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Clinical Medical Review Nurse (Remote) Blue Cross and Blue Shield Association  Washington, DC
Resp QualificationsPURPOSE:The Clinical Medical Review Nurse handles day to day review of professional and institutional claims and provider appeals that require medical review to determine if the cl ... Read more
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Washington,DC

Resp QualificationsPURPOSE:The Clinical Medical Review Nurse handles day to day review of professional and institutional claims and provider appeals that require medical review to determine if the cl

CDI RN Specialist Children's National Medical Center  Washington, DC
The CDI RN Specialist will ensure overall quality and completeness of clinical documentation for specified populations. Will facilitate modifications to clinical documentation through concurrent inter ... Read more
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Washington,DC

The CDI RN Specialist will ensure overall quality and completeness of clinical documentation for specified populations. Will facilitate modifications to clinical documentation through concurrent inter

Legal Project Assistant (Document review, Research, Data review) The Choice, Inc.  Washington, DC
The Choice, Inc. is supporting a global advisory firm, providing ongoing project support to their DC office?s litigation division.This project provides valuable entry-level professional experience, co ... Read more
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Washington,DC

The Choice, Inc. is supporting a global advisory firm, providing ongoing project support to their DC office?s litigation division.This project provides valuable entry-level professional experience, co

Grant Application Review Specialist Corner Alliance  Washington, DC
Corner Alliance is a dynamic, growing consulting firm that devotes itself to providing an enriching employee experience style="font-size:10pt;font-variant:normal;white-spac ... Read more
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Washington,DC

Corner Alliance is a dynamic, growing consulting firm that devotes itself to providing an enriching employee experience style="font-size:10pt;font-variant:normal;white-spac

Software Quality Assurance Engineer/Tester (Static Code Review) Fusion Technology LLC  Washington, DC
Software Quality Assurance Engineer and Tester (Static Code Review)  Who are you? sty ... Read more
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Washington,DC

Software Quality Assurance Engineer and Tester (Static Code Review)  Who are you? sty

Project Manager Physical Security Design Review PC Network  Washington, DC
PCN is looking to add a Project Manager to our team in Washington, DC. Project Manager to work with the physical and electronic security design review and revision support team. Responsible for the r ... Read more
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Washington,DC

PCN is looking to add a Project Manager to our team in Washington, DC. Project Manager to work with the physical and electronic security design review and revision support team. Responsible for the r

IV&V Design Reviewer and Inspector Swingtech  Arlington, VA
Clearance: Top SecretTravel: 50% Position Overview: The Technical Security IVV Design Reviewer/Inspector will review construction design documents and perform inspections of Department of State (DOS ... Read more
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Arlington,VA

Clearance: Top SecretTravel: 50% Position Overview: The Technical Security IVV Design Reviewer/Inspector will review construction design documents and perform inspections of Department of State (DOS

Attorney Foreign Investment Review (NTE 1 YEAR) (REIMBURSABLE DETAIL) Department Of Justice  Washington, DC
SummaryThis reimbursable detail assignment is for a period of one year. Applicants must be current Federal Employees. The detail may be extended. Applicants should receive the approval of their superv ... Read more
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Washington,DC

SummaryThis reimbursable detail assignment is for a period of one year. Applicants must be current Federal Employees. The detail may be extended. Applicants should receive the approval of their superv

Internal Revenue Agent (Reviewer - Examiner) 12 MONTH ROSTER AMENDED Department Of The Treasury  Washington, DC
DutiesWHAT IS THE SMALL BUSINESS/SELF EMPLOYED (SBSE) DIVISION?A description of the business units can be found at: https://www.jobs.irs.gov/about/who/business-divisionsVacancies will be filled in the ... Read more
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Washington,DC

DutiesWHAT IS THE SMALL BUSINESS/SELF EMPLOYED (SBSE) DIVISION?A description of the business units can be found at: https://www.jobs.irs.gov/about/who/business-divisionsVacancies will be filled in the

JCIP HBS Technical Reviewer - TS/SCI w/Polygraph required Deloitte  Washington, DC
Are you looking to elevate your cyber career? Your technical skills? Your opportunity for growth? Deloitte's Government and Public Services Cyber Practice (GPS Cyber Practice) is the place for you! Ou ... Read more
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Washington,DC

Are you looking to elevate your cyber career? Your technical skills? Your opportunity for growth? Deloitte's Government and Public Services Cyber Practice (GPS Cyber Practice) is the place for you! Ou

Sr Specialist, Quality Compliance - Licensing and Discipline Review Cardinal Health  Washington, DC
**_What Quality Compliance contributes to Cardinal Health_**Quality develops and implements quality policies, procedures, and processes to ensure products and services comply with regulatory standards ... Read more
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Washington,DC

**_What Quality Compliance contributes to Cardinal Health_**Quality develops and implements quality policies, procedures, and processes to ensure products and services comply with regulatory standards

Eligibility Review Manager Serco  Washington, DC
Position DescriptionSerco is seekinga motivated Eligibility Review Manager to join our talented and fast-paced Public Sector Solutions team in supporting CMS' implementation of the Payment Error Rate ... Read more
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Washington,DC

Position DescriptionSerco is seekinga motivated Eligibility Review Manager to join our talented and fast-paced Public Sector Solutions team in supporting CMS' implementation of the Payment Error Rate

Foreign Disclosure Review Analyst- Norfolk, VA Ventus Solutions  Washington, DC
DescriptionVentus Executive Solutions (VES) is seeking a Foreign Disclosure Analyst with experience in tactical publications to join our exciting team in support of a trilateral military program makin ... Read more
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Washington,DC

DescriptionVentus Executive Solutions (VES) is seeking a Foreign Disclosure Analyst with experience in tactical publications to join our exciting team in support of a trilateral military program makin

Research Manager - 360 Reviews U.S. News & World Report  Washington, DC
Description U.S. News World Report is a multifaceted digital media company dedicated to helping citizens, consumers, business leaders and policy officials make important decisions in their lives. We ... Read more
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Washington,DC

Description U.S. News World Report is a multifaceted digital media company dedicated to helping citizens, consumers, business leaders and policy officials make important decisions in their lives. We

JCIP ACAS Technical Reviewer- Senior Pueo Business Solutions  Washington, DC
Pueo is known for bringing the best talent and unique tools to every opportunity. Pueo's Parliament (aka workforce) is composed of professionals who are seeking the opportunity to work in a small busi ... Read more
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Washington,DC

Pueo is known for bringing the best talent and unique tools to every opportunity. Pueo's Parliament (aka workforce) is composed of professionals who are seeking the opportunity to work in a small busi

Travel Nurse RN - Case Manager, Utilization Review - $1,942 per week Hiring Now  Washington, DC
Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Washington, District of Columbia.Job Description RequirementsSpecialty: Utilization ReviewD ... Read more
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Washington,DC

Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Washington, District of Columbia.Job Description RequirementsSpecialty: Utilization ReviewD

Medical Review Manager (Full-time, Remote) Integrity Management Services Inc.  Washington, DC
About UsIntegrity Management Services, Inc. (IntegrityM) is an award-winning, women-owned small business specializing in assisting government and commercial clients in compliance and program integrity ... Read more
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Washington,DC

About UsIntegrity Management Services, Inc. (IntegrityM) is an award-winning, women-owned small business specializing in assisting government and commercial clients in compliance and program integrity

Merit Reviewers Ark Solutions Inc.  Washington, DC
Role Title: Public Wireless Supply Chain Innovation Fund Merit ReviewerEducation: Bachelors Degree (minimum)Required Skills: Merit reviewers shall have expertise, knowledge, and experience as demonstr ... Read more
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Washington,DC

Role Title: Public Wireless Supply Chain Innovation Fund Merit ReviewerEducation: Bachelors Degree (minimum)Required Skills: Merit reviewers shall have expertise, knowledge, and experience as demonstr

Content Review Specialist Bcguardian Llp  Washington, DC
BCGuardian is a boutique brand and content protection consultancy devoted to achieving impactful intellectual property (IP) protection for our clients through the development and implementation of bes ... Read more
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Washington,DC

BCGuardian is a boutique brand and content protection consultancy devoted to achieving impactful intellectual property (IP) protection for our clients through the development and implementation of bes

Grant Application Review Specialist Careerbuilder  Washington, DC
Corner Alliance is a dynamic, growing consulting firm that devotes itself to providing an enriching employee experiencewhileworking in meaningful ways tocreate results for the government. We are curre ... Read more
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Washington,DC

Corner Alliance is a dynamic, growing consulting firm that devotes itself to providing an enriching employee experiencewhileworking in meaningful ways tocreate results for the government. We are curre

IV&V Design Reviewer and Inspector Swingtech Consulting Inc  Arlington, VA
Clearance: Top SecretTravel: 50%Position Overview:The Technical Security IVV Design Reviewer/Inspector will review construction design documents and perform inspections of Department of State (DOS) fa ... Read more
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Arlington,VA

Clearance: Top SecretTravel: 50%Position Overview:The Technical Security IVV Design Reviewer/Inspector will review construction design documents and perform inspections of Department of State (DOS) fa

Strategic Policy Review Analyst Zantech  Arlington, VA
Are you looking for your next challenge? Are you ready to work with a performance-based small company? If so, we are looking for you; someone who strives to support a strong team and to deliver "Outst ... Read more
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Arlington,VA

Are you looking for your next challenge? Are you ready to work with a performance-based small company? If so, we are looking for you; someone who strives to support a strong team and to deliver "Outst

Research Analyst II, Systematic Reviews (Remote US) International Consulting Associates, Inc.  Arlington, VA
Research Analyst II, Systematic Reviews - International Consulting Associates, Inc. (Remote)About ICAInternational Consulting Associates, Inc. is a rapidly growing company, located in Arlington, VA/DC ... Read more
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Arlington,VA

Research Analyst II, Systematic Reviews - International Consulting Associates, Inc. (Remote)About ICAInternational Consulting Associates, Inc. is a rapidly growing company, located in Arlington, VA/DC

Design Reviewer (ARNG) WWC Global  Arlington, VA
WWC Federal is seeking a Design Reviewer to serve on a fully funded effort supporting ARNG in their construction efforts. Responsibilities may include, but are not limited to: Demonstrating an underst ... Read more
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Arlington,VA

WWC Federal is seeking a Design Reviewer to serve on a fully funded effort supporting ARNG in their construction efforts. Responsibilities may include, but are not limited to: Demonstrating an underst

Policy Specialist - Medical Review Serco Inc.  Washington, DC
Serco is seeking a motivated Policy Specialist for Medical Claims Review to join our talented and fast-paced Public Sector Solutions team in supporting CMS? implementation of the Payment Error Rate Me ... Read more
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Washington,DC

Serco is seeking a motivated Policy Specialist for Medical Claims Review to join our talented and fast-paced Public Sector Solutions team in supporting CMS? implementation of the Payment Error Rate Me

Utilization Review Nurse Holy Redeemer Health System  Jenkintown, PA
Per Diem1648 Huntingdon PikeNursing RN/LPNDaySUMMARY OF JOB:To review each admission for appropriate assignment of level of care based upon clinical guidelines as well as to review documentation for c ... Read more
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Jenkintown,PA

Per Diem1648 Huntingdon PikeNursing RN/LPNDaySUMMARY OF JOB:To review each admission for appropriate assignment of level of care based upon clinical guidelines as well as to review documentation for c

Medical Review Nurse (Hybrid) National Financial Partners Corp.  Woodbury, NJ
Who We AreNFP is a seven-time Best Places to Work award winner in Business Insurance who has also earned the 5-Star Diversity, Equity and Inclusion (DEI) award from Insurance Business magazine and the ... Read more
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Woodbury,NJ

Who We AreNFP is a seven-time Best Places to Work award winner in Business Insurance who has also earned the 5-Star Diversity, Equity and Inclusion (DEI) award from Insurance Business magazine and the

Medical Review Nurse (Hybrid) National Financial Partners Corporation  Woodbury, NJ
Who We Are NFP is a seven-time Best Places to Work award winner in Business Insurance who has also earned the 5-Star Diversity, Equity and Inclusion (DEI) award from Insurance Business magazine and th ... Read more
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Woodbury,NJ

Who We Are NFP is a seven-time Best Places to Work award winner in Business Insurance who has also earned the 5-Star Diversity, Equity and Inclusion (DEI) award from Insurance Business magazine and th

Clinical Documentation Improvement Specialist Main Line Health, Inc.  Newtown Square, PA
Description:Could you be our next Clinical Documentation Improvement Specialist at Main Line Health?Why work as a Clinical Documentation Improvement Specialist with Main Line Health?* Make an Impact! ... Read more
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Newtown Square,PA

Description:Could you be our next Clinical Documentation Improvement Specialist at Main Line Health?Why work as a Clinical Documentation Improvement Specialist with Main Line Health?* Make an Impact!

Internal Revenue Agent (Reviewer - Examiner) 12 MONTH ROSTER AMENDED Department Of The Treasury  Philadelphia, PA
DutiesWHAT IS THE SMALL BUSINESS/SELF EMPLOYED (SBSE) DIVISION?A description of the business units can be found at: https://www.jobs.irs.gov/about/who/business-divisionsVacancies will be filled in the ... Read more
Apply

Philadelphia,PA

DutiesWHAT IS THE SMALL BUSINESS/SELF EMPLOYED (SBSE) DIVISION?A description of the business units can be found at: https://www.jobs.irs.gov/about/who/business-divisionsVacancies will be filled in the

Associate Medical Director, Utilization Management Reviewer Cohere Health  Philadelphia, PA
Company Overview:Cohere Health is illuminating healthcare for patients, their doctors, and all those who are important in a patient's healthcare experience, both in and out of the doctor's office. Fou ... Read more
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Philadelphia,PA

Company Overview:Cohere Health is illuminating healthcare for patients, their doctors, and all those who are important in a patient's healthcare experience, both in and out of the doctor's office. Fou

LPN/LVN Utilization Review Nurse (Cigna Medicare) Work from Home, Anywhere, USA Cigna  Philadelphia, PA
Position Summary:Responsible for collaborating with healthcare providers, members, and business partners, to optimize member benefits, evaluate medical necessity and promote effective use of resources ... Read more
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Philadelphia,PA

Position Summary:Responsible for collaborating with healthcare providers, members, and business partners, to optimize member benefits, evaluate medical necessity and promote effective use of resources

Clinical Reviewer - Remote Maximus  Philadelphia, PA
Description RequirementsMaximus is hiring a Clinical Reviewer to support our North Dakota QRTP program. The Clinical Reviewer reviews Independent Contractor Assessor's findings and writes determinati ... Read more
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Philadelphia,PA

Description RequirementsMaximus is hiring a Clinical Reviewer to support our North Dakota QRTP program. The Clinical Reviewer reviews Independent Contractor Assessor's findings and writes determinati

Utilization Review Business Support Specialist - REMOTE Highmarkhealth  Philadelphia, PA
** **Company :****Allegheny Health Network ** **Job Description :******GENERAL OVERVIEW:**This position is responsible for covering vast roles within the Utilization Review management team that incl ... Read more
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Philadelphia,PA

** **Company :****Allegheny Health Network ** **Job Description :******GENERAL OVERVIEW:**This position is responsible for covering vast roles within the Utilization Review management team that incl

Physician Reviewer Dane Street, LLC  Philadelphia, PA
Dane Street, a certified "Great Place to Work" company, is in search of a Board Certified Orthopaedic Spine Surgeon, Neurosurgeon, Neurologist, and Physical Medicine Rehabilitation physician to proce ... Read more
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Philadelphia,PA

Dane Street, a certified "Great Place to Work" company, is in search of a Board Certified Orthopaedic Spine Surgeon, Neurosurgeon, Neurologist, and Physical Medicine Rehabilitation physician to proce

Denials Review Specialist Med-Metrix LLC  Philadelphia, PA
Job Type Part-timeDescriptionJob PurposeThe Denials Review Specialist plays a crucial role in ensuring accurate and timely review of denied healthcare claims while leveraging expertise in utilization ... Read more
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Philadelphia,PA

Job Type Part-timeDescriptionJob PurposeThe Denials Review Specialist plays a crucial role in ensuring accurate and timely review of denied healthcare claims while leveraging expertise in utilization

Product Security Code Review Engineer Accenture  Philadelphia, PA
We Are Accenture is a global collective of innovators whose aim is to improve the way the world works and lives. Empowered with innovative tools, continuous learning and a global community of diver ... Read more
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Philadelphia,PA

We Are Accenture is a global collective of innovators whose aim is to improve the way the world works and lives. Empowered with innovative tools, continuous learning and a global community of diver

Sr/Engineer - Design Review - 90374634 - Philadelphia (Hybrid) Amtrak  Philadelphia, PA
Your success is a train ride away!As we move America's workforce toward the future, Amtrak connects businesses and communities across the country. We employ more than 20,000 diverse, energetic profess ... Read more
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Philadelphia,PA

Your success is a train ride away!As we move America's workforce toward the future, Amtrak connects businesses and communities across the country. We employ more than 20,000 diverse, energetic profess

Clinical Documentation Coordinator - Utilization Review Management (Temple Physicians, Inc./40 hours days) Temple University Health System  Philadelphia, PA
Responsible for accurately transposing and reconciling clinical documentation from the EMR into the payer specific systems to provide information for proper risk adjustment of patients and increase re ... Read more
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Philadelphia,PA

Responsible for accurately transposing and reconciling clinical documentation from the EMR into the payer specific systems to provide information for proper risk adjustment of patients and increase re

Claims Reviewer Angeion Group LLC  Philadelphia, PA
Job descriptionThe essential functions, duties, and responsibilities include, but are not limited to the following:Data entry, annotation and review of documentation submitted for various administered ... Read more
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Philadelphia,PA

Job descriptionThe essential functions, duties, and responsibilities include, but are not limited to the following:Data entry, annotation and review of documentation submitted for various administered

Desk Reviewer Philadelphia Corporation for Aging  Philadelphia, PA
Company name: Philadelphia Corporation for AgingTitle of position: Desk Reviewer - Long Term Care AssessmentPosition type: Full Time Pay range: $38,500.35-$44,568.97 varies with experience.Location: T ... Read more
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Philadelphia,PA

Company name: Philadelphia Corporation for AgingTitle of position: Desk Reviewer - Long Term Care AssessmentPosition type: Full Time Pay range: $38,500.35-$44,568.97 varies with experience.Location: T

Utilization Review Nurse (Workers Compensation) Elite  King Of Prussia, PA
Utilization Review Nurse /Workers Comp Location - King of Prussia, PA Job Purpose: Review Workers Compensation requests submitted by the provider, requestor, claimant or carrier to determine th ... Read more
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King Of Prussia,PA

Utilization Review Nurse /Workers Comp Location - King of Prussia, PA Job Purpose: Review Workers Compensation requests submitted by the provider, requestor, claimant or carrier to determine th

Quality Specialist BRM Reviewer Abacus Service Corporation  Malvern, PA
Job Description: Description/Comment: "Title: Quality Specialist- BMR OVERVIEW Catalent is a leading provider of advanced technologies and outsourced services for the pharmaceutical, biotechnology a ... Read more
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Malvern,PA

Job Description: Description/Comment: "Title: Quality Specialist- BMR OVERVIEW Catalent is a leading provider of advanced technologies and outsourced services for the pharmaceutical, biotechnology a

Quality Specialist BRM Reviewer Careerbuilder  Malvern, PA
Job Description:Description/Comment: "Title: Quality Specialist- BMROVERVIEWCatalent is a leading provider of advanced technologies and outsourced services for the pharmaceutical, biotechnology and co ... Read more
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Malvern,PA

Job Description:Description/Comment: "Title: Quality Specialist- BMROVERVIEWCatalent is a leading provider of advanced technologies and outsourced services for the pharmaceutical, biotechnology and co

Director, Medical Consult and Review Physician Oncology Merck & Co., Inc.  North Wales, PA
Job DescriptionThe Medical Consult and Review Physician (MCRP) previously called Global Medical Information Physician (GMIP) for Oncology provides clinical expertise and advice to internal stakeholder ... Read more
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North Wales,PA

Job DescriptionThe Medical Consult and Review Physician (MCRP) previously called Global Medical Information Physician (GMIP) for Oncology provides clinical expertise and advice to internal stakeholder

RN SPRING RECORDS REVIEW Temporary summer 2024 The College of New Jersey  Trenton, NJ
To enrich education through diversity, The College of New Jersey is an Equal Opportunity Employer. The College has a strong commitment to achieving diversity among faculty and staff, and strongly enco ... Read more
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Trenton,NJ

To enrich education through diversity, The College of New Jersey is an Equal Opportunity Employer. The College has a strong commitment to achieving diversity among faculty and staff, and strongly enco

HEDIS Data Reviewer vTech Solution, Inc.  Newtown Square, PA
Duties: Under the direction of the Manager of Medical Record Review Operations, the HEDIS Data Reviewer is responsible for performing medical record abstraction and overread in support of Quality repo ... Read more
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Newtown Square,PA

Duties: Under the direction of the Manager of Medical Record Review Operations, the HEDIS Data Reviewer is responsible for performing medical record abstraction and overread in support of Quality repo

(DOE-027-24) School Facilities Project Reviewer (Government Representative 2) New Jersey Department of Education  Trenton, NJ
Notice of VacancyReference Number: DOE-027-24Title: School Facilities Project Reviewer (Government Representative 2)Range/Title Code: X98/55013Salary: To be determinedPosition Number: 012052Issue Date ... Read more
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Trenton,NJ

Notice of VacancyReference Number: DOE-027-24Title: School Facilities Project Reviewer (Government Representative 2)Range/Title Code: X98/55013Salary: To be determinedPosition Number: 012052Issue Date

Director of Incident Response Review TransPerfect  Philadelphia, PA
TransPerfect Is More Than Just a Job?Our greatest asset is our people, and nothing is more important to us than ensuring that everyone knows that. Each of our 100+ offices has its own individual ident ... Read more
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Philadelphia,PA

TransPerfect Is More Than Just a Job?Our greatest asset is our people, and nothing is more important to us than ensuring that everyone knows that. Each of our 100+ offices has its own individual ident

Travel Nurse RN - Utilization Review - $2,561 per week Hiring Now  Sellersville, PA
GHR Healthcare is seeking a travel nurse RN Utilization Review for a travel nursing job in Sellersville, Pennsylvania.Job Description RequirementsSpecialty: Utilization ReviewDiscipline: RNStart Date ... Read more
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Sellersville,PA

GHR Healthcare is seeking a travel nurse RN Utilization Review for a travel nursing job in Sellersville, Pennsylvania.Job Description RequirementsSpecialty: Utilization ReviewDiscipline: RNStart Date

Utilization Review Nurse Actalent  Houston, TX
Actively looking to hire multiple RNs to join a growing managed care organization on a Sunday to Thursday OR Tuesday to Saturday basis doing utilization review for PAC patients. This role is looking f ... Read more
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Houston,TX

Actively looking to hire multiple RNs to join a growing managed care organization on a Sunday to Thursday OR Tuesday to Saturday basis doing utilization review for PAC patients. This role is looking f

CDI RN Specialist - St. Luke's Health - The Woodlands Hospital - Hybrid Tenet Healthcare Corporation  Spring, TX
JOB SUMMARYResponsible for reviewing medical records to facilitate and obtain appropriate physician documentation for any clinical conditions or procedures to support the appropriate severity of illne ... Read more
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Spring,TX

JOB SUMMARYResponsible for reviewing medical records to facilitate and obtain appropriate physician documentation for any clinical conditions or procedures to support the appropriate severity of illne

QA Certification Reviewer ONCALL Staffing Inc  Houston, TX
ONCALL Staffing Inc - style="border: 0px; font-style: inherit; font-variant: inherit; font-weight: inherit; font-stretch: inherit; font-size: 11pt; line-height: inherit; font-family: Calibri, sans-se ... Read more
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Houston,TX

ONCALL Staffing Inc - style="border: 0px; font-style: inherit; font-variant: inherit; font-weight: inherit; font-stretch: inherit; font-size: 11pt; line-height: inherit; font-family: Calibri, sans-se

Internal Revenue Agent (Reviewer - Examiner) 12 MONTH ROSTER AMENDED Department Of The Treasury  Houston, TX
DutiesWHAT IS THE SMALL BUSINESS/SELF EMPLOYED (SBSE) DIVISION?A description of the business units can be found at: https://www.jobs.irs.gov/about/who/business-divisionsVacancies will be filled in the ... Read more
Apply

Houston,TX

DutiesWHAT IS THE SMALL BUSINESS/SELF EMPLOYED (SBSE) DIVISION?A description of the business units can be found at: https://www.jobs.irs.gov/about/who/business-divisionsVacancies will be filled in the

Cardiology Chart reviewer - Remote Full Time Max Populi, LLC  Houston, TX
Are you looking for a non-clinical opportunity for work/life balance needs yet want to stay clinically active? Join us as an Medical Director to conduct chart and peer reviews from your home office. ... Read more
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Houston,TX

Are you looking for a non-clinical opportunity for work/life balance needs yet want to stay clinically active? Join us as an Medical Director to conduct chart and peer reviews from your home office.

Veterans Service Representative (Authorization Quality Review Specialist) Veterans Benefits Administration  Houston, TX
Veterans Service Representative (Authorization Quality Review Specialist) The Veteran Service Representative (AQRS) is located in a Department of Veterans Affairs, Regional Office (VARO), Veterans Se ... Read more
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Houston,TX

Veterans Service Representative (Authorization Quality Review Specialist) The Veteran Service Representative (AQRS) is located in a Department of Veterans Affairs, Regional Office (VARO), Veterans Se

Image Reviewer/Data Entry Specialist Chasesource  Houston, TX
Job Description Job Description Position Summary:Join our team as an Image Reviewer/Data Entry Specialist where precision meets efficiency. As part of our team, you'll play a crucial role in accura ... Read more
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Houston,TX

Job Description Job Description Position Summary:Join our team as an Image Reviewer/Data Entry Specialist where precision meets efficiency. As part of our team, you'll play a crucial role in accura

Medical Review Manager (Full-time, Remote) Integrity Management Services Inc.  Houston, TX
About UsIntegrity Management Services, Inc. (IntegrityM) is an award-winning, women-owned small business specializing in assisting government and commercial clients in compliance and program integrity ... Read more
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Houston,TX

About UsIntegrity Management Services, Inc. (IntegrityM) is an award-winning, women-owned small business specializing in assisting government and commercial clients in compliance and program integrity

Spanish (for Latin America) Multimedia Content Reviewer (Remote) Welocalize, Inc.  Houston, TX
If you have a Candidate Login already, but have forgotten your password please use the steps to reset your password. If you have forgotten your email login, please contact servicedesk@welocalize.com s ... Read more
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Houston,TX

If you have a Candidate Login already, but have forgotten your password please use the steps to reset your password. If you have forgotten your email login, please contact servicedesk@welocalize.com s

Hardware Review Specialist (Temporary) Careerbuilder  Houston, TX
HungerRush is a leading provider of integrated restaurant technology solutions. HungerRush 360 is our flagship cloud POS system that makes it easier to delight guests, drive loyalty, and manage restau ... Read more
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Houston,TX

HungerRush is a leading provider of integrated restaurant technology solutions. HungerRush 360 is our flagship cloud POS system that makes it easier to delight guests, drive loyalty, and manage restau

Legal Conflicts Review Analyst - Houston, Jackson, Memphis, Nashville, Birmingham, New Orleans, or Baton Rouge Baker Donelson  Houston, TX
Baker, Donelson, Bearman, Caldwell Berkowitz P.C. has an immediate opening for a Legal Conflicts Review Analyst. The ideal candidate will have administrative experience, be extremely professional, po ... Read more
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Houston,TX

Baker, Donelson, Bearman, Caldwell Berkowitz P.C. has an immediate opening for a Legal Conflicts Review Analyst. The ideal candidate will have administrative experience, be extremely professional, po

Physician Neurologist Medical Review Stream Select Medical  Houston, TX
Are you an accomplished Board Certified Neurologist in one of the below specialties? Preferred candidates will have a TX license. Are you passionate about your work/life balance? We are seeking flexib ... Read more
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Houston,TX

Are you an accomplished Board Certified Neurologist in one of the below specialties? Preferred candidates will have a TX license. Are you passionate about your work/life balance? We are seeking flexib

EPH Investigator, Food Plan Review Harris County (TX)  Houston, TX
Position DescriptionHarris County Public Health has earned the 2023 Best Place for Working Parents Business Designation.About Harris County Public Health:Harris County Public Health (HCPH) includes a ... Read more
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Houston,TX

Position DescriptionHarris County Public Health has earned the 2023 Best Place for Working Parents Business Designation.About Harris County Public Health:Harris County Public Health (HCPH) includes a

Physician Neurologist Medical Review Stream Concentra  Houston, TX
OverviewAre you an accomplished Board Certified Neurologist in one of the below specialties? Preferred candidates will have a TX license.Are you passionate about your work/life balance? We are seeking ... Read more
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Houston,TX

OverviewAre you an accomplished Board Certified Neurologist in one of the below specialties? Preferred candidates will have a TX license.Are you passionate about your work/life balance? We are seeking

Document Review Staff Attorney DLA Piper  Houston, TX
_DLA Piper is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, natio ... Read more
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Houston,TX

_DLA Piper is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, natio

Chef d'unit de production (H/F) en CDI Bondy Cemex  Houston, TX
**Chef d'unit de production (H/F) en CDI Bondy**CEMEX est un leader mondial du Bton Prt l'Emploi, prsent dans plus de 50 pays. En France (2000 salaris, 780 M CA), la socit produit et commercialise d ... Read more
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Houston,TX

**Chef d'unit de production (H/F) en CDI Bondy**CEMEX est un leader mondial du Bton Prt l'Emploi, prsent dans plus de 50 pays. En France (2000 salaris, 780 M CA), la socit produit et commercialise d

Medical Review Manager (Full-time, Remote) Integrity Management Services, Inc.  Houston, TX
About UsIntegrity Management Services, Inc. (IntegrityM) is an award-winning, women-owned small business specializing in assisting government and commercial clients in compliance and program integrity ... Read more
Apply

Houston,TX

About UsIntegrity Management Services, Inc. (IntegrityM) is an award-winning, women-owned small business specializing in assisting government and commercial clients in compliance and program integrity

Dept Banking - Financial Examiner V Credit Review Specialist CAPPS  Houston, TX
Job DescriptionComplete college transcripts showing all coursework must be uploaded in CAPPS (under "File Attachments") for your application to be considered.Email jobs@dob.texas.gov immediately with ... Read more
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Houston,TX

Job DescriptionComplete college transcripts showing all coursework must be uploaded in CAPPS (under "File Attachments") for your application to be considered.Email jobs@dob.texas.gov immediately with

Worldwide Balance Sheet Review Governance HP Development Company, L.P.  Spring, TX
Worldwide Balance Sheet Review GovernanceDescription -Applies advanced subject matter knowledge to solve complex business issues and is regarded as a subject matter expert. Frequently contributes to t ... Read more
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Spring,TX

Worldwide Balance Sheet Review GovernanceDescription -Applies advanced subject matter knowledge to solve complex business issues and is regarded as a subject matter expert. Frequently contributes to t

Director of Incident Response Review TransPerfect  Houston, TX
TransPerfect Is More Than Just a Job?Our greatest asset is our people, and nothing is more important to us than ensuring that everyone knows that. Each of our 100+ offices has its own individual ident ... Read more
Apply

Houston,TX

TransPerfect Is More Than Just a Job?Our greatest asset is our people, and nothing is more important to us than ensuring that everyone knows that. Each of our 100+ offices has its own individual ident

Accounts Receivable / Credit Specialist Burnett Specialists Staffing & Recruiting  Houston, TX
Job DescriptionWe are looking for an Accounts Receivable / Credit Specialist to join our client in North West Houston area. This is a direct hire opportunity, with benefits and great company culture! ... Read more
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Houston,TX

Job DescriptionWe are looking for an Accounts Receivable / Credit Specialist to join our client in North West Houston area. This is a direct hire opportunity, with benefits and great company culture!

Nurse Reviewer I Elevance Health  Houston, TX
DescriptionNurse Reviewer ILocation: Within 50 miles of a pulse pointShift : Monday - Friday from 9:30 am - 6:00 pm CST or PSTThe Nurse Reviewer I is responsible for conducting preauthorization, out o ... Read more
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Houston,TX

DescriptionNurse Reviewer ILocation: Within 50 miles of a pulse pointShift : Monday - Friday from 9:30 am - 6:00 pm CST or PSTThe Nurse Reviewer I is responsible for conducting preauthorization, out o

Plans Reviewer City of Katy  Katy, TX
SUMMARY: Reviews residential, commercial and/or multi-family construction plans for compliance with all applicable codes and ordinances of the City of Katy.EXAMPLES OF ESSENTIAL DUTIES: -- Essential f ... Read more
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Katy,TX

SUMMARY: Reviews residential, commercial and/or multi-family construction plans for compliance with all applicable codes and ordinances of the City of Katy.EXAMPLES OF ESSENTIAL DUTIES: -- Essential f

Director of Specialty Bill Review Services - Remote Rising Medical Solutions  Houston, TX
As our Director of Specialty Bill Review Services, you will maximize savings and client satisfaction by providing strategic direction for Rising's Specialty Services unit involving complex/large medic ... Read more
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Houston,TX

As our Director of Specialty Bill Review Services, you will maximize savings and client satisfaction by providing strategic direction for Rising's Specialty Services unit involving complex/large medic

Document Review Attorney - Remote Dauntless Discovery  Houston, TX
Experienced Document Review Attorney ? RemoteGreat opportunity for licensed attorneys with document review experience interested in quality focused e-Discovery. We have some projects anticipated to st ... Read more
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Houston,TX

Experienced Document Review Attorney ? RemoteGreat opportunity for licensed attorneys with document review experience interested in quality focused e-Discovery. We have some projects anticipated to st

Utilization Review Nurse South Shore Health  East Weymouth, MA
If you are an existing employee of South Shore Health then please apply through the internal career site.Requisition Number:R-16141Facility:LOC0001 - 55 Fogg Road55 Fogg RoadWeymouth, MA 02190Departme ... Read more
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East Weymouth,MA

If you are an existing employee of South Shore Health then please apply through the internal career site.Requisition Number:R-16141Facility:LOC0001 - 55 Fogg Road55 Fogg RoadWeymouth, MA 02190Departme

Registered Nurse - Case Management (Utilization Review) 13 WEEKS TRAVEL NEED- BOSTON,MA ATC Healthcare Travelers  Boston, MA
ATC Healthcare Travelers - Registered Nurse - Case Management (Utilization Review) @ TUFTS MEDICAL CENTER - BOSTON,MA Profession: Registered Nurse Specialty: Case Management (Utilization Review) Unit: ... Read more
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Boston,MA

ATC Healthcare Travelers - Registered Nurse - Case Management (Utilization Review) @ TUFTS MEDICAL CENTER - BOSTON,MA Profession: Registered Nurse Specialty: Case Management (Utilization Review) Unit:

Utilization Review Nurse Beth Israel Lahey Health  Burlington, MA
When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives.Job Type:RegularScheduled Hours:40Work Shift:Evening (United States of America)Lahey Hos ... Read more
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Burlington,MA

When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives.Job Type:RegularScheduled Hours:40Work Shift:Evening (United States of America)Lahey Hos

Utilization Review Nurse Milford Regional Medical Center  Milford, MA
Per diem, 8a-4;30P as needed weekends + occ/ holidays About Us Milford Regional Medical Center is a full-service, community and regional teaching hospital located in Milford, Mass. and serves patients ... Read more
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Milford,MA

Per diem, 8a-4;30P as needed weekends + occ/ holidays About Us Milford Regional Medical Center is a full-service, community and regional teaching hospital located in Milford, Mass. and serves patients

Supervisor Claims Reviewer Partners Healthcare System  Somerville, MA
As a not-for-profit organization, Mass General Brigham is committed to supporting patient care, research, teaching, and service to the community by leading innovation across our system. Founded by Bri ... Read more
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Somerville,MA

As a not-for-profit organization, Mass General Brigham is committed to supporting patient care, research, teaching, and service to the community by leading innovation across our system. Founded by Bri

Supervisor Claims Reviewer AllWays Health Partners  Somerville, MA
As a not-for-profit organization, Mass General Brigham is committed to supporting patient care, research, teaching, and service to the community by leading innovation across our system. Founded by Bri ... Read more
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Somerville,MA

As a not-for-profit organization, Mass General Brigham is committed to supporting patient care, research, teaching, and service to the community by leading innovation across our system. Founded by Bri

Internal Revenue Agent (Reviewer - Examiner) 12 MONTH ROSTER AMENDED Department Of The Treasury  Boston, MA
DutiesWHAT IS THE SMALL BUSINESS/SELF EMPLOYED (SBSE) DIVISION?A description of the business units can be found at: https://www.jobs.irs.gov/about/who/business-divisionsVacancies will be filled in the ... Read more
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Boston,MA

DutiesWHAT IS THE SMALL BUSINESS/SELF EMPLOYED (SBSE) DIVISION?A description of the business units can be found at: https://www.jobs.irs.gov/about/who/business-divisionsVacancies will be filled in the

DRG Nurse Reviewer Zelis  Boston, MA
Position Overview:The DRG Validation Nurse Reviewer will be primarily responsible for conducting post-service, pre-payment and post pay comprehensive inpatient DRG reviews based on industry standard i ... Read more
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Boston,MA

Position Overview:The DRG Validation Nurse Reviewer will be primarily responsible for conducting post-service, pre-payment and post pay comprehensive inpatient DRG reviews based on industry standard i

Sr. Supervisor, Credit Risk Review Santander Bank  Boston, MA
Sr. Supervisor, Credit Risk ReviewBoston, United States of AmericaThe primary function of the Commercial Credit Risk Review Senior Associate is to maintain subject matter expertise in, and lead and pa ... Read more
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Boston,MA

Sr. Supervisor, Credit Risk ReviewBoston, United States of AmericaThe primary function of the Commercial Credit Risk Review Senior Associate is to maintain subject matter expertise in, and lead and pa

Travel Nurse RN - Case Manager, Utilization Review - $2,521 per week PRN Healthcare  Boston, MA
Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Boston, Massachusetts.Job Description RequirementsSpecialty: Utilization ReviewDiscipline: ... Read more
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Boston,MA

Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Boston, Massachusetts.Job Description RequirementsSpecialty: Utilization ReviewDiscipline:

Medical Review Manager (Full-time, Remote) Integrity Management Services Inc.  Boston, MA
About UsIntegrity Management Services, Inc. (IntegrityM) is an award-winning, women-owned small business specializing in assisting government and commercial clients in compliance and program integrity ... Read more
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Boston,MA

About UsIntegrity Management Services, Inc. (IntegrityM) is an award-winning, women-owned small business specializing in assisting government and commercial clients in compliance and program integrity

Senior Manager, Security Risk & Reviews Klaviyo  Boston, MA
At Klaviyo, we value the unique backgrounds, experiences and perspectives each Klaviyo (we call ourselves Klaviyos) brings to our workplace each and every day. We believe everyone deserves a fair shot ... Read more
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Boston,MA

At Klaviyo, we value the unique backgrounds, experiences and perspectives each Klaviyo (we call ourselves Klaviyos) brings to our workplace each and every day. We believe everyone deserves a fair shot

Site Plan Review Engineer Careerbuilder  Boston, MA
Residency Requirement:Employees must be Boston residents on their date of hire and for the duration of theiremployment subject to BWSC policies and collective bargaining agreementsOverview:Position Pu ... Read more
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Boston,MA

Residency Requirement:Employees must be Boston residents on their date of hire and for the duration of theiremployment subject to BWSC policies and collective bargaining agreementsOverview:Position Pu

Utilization Reviewer - Clinical Evaluation Center Per diem McLean Hospital(MCL)  Belmont, MA
Responsiblefor obtaining initial insurance authorizations for all applicable coverage andfor appropriate level of clinical care. Must demonstrateMcLean values of integrity, compassion and respect, div ... Read more
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Belmont,MA

Responsiblefor obtaining initial insurance authorizations for all applicable coverage andfor appropriate level of clinical care. Must demonstrateMcLean values of integrity, compassion and respect, div

Sr Specialist, Quality Compliance - Law Enforcement Reviews Cardinal Health  Boston, MA
_What Quality Compliance contributes to Cardinal Health_Quality develops and implements quality policies, procedures, and processes to ensure products and services comply with regulatory standards and ... Read more
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Boston,MA

_What Quality Compliance contributes to Cardinal Health_Quality develops and implements quality policies, procedures, and processes to ensure products and services comply with regulatory standards and

After School Food Program Reviewer (SY23-24) Boston Public Schools  Boston, MA
Child and Adult Care Food Program - At-Risk After-School Care ProgramPOSITIONS AVAILABLE 2023-2024Note: Interviews will be held virtually. Employment for the SY24 school year is temporary. All individ ... Read more
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Boston,MA

Child and Adult Care Food Program - At-Risk After-School Care ProgramPOSITIONS AVAILABLE 2023-2024Note: Interviews will be held virtually. Employment for the SY24 school year is temporary. All individ

Associate Director, US Medical Review Committee Operations AstraZeneca PLC  Boston, MA
Associate Director, US Medical Review Committee OperationsThis is what you will do:The position of Associate Director, US Medical Review Committee (MRC) Operations is responsible for the overall imple ... Read more
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Boston,MA

Associate Director, US Medical Review Committee OperationsThis is what you will do:The position of Associate Director, US Medical Review Committee (MRC) Operations is responsible for the overall imple

Associate Director, US Medical Review Committee Operations Alexion Pharmaceuticals, Inc.  Boston, MA
Associate Director, US Medical Review Committee OperationsThis is what you will do:The position of Associate Director, US Medical Review Committee (MRC) Operations is responsible for the overall imple ... Read more
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Boston,MA

Associate Director, US Medical Review Committee OperationsThis is what you will do:The position of Associate Director, US Medical Review Committee (MRC) Operations is responsible for the overall imple

Individual/Independent Consultant - Bias, Sensitivity, and Fairness Reviewers American Institutes for Research  Waltham, MA
**Overview**Seeking Bias, Sensitivity, and Fairness Reviewers for a High-Stakes Standardized Assessment.AIR will contract directly with the Reviewer under a consulting purchase order agreement.Establi ... Read more
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Waltham,MA

**Overview**Seeking Bias, Sensitivity, and Fairness Reviewers for a High-Stakes Standardized Assessment.AIR will contract directly with the Reviewer under a consulting purchase order agreement.Establi

Associate Director, Medical Review Physician Moderna Theraputics  Cambridge, MA
The RoleThe Clinical Safety and Risk Management group within the Clinical Safety and Pharmacovigilance department promotes patient safety throughout the lifecycle of Moderna's product portfolio from f ... Read more
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Cambridge,MA

The RoleThe Clinical Safety and Risk Management group within the Clinical Safety and Pharmacovigilance department promotes patient safety throughout the lifecycle of Moderna's product portfolio from f

Medical Information & Review Manager Takeda Pharmaceutical Company Limited  Lexington, MA
By clicking the "Apply" button, I understand that my employment application process with Takeda will commence and that the information I provide in my application will be processed in line with Takeda ... Read more
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Lexington,MA

By clicking the "Apply" button, I understand that my employment application process with Takeda will commence and that the information I provide in my application will be processed in line with Takeda

Onsite Document Review Project - Boston Beacon Hill  Boston, MA
To Apply for this Job Click Here Beacon Hill Legal's Boston office is registering licensed attorneys in anticipation of an upcoming document review being hosted ON-SITE in our clients Back Bay office ... Read more
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Boston,MA

To Apply for this Job Click Here Beacon Hill Legal's Boston office is registering licensed attorneys in anticipation of an upcoming document review being hosted ON-SITE in our clients Back Bay office

Acuity Document Reviewer - MA, NY, NJ, PA, CT, MD, DC, VA FTI Consulting, Inc.  Boston, MA
Who We AreFTI Consulting is the world's leading expert-driven consulting firm. Over the last 40 years, FTI Consulting experts have served as the trusted advisor to Fortune 500 companies and the world' ... Read more
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Boston,MA

Who We AreFTI Consulting is the world's leading expert-driven consulting firm. Over the last 40 years, FTI Consulting experts have served as the trusted advisor to Fortune 500 companies and the world'

DATA REVIEW COORDINATOR, School of Medicine, Microbiology (22500538800616) Boston University  Boston, MA
The Data Review Coordinator provides routine, real-time review and verification of Animal Rule/GLP study data, including all animal observation and procedure data, to ensure adherence to generally rec ... Read more
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Boston,MA

The Data Review Coordinator provides routine, real-time review and verification of Animal Rule/GLP study data, including all animal observation and procedure data, to ensure adherence to generally rec

Quality control, bioassay data reviewer Randstad  Norwood, MA
job summary: As the largest staffing and recruitment agency in the world, we can commit to finding you the perfect role that gives you the opportunity to learn and grow in the life sciences arena. Uti ... Read more
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Norwood,MA

job summary: As the largest staffing and recruitment agency in the world, we can commit to finding you the perfect role that gives you the opportunity to learn and grow in the life sciences arena. Uti

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