Average salary: $91,987 /yearly
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$21.16 - $31.71 per hour
...**JOB SUMMARY:** Provides support for coordination of benefits review activities that directly impact medical expenses and premium reimbursement... ...for the coordination of benefits (COB) team. + Phones or utilizes other insurance company portals to validate state, vendor, and...SuggestedHourly payWork experience placementWork at office$26.41 - $51.49 per hour
...DESCRIPTION Job SummaryProvides support for clinical member services review assessment processes. Responsible for verifying that services... ...teams to promote the Molina care model. - Adheres to utilization management (UM) policies and procedures. Required Qualifications...SuggestedHourly payWork experience placementWork at officeRotating shift- Facilities & Utilities Maintenance Supervisor Job Category : Production Requisition Number : FACIL007439 Location : Caldwell, ID 83605,... ...pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor. #J-1...SuggestedFor contractorsLocal areaNight shiftDay shift
$375 per month
...of an organization that values continuous improvement, teamwork, and excellence in every aspect of our business. Overview: The Utility Technician will operate various Class A, B, and/or C vehicles (pumper truck, P&D truck, fence truck, container truck, etc.) in support...SuggestedFull timeTemporary workPart timeLocal areaImmediate startRelocation packageFlexible hoursShift workUnited Site Services
Caldwell, ID3 days ago$61.84k
...resources and provide outdoor recreation opportunities Develop and review short- and long-range outdoor recreation plans to meet present... ...of outdoor recreation, planning, or natural resource utilization and conservation. Any equivalent combination of experience and...SuggestedFull timeContract workSeasonal workWork at officeLocal area$238k - $281k
...the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to... ...occasionally deviate from the standard 8:00 a.m. to 4:30 p.m. schedule Utilizes a fully computerized system - computer proficiency is required...SuggestedFull timeContract workFreelanceWork at officeLocal areaRemote workRelocation packageMonday to FridayShift work1 day per week- ...with specific focus on items that impact Speed and Friendliness. Utilizing flow charts and checklists to ensure complete and timely opens... ...and closing the loop on customer alerts, cases and comments. Reviewing and maintaining Throughput Tracking charts to identify...SuggestedHourly payShift work
- ...construction, design‑build, and maintenance for public and private sector utilities, including transmission, distribution, drilling, underground,... ...specifications. Conduct field audits and internal quality reviews on construction activities, subcontractor performance, and...SuggestedFor contractorsFor subcontractor
- ...safety and environmental program compliance in their assigned store or stores. They utilize tools to minimize loss to the Company, including identifying incidents of theft and fraud, reviewing CCTV and exception reports, monitoring the store's physical security, auditing...SuggestedFull time
- ...the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to... ...occasionally deviate from the standard 8:00 a.m to 4:30 p.m schedule Utilizes a fully computerized system computer proficiency is required...SuggestedFull timeContract workFreelanceWork at officeLocal areaRemote workRelocation packageMonday to FridayShift work1 day per week
$77.97k - $155.51k
...team activities and troubleshooting. **Job Duties** + Research, review, and decipher state-specific Medicaid and Medicare... ...expertise in complex groupers (APG, EAPG, APR-DRG, MS-DRG, etc.) utilized in reimbursement priced through PPS payment methodologies. + Support...SuggestedWork experience placement$15 - $21 per hour
...sanitation and a clean environment throughout the hospital. + You will utilize aseptic techniques by performing specialized cleaning processes... ...70,000 dedicated professionals! Our Talent Acquisition team is reviewing applications for our EVS Assoc PRN opening. Qualified...SuggestedHourly payFull timeTemporary workPart timeReliefRelocationFlexible hours$21.16 - $31.71 per hour
...member care. Essential Job Duties - Performs initial receipt and review of non-formulary or prior authorization requests against... ...development/administration of pharmacy programs designed to enhance the utilization of targeted drugs and identification of cost-saving pharmacy...SuggestedHourly payWork experience placementWork at office$63.79k - $108.47k
...Facilitate the standardization of products and optimize supply utilization through effective collaboration with physicians and clinicians... ...to apply for our Director Supply Chain opening. We promptly review all applications. Highly qualified candidates will be contacted...SuggestedFull timeTemporary workPart timeFlexible hours$21.16 - $34.88 per hour
...Provides entry level support for claims activities including reviewing and resolving member and provider complaints, and communicating... ...documentation for further review. - Researches claims issues utilizing systems and other available resources. - Assures timeliness and...SuggestedHourly payWork experience placementWork at office$161.91k - $315.73k
...health care services provided to plan members. • Supports plan utilization management program and accompanying action plan(s), which... ...national committee for quality assurance (NCQA) and utilization review accreditation commission (URAC) certifications. • Provides leadership...Work experience placementWork at officeLocal area- ...priorities for wound care issues. What you will do in this role Reviews medication and provides patient education, pain medication... ...and obtains current educational resources for patient and staff utilization. Participates in orientation program for new nursing staff. Serves...Temporary workPart timeReliefRelocationFlexible hours
- ...Services, Inc. (NYSE: PWR), is one of North America's premier utility construction companies. Headquartered in Heber City, Utah, we offer... ...efforts including bid preparation, contract and exhibit review, and execution planning. Assist in the development of the project...Contract workTemporary workFor subcontractorWork at officeLocal areaImmediate start
- About Us Probst Electric Inc. is one of North America's premier utility construction companies. Probst Electric has offices in Heber... ...Responsibilities Project Planning & Pre-Construction Assist in reviewing drawings, specifications, and contract documents. Help develop...Contract workFor subcontractorWork at office
$15 - $21 per hour
...sanitation and a clean environment throughout the hospital. + You will utilize aseptic techniques by performing specialized cleaning processes... ...for our Housekeeping Associate FT Eves opening. We promptly review all applications. Highly qualified candidates will be directly...Hourly payFull timeTemporary workPart timeRelocationFlexible hours$24.27 - $36.1 per hour
...established parameters 5. Performs proficiency testing as assigned and review results with laboratory clinical leaders 6. Assists in... ...scheduled shift 10. As a representative of CommonSpirit Health, utilizes professionalism and HumanKindness while communicating with physicians...TraineeshipRelocationRelocation packageShift work$24 - $56.17 per hour
...Essential Job Duties Performs audits of non-clinical staff in utilization management, care management, member assessment, and/or other... ...and/or long-term services and supports (LTSS) non-clinical review/auditing experience. To all current Molina employees: If...Hourly payWork experience placementWork at office$23.62 - $35.44 per hour
...range. As a work from home Inpatient Coding Specialist, you will review and evaluate hospital inpatient medical record documentation to... .... Maintain or exceed established productivity standards. Utilize the complete patient medical record documentation in code/DRG assignment...Hourly payFull timeTemporary workPart timeRelocation packageFlexible hours$107.03k - $208.71k
...recoverability and functionality within the Cyber Recovery Environment, utilizing automation tools and technologies. + Execute Tier 1... ...collaboratively with IT and Business Teams to collect requirements, review processes, and gather input for development and validation of...Work experience placementWork at officeRemote workNight shift$77.97k - $155.51k
...configuration processes/solutions. Assists manager in establishing peer review standards and methodology. Leads peer reviews. Researches... ...be able to identify and troubleshoot claim discrepancies by utilizing benefit and provider contracts, regulatory requirements and...Work experience placementWork at office$21.16 - $38.37 per hour
...customer service; documents calls and interactions. + Assists in the reviews of state or federal complaints related to claims. + Supports... ...assigned. + Other duties as assigned. Knowledgeable in systems utilized: + QNXT + Pega + Verint + Kronos + Microsoft Teams + Video...Hourly payWork experience placementWork at officeRemote work- ...pharmacy, in accordance with state, federal, and company policy. Reviews and complies with the Walgreen Co. Pharmacy Code of Conduct. +... ...Pharmacy Manager, Staff Pharmacist and Store Manager including utilizing pharmacy systems to enter patient and drug information,...Hourly payPart timeApprenticeshipWork experience placementWork at officeLocal areaImmediate startFlexible hoursShift workAfternoon shift
$77.97k - $106.21k
...DESCRIPTION Job SummaryLeads and supervises a team supporting non-clinical healthcare services activities for care management, care review, utilization management, transitions of care, behavioral health, long-term services and supports (LTSS), and/or other program specific...Work experience placementWork at office$77.97k - $171.06k
...Summary** Interfaces with internal and external customers in reviewing scope and developing requirements and plans for testing / quality... ...and analysis of customer-initiated inquiries and requests, utilizing technical tools as necessary to fully test reported issues/requirements...Work experience placementWork at office- Job Description Performs behavioral health utilization reviews, applying evidence-based criteria, and collaborating with physicians to ensure clinically appropriate, cost-effective, and regulatory-compliant care determinations. Assists in evaluating medical necessity, ensuring...Hourly payWork experience placement
