- PennyMac (Carrollton, TX)
- …A Typical Day We are seeking a Mortgage Fulfillment Manager for our Loan Structure Review department. The main purpose of the Loan Structure Review is to make ... Credit Analyst for a decision. Key Responsibilities:A Loan Structure Reviewer performs the following tasks: + Reviews Loan Files:...loan is returned to the LSR for a final review . What You'll Bring + Bachelor's degree or equivalent… more
- Evolent (Austin, TX)
- …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
- Sedgwick (Houston, TX)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Estimate Review Consultant **PRIMARY PURPOSE:** To review all estimates and supporting ... assignments promoting a professional client relationship; + Performs quality review audits for compliance with audit requirements, service contract requirements,… more
- UTMB Health (Webster, TX)
- Utilization Review Case Mgr - CMC - Clear Lake Center **Webster, Texas, United States** **New** Nursing & Care Management UTMB Health Requisition # 2506588 The ... in Community Hospitals and UTMB-TDCJ Hospital. + Performs utilization review procedures by prospectively, concurrently, and retrospectively assessing the clinical… more
- City National Bank (Dallas, TX)
- *SR CREDIT RISK REVIEW OFFICER* WHAT IS THE OPPORTUNITY? The Credit Risk Review Department (CRR), is part of the 3rd line of defense, and as such is independent ... are adequately identified, fully justified and properly approved. May lead credit review examinations, prepare final reports, and conduct overall meetings with Bank… more
- Dallas Behavioral Healthcare Hospital (Desoto, TX)
- The Utilization Review Case Manager is responsible for working with insurance companies and managed care systems for the authorization, concurrent and retrospective ... review of inpatient admissions and services. This position will...This position will obtain authorization for each admitted patient. Review and monitor each step of the authorization process… more
- Sedgwick (Houston, TX)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Bill Review Analyst | Professional Liability | Remote **PRIMARY PURPOSE** : The Bill ... Review Analyst plays a critical role in supporting the...Participates in the ongoing refinement of billing guidelines and review procedures to reflect evolving legal and industry standards.… more
- Molina Healthcare (Houston, TX)
- JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically ... 2 years experience, including experience in hospital acute care, inpatient review , prior authorization, managed care, or equivalent combination of relevant education… more
- Molina Healthcare (San Antonio, TX)
- …on set schedule) Looking for a RN with experience with appeals, claims review , and medical coding. JOB DESCRIPTION Job SummaryProvides support for clinical member ... services review assessment processes. Responsible for verifying that services are...years experience, including experience in hospital acute care, inpatient review , prior authorization, managed care, or equivalent combination of… more
- Molina Healthcare (Austin, TX)
- JOB DESCRIPTION **Job Summary** The RN Care Review Clinician provides support for clinical member services review assessment processes. Responsible for verifying ... 2 years experience, including experience in hospital acute care, inpatient review , prior authorization, managed care, or equivalent combination of relevant education… more