Average salary: $68,272 /yearly
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- ...Advanced RN | Utilization Review Coordinator Join a dedicated healthcare team in the Midwest region as an Advanced RN Utilization Review Coordinator. This role is pivotal in ensuring patients receive medically appropriate, high-quality, and cost-effective care by reviewing...Suggested
- A healthcare management company based in Des Moines is seeking a Clinical Care Reviewer for a 3-month position. The role requires evaluating clinical information for medical necessity and benefit guidelines, documenting case information, and ensuring continuity of care...Suggested
$31.2 per hour
...or able to secure new DOT Health Card • Able to hand-lift and utilize two-wheeler, lift gate and/or other equipment to move and/or... ...federal laws and regulations. Please click on the following links to review: (1) our EEO Policy; (2) the "EEO is the Law" poster and...SuggestedHourly payWeekly payLocal areaImmediate startShift workNight shiftPerformance Foodservice
Iowa27 days ago- Molina Healthcare in Des Moines seeks a qualified Registered Nurse (RN) for clinical review responsibilities that ensure medical necessity for claims and appeals processing. The ideal candidate will have a minimum of 2 years clinical experience and proficiency in ICD-1...Suggested
$16 - $24 per hour
...reporting adverse reaction events per public health requirements Reviewing and collecting patient information; tracking and documenting... ...written communication to interact with patients and colleagues Utilize active listening by giving full attention to what others are saying...SuggestedHourly payFull timePart timeWork experience placementLocal areaWork from homeFlexible hoursShift workNight shift- ...Appeals Examiners/Reps to ensure redeterminations are medically reviewed as needed and completed timely. Salary Range 66-68k The... ...of medical/clinical review processes (i.e., Appeals/Utilization Review). * Solid computer skills with experience working in multiple...SuggestedFull timeContract workFor contractorsLocal areaImmediate startRemote work
$43 - $71 per hour
...regulations and applicable updates. The Clinical Specialist helps develop and maintain EMR's utilized for service line documentation of care delivery; completes policy review and provides updates as warranted; reviews billing and coding as well as intermittently assist...SuggestedFull timeShift workDay shift$20.67 - $30.78 per hour
...information, medication preparation, etc. Expected to lift and utilize full range of movement to transfer patients. Will also bend to... ...experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain...SuggestedHourly payFull time- ...Cloud Engineer for a contract assignment with one of our premier Utility Services clients in Tampa, FL . Responsibilities : The Engineer... ..., provides feedback to manager on junior staff performance review. Develops and drives standard practices within their team. Indirect...SuggestedContract workWork at office
- ...stakeholders and subject matter experts (SMEs) 60 Months of Experience utilizing Microsoft Office products (Word, Excel, Visio) to support... ...functions and meets user needs 36 Months of Experience in reviewing and testing documentation, including the incorporation of feedback...SuggestedWork at office
- ...into user-friendly logic flows and technical specifications. Review design layouts and file structures, providing recommendations... ...data warehouse Pharmacy benefit management Program integrity and utilization management ~ Certified Business Analysis Professional (...SuggestedShift work
- ...to RFP requirements o Validation Effectively and efficiently review and validate documented business requirements with business area... ...warehouse Pharmacy benefit management Program integrity and utilization management Certified Business Analysis Professional (CABP) preferred...Suggested
$67.82 - $69.33 per hour
...user-friendly logic flows and technical specifications. Review design layouts and file structures, providing recommendations... ...~ Pharmacy benefit management ~ Program integrity and utilization management Nice to have skills: Certified Business...SuggestedHourly payContract workTemporary workWork experience placementRemote workShift work- ...practices in database design for analytical applications. Utilize analytics tools like Looker for creating dashboards and visualizations... ...processes by participating in sprint planning, code reviews, and continuous integration efforts. Maintain comprehensive...SuggestedFor contractors3 days per week
- ...legacy applications to the cloud environment. Proficient in utilizing AWS services and related components towards building enterprise... ...tools and best practices available. Participate in code reviews, ensure security best practices, and maintain clean, efficient...SuggestedImmediate start
- ...cloud security policies and IAM standards. Perform security reviews of cloud architecture, infrastructure, and applications,... ...landscape. Identify and apply strategies to optimize resource utilization and minimize cost. Provide guidance, coaching, and...Contract work
- ...and scalability Architect data integration using Teradata utilities (FastLoad, MultiLoad, TPT, FastExport, TPump) and modern... ...Support procurement and solution-evaluation activities, including reviewing SOWs, technical requirements, and vendor proposals Provide...
- ...monitoring solutions for business and technical stakeholders. Utilize Dynatrace Query Language (DQL) to analyze logs, metrics, traces... ...in production support, incident management, and post-incident reviews. Required Qualifications: ~ Bachelor's degree in...Contract workRemote work
- ...of robust, scalable, and secure data solutions. Responsible for utilizing advanced understanding and working knowledge of complex IT... ...metadata standards, lineage, schema evolution, versioning, and model review processes. Ensure data models support AI/ML, analytics, and...Contract workRemote work
- ...recovery efforts in coordination with cybersecurity teams. Utilize Splunk and Microsoft Sentinel for log analysis, correlation,... ...patterns, privilege escalations, and anomalous behavior. Review and support findings from vulnerability management tools such as...Hourly payLocal areaRemote work
$70 per hour
...for PLCs, SCADA, HMI, DCS, and industrial network devices. Review OT network architectures and identify vulnerabilities, attack... ...recommendations. Design Purdue Model-based OT architectures utilizing zones and conduits. Define IT/OT DMZ architectures and...Remote work$70.23 per hour
...or comparable solutions. Modify and troubleshoot RPA scripts and perform HTML and web code reviews as needed. Leverage development tools and log capture utilities to analyze issues and drive root cause resolution. Collaborate with security operations using...Contract work- ...issues, risks, and decisions to stakeholders. Conduct regular reviews of requirements and test results with key business... ...to deliver clear insights on timelines, deliverables, resource utilization, and project health. For applications and inquiries, contact...Contract work
- ...earn. Field-Based Work : Meet with policyholders onsite, review records, and verify operations—no two days are the same. What... ...applications submitted through our official hiring portal. We do not utilize sites like Facebook or Telegram Ap to recruit or interview...Contract workFor contractors
- ...in our recruitment practices. Please be advised that OpenKyber utilizes artificial intelligence (AI) tools as part of its initial... ...in different ways, including but not limited to, assistance in reviewing application materials to help identify candidates whose qualifications...Hourly payLocal areaRemote work
- ...and maintainability of applications. Participates in code reviews to ensure compliance with development standards and system/business... ...and procedures ~7 Required Knowledge of solution delivery utilizing Agile or Scrum methodology ~2 Preferred Familiarity with...Contract workLocal area
- ...respond with your updated profile if interested Clinical Care Reviewer Interview type: Phone + face 2 face Location: Des Moines, IA... ...Two years of experience in managed care quality assurance or utilization review. RN must have two years of experience in an acute care...Work from home
- ...Langfuse integrations, operational scripts, and troubleshooting utilities. Cross-functional communication Must translate technical... ..., Helm, Kustomize Makes AI infrastructure repeatable, reviewable, and environment-consistent. Expected Deliverables Deliverable...Permanent employment
- ...Clients Software Environment and help customers understand and utilize software licenses and agreements and O365 licenses. SAM Specialist... ..., changes, upgrades, etc.) from all the DC agencies. Review software compliance measures based on existing licensing agreements...Contract work
- ...technical issues and support audits, assessments, and compliance reviews. Ability to perform duties with minimal supervision,... ...compliance reports, current spend and forecasted spend reports, and utilization reports across all aspects of Client's Microsoft cloud infrastructure...Remote work
