- Elevance Health (Costa Mesa, CA)
- **Case Reviewer (NP/PA)** **Carelon Medical Benefit Management** **Orthopedic Surgery** **Virtual:** This role enables associates to work virtually full-time, with ... unless an accommodation is granted as required by law._ The **Case Reviewer ** is responsible for conducting pre-authorization, out of network and appropriateness of… more
- Elevance Health (Walnut Creek, CA)
- **Nurse Reviewer I** Location: Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... work weekends if necessary. New Grads are encouraged to apply! The **Nurse Reviewer I** will be responsible for conducting preauthorization, out of network and… more
- Volunteers of America Los Angeles (Los Angeles, CA)
- …PURPOSE Under the direction of a Quality Assurance Coordinator, the Quality Assurance Reviewer II performs Quality Assurance review and audit of VOALA Program ... Quality Assurance Reviewer II Location:Los Angeles, CA Job ID:3903 Salary:$29.18...funder audits and ensure all requirements are in place. Review audit results from funders- audits. Participate in after… more
- ThermoFisher Scientific (Foster City, CA)
- …Standard (Mon-Fri) **Environmental Conditions** Office **Job Description** Sr QC Reviewer : Job Description At Thermo Fisher Scientific, you'll discover meaningful ... with Change Controls for raw materials + Performs complex analytical data review , evaluating laboratory data for compliance with analytical methods, SOPs, directives… more
- ThermoFisher Scientific (Foster City, CA)
- …Schedule** Standard (Mon-Fri) **Environmental Conditions** Office **Job Description** QC REVIEWER : At Thermo Fisher Scientific, you'll discover meaningful work that ... based onsite in: Foster City, CA Key responsibilities: + Review raw data + Numerical data verification for regulatory...new QC Reviewers and laboratory staff. + Conducts SOP review and writing. Conducts consultations for quality records. +… more
- Elevance Health (Cerritos, CA)
- The **Therapy Services Reviewer ** is responsible for the review of medical records to determine if requests for therapy services (physical therapy, occupational ... therapy) were medically necessary and filed appropriately. **Candidates must reside in PST Time Zone** **Location:** **Virtual -** This role enables associates to work virtually full-time, with the exception of required in-person training sessions (when… more
- Insight Global (San Diego, CA)
- …collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/ . ... previous experience in Quality Control and/or Quality Assurance projects - Ability to review high volume of documentation and files daily. - Ability to solve… more
- Essel (Sacramento, CA)
- …of Unearth, utility inspections, mapping, or CAD-based roles is a plus. Requirements Video Review and Analysis: + Review hours of crossbore inspection videos for ... quality, clarity, and completeness. + Document critical data, including pipe lengths, locations, and inspection notes, using specialized software. + Identify unclear or incomplete videos and coordinate re-inspections with field teams. + Managing data, maintain… more
- Robert Half Management Resources (San Francisco, CA)
- Description We are looking for an experienced Sr. Compliance Analyst to review marketing materials for a leading Fintech organization. This is a contract position ... impact on marketing strategies. * Work with compliance software to streamline review processes and ensure accuracy. * Assist in developing and refining compliance… more
- Evolent (Sacramento, CA)
- …for the culture. **What You'll Be Doing:** **Cardiovascular Utilization Management Reviewer (Interventional Cardiologist)** Are you ready to make a meaningful impact ... reviews for cardiovascular cases, serving as a specialty-matched expert reviewer for invasive/interventional cardiology cases (eg, cardiac catheterizations, coronary… more