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 ...
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Washington,DC
Resp QualificationsPURPOSE:The Clinical Medical Review Nurse handles day to day review of professional and institutional claims and provider appeals that require medical review to determine if the cl
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 ...
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Washington,DC
Role Title: Public Wireless Supply Chain Innovation Fund Merit ReviewerEducation: Bachelors Degree (minimum)Required Skills: Merit reviewers shall have expertise, knowledge, and experience as demonstr
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 ...
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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 ...
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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, ...
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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 ...
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Washington,DC
Corner Alliance is a dynamic, growing consulting firm that devotes itself to providing an enriching employee experience style="font-size:10pt;font-variant:normal;white-spac
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 ...
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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 ...
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Washington,DC
Position DescriptionSerco is seekinga motivated Eligibility Review Manager to join our talented and fast-paced Public Sector Solutions team in supporting CMS' implementation of the Payment Error Rate
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 ...
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Washington,DC
BCGuardian is a boutique brand and content protection consultancy devoted to achieving impactful intellectual property (IP) protection for our clients through the development and implementation of bes
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 ...
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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 ...
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Arlington,VA
WWC Federal is seeking a Design Reviewer to serve on a fully funded effort supporting ARNG in their construction efforts. Responsibilities may include, but are not limited to: Demonstrating an underst
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 ...
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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 ...
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Arlington,VA
Clearance: Top SecretTravel: 50% Position Overview: The Technical Security IVV Design Reviewer/Inspector will review construction design documents and perform inspections of Department of State (DOS
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 ...
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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 ...
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Washington,DC
Description U.S. News World Report is a multifaceted digital media company dedicated to helping citizens, consumers, business leaders and policy officials make important decisions in their lives. We
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 ...
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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 ...
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Washington,DC
PCN is looking to add a Project Manager to our team in Washington, DC.
Project Manager to work with the physical and electronic security design review and revision support team. Responsible for the r
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 ...
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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 ...
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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 ...
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Arlington,VA
Are you looking for your next challenge? Are you ready to work with a performance-based small company? If so, we are looking for you; someone who strives to support a strong team and to deliver "Outst
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 ...
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Washington,DC
Serco is seeking a motivated Policy Specialist for Medical Claims Review to join our talented and fast-paced Public Sector Solutions team in supporting CMS? implementation of the Payment Error Rate Me
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 ...
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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 ...
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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 ...
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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 ...
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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 ...
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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 ...
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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 ...
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Woodbury,NJ
Who We Are NFP is a seven-time Best Places to Work award winner in Business Insurance who has also earned the 5-Star Diversity, Equity and Inclusion (DEI) award from Insurance Business magazine and th
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 ...
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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
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 ...
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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 ...
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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 ...
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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
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 ...
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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 ...
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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
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 ...
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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 ...
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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
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 ...
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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
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 ...
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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 ...
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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 ...
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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
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 ...
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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 ...
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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
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 ...
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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 ...
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Malvern,PA
Job Description: Description/Comment: "Title: Quality Specialist- BMR OVERVIEW Catalent is a leading provider of advanced technologies and outsourced services for the pharmaceutical, biotechnology a
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 ...
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King Of Prussia,PA
Utilization Review Nurse /Workers Comp Location - King of Prussia, PA Job Purpose: Review Workers Compensation requests submitted by the provider, requestor, claimant or carrier to determine th
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 ...
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Philadelphia,PA
Your success is a train ride away!As we move America's workforce toward the future, Amtrak connects businesses and communities across the country. We employ more than 20,000 diverse, energetic profess
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 ...
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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 ...
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Philadelphia,PA
TransPerfect Is More Than Just a Job?Our greatest asset is our people, and nothing is more important to us than ensuring that everyone knows that. Each of our 100+ offices has its own individual ident
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 ...
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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 ...
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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. ...
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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.
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 ...
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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 ...
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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
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 ...
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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 ...
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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
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 ...
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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. ...
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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.
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 ...
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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 ...
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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 ...
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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 ...
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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 ...
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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 ...
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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
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 ...
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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 ...
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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
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 ...
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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
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 ...
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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
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 ...
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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 ...
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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 ...
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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 ...
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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 ...
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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
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 ...
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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 ...
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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 ...
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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 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 ...
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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 ...
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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 ...
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Woodbury,NJ
Who We Are NFP is a seven-time Best Places to Work award winner in Business Insurance who has also earned the 5-Star Diversity, Equity and Inclusion (DEI) award from Insurance Business magazine and th
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 ...
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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
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 ...
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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 ...
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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 ...
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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
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 ...
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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 ...
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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
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 ...
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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 ...
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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
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 ...
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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
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 ...
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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 ...
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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 ...
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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
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 ...
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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 ...
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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
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 ...
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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 ...
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Malvern,PA
Job Description: Description/Comment: "Title: Quality Specialist- BMR OVERVIEW Catalent is a leading provider of advanced technologies and outsourced services for the pharmaceutical, biotechnology a
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 ...
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King Of Prussia,PA
Utilization Review Nurse /Workers Comp Location - King of Prussia, PA Job Purpose: Review Workers Compensation requests submitted by the provider, requestor, claimant or carrier to determine th
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 ...
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Philadelphia,PA
Your success is a train ride away!As we move America's workforce toward the future, Amtrak connects businesses and communities across the country. We employ more than 20,000 diverse, energetic profess
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 ...
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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 ...
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Philadelphia,PA
TransPerfect Is More Than Just a Job?Our greatest asset is our people, and nothing is more important to us than ensuring that everyone knows that. Each of our 100+ offices has its own individual ident
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 ...
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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 ...
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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