Average salary: $135,096 /yearly
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$37.21 - $52.1 per hour
...Remote work from Illinois, Wisconsin, Indiana, Missouri, Iowa, or Ohio Description *Shifts are weekdays. The Utilization Reviewer reflects the mission, vision, and values of NM, adheres to the organization’s Code of Ethics and Corporate Compliance Program...SuggestedHourly payDaily paidFor contractorsWork experience placementCasual workReliefWork at officeLocal areaRemote workRelocation packageFlexible hoursShift workWeekday work- ...State Medical License ABOUT MRIoA Founded in 1983, Medical Review Institute of America (MRIoA)is a nationally recognized... ...Independent Review Organization (IRO) specializing in technology-driven utilization management and clinical medical review solutions. We’re a...SuggestedRemote jobFull timeContract workFor contractorsFlexible hours
- ...supports multiple clients with primary responsibility for tenant utility billing calculations. Other responsibilities include tracking... ...our database to ensure consistency and accuracy of reporting. Reviews utility specific lease language, to ensure tenants are properly...SuggestedFull timeWork experience placement
- ...: 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 employees have connectivity issues. The Medicare Advantage Claims Review Specialist...SuggestedFull timeWork at officeShift workDay shift
- ...: TITLE: Call Center Case Review Aide LOCATION: Nationwide TRAVEL: Minimal (up to 10%, as needed) About Us The Providencia Group is led by a purpose: to address global challenges and make an impact that matters through delivering transformative solutions. This purpose...SuggestedPermanent employmentFull timePart timeLocal areaRemote workFlexible hoursNight shift
$150 - $170 per hour
...Overview As a Part-Time Physician Reviewer, you will conduct utilization reviews to determine medical necessity across our different lines of business, including Post-Acute Care, Home Health, Durable Medical Equipment (DME), Home Infusion Therapy, Sleep services....SuggestedRemote jobHourly payPermanent employmentFull timePart timeAfternoon shiftWeekday work$70k - $95k
...Careerscape is supporting a client opening for a Remote Entry-Level Document Review Specialist. This role focuses on reviewing, organizing, and verifying documents to ensure accuracy, compliance, and proper recordkeeping. This is an excellent opportunity for someone...SuggestedFull timeRemote workWork from homeCareerscape
Remotea month ago$75 per hour
...longitudinal dermatology dataset. This dataset is essential for AI developers, regulatory teams, and academic groups. As a senior reviewer, you will lead the clinical review of complex cases, develop clinical evaluation frameworks, and provide expert advice to client teams...SuggestedRemote job- ...Hmong Chinese Language Document Reviewer Employment Type: Full Time, Mid-Level Department: Legal As a CGS Hmong Chinese Document... ...; Produces a variety of written documents and materials utilizing a wide range of office software applications; Establishes...SuggestedRemote jobFull timeWork at officeFlexible hours
- ...The Commercial team is hiring a Clinical Review Manager to support the Commercial lines of business through BlueCross BlueShield... ...medical service requests using established criteria and supports utilization management activities such as pre‑certifications, appeals, and...SuggestedRemote jobContract workCasual workWork at officeMonday to Friday
- .../Category: Freight Dispatching / Logistics / Transportation Operations Level: Entry Level / Experienced Position Overview Reviews load movement data and supports dispatch teams through schedule analysis, shipment tracking, and operational reporting. Responsibilities...SuggestedRemote jobFull time
$60 - $90 per hour
...to contribute to the forefront of AI technology by ensuring the highest visual quality in advanced AI models. As a Visual Quality Reviewer, you will play a crucial role in assessing and enhancing the output of models that upscale and sharpen video content. Your keen eye...SuggestedRemote jobHourly payPart timeFreelance- ..., FL as required by project needs WORK SCHEDULE: Monday - Friday, aligned to Eastern Standard Time (EST) As the lead GIS Utility Network Architect, you will lead complex utility modernization initiatives supporting one of the nation's critical infrastructure providers...SuggestedCasual workRemote workMonday to Friday
- ...Contract Review Attorney - eDiscovery Our company handles a large number of e-Discovery cases and for a multitude of clients. We have the only privately run FBI certified e-forensics lab in the country. We host data as a Relativity licenser. Benefits of working...SuggestedRemote jobFull timeContract workFlexible hours
- ...Job Title: Nurse RN 5 Medical Necessity & Post-Service Clinical Review Nurse Location: Remote Duration: 3+ Month (Possible... ...Directors, and support quality improvement initiatives related to utilization management and retrospective claims review. Key...SuggestedContract workRemote workMonday to Friday
$80 - $120 per hour
...This role offers the opportunity to leverage your expertise in Government and public administration by reviewing and assessing AI-generated work products for accuracy, rigor, and domain quality. As an Evaluator, you will play a critical role in ensuring that documents,...Remote jobHourly payWork at office$80 - $120 per hour
...Role Overview As a Legal / Compliance Evaluator, you will leverage your expertise to review and assess AI-generated work products, including documents, spreadsheets, and slide decks. Your role is pivotal in ensuring the accuracy, rigor, and quality of these outputs by...Remote jobHourly payWork at office- ...with the potential to extend. Skills and Qualifications : ~5+ years of public accounting experience ~3+ years of experience reviewing tax returns ~ CPA, Enrolled Agent, or Master in Taxation preferred ~ Active PTIN ~ Technical tax competencies in preparing...Remote jobFull timeContract workPart timeFreelanceWork at office
- ...Purpose: The Medical Director, Utilization Management is responsible for assuring physician commitment and delivery of comprehensive... ...outcomes and established business strategies. Provide expedited review and determination of medically pressing issues in accordance...Full timeWork at officeRemote work
- ...BLEW is excited to announce an opening for a Sr. ESA Reviewer. In this role, you will be instrumental in managing projects that involve the assessment of environmental conditions for various projects across the United States. This is a fantastic opportunity in the commercial...Remote jobTemporary work
- ...As an Electric Utilities Data Processor, you are tasked with operational excellence. You will work with the Data and Processing Manager... ...include, but are not limited to: • Preparing Data: Verify and review data received from data controllers to ensure accuracy,...Remote jobFull time
- ...Job Responsibilities: ~ This position interprets relevant clinical criteria through review of medical records, annotates via Adobe PDF and populates a data collection tool to support compliance with HEDIS and CMS performance measures. Ensures accurate and complete documentation...Remote job
- ...offices as needed to schedule/confirm appointments, follow up on medical record submission, and provide patient rosters ~ Locate and review ALL assigned medical charts, perform abstraction, copy all supporting documentation per specifications and data enter the...Remote jobLive inWork from home
$18 per hour
...School Diploma/GED. Strong desire to learn and grow in a state-of-the-art, fast-paced environment. What does Production Utility do at Pratt Industries? Our Production Utility Operators work in all aspects of the manufacturing floor to help make bags/packing...Remote jobHourly payFull timeWork experience placementImmediate startMonday to FridayFlexible hoursShift workAfternoon shift- ...costs, we're developing more personalized solutions for tomorrow, utilizing machine learning, intelligent care paths, and predictive... ...recruiting team. We are looking to hire an experienced OASIS Review Coding Specialist. This is a remote position that provides flexibility...Remote jobReliefWork at officeImmediate start
- ...Hebrew Document Reviewer Contact Review - Washington, DC Location: Remote Start Date: Negotiable EXPERIENCE & QUALIFICATIONS: Fluency in Hebrew Familiarity with document review workflows Examples: Privilege/Responsiveness Review, Redactions, Conceptual...Remote job
$89k - $129k
...Company Description: Raftelis partners with local governments and utilities to solve their most complex challenges. Over the last year, we've worked with more than 700 organizations across the full spectrum of management consulting, from finance and strategic planning...Remote jobFull timeLocal areaWork visaFlexible hoursNight shift- ...this sounds interesting and challenging, we want to hear from you. The opportunity: Uphold is seeking a Sanctions & Screening Review Specialist to support the execution and continuous enhancement of our global screening program. This role is responsible for the second...Full timeWorldwide
$25 - $40 per hour
...Title : Temporary Policy Review Specialist-Public Entity Insurance Location : Remote Job Type : Contract (6 Months + Possible Extensions) Compensation : $25 - $40/hr Industry: Insurance --- About the Role Our staffing firm is partnering with a large...Contract workTemporary workRemote work$207k - $253k
...highest value to those who need it most. The Medical Director, Utilization Management, will be responsible for the evaluation of all... ...Determinations, Milliman Care Criteria, Clover Health’s medical policies reviews to determine medical necessity or if an alternate treatment...Remote jobWork experience placementWork at officeLocal areaFlexible hours
