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$71.1k - $97.8k
...seeking a RN who will collaborate with other health care givers in reviewing actual and proposed medical care and services against... ...+ Prior clinical experience, managed care experience, **OR** utilization management experience + Demonstrates Emotional Intelligence +...SuggestedBi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeFlexible hours$18 per hour
...brand are highly recognized and respected for our strong commitment to quality and safety. We are America’s leader in underground utility damage prevention and advanced infrastructure services, performing more than 84 million locates each year for the more than 1,400 telecommunications...SuggestedHourly payExtra incomePermanent employmentFull timeFor contractorsShift workNight shift$40k - $52.3k
...UM Administration Coordinator contributes to administration of utilization management. The UM Administration Coordinator 2 performs... ...partnering with CenterWell and Onehome. Manages NLP's for chart reviews for the nursing team Builds and pends authorizations for review...SuggestedFull timeTemporary workApprenticeshipRemote workMonday to Friday$113.1k - $185.1k
**Job Description** Oracle is leading the digital revolution. We are empowering nearly half a million businesses across the globe to turn untapped potential into real business value. You will connect the biggest enterprises of today with the tools to challenge in the digital...SuggestedContract workTemporary workLocal areaFlexible hours$26.01 - $74.78 per hour
...it all with heart, each and every day. **Position Summary** + Utilizes clinical skills to coordinate, document, and communicate all aspects... ...the utilization/benefit management program. + Conduct clinical reviews for adult inpatient behavioral health cases, applying...SuggestedHourly payFull timeTemporary workLocal areaMonday to FridayFlexible hours$116.5k - $251.6k
**Job Description** **As the E&U Industry Executive Director, you will have:** + Accumulated deep domain experience E&U companies and related industry partners. + Solid functional knowledge of E&U information systems, technologies & applications used to drive their business...SuggestedTemporary workFlexible hours$126.6k - $207.3k
**Job Description** **NA OCI Sales Representative, Energy and Utilities** **Overview** We are in search of an OCI and AI Infrastructure as a Service (IaaS) Sales Representative to be part of our exciting team. Our team **highly values** trust, diversity, coaching, innovation...SuggestedContract workTemporary workWork experience placementLocal areaFlexible hours$69 - $75 per hour
...and assistance for all cardiology administrative and clinical utilization management and quality improvement functions under the auspices... ...for completion of UM projects and participation in site visit reviews. Respect and maintain HIPAA confidentiality guidelines....SuggestedWork at officeImmediate startMonday to FridayShift work$43.89k - $102.08k
...skilled at identifying outliers through data extraction and analysis, dedicated to a specific self-funded plan sponsor. The lead reviewer is accountable for the validation of existing fraud waste and abuse business rules and leads designed to detect aberrant billing patterns...SuggestedHourly payFull timeTemporary workWork experience placementLocal areaWork from homeFlexible hours$78.4k - $107.8k
...market objectives are achieved. The incumbent facilitates Business Review meetings with markets, offering performance updates, strategic... ...that involve reviewing and analyzing financial, quality, and utilization data and analytics 2+ years of project management...SuggestedBi-weekly payFull timeContract workTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeFlexible hours$58 - $63 per hour
...internal teams to implement Identity Governance, including Access Reviews, Entitlement Management, and Access Packages + Document... ...meetings + Ability to conduct repetitive tasks on a computer, utilizing a mouse, keyboard, and monitor \#LI-CB1 **Reasonable accommodation...SuggestedFull timeContract workWork at officeLocal areaRemote workWorldwide$94.9k - $135.6k
...and Salesforce DX + Experience working in Agile methodology, utilizing Jira + Working with Managed Packages and External Vendors **_What... ...receives general guidance on new projects + Work reviewed for purpose of meeting objectives + May act as a mentor to less...SuggestedContract workTemporary workWork experience placementLocal areaImmediate startRemote workFlexible hours$65k - $88.6k
...documents into NCQA's online submission tool, coordinating document reviews with multiple stakeholders, and scheduling key meetings and... ...areas subject to accreditation requirements (such as utilization management, case management, credentialing, network operations...SuggestedBi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeMonday to FridayFlexible hours$75k - $87k
...Analyst should have strong analytical skills and understand how to utilize data to make informed business decisions leveraging business... ...will also work directly with internal teams to develop and review internal and client-facing performance reports. **Responsibilities...SuggestedFull timeTemporary workLocal areaRemote workFlexible hours$92.3k
...architecture, network systems and applications infrastructure. Reviews system requirements and business processes, ensures quality outcomes... ...working with operational computer systems 5 years utilizing various industry laws and regulations Preferred 5...SuggestedTemporary workFor contractorsLocal area$29.05 - $44.24 per hour
...computer, phone, and cable set-up and use. Expected to lift and utilize full range of movement to transport, pull, and push equipment.... ...to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel...Hourly payWork at office$71.2k - $158.2k
...APEX, Oracle SQL, and Oracle Analytics Cloud (OAC) for report and utility development. Key responsibilities include: + **Work directly... ...refine technical requirements. + **Implement high-quality code** , review code written by peers, and take part in design reviews. +...Contract workTemporary workWork experience placementFlexible hours- ...revisions and reconciliations, recording changes in scope Reviews profitability analysis Ensures deposits and invoices are paid... ...project related expense claims Metrics for success: Utilization/billability target Contribution to achievement of project,...Full timeRemote workWorldwideFlexible hours
$78.9k
...execution of that vision. This incumbent will attend spring/milestone reviews with the Delivery team. **ESSENTIAL RESPONSIBILITIES** +... ...team to executive levels. + Actively anticipates future needs and utilizes metrics and qualitative input to identify asset improvement...For contractorsWork at officeLocal area$19 - $22 per hour
...What you'll do: Complete all tasks and responsibilities in accordance with applicable regulatory requirements. Review closing documents utilizing various resources to verify tax and insurance information to accurately set up escrow data within the system on newly...Remote workWork from home- ...project teams; assigns responsibilities to team participants and utilizes influencing skills to drive results + Identifies, researches,... ...performance development plans; conducts colleague performance reviews. + Provides support, guidance, leadership and motivation to promote...Work at officeLocal area
$28 per hour
...in creating and maintaining infrastructure for child fatality review teams and promoting prevention efforts. This position will be a... ...etc. Ability to conduct repetitive tasks on a computer, utilizing a mouse, keyboard, and monitor #dnp Reasonable accommodation...Hourly payFull timeContract workWork at officeLocal areaRemote workWorldwide$18.81 - $24.99 per hour
...*Job Description:** The Self-Pay Representative role involves utilizing overall knowledge of the Revenue Service Center to provide accurate... ...to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel...Hourly payWork at officeMonday to FridayFlexible hours$140k
...act as a trusted advisor. - Conduct onsite executive business reviews in all assigned accounts, coordinated by the Enterprise Account... ...internally and externally. Advanced Sales Strategy Execution - Utilize your extensive sales expertise to craft and implement sophisticated...Temporary workLocal area$46.99k - $122.4k
...false claims or improper billing. + **Data-Driven Analysis** : Utilizes advanced data analysis tools to detect patterns, anomalies, and... ...**Compliance Monitoring** : Participates in audits and policy reviews to identify areas of non-compliance. Provides actionable recommendations...Hourly payFull timeTemporary workWork experience placementLocal areaFlexible hours$15 - $18.32 per hour
...seasons when required. + Basic computer proficiency. + Comfortable utilizing phones, fax machine, printers, and other general office... .... Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis...Hourly payFull timeWork experience placementWork at officeRemote workWork from homeMonday to Friday$123.5k - $158.67k
...Skilled in implementing cost saving measures ensuring proper utilization of available resources. + Experience in Azure and GCP Kubernetes... ...genetic status or any other status protected by federal, state or local law._ _To read and review this privacy notice click_ here (Temporary workWork experience placementLocal areaImmediate startFlexible hours$18 - $21 per hour
...our amazing team and work remote from home!** Responsible for reviewing vendor invoices for approval and ensuring that all invoices are... ...speed and accuracy. + Ability to communicate with individuals utilizing a telephone; requires ability to hear and speak effectively on...Temporary workImmediate startRemote workWork from home$26.9 - $36.9 per hour
...procedures and ensures that all products and services are properly reviewed for quality and documented. The Specialist, Quality... ...Demonstrating working knowledge of applicable laws and regulatory concepts utilized to manage risk Supporting development of programs, policies,...Hourly payTemporary workLocal areaImmediate startFlexible hours$50 - $55.14 per hour
..., storyline, negotiation actions plan and scheduling. Send and review "award letter" to awarded suppliers to ensure best terms are fully... ..., etc. Ability to conduct repetitive tasks on a computer, utilizing a mouse, keyboard, and monitor. Reasonable Accommodation Statement...Hourly payPermanent employmentFull timeContract workWork at officeLocal areaRemote workWorldwide