls. This role will require the ability to perform an end-to-end review of processes to identify gaps and recommend enhancements. Excellent communication and diplomacy skills are required to guide, influence...
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...you are a person with a disability and need a reasonable accommodation to use our search tools and/or apply for a career opportunity review Accessibility at Citi .
View the " EEO is the Law " poster. View the EEO is the Law Supplement .
View the EEO Policy Statement ....
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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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...this position at the full working level:
* Performs closed case reviews using Appeals Quality Standards and Attributes (AQSA). Decides... ...and use a Government-issued charge card for business-related travel.
Qualifications
Federal experience is not required. The experience...
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