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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

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

Nurse Reviewer I Elevance Health  Boston, MA
DescriptionNurse Reviewer ILocation: Within 50 miles of a pulse pointShift : Monday - Friday, from 9:30 am - 6 pmThe Nurse Reviewer I is responsible for conducting preauthorization, out of network and ... Read more
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Boston,MA

DescriptionNurse Reviewer ILocation: Within 50 miles of a pulse pointShift : Monday - Friday, from 9:30 am - 6 pmThe Nurse Reviewer I is responsible for conducting preauthorization, out of network and

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

Privacy Engineer, Implementation Review Facebook  Boston, MA
Summary: Facebook is seeking a data center Critical Facility Engineer to join our Data Center Facility Operations team. Our data centers serve as the foundation upon which our software operates to mee ... Read more
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Boston,MA

Summary: Facebook is seeking a data center Critical Facility Engineer to join our Data Center Facility Operations team. Our data centers serve as the foundation upon which our software operates to mee

Document Reviewer NR Consulting  Boston, MA
Job title: Data Entry/Document Reviewer Job ID : 732935 Location: Boston, MA, 02114 Pay : $17.00/hr Duration - 3+ months Shift - 5 days a week, 9-5 Mon-Fri Summary: Individuals need to review scan ... Read more
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Boston,MA

Job title: Data Entry/Document Reviewer Job ID : 732935 Location: Boston, MA, 02114 Pay : $17.00/hr Duration - 3+ months Shift - 5 days a week, 9-5 Mon-Fri Summary: Individuals need to review scan

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

Utilization Review RN Beth Israel Deaconess Medical Center  Boston, MA
When you join the growing BILH team, you're not just taking a job, youre making a difference in peoples lives.Job Type:RegularScheduled Hours:40Work Shift:Day (United States of America)Position Summar ... Read more
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Boston,MA

When you join the growing BILH team, you're not just taking a job, youre making a difference in peoples lives.Job Type:RegularScheduled Hours:40Work Shift:Day (United States of America)Position Summar

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:

Senior Software Engineer, Reviews Careerbuilder  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

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

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

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

Accounting and Tax Reviewer Natixis Investment Managers  Boston, MA
Overview:Within the Finance Department, the Financial Review is a dedicated and independent function in charge of permanent controls on accounting and financial information. The Financial Review is a ... Read more
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Boston,MA

Overview:Within the Finance Department, the Financial Review is a dedicated and independent function in charge of permanent controls on accounting and financial information. The Financial Review is a

Sr Credit Review Manager Citizens  Westwood, MA
DescriptionSenior Credit Review Manager - Commercial Lending Finance and Citizens Restructuring ManagementThe Senior Credit Review Manager position is a team member on the banks independent Credit Re ... Read more
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Westwood,MA

DescriptionSenior Credit Review Manager - Commercial Lending Finance and Citizens Restructuring ManagementThe Senior Credit Review Manager position is a team member on the banks independent Credit Re

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 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

Document Reviewer CYNET SYSTEMS  Boston, MA
Job Description: Pay Range $13.20hr - $17.20hr Individuals need to review scanned documents for clarity and orientation. ... Read more
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Boston,MA

Job Description: Pay Range $13.20hr - $17.20hr Individuals need to review scanned documents for clarity and orientation.

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

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

DATA REVIEW COORDINATOR, School of Medicine, Microbiology 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

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

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
Apply

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

Nurse Reviewer I Elevance Health  Wilmington, DE
DescriptionNurse Reviewer ILocation: Within 50 miles of a pulse pointShift : Monday - Friday, from 9:30 am - 6 pmThe Nurse Reviewer I is responsible for conducting preauthorization, out of network and ... Read more
Apply

Wilmington,DE

DescriptionNurse Reviewer ILocation: Within 50 miles of a pulse pointShift : Monday - Friday, from 9:30 am - 6 pmThe Nurse Reviewer I is responsible for conducting preauthorization, out of network and

Endocrinologist- Bucks/Princeton Careerbuilder  Philadelphia, PA
DescriptionPenn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicin ... Read more
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Philadelphia,PA

DescriptionPenn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicin

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

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

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

Assoc QC Reviewer Thermo Fisher Scientific, Inc.  King Of Prussia, PA
Evaluates laboratory data for compliance with analytical methods and SOPs. Reviews sample results for completeness and accurate representation of the data and report findings. Prepares QC statements ... Read more
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King Of Prussia,PA

Evaluates laboratory data for compliance with analytical methods and SOPs. Reviews sample results for completeness and accurate representation of the data and report findings. Prepares QC statements

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

Privacy Engineer, Implementation Review Facebook  Trenton, NJ
Summary: Facebook is seeking a data center Critical Facility Engineer to join our Data Center Facility Operations team. Our data centers serve as the foundation upon which our software operates to mee ... Read more
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Trenton,NJ

Summary: Facebook is seeking a data center Critical Facility Engineer to join our Data Center Facility Operations team. Our data centers serve as the foundation upon which our software operates to mee

Senior Project Manager - Princeton Shawmut Design and Construction  Newtown, PA
We have an immediate opportunity for a Senior Project Manager with proven Princeton experience. Do you thrive on running a project team by driving the growth and development of project team members? D ... Read more
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Newtown,PA

We have an immediate opportunity for a Senior Project Manager with proven Princeton experience. Do you thrive on running a project team by driving the growth and development of project team members? D

Compounder (1st Shift) - Princeton, NJ DSM-Firmenich  Philadelphia, PA
Compounder - 1st Shift Princeton, NJ, US On-Site CL 12 As a Compounder you'll be working to support the plant's day-to-day operations. You'll be supported by your team with possibilities to grow in ... Read more
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Philadelphia,PA

Compounder - 1st Shift Princeton, NJ, US On-Site CL 12 As a Compounder you'll be working to support the plant's day-to-day operations. You'll be supported by your team with possibilities to grow in

UTILIZATION REVIEW COORDINATOR Universal Health Services, Inc.  Mount Holly, NJ
Hampton Behavioral Health Center is a private behavioral healthcare center and offers the most advanced behavioral health, diagnostic treatment services for adults, adolescents, and older adults in bo ... Read more
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Mount Holly,NJ

Hampton Behavioral Health Center is a private behavioral healthcare center and offers the most advanced behavioral health, diagnostic treatment services for adults, adolescents, and older adults in bo

Pest Control Technician (Princeton) Greenix Pest Control  Beverly, NJ
Job DescriptionAt Greenix, we are committed to protecting and nurturing the communities we serve and live in, focused on one customer, one employee and one solution at a time. Together, we believe in ... Read more
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Beverly,NJ

Job DescriptionAt Greenix, we are committed to protecting and nurturing the communities we serve and live in, focused on one customer, one employee and one solution at a time. Together, we believe in

Consumer Credit Review Executive Director JPMorgan Chase  Wilmington, DE
Credit Review is an independent function within Internal Audit at JPMorgan Chase Co. that aims to enhance and protect the firm by providing risk-based and objective assurance, advice and insight. Usi ... Read more
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Wilmington,DE

Credit Review is an independent function within Internal Audit at JPMorgan Chase Co. that aims to enhance and protect the firm by providing risk-based and objective assurance, advice and insight. Usi

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

Document Review Attorney Brock & Scott  King Of Prussia, PA
About the Organization Brock Scott, PLLC is a full service law firm with extensive experience serving the financial sector. With offices across Alabama, Florida, Georgia, Maryland, Michigan, Kentucky ... Read more
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King Of Prussia,PA

About the Organization Brock Scott, PLLC is a full service law firm with extensive experience serving the financial sector. With offices across Alabama, Florida, Georgia, Maryland, Michigan, Kentucky

Investment Consultant - Princeton, NJ Charles Schwab  Levittown, PA
Position Type: RegularYour opportunityAt Schwab, youre empowered to make an impact on your career. Here, innovative thought meets creative problem solving, helping us challenge the status quo and tran ... Read more
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Levittown,PA

Position Type: RegularYour opportunityAt Schwab, youre empowered to make an impact on your career. Here, innovative thought meets creative problem solving, helping us challenge the status quo and tran

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

UTILIZATION REVIEW COORDINATOR UHS  Mount Holly, NJ
Responsibilities Hampton Behavioral Health Center is a private behavioral healthcare center and offers the most advanced behavioral health, diagnostic treatment services for adults, adolescents, and ... Read more
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Mount Holly,NJ

Responsibilities Hampton Behavioral Health Center is a private behavioral healthcare center and offers the most advanced behavioral health, diagnostic treatment services for adults, adolescents, and

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

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

Utilization Review Coordinator Foundations Behavioral Health  Doylestown, PA
Foundations Behavioral Health is currently hiring a full-time Utilization Review Coordinator to support our UM Department in Doylestown, PA. This is a Monday-Friday full-time position offering full-ti ... Read more
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Doylestown,PA

Foundations Behavioral Health is currently hiring a full-time Utilization Review Coordinator to support our UM Department in Doylestown, PA. This is a Monday-Friday full-time position offering full-ti

Nurse Reviewer I Elevance Health  Atlanta, GA
DescriptionNurse Reviewer ILocation: Within 50 miles of a pulse pointShift : Monday - Friday, from 9:30 am - 6 pmThe Nurse Reviewer I is responsible for conducting preauthorization, out of network and ... Read more
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Atlanta,GA

DescriptionNurse Reviewer ILocation: Within 50 miles of a pulse pointShift : Monday - Friday, from 9:30 am - 6 pmThe Nurse Reviewer I is responsible for conducting preauthorization, out of network and

UR Clinical Review Nurse (RN) - Parttime Children's Healthcare of Atlanta  Atlanta, GA
Note: If you are CURRENTLY employed at Children's and/or have an active badge or network access, STOP here. Submit your application via Workday using the Career App (Find Jobs).Work ShiftDayWork Day(s ... Read more
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Atlanta,GA

Note: If you are CURRENTLY employed at Children's and/or have an active badge or network access, STOP here. Submit your application via Workday using the Career App (Find Jobs).Work ShiftDayWork Day(s

Privacy Engineer, Implementation Review Facebook  Atlanta, GA
Summary: Facebook is seeking a data center Critical Facility Engineer to join our Data Center Facility Operations team. Our data centers serve as the foundation upon which our software operates to mee ... Read more
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Atlanta,GA

Summary: Facebook is seeking a data center Critical Facility Engineer to join our Data Center Facility Operations team. Our data centers serve as the foundation upon which our software operates to mee

RN, Specialty Care Review Kaiser Permanente  Atlanta, GA
Description: Responsible for carrying out medical necessity reviews on all designated referrals for Home Care, DME Specialty Care services. The activities will include telephonic review for medical ne ... Read more
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Atlanta,GA

Description: Responsible for carrying out medical necessity reviews on all designated referrals for Home Care, DME Specialty Care services. The activities will include telephonic review for medical ne

Desk Reviewer Genpact  Atlanta, GA
With a startup spirit and 115,000+ curious and courageous minds, we have the expertise to go deep with the worlds biggest brandsand we have fun doing it. Now, were calling all you rule-breakers and ri ... Read more
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Atlanta,GA

With a startup spirit and 115,000+ curious and courageous minds, we have the expertise to go deep with the worlds biggest brandsand we have fun doing it. Now, were calling all you rule-breakers and ri

DRG Nurse Reviewer Zelis  Atlanta, GA
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
Apply

Atlanta,GA

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

Appraisal Reviewer Lead Clayton Homes  Atlanta, GA
Why Silverton Mortgage:?We are a people first organization that was voted a top place to work by the Atlanta Journal and Constitution and the Financial Services Industry?We believe in giving back and ... Read more
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Atlanta,GA

Why Silverton Mortgage:?We are a people first organization that was voted a top place to work by the Atlanta Journal and Constitution and the Financial Services Industry?We believe in giving back and

Bath Review Specialist Careerbuilder  Atlanta, GA
As our nationwide growth accelerates, ourInside Operations team inMechanicsburg, PAplays a key role in driving forward our mission ofBringing Happiness to Every Homeby taking an aggressive approach to ... Read more
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Atlanta,GA

As our nationwide growth accelerates, ourInside Operations team inMechanicsburg, PAplays a key role in driving forward our mission ofBringing Happiness to Every Homeby taking an aggressive approach to

Quality Review Manager ExamWorks  Lawrenceville, GA
OverviewWe are seeking passionate and skilled RN's to serve as a Quality Review Manager, reviewing cases and ensuring all necessary information has been provided and is accurate before sending back to ... Read more
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Lawrenceville,GA

OverviewWe are seeking passionate and skilled RN's to serve as a Quality Review Manager, reviewing cases and ensuring all necessary information has been provided and is accurate before sending back to

Estimate Review Specialist Sr Sedgwick  Atlanta, GA
Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flex ... Read more
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Atlanta,GA

Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flex

Document Review Attorney Beacon Hill  Atlanta, GA
To Apply for this Job Click Here Beacon Hill Legal is registering licensed attorneys with document review experience in anticipation of upcoming projects. All candidates must be licensed, and in good ... Read more
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Atlanta,GA

To Apply for this Job Click Here Beacon Hill Legal is registering licensed attorneys with document review experience in anticipation of upcoming projects. All candidates must be licensed, and in good

Tax Return Reviewer, Global Mobility Services KPMG  Atlanta, GA
At KPMG, you can become an integral part of a dynamic team at one of the world's top tax firms. Enjoy a collaborative, future-forward culture that empowers your success. Work with KPMG's extensive net ... Read more
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Atlanta,GA

At KPMG, you can become an integral part of a dynamic team at one of the world's top tax firms. Enjoy a collaborative, future-forward culture that empowers your success. Work with KPMG's extensive net

Utilization Review Specialist Acadia Healthcare  Riverdale, GA
ESSENTIAL FUNCTIONS:?Act as liaison between managed care organizations and the facility professional clinical staff.?Conduct reviews, in accordance with certification requirements, of insurance plans ... Read more
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Riverdale,GA

ESSENTIAL FUNCTIONS:?Act as liaison between managed care organizations and the facility professional clinical staff.?Conduct reviews, in accordance with certification requirements, of insurance plans

Building Inspector/Plan Reviewer City of College Park, GA  Atlanta, GA
Salary : $42,002.43 - $53,553.09 AnnuallyLocation : College Park, GAJob Type: Full-TimeJob Number: 7200-002Department: InspectionsOpening Date: 02/23/2024FLSA: Non-ExemptSummary A successful candidate ... Read more
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Atlanta,GA

Salary : $42,002.43 - $53,553.09 AnnuallyLocation : College Park, GAJob Type: Full-TimeJob Number: 7200-002Department: InspectionsOpening Date: 02/23/2024FLSA: Non-ExemptSummary A successful candidate

Quality Review Coordinator Vascular LifeLink  Norcross, GA
We Are LifeLink...Our Vision is to maximize the gift of life while giving hope to donor families and transplant patients. Our Mission is to honor donors and save lives through organ and tissue donatio ... Read more
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Norcross,GA

We Are LifeLink...Our Vision is to maximize the gift of life while giving hope to donor families and transplant patients. Our Mission is to honor donors and save lives through organ and tissue donatio

Senior Audit Manager - Credit Risk Portfolio Reviews U.S. Bancorp  Atlanta, GA
The Corporate Audit Services (CAS) Senior Audit Manager is a senior level management position that is responsible for providing strategic direction, leadership, and coordination of CASs Credit Risk Re ... Read more
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Atlanta,GA

The Corporate Audit Services (CAS) Senior Audit Manager is a senior level management position that is responsible for providing strategic direction, leadership, and coordination of CASs Credit Risk Re

Product Security Code Review Engineer Accenture  Atlanta, GA
We AreAccenture 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 diverse ... Read more
Apply

Atlanta,GA

We AreAccenture 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 diverse

Medical Review Manager (Full-time, Remote) Integrity Management Services Inc.  Atlanta, GA
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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Atlanta,GA

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

Social Media Community Engagement Manager - App Reviews & Digital Products Jackson Spalding  Atlanta, GA
Social Media Community Engagement Manager ? App Reviews Digital ProductsHybrid - Atlanta Are you looking to join a hungry and humble team of thinkers, creators, a ... Read more
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Atlanta,GA

Social Media Community Engagement Manager ? App Reviews Digital ProductsHybrid - Atlanta Are you looking to join a hungry and humble team of thinkers, creators, a

Reviews Team Leader Midlands Metalheads Radio Limited, Registered  Fayetteville, GA
This unpaid voluntary position comes with some great perks such as a fantastic opportunity to build up your own personal profile, add leadership and writing experience to your CV and steer your journa ... Read more
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Fayetteville,GA

This unpaid voluntary position comes with some great perks such as a fantastic opportunity to build up your own personal profile, add leadership and writing experience to your CV and steer your journa

Internal Revenue Agent (Reviewer - Examiner) 12 MONTH ROSTER AMENDED Department Of The Treasury  Atlanta, GA
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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Atlanta,GA

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

Schedule Review Lead AECOM  Atlanta, GA
Company DescriptionWork with Us. Change the World.At AECOM, we're delivering a better world. Whether improving your commute, keeping the lights on, providing access to clean water, or transforming sky ... Read more
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Atlanta,GA

Company DescriptionWork with Us. Change the World.At AECOM, we're delivering a better world. Whether improving your commute, keeping the lights on, providing access to clean water, or transforming sky

Document Review Attorney - Remote Dauntless Discovery  Atlanta, GA
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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Atlanta,GA

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

Medical Review Manager (Full-time, Remote) Integrity Management Services, Inc.  Atlanta, GA
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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Atlanta,GA

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

Personnel Review Officer Clayton County Public Schools  Jonesboro, GA
Applicants: Please ensure that you upload all necessary documents and include all relevant information related to the position you are applying for. Please make sure that you are reading the job descr ... Read more
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Jonesboro,GA

Applicants: Please ensure that you upload all necessary documents and include all relevant information related to the position you are applying for. Please make sure that you are reading the job descr

Remote Medical Review Registered Nurse GCP-Inc  Miami, FL
GCP is seeking Remote CMS Medical Review RNs RNs Staff will perform clinical reviews of Medicare Part A and Part B claims for Medical Review. ... Read more
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Miami,FL

GCP is seeking Remote CMS Medical Review RNs RNs Staff will perform clinical reviews of Medicare Part A and Part B claims for Medical Review.

Nurse Reviewer I Elevance Health  Miami, FL
DescriptionNurse Reviewer ILocation: Within 50 miles of a pulse pointShift : Monday - Friday, from 9:30 am - 6 pmThe Nurse Reviewer I is responsible for conducting preauthorization, out of network and ... Read more
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Miami,FL

DescriptionNurse Reviewer ILocation: Within 50 miles of a pulse pointShift : Monday - Friday, from 9:30 am - 6 pmThe Nurse Reviewer I is responsible for conducting preauthorization, out of network and

Quality Assurance Reviewer Qlarant  Miami, FL
Job DescriptionQlarant is a not-for-profit corporation that partners with public and private sectors to create high quality, safe, and efficient delivery of health care and human services programs. We ... Read more
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Miami,FL

Job DescriptionQlarant is a not-for-profit corporation that partners with public and private sectors to create high quality, safe, and efficient delivery of health care and human services programs. We

Sales Representative- Homestead/Princeton, Fl Wencor Group  Miami, FL
* Inside Sales * Princeton, FL, USA * Full Time *Medical, Dental, Vision, Life, STD, LTD, 401k with Match, Vacation, Sick Leave, Holidays, Growth within company.*Silver Wings Aerospace specializ ... Read more
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Miami,FL

* Inside Sales * Princeton, FL, USA * Full Time *Medical, Dental, Vision, Life, STD, LTD, 401k with Match, Vacation, Sick Leave, Holidays, Growth within company.*Silver Wings Aerospace specializ

Provider Contestment Reviewer Sentara Healthcare  Miami, FL
City/StateDoral, FLOverviewWork ShiftFirst (Days) (United States of America)AvMed, a division of Sentara Health Plans in the Florida market, is hiring a Provider Contestment Reviewer in Miami and/or G ... Read more
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Miami,FL

City/StateDoral, FLOverviewWork ShiftFirst (Days) (United States of America)AvMed, a division of Sentara Health Plans in the Florida market, is hiring a Provider Contestment Reviewer in Miami and/or G

Hospital Reviewer/Utilization Manager DOCTORS HEALTHCARE PLANS, INC.  Miami, FL
Position Purpose: Works in partnership with physicians, nurse case managers, and other disciplines to ensure the appropriateness for the corresponding level of care utilizing evidence-based criteria. ... Read more
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Miami,FL

Position Purpose: Works in partnership with physicians, nurse case managers, and other disciplines to ensure the appropriateness for the corresponding level of care utilizing evidence-based criteria.

QA Batch Record Reviewer Careerbuilder  Miami, FL
DescriptionJob PurposeThe Quality Assurance (QA) Batch Record Reviewer performs the Technical and Final release function of the graft release process. The QA Batch Record Reviewer performs functions n ... Read more
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Miami,FL

DescriptionJob PurposeThe Quality Assurance (QA) Batch Record Reviewer performs the Technical and Final release function of the graft release process. The QA Batch Record Reviewer performs functions n

Product Security Code Review Engineer Accenture  Miami, FL
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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Miami,FL

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

Tax Manager Reviewer Arch Staffing & Consulting  Miami, FL
Job Title: Tax Manager - ReviewerJob Location : Coral Gables - FloridaModel: Hybrid after 90 DaysSalary: $115000-$120000 per year? Our annual firm cruise!? Competitive salary + bonus program? New busi ... Read more
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Miami,FL

Job Title: Tax Manager - ReviewerJob Location : Coral Gables - FloridaModel: Hybrid after 90 DaysSalary: $115000-$120000 per year? Our annual firm cruise!? Competitive salary + bonus program? New busi

Medical Review Manager (Full-time, Remote) Integrity Management Services Inc.  Miami, FL
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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Miami,FL

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

Hindi Document Review Attorney Contact Government Services, LLC  Hollywood, FL
Hindi Document ReviewerContact Review - Washington, DCLocation: RemoteStart Date: NegotiableEXPERIENCE QUALIFICATIONS:Fluency in Hindi Familiarity with document review workflows Examples: Privilege/R ... Read more
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Hollywood,FL

Hindi Document ReviewerContact Review - Washington, DCLocation: RemoteStart Date: NegotiableEXPERIENCE QUALIFICATIONS:Fluency in Hindi Familiarity with document review workflows Examples: Privilege/R

Utilization Review Case Manager, Non-RN The University of Miami  Miami, FL
Current Employees:If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to ... Read more
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Miami,FL

Current Employees:If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to

Utilization Review Case Manager, Non-RN University of Miami  Miami, FL
Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here (https://www.myworkday.com/umiami/d/task/1422$7248.htmld) to log in to Work ... Read more
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Miami,FL

Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here (https://www.myworkday.com/umiami/d/task/1422$7248.htmld) to log in to Work

Shift Manager PRINCETON, FL 23244 SW 112TH AVENUE 33032 Pizza Hut Shop  Miami, FL
23244 SW 112TH AVENUE **PRINCETON, FL 33032****Shift Manager****Description:**Working at Pizza Hut is about making hungry people happy. It's about being independent and having fun, making new friends ... Read more
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Miami,FL

23244 SW 112TH AVENUE **PRINCETON, FL 33032****Shift Manager****Description:**Working at Pizza Hut is about making hungry people happy. It's about being independent and having fun, making new friends

Registered Nurse Utilization Review, Case Management, Per Diem, 8A-4\:30P Baptist Health South Florida  Miami, FL
Registered Nurse, Management, Nurse, Registered, Per Diem, Healthcare ... Read more
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Miami,FL

Registered Nurse, Management, Nurse, Registered, Per Diem, Healthcare

Clinical Documentation Specialist - Second Level Reviewer - Remote University of Miami Miller School of Medicine  Hialeah, FL
Current Employees:If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to ... Read more
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Hialeah,FL

Current Employees:If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to

Bilingual Document Review / Executive Support Analyst Lenmar Consulting Inc  Miami, FL
Title: Document Review / Executive Support AnalystLocation: Coral Gables, FLRemote/Hybrid/Onsite: HybridPosition Type: ContractDuration: 8 Months +Rate: $33.00/hr-$35.00/hrResponsibilitiesAdministrati ... Read more
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Miami,FL

Title: Document Review / Executive Support AnalystLocation: Coral Gables, FLRemote/Hybrid/Onsite: HybridPosition Type: ContractDuration: 8 Months +Rate: $33.00/hr-$35.00/hrResponsibilitiesAdministrati

Medical Review Manager (Full-time, Remote) Integrity Management Services, Inc.  Miami, FL
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

Miami,FL

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

Internal Revenue Agent (Reviewer - Examiner) 12 MONTH ROSTER AMENDED Department Of The Treasury  Miami, FL
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

Miami,FL

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

Document Review Attorney - Remote Dauntless Discovery  Miami, FL
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
Apply

Miami,FL

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

Director of Incident Response Review TransPerfect  Miami, FL
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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Miami,FL

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

Director of Specialty Bill Review Services - Remote Rising Medical Solutions  Miami, FL
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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Miami,FL

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 Staff Attorney DLA Piper  Miami, FL
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, nation ... Read more
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Miami,FL

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, nation

Utilization Review Coordinator Arista Recovery  Miami, FL
Job Description Job Description SUMMARY: The primary responsibility of this position is to implement the organization?s Utilization Review(UR) process to ensure appropriate usage of available resource ... Read more
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Miami,FL

Job Description Job Description SUMMARY: The primary responsibility of this position is to implement the organization?s Utilization Review(UR) process to ensure appropriate usage of available resource

Quality Assurance Reviewer Miami, FL Qlarant Inc.  Miami, FL
Qlarant is a not-for-profit corporation that partners with public and private sectors to create high quality, safe, and efficient delivery of health care and human services programs. We have multiple ... Read more
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Miami,FL

Qlarant is a not-for-profit corporation that partners with public and private sectors to create high quality, safe, and efficient delivery of health care and human services programs. We have multiple

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