• Violations Reviewer II

    Aston Carter (Downers Grove, IL)
    …motivate and develop a team of Violation Reviewers, to assist Violation Review Supervisor(s), process supervisor approvals while also performing tasks of a Violation ... Review Operator. *Monitors, reviews, and processes violations in accordance...longer than 30 characters prior to confirmation. *Assists in review and information lookup in LexisNexis of violation records… more
    Aston Carter (08/02/25)
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  • Violations Reviewer II

    Aston Carter (Lombard, IL)
    Job Summary: The Violation Reviewer is responsible for guiding and supporting a team of Violation Reviewers. This role involves assisting the Violation Review ... supervisor-level approvals, and performing the core functions of a Violation Review Operator. The ideal candidate will demonstrate strong attention to detail,… more
    Aston Carter (08/02/25)
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  • Senior Case Reviewer

    City of New York (New York, NY)
    …with all statutory, regulatory, and contractual standards. The Process Evaluation Review Team (PERT) is tasked with aggressively monitoring program compliance with ... (1) one Principal Administrative Associate, who will function as a Senior Case Reviewer : - Conduct legally mandated case reviews to comply with various lawsuit… more
    City of New York (07/18/25)
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  • Quality Control Case Reviewer

    City of New York (New York, NY)
    …for (1) one Principal Administrative Associate II to function as a Quality Control Case Reviewer , who will: - Ensure the accuracy of the review sample by ... conducting preliminary WMS inquiries and case review ; utilize reports to verify that sample is auditable;...Collect all policies and procedures necessary for the audit review and share documents with the Quality Control Case… more
    City of New York (05/25/25)
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  • CA Pert Senior Case Reviewer

    City of New York (New York, NY)
    …legal and federal, state and city regulatory requirements. The Process Evaluation Review Team (PERT) is tasked with aggressively monitoring program compliance with ... Assurance & Fiscal Integrity (OQA&FI) / The Process Evaluation Review Team (PERT) is recruiting for (2) one Principal...and recertification cases. Measure timeliness and adequacy of notices. Review Paperless Office System (POS) entries. Review … more
    City of New York (05/14/25)
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  • Quality Control Case Reviewer

    City of New York (New York, NY)
    …II to function as a Quality Control Case Reviewers, who will: - Review POS, HRA One Viewer of imaged/scanned documents, Welfare Management System (WMS) data ... Quality Control error findings or to the month under review in the EQAS audit. - Audit for the...any variances, discrepancies or inadequate documentation discovered during the review of State Quality Control errors or in the… more
    City of New York (05/14/25)
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  • NCA Pert Case Reviewer

    City of New York (New York, NY)
    …identify areas of programmatic deficiencies. Within that area is the Process Evaluation Review Team (PERT). The unit analyzes error trends and determines the need ... one Principal Administrative Associate II to function as a NCA PERT Case Reviewer , who will: - Conduct NCA Supplemental Nutrition Assistance (SNAP) case reviews.… more
    City of New York (05/14/25)
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  • CA Pert Sr Case Reviewer

    City of New York (New York, NY)
    …(DSS) and Department of Homeless Services (DHS). Within DSS-AO, the Process Evaluation Review Team (PERT) was created as an independent unit within the Office of ... compliance and foster uniform interpretation/application of policy. PERT auditors review cases, monitor application and recertification interviews, check for… more
    City of New York (05/14/25)
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  • Case Review Specialist

    City of New York (New York, NY)
    …which ultimately hinders the case from obtaining a court order. Improving the review of case data facilitates productive data matches, which increases OCSS's ability ... (OCSS) is recruiting four (4) Clerical Associate III's, functioning as Case Review Specialists, Under supervision of the Unit Supervisor of Data Integrity, with… more
    City of New York (07/26/25)
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  • Processor, COB Review

    Molina Healthcare (Fort Worth, TX)
    …**Job Summary** Molina Healthcare Services (HCS) is required by CMS and state agencies to coordinate benefits when other carriers are responsible for payment. This ... requires the maintenance of other insurance records and has a direct impact on medical expenses and premium reimbursement. **KNOWLEDGE/SKILLS/ABILITIES** + Provides telephone, clerical, and data entry support for the COB team. + Phones or utilizes other… more
    Molina Healthcare (07/19/25)
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