- Commonwealth of Pennsylvania (PA)
- …Accident and Health Rate and Policy Form Review Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/5157940) Apply Director, Accident and ... Health Rate and Policy Form Review Salary $100,773.00 - $153,096.00 Annually Location Dauphin County,...you from consideration for this position. Veterans: + Pennsylvania law (51 Pa. CS |7103) provides employment preference for… more
- Prime Healthcare (Philadelphia, PA)
- …nation's oldest and largest hospital accreditation agency. Responsibilities The Utilization review tech essentially works to coordinate the utilization review ... and appeals process as part of the denial management initiatives. Utilization review tech is responsible for coordinating phone calls, data entry and tracking data… more
- Sedgwick (Cincinnati, OH)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance RN Utilization Review **Join us in a hybrid capacity, combining remote work with two in-office ... Ash, OH office.** **PRIMARY PURPOSE** : To provide timely, evidence-based utilization review services to maximize quality care and cost-effective outcomes. **ARE YOU… more
- Actalent (Austin, TX)
- …Collaborate with Medical Affairs and Medical Directors on member care decisions + Document review findings, discharge plans, and actions in health management ... Clinical Review Nurse - Concurrent Review Location:...gender identity, genetic information or any characteristic protected by law . If you would like to request a reasonable… more
- City National Bank (Los Angeles, CA)
- *SENIOR 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 ... are adequately identified, fully justified and properly approved. May lead credit review examinations, prepare final reports, and conduct overall meetings with Bank… more
- US Bank (Cincinnati, OH)
- …will report to the Fair and Responsible Banking Policy, Practice, and Model Review Manager and supports the US Bancorp's Company's Fair and Responsible Banking ... oversight for the inventory of models subject to fair and responsible bank review and assessment and collaborate with the Fair and Responsible Banking stakeholders… more
- MyFlorida (Tallahassee, FL)
- AUDIT EVALUATION & REVIEW ANALYST - 41500157 Date: Dec 11, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... Florida Gaming Control Commission Working Title: AUDIT EVALUATION & REVIEW ANALYST - 41500157 Pay Plan: Career Service Position...compacts, and other forms of gambling authorized by state law , excluding the Lottery, as well as directly enforcing… more
- Koniag Government Services (Washington, DC)
- **Koniag Government Services company** is seeking a Correlation Review Specialist Level I to support our government customer in Washington, DC. Must be able to ... more. Koniag Government Solutions (KGS) is seeking a Correlation Review Specialist Level I to support the National Nuclear...into various databases and formats + Analyze and interpret document sources + Share and report information + Support… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …as appropriate. At the request of the Senior Medical Director of the Physician Review Unit (PRU), the reviewer also provides clinical leadership in other areas of ... peer-to-peer outreach, and/or direct provider EMR access, as available + Document critical activities relating to coverage decisions and final determinations… more
- Sedgwick (Jacksonville, FL)
- …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...of related experience in legal billing, insurance claims, or law firm operations, or equivalent combination of education and… more