• Regulatory Review and Compliance Inspector

    City of New York (New York, NY)
    …- Ability to review and analyze engineering reports and other relevant data . - Ability to perform arithmetic calculations. - Ability to complete assignments on ... protects public health for all New Yorkers by providing 1 . 1 billion gallons of high quality drinking...the Associate Project Manager II's will serve as Regulatory Review and Compliance Inspectors and will be responsible for… more
    City of New York (08/15/25)
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  • Lead Software Engineer for .Net (.Net Tech Lead)

    University of Washington (Seattle, WA)
    …conventions related to software engineering via mentoring, meetings, hands-on learning, code review , and documentation to ensure ORIS products are stable, ... by encouraging and engaging in technical and non-technical review as both reviewer and reviewee to...group activities such as change control and pull request review **Experience desired:** Experience with + Object, data more
    University of Washington (09/06/25)
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  • RN Utilization Review - System Care…

    Guthrie (Binghamton, NY)
    …+ Participate in clinical performance improvement activities to achieve organizational goals. 1 . Use data to drive performance improvement strategies and action ... plans related to UM. 2. Create reports, displaying data and providing narrative analysis to a variety of...of Guthrie Health System process improvement. + Denials Adjudication 1 . Facilitate review of rejected medical claims… more
    Guthrie (10/04/25)
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  • Operations Review Specialist

    MyFlorida (Tallahassee, FL)
    OPERATIONS REVIEW SPECIALIST - 60060348 Date: Sep 30, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... . Requisition No: 862166 Agency: Children and Families Working Title: OPERATIONS REVIEW SPECIALIST - 60060348 Pay Plan: Career Service Position Number: 60060348… more
    MyFlorida (10/01/25)
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  • Medicaid Quality Control Case Review

    City of New York (New York, NY)
    …perspectives with accurate and complete error findings. MAQC is recruiting for ( 1 ) one Principal Administrative Associate, who will function as a Medicaid Quality ... Control Case Review Supervisor who will: - Review the...Quality Control director with all external audit requests. Ensure documentation collected by the Quality Control Case Reviewers are… more
    City of New York (10/04/25)
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  • Revenue Integrity Charge Review Analyst

    HCA Healthcare (Ocala, FL)
    …of charging activities. + Perform detailed charge audits by verifying billing data against clinical documentation , making necessary corrections in Patient ... recognized. Submit your application for the opportunity below:Revenue Integrity Charge Review Analyst Parallon **Benefits** Parallon offers a total rewards package… more
    HCA Healthcare (10/07/25)
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  • Registered Nurse - Utilization Review RN…

    Beth Israel Lahey Health (Boston, MA)
    …Position Summary: In conjunction with the admitting/attending physician, the Utilization Review RN assists in determining the appropriate admission status based on ... of hospital admissions is based on medical necessity and documentation is sufficient to support the level of care...Conducts concurrent reviews as directed in the hospital's Utilization Review Plan and review of medical records… more
    Beth Israel Lahey Health (09/10/25)
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  • Utilization Review Nurse Supervisor I

    The County of Los Angeles (Los Angeles, CA)
    UTILIZATION REVIEW NURSE SUPERVISOR I Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4924333) Apply  UTILIZATION REVIEW NURSE SUPERVISOR I ... information regarding County employee benefits. DHS is seeking dedicated Utilization Review Nurse Supervisors to join our team. Whether you're working in… more
    The County of Los Angeles (10/06/25)
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  • Sr Utilization Review Specialist Nurse

    Houston Methodist (Houston, TX)
    At Houston Methodist, the Sr Utilization Review Specialist Nurse (URSN) position is a licensed registered nurse (RN) responsible for promoting the achievement of ... position has achieved an expert level at all objectives delineated in the Utilization Review Nurse and Utilization Review Specialist Nurse job roles and is… more
    Houston Methodist (08/26/25)
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  • Information Review & Release Analyst - Sr

    Nightwing (Sterling, VA)
    …requests, from the receipt of the initial request letter, to creating case documentation and researching prior requests. They also review information and make ... Nightwing provides technically advanced full-spectrum cyber, data operations, systems integration and intelligence mission support services to meet our customers'… more
    Nightwing (10/04/25)
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