- Evolent (Austin, TX)
- …or required. **What You Will Be Doing:** + Serve as the Physician match reviewer in Imaging cases, that do not initially meet the applicable medical necessity ... provides clinical rationale for standard and expedited appeals. + Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD … more
- Insight Global (Dallas, TX)
- …Key responsibilities include, but are not limited to the below: - Review contractor HSEQ documentation and processes, and communicate compliance/gaps regarding ... product development and implementation initiatives related to HSEQ topics -Manage review and verification quality processes, including quality metrics and KPIs… more
- Citigroup (Irving, TX)
- …**Citigroup and CBNA Strategic and Operating Plan forecasting and Performance review ** Responsibilities: + Consistently develop, execute and deliver audit reports in ... in accordance with Internal Audit and Regulatory standards + Review and approve the Business Monitoring Quarterly summary and...the Business Monitoring Quarterly summary and serve as lead reviewer for all reviews + Collaborate with teams across… more
- Insight Global (Spring, TX)
- …*Contract and review the work of sub-contractors as company technical reviewer *Travel offsite as required to liaise with Inspection and Ops personnel *Follow ... Responsibilities include: *Inspection Plan or Work Pack Development *Findings Review and Post-Processing (includes emergent issues) *Follow-Up Inspection Development… more
- ITW (Houston, TX)
- …assets, and cross-functional collaboration. The Accountant will also serve as the reviewer for the Accounts Payable activity, helping to ensure accuracy, compliance, ... and period-end financial transactions in the general ledger. + Prepare, review , and post complex journal entries, including accruals, deferrals, amortizations, and… more
- Citigroup (Irving, TX)
- …in a timely manner, in accordance with Internal Audit and Regulatory standards. + Review and approve the Business Monitoring Quarterly summary and serve as lead ... reviewer for all reviews. + Collaborate with teams across...management and governance reporting to committees and regulators. + Review recent developments in the industry and adopt new… more
- Terracon (Dallas, TX)
- …of plans and specifications, observation and inspection, and the writing, preparation, and review of related reports for the services provided. Review drawings ... and recommend changes. Research and resolve design and construction problems. Assign, review , and evaluate laboratory or field data for inclusion in reports. Apply… more
- Molina Healthcare (Houston, TX)
- …ARIZONA RESIDENCY REQUIRED** This position will support the Arizona state Plan. We are seeking a candidate with an Arizona RN/and or a compact licensure. The ideal ... candidate will have experience with UM and prior authorization, within both Physical Health and Behavioral Health. Candidates with a Behavioral Health background are highly preferred. Further details to be discussed during our interview process. Remote… more
- Intermountain Health (Austin, TX)
- …Provides extraordinary care to our customers through friendly, courteous, and professional service through a broad understanding of account handling processes, ... extraordinary interpersonal skills, and the ability to resolve complex issues in a timely and accurate manner.. **Essential Functions** + Identifies appropriate payment details and saves back-up as appropriate. + Researches, validates and makes adjustments to… more
- Molina Healthcare (TX)
- …**Job Summary** Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an ... integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need potential. HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and… more