- Evolent (Raleigh, NC)
- …within the regulatory timeframe of the request. + Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review ... utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance… more
- Colliers Engineering & Design (Wilmington, NC)
- …deliverables. + Participate in or hold team meetings ensuring procedures governing the review and approval of projects are followed prior to submission of completed ... ensure high utilization rates (ie Project team meeting). + Review monthly man-hour and cost reports to ensure projects...+ Ability to interact well with coworkers, clients, and regulatory agencies. + Ability to read, write and understand… more
- Centene Corporation (Charlotte, NC)
- …management, cost containment, and medical quality improvement activities. Performs medical review activities pertaining to utilization review , quality assurance, ... quality improvement and utilization management programs in accordance with regulatory , state, corporate, and accreditation requirements. + May participate in… more
- Evolent (Raleigh, NC)
- …calls) with requesting physicians or ordering providers, when available, within the regulatory timeframe of the request and provides clinical rationale for standard ... and expedited appeals. + Utilizes medical/clinical review guidelines and parameters to assure consistency in the...guidelines and parameters to assure consistency in the MD review process to reflect appropriate utilization and compliance with… more
- Truist (Charlotte, NC)
- …English (Required) **Work Shift:** 1st shift (United States of America) **Please review the following job description:** The Issues Execution Officer is responsible ... it is in the lifecycle, roadblocks, challenges, and upcoming artifacts for 1LOD review and assurance. Teammate will be responsible for updating Archer to ensure data… more
- Truist (Greensboro, NC)
- …English (Required) **Work Shift:** 1st shift (United States of America) **Please review the following job description:** The Issues Execution Officer is responsible ... it is in the lifecycle, roadblocks, challenges, and upcoming artifacts for 1LOD review and assurance. Teammate will be responsible for updating Archer to ensure data… more
- BioFire Diagnostics, LLC. (Durham, NC)
- …and within the guidelines of bioMerieux's Quality System. Adhere to Regulatory requirements, including FDA, ISO, Legal, Ethical, and bioMerieux-specific procedures. ... his/her scope: contracts, CSR, performance, risk management, safety, and business review . + Monitor and measure supplier performance per Purchasing Cost Avoidance… more
- Fluor (Raleigh, NC)
- …effective total project solution for the discipline engineering work * Develop and review project Scope of Services, Scope of Facilities, and other project baseline ... documents for all phases of projects * Develop and review estimates and schedules, progress reports, including workforce forecasts * Develop and review … more
- Fluor (Raleigh, NC)
- …effective total project solution for the discipline engineering work * Develop and review project Scope of Services, Scope of Facilities, and other project baseline ... documents for all phases of projects * Develop and review estimates and schedules, progress reports, including workforce forecasts * Develop and review … more
- Lowe's (Mooresville, NC)
- …administration functions within Field Compensation. This includes responsibility for ongoing review of processes and team adherence to process, working with ... oversight of job leveling and pricing to ensure consistency through peer review /alignment meetings. * Leads the incentive and contest design processes including… more