Average salary: $129,984 /yearly
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$94.9k - $130.5k
...of our caring community and help us put health first** The Staff Utilization Management Pharmacist is a clinical expert responsible for conducting medical necessity and comprehensive medication reviews for prescriptions requiring prior authorization. This role involves...SuggestedBi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeMonday to FridayShift work$51.46k - $82.33k
...professional fulfillment by aligning your career with your values. Utilization Management Specialists are responsible for: Obtaining... ...of clinical services from insurance and government payors Reviewing clinical records and determining the appropriateness of...SuggestedFull timeTemporary workMonday to FridayFlexible hours$34 - $37 per hour
...Evolent for the mission. Stay for the culture. **What You'll Be Doing:** Job Description As a Clinical Reviewer, Nurse, you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in patients' lives, in a non-clinical...SuggestedWork at officeImmediate start- ...Description & Requirements Maximus is hiring a Part-Time Clinical Review Coordinator (Remote) to support the OR MED program. The Clinical Review Coordinator will review assessments for quality and review medical records and other documentation as needed. **This...SuggestedMinimum wagePermanent employmentContract workTemporary workPart timeWork experience placementRemote workHome office
$32 - $37 per hour
...mission. Stay for the culture. **What You'll Be Doing:** The Nurse Reviewer is responsible for performing precertification and prior... ...effective care delivery. **What You'll Be Doing:** + Performs utilization review of outpatient procedures and ancillary services. + Fulfills...SuggestedWork at officeImmediate startMonday to FridayWeekend work$81.7k - $135k
...technical understanding of current sales and use tax rules. As a Sales and Use Tax Senior, assigned to EY’s Sales and Use Tax Lookback Review Center of Excellence (COE), we’ll look to you to build and apply your knowledge on a wide range of sales and use tax recovery...SuggestedSummer holidayFlexible hours$112k
...Representatives, with minimal direction or supervision, survey and/or review health care organizations throughout the United States. Field... ...Improvement and Culture of Safety. They must be able to utilize their time effectively and efficiently by employing RPI tools in...SuggestedFull timePart timeFor contractorsCurrently hiringWork at officeRemote workNight shiftThe Joint Commission
Springfield, IL1 day ago$71.5k - $105.4k
...pinpoint trends, correlations, and patterns in complicated data sets utilizing statistical toolsets. Develop and maintain data pipelines in... ...plans and status to customers and senior leadership. Review and refine the data governance strategy for S&G, including but...SuggestedFull timeHorace Mann
Springfield, IL23 hours ago- ...Communicate, train and promote quality standards to team members by utilizing all available tools including Operations Manual and Team Member... ...expectations and conduct timely and effective performance reviews. Document performance issues and take appropriate disciplinary...SuggestedFull timePart timeLocal areaShift workNight shift
$4,128 - $4,583 per month
...Relations Board is seeking to hire an Office Coordinator. They will Utilizes various computer programs and coordinate the day-to-day office... ...a three-tiered adjudicatory process: all initial cases are reviewed and decided by the agency Executive Director; all hearings are...SuggestedFull timeWork at officeMonday to FridayFlexible hours- ...and testing phases of the new web security portal project. Utilize cybersecurity and web development expertise to ensure the portal... ...not accept paper submissions. Please visit our Careers Page to review all current job postings, and instructions on the application process...SuggestedFull time
Confidential
Springfield, IL23 hours ago $3,802 per month
...various mail stations within the Hanley Building facility. Utilizing a state vehicle, provides messenger services for the central offices... ...: Log in to the career portal for State employees and review the Internal Candidate Application Job Aid Non-State employees...SuggestedFull timeContract workTemporary workSeasonal workWork at officeMonday to FridayFlexible hoursDay shift- ...and their resolution in a timely manner + Lead the Steward Team utilizing the 1st Stewards to provide day to day guidance, direction and... ...sanitation and local waste management activities on the Island + Review and sign the required logs and checklists noting any issues or...SuggestedContract workLocal areaImmediate startFree visa
$23.03 per hour
...Job Description :** **GENERAL OVERVIEW:** This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD coding systems and assists in decreasing the average accounts receivable days....SuggestedFor contractorsLocal area$70k - $80k
...customer set up that enables invoicing based off Customer SOW's, reviewing/analyzing RFP's for new project bids - finding costs that... ...meetings, etc. + Ability to conduct repetitive tasks on a computer, utilizing a mouse, keyboard and monitor **\#LI-JE1** **Reasonable...SuggestedFull timeFor subcontractorWork at officeLocal areaRemote workWorldwide$10,300 per month
...staff. Serves a full line supervisor. Performs position reviews/studies. Provides technical expertise on personnel transactions... ...least two (2) years of working experience developing reports utilizing a spreadsheet or word processing software. Prefers experience...Full timeWork experience placementWork at officeMonday to FridayFlexible hoursNight shift$65k - $80k
...success metrics with strategic business outcomes. + Lead Outcome Reviews (QBRs) to demonstrate ROI, value realization, and alignment... ...evolving customer goals. + Perform Adoption Audits to assess product utilization, identify areas for optimization, and recommend best practices...Ongoing contractTemporary workNight shift$17 - $18.15 per hour
...insurance information, receiving, and processing physician orders, and utilizing an overlay tool while providing excellent customer service as... ...forms, and all forms implemented for future services. Reviews eligibility responses in insurance verification system and appropriately...Full timeWork at officeLocal areaRemote work$98.88k - $123.6k
...resolve issues, monitor service levels, and ensure accurate data exchange. Analyze claims, utilization, and cost trends; prepare reports and dashboards for leadership review. Assist in benchmarking benefits against industry standards and support recommendations...Work at officeLocal areaRemote workWorldwide- ...carrying capacity of structures for legal and permit loads; the review, processing, and approval of fabrication drawings for steel,... ...and structure estimates of cost and time; the evaluation and utilization of new structure types, products, techniques, and materials; review...Full timeContract workFor contractorsWork at officeLocal areaImmediate startMonday to FridayFlexible hoursNight shift
- ...federal legislation and administrative policies and procedures and reviews and recommends to the Governor’s Office and the Director the... ...with DCEO program offices including Energy and Business Utility, Employment and Training, Business Development, Regional Economic...Full timeWork at officeLocal areaImmediate startFlexible hoursNight shift
$50k
...within the Hope Community Day Services Program (CDS). Maintains, reviews, and evaluates pertinent program data and information relative... ...to produce answers that make sense. Ability to navigate and utilize various software systems such as Microsoft Outlook, ADP,...Full timeWork at officeHope
Springfield, IL20 days ago- ...This includes aiding in simulations, treatments, fusion checks, reviewing treatment plan, and reviewing composite plans which may... ...treatments. Ensures a robust Physics component of Aria and utilizes the quality checklist for intra- and interdepartmental communication...Full timeRemote workDay shift
$6,589 per month
...contracts and monitoring. The position will conduct monitoring reviews of assigned vendors/providers to ensure compliance with... ...analysis in a public or business organization ~1 year of experience utilizing Excel, Access, and accounting systems in a public or business organization...Full timeContract workWork at officeImmediate startMonday to FridayFlexible hours$66k - $106k
...client data research, which may involve research and drivers of utilization; understands resources needed and steps/processes on how to... ...from $66,000.00 - $106,000.00 based on experience and skills. To review our Benefits, Incentives and Additional Compensation, visit...Work experience placementLocal areaRemote workVisa sponsorshipWork visa- ...documentation accurately reflects processes and procedures. - Review and improve existing documentation to enhance clarity,... ...initiatives by documenting changes, workflows, and system updates. - Utilize document management systems and Microsoft Office tools to organize...Minimum wagePermanent employmentContract workTemporary workWork experience placementWork at officeRemote workHome office
$74k - $118k
...**Job Description** The IT Systems Analyst is responsible for utilizing various delivery methodologies employed by Prime and assist in... ...initiatives + Create and conduct logical design based on architectural reviews + Finalize and represent project work on behalf of Systems...Work experience placementLocal areaVisa sponsorshipWork visa$80k - $95k
...areas for improvement. + Data-Driven Evaluation & Improvement: Utilize aggregate data from multiple sources, including cell tower construction... ...lifecycle. + Information Accuracy & Communication: Assist in reviewing the accuracy of cell tower construction-related information,...Full timeWork at officeRemote workVisa sponsorship$94k - $160k
...contract documents including agreements and applications for utilization in contracting/re-contracting activities based on new network... ...from $94,000.00 - $160,000.00 based on experience and skills. To review our Benefits, Incentives and Additional Compensation, visit...Contract workWork experience placementLocal areaRemote workVisa sponsorshipWork visa$4,586 - $6,228 per month
...payment or filing of missing returns and/or debt. Receives, reviews and analyzes routine in-state and out-of-state accounts assigned... ..., e.g., bank levy, wage levy, license revocations, etc. Utilizes GenTax, or other PC systems, to access delinquent taxpayer cases...Full timeContract workTraineeshipWork experience placementLocal areaMonday to FridayFlexible hours
