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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

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

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

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

Director - Office of Human Rights Mayor's Office of Talent and Appointments (MOTA)  Washington, DC
Open: March 8, 2024Close:  Open until filledDirector - Office of Human RightsExecutive Service Grade 4: $141,640 to $212,147BACKGROUND:The District of Columbia Office of Human Rights (OHR) was establi ... Read more

Washington,DC

Open: March 8, 2024Close:  Open until filledDirector - Office of Human RightsExecutive Service Grade 4: $141,640 to $212,147BACKGROUND:The District of Columbia Office of Human Rights (OHR) was establi

Operations Manager - Workers' Rights Institute - Georgetown University Law Center Georgetown Univerisity  Washington, DC
Located in a historic neighborhood in the nation's capital, Georgetown offers rigorous academic programs, a global perspective, exciting ways to take advantage of Washington, D.C., and a commitment to ... Read more

Washington,DC

Located in a historic neighborhood in the nation's capital, Georgetown offers rigorous academic programs, a global perspective, exciting ways to take advantage of Washington, D.C., and a commitment to

Civil Rights Counsel Relman Colfax PLLC  Washington, DC
About the Firm:Relman Colfax PLLC is a national civil rights law firm, with a litigation practice focused on combating discrimination and obtaining equity, including in the areas of housing, lending, ... Read more

Washington,DC

About the Firm:Relman Colfax PLLC is a national civil rights law firm, with a litigation practice focused on combating discrimination and obtaining equity, including in the areas of housing, lending,

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

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

Operations Manager - Workers' Rights Institute - Georgetown University Law Center Georgetown University  Washington, DC
Located in a historic neighborhood in the nation's capital, Georgetown offers rigorous academic programs, a global perspective, exciting ways to take advantage of Washington, D.C., and a commitment to ... Read more

Washington,DC

Located in a historic neighborhood in the nation's capital, Georgetown offers rigorous academic programs, a global perspective, exciting ways to take advantage of Washington, D.C., and a commitment to

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

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

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

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

Right Of Way Agent Actalent  Arlington, VA
Description:Remote Right of Way AgentTravel 5% to visit site locations.Ideally Candidate must be experienced in creating scopes, budget and schedules for the acquisition of right-of-way projects. Rura ... Read more

Arlington,VA

Description:Remote Right of Way AgentTravel 5% to visit site locations.Ideally Candidate must be experienced in creating scopes, budget and schedules for the acquisition of right-of-way projects. Rura

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

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

Security and Human Rights Advisor Careerbuilder  Washington, DC
OverviewWork Where it MattersTuvli, an Akima company, is not just another federal IT contractor. As an Alaska Native Corporation (ANC), our mission and purpose extend beyond our exciting federal proje ... Read more

Washington,DC

OverviewWork Where it MattersTuvli, an Akima company, is not just another federal IT contractor. As an Alaska Native Corporation (ANC), our mission and purpose extend beyond our exciting federal proje

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

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

Tax Reviewer Paro.ai  Washington, DC
You will enjoy this role if: You are welcoming, reassuring, and have a passion for providing exceptional customer service You are a go-to tax expert with 3+ years filing a minimum of 30 federal and st ... Read more

Washington,DC

You will enjoy this role if: You are welcoming, reassuring, and have a passion for providing exceptional customer service You are a go-to tax expert with 3+ years filing a minimum of 30 federal and st

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

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

Document Review Staff Attorney DLA Piper  Washington, DC
_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

Washington,DC

_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

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

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

Experienced Review Specialist Peraton  Glenn Dale, MD
ResponsibilitiesPeraton is seeking to fill a critical role for an experienced Review Specialist This position is 100% remote.In this role the Reviewer will be responsible for the following:Reviews f ... Read more

Glenn Dale,MD

ResponsibilitiesPeraton is seeking to fill a critical role for an experienced Review Specialist This position is 100% remote.In this role the Reviewer will be responsible for the following:Reviews f

Review Systems Specialist Substance Abuse and Mental Health Services Administration  Rockville, MD
SummaryThis position is located in the Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, headquartered in Rockville, Maryland.Learn More About SAMHSAT ... Read more

Rockville,MD

SummaryThis position is located in the Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, headquartered in Rockville, Maryland.Learn More About SAMHSAT

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

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

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

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

District Regulatory Review Manager Sun Life Financial  Bethesda, MD
District Regulatory Review Manager page is loaded District Regulatory Review Manager Apply locations Toronto, Ontario Sun Life Montreal Metcalfe Sun Life Waterloo King time type F ... Read more

Bethesda,MD

District Regulatory Review Manager page is loaded District Regulatory Review Manager Apply locations Toronto, Ontario Sun Life Montreal Metcalfe Sun Life Waterloo King time type F

Scientific Review Administrator Contractor Axle Informatics Llc  Bethesda, MD
(ID: 2024-5128)Axle is a bioscience and information technology company that offers advancements in translational research, biomedical informatics, and data science applications to research centers an ... Read more

Bethesda,MD

(ID: 2024-5128)Axle is a bioscience and information technology company that offers advancements in translational research, biomedical informatics, and data science applications to research centers an

Project Manager (Developer/ Reviewer) Merit 321  Gaithersburg, MD
Position: Project Manager (Developer/ Reviewer) Location: Prince Georges County, MD 100% On-Site Clearance: style="font-family:Helvetic ... Read more

Gaithersburg,MD

Position: Project Manager (Developer/ Reviewer) Location: Prince Georges County, MD 100% On-Site Clearance: style="font-family:Helvetic

Specialist, Ethics Review, PAHOERC World Health Organization  Washington, DC
.OBJECTIVE OF THE OFFICE/DEPARTMENTThis requisition is for employment at the Pan American Health Organization (PAHO)/Regional Office of the World Health Organization (WHO)PAHO's Ethics Review Committe ... Read more

Washington,DC

.OBJECTIVE OF THE OFFICE/DEPARTMENTThis requisition is for employment at the Pan American Health Organization (PAHO)/Regional Office of the World Health Organization (WHO)PAHO's Ethics Review Committe

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

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

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

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

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

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

Seeking the RIGHT Neurologist for the RIGHT Job near Philadelphia, PA Careerbuilder  Philadelphia, PA
Seeking the RIGHT Neurologist for the RIGHT Job near Philadelphia, PA!!!Seeking the RIGHT Neurologist for the RIGHT Job near Philadelphia, PA!!!Medical Center is seeking a full-time board certified/bo ... Read more

Philadelphia,PA

Seeking the RIGHT Neurologist for the RIGHT Job near Philadelphia, PA!!!Seeking the RIGHT Neurologist for the RIGHT Job near Philadelphia, PA!!!Medical Center is seeking a full-time board certified/bo

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

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

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

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

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

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

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

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

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

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

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

Don't see the right opportunity? Apply here At-Bay  Philadelphia, PA
General ApplicationWe are always looking for talented people to join our team! If you don't see a role that matches your skills and interests, please submit a general application, and we will contact ... Read more

Philadelphia,PA

General ApplicationWe are always looking for talented people to join our team! If you don't see a role that matches your skills and interests, please submit a general application, and we will contact

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

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

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

Protect reproductive rights - Planned Parenthood Fundraiser All For One Fundraising  Philadelphia, PA
Job DescriptionWe're looking for Fundraisers to join our team to help make the biggest impact in the world around us.Planned Parenthood was founded over 100 years ago on the revolutionary idea that wo ... Read more

Philadelphia,PA

Job DescriptionWe're looking for Fundraisers to join our team to help make the biggest impact in the world around us.Planned Parenthood was founded over 100 years ago on the revolutionary idea that wo

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

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

Creditors Rights & Commercial Litigation Attorney Entrusted Advisors  Philadelphia, PA
Entrusted Advisors is actively seeking exceptionally talented mid-level solo attorneys with debt collection experience for long-term, flexible, remote engagement with a WBENC (woman owned and operated ... Read more

Philadelphia,PA

Entrusted Advisors is actively seeking exceptionally talented mid-level solo attorneys with debt collection experience for long-term, flexible, remote engagement with a WBENC (woman owned and operated

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

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

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

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

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

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

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

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

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

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

Review Appraiser/Staff Appraiser UniversalCIS  Broomall, PA
UniversalCIS is seeking an individual with an outstanding work ethic and a history of success in the Appraisal field to join our team as a full time Review Appraiser/Staff Appraiser. The ideal candida ... Read more

Broomall,PA

UniversalCIS is seeking an individual with an outstanding work ethic and a history of success in the Appraisal field to join our team as a full time Review Appraiser/Staff Appraiser. The ideal candida

Reproductive Rights Special Assistant/Coordinator Biden for President  Wilmington, DE
The Reproductive Rights Special Assistant/Coordinator will work with the Senior Advisor for Reproductive Rights to drive our campaign-wide strategy on reproductive freedom, including by providing admi ... Read more

Wilmington,DE

The Reproductive Rights Special Assistant/Coordinator will work with the Senior Advisor for Reproductive Rights to drive our campaign-wide strategy on reproductive freedom, including by providing admi

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

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.

Right of Way Project Specialist AECOM  Miami, FL
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

Miami,FL

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

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

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

Right of Way Project Specialist Careerbuilder  Miami, FL
**Company Description****Work 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 transfor ... Read more

Miami,FL

**Company Description****Work 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 transfor

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

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

Staff Attorney - Immigrants' Rights ACLU - National Office  Miami, FL
The American Civil Liberties Union (ACLU) of Florida seeks an immigrants'-rights attorney to combat pressing civil rights and liberties issues affecting communities across the state. This position may ... Read more

Miami,FL

The American Civil Liberties Union (ACLU) of Florida seeks an immigrants'-rights attorney to combat pressing civil rights and liberties issues affecting communities across the state. This position may

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

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.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Right of Way Intern- Fort Lauderdale, FL Bowman  Fort Lauderdale, FL
**Description****Purpose**Introduction to various aspects of land acquisition both as a Right-of-Way Agent in the field and working with a coordinator team in the office.**Key Responsibilities****Lead ... Read more

Fort Lauderdale,FL

**Description****Purpose**Introduction to various aspects of land acquisition both as a Right-of-Way Agent in the field and working with a coordinator team in the office.**Key Responsibilities****Lead

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

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

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

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

Registered Nurse Utilization Review, Case Management, Per Diem, 8A-4:30P Baptist Health South Florida  Miami, FL
The purpose of this position is to conduct initial, concurrent, retrospective chart review for clinical, financial and resource utilization. Coordinates with healthcare Team for optimal efficient pati ... Read more

Miami,FL

The purpose of this position is to conduct initial, concurrent, retrospective chart review for clinical, financial and resource utilization. Coordinates with healthcare Team for optimal efficient pati

Right of Way Agent I - Ft. Lauderdale, FL Bowman Consulting Group Ltd  Fort Lauderdale, FL
PurposeInteract and communicate directly with the public daily to support Bowman's continued expansion and growth.Key ResponsibilitiesLeadership and Direction* Perform work under direct supervision of ... Read more

Fort Lauderdale,FL

PurposeInteract and communicate directly with the public daily to support Bowman's continued expansion and growth.Key ResponsibilitiesLeadership and Direction* Perform work under direct supervision of

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

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 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

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

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

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

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

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

Seeking the RIGHT Neurologist for the RIGHT Job near Philadelphia, PA Careerbuilder  Philadelphia, PA
Seeking the RIGHT Neurologist for the RIGHT Job near Philadelphia, PA!!!Seeking the RIGHT Neurologist for the RIGHT Job near Philadelphia, PA!!!Medical Center is seeking a full-time board certified/bo ... Read more

Philadelphia,PA

Seeking the RIGHT Neurologist for the RIGHT Job near Philadelphia, PA!!!Seeking the RIGHT Neurologist for the RIGHT Job near Philadelphia, PA!!!Medical Center is seeking a full-time board certified/bo

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

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

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

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

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

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

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

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

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

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

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

Don't see the right opportunity? Apply here At-Bay  Philadelphia, PA
General ApplicationWe are always looking for talented people to join our team! If you don't see a role that matches your skills and interests, please submit a general application, and we will contact ... Read more

Philadelphia,PA

General ApplicationWe are always looking for talented people to join our team! If you don't see a role that matches your skills and interests, please submit a general application, and we will contact

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

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

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

Protect reproductive rights - Planned Parenthood Fundraiser All For One Fundraising  Philadelphia, PA
Job DescriptionWe're looking for Fundraisers to join our team to help make the biggest impact in the world around us.Planned Parenthood was founded over 100 years ago on the revolutionary idea that wo ... Read more

Philadelphia,PA

Job DescriptionWe're looking for Fundraisers to join our team to help make the biggest impact in the world around us.Planned Parenthood was founded over 100 years ago on the revolutionary idea that wo

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

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

Creditors Rights & Commercial Litigation Attorney Entrusted Advisors  Philadelphia, PA
Entrusted Advisors is actively seeking exceptionally talented mid-level solo attorneys with debt collection experience for long-term, flexible, remote engagement with a WBENC (woman owned and operated ... Read more

Philadelphia,PA

Entrusted Advisors is actively seeking exceptionally talented mid-level solo attorneys with debt collection experience for long-term, flexible, remote engagement with a WBENC (woman owned and operated

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

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

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

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

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

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

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

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

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

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

Review Appraiser/Staff Appraiser UniversalCIS  Broomall, PA
UniversalCIS is seeking an individual with an outstanding work ethic and a history of success in the Appraisal field to join our team as a full time Review Appraiser/Staff Appraiser. The ideal candida ... Read more

Broomall,PA

UniversalCIS is seeking an individual with an outstanding work ethic and a history of success in the Appraisal field to join our team as a full time Review Appraiser/Staff Appraiser. The ideal candida

Reproductive Rights Special Assistant/Coordinator Biden for President  Wilmington, DE
The Reproductive Rights Special Assistant/Coordinator will work with the Senior Advisor for Reproductive Rights to drive our campaign-wide strategy on reproductive freedom, including by providing admi ... Read more

Wilmington,DE

The Reproductive Rights Special Assistant/Coordinator will work with the Senior Advisor for Reproductive Rights to drive our campaign-wide strategy on reproductive freedom, including by providing admi

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