- St. George Tanaq Corporation (Richmond, VA)
- Dispute Resolution Reviewer I Fully Remote*GA Job Type Full-time Description **Overview** Tanaq Support Services (TSS) delivers professional, scientific, and ... **About the Role** We are seeking a **Dispute Resolution Reviewer I (DRR I)** to support a contract with...and impartial and supports the determination made, and documents review + Makes sound, independent decisions based on medical… more
- HCA Healthcare (Falls Church, VA)
- …want to join an organization that invests in you as a Coding Quality Audit Reviewer ? At Parallon, you come first. HCA Healthcare has committed up to $300 million in ... We are looking for a dedicated Coding Quality Audit Reviewer like you to be a part of our...result in appropriate reimbursement and data integrity. You will review outcomes are communicated to the HSC team to… more
- Insight Global (Varina, VA)
- … Reviewer to join a settlement administration company in Richmond, VA. The Claims Reviewer is responsible for complex review of documents in order to evaluate ... to ensure excellent client service. Duties and Responsibilities include: 1.) Review claims submissions and apply completeness criteria to determine completeness of… more
- Elevance Health (Richmond, VA)
- **Nurse Reviewer I** **Location:** **Virtual:** This role enables associates to work virtually full-time, with the exception of required inperson training sessions, ... employment, unless an accommodation is granted as required by law. The **Nurse Reviewer I** will be responsible for conducting preauthorization, out of network and… more
- The Davey Tree Expert Company (Richmond, VA)
- …Erosion and Sediment Control (ESC) and Stormwater Management (SWM) Plan Reviewer /Engineering Technician to join our Richmond, Virginia team. The successful candidate ... will conduct ESC and SWM plan review , develop construction plans, perform design calculations, and assist...metrics **Requirements** * Virginia DEQ ESC & SWM Plan Reviewer Certifications * Minimum of 2-3 years Site Plan… more
- St. George Tanaq Corporation (Richmond, VA)
- Dispute Resolution Reviewer III Fully Remote*GA Job Type Full-time Description **Overview** Tanaq Support Services (TSS) delivers professional, scientific, and ... **About the Role** We are seeking a **Dispute Resolution Reviewer III (DRR III)** to support a contract with...and impartial and supports the determination made, and documents review + Makes sound, independent decisions based on medical… more
- Nightwing (Sterling, VA)
- …intelligence community, defense, civil, and commercial markets. Nightwing seeks an Information Review and Release Analyst (senior-level) in the Herndon, VA area to ... this position will serve as the case manager and reviewer for the various case types to include, but...customer proprietary systems and tools, which assist in the review and release process. Due to the complexity of… more
- Evolent (Richmond, VA)
- …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
- Evolent (Richmond, VA)
- …Doing:** As a Field Medical Director, MSK Surgery you will be a specialty match reviewer for Spine Surgery cases. you will be a key member of the utilization ... Will Be Doing:** + Serve as the specialty match reviewer in Spine Surgery cases, that do not initially...rationale for standard and expedited appeals. + Utilizes medical/clinical review guidelines and parameters to assure consistency in the… more
- Capital One (Mclean, VA)
- Credit Review Senior Manager The consumer lending Credit Review Senior Manager is responsible for executing an independent, risk-based assurance review of ... The Senior Manager will contribute towards the execution of the annual Credit Review operating plan by conducting reviews of credit processes or products, performing… more