- Citigroup (Wilmington, DE)
- **Job Description: Senior Validator C13 - AI Non-Model Risk Review Team (Hybrid)** The Risk Analytics, Modeling, and Validation role focuses on developing, ... of risks, including market, credit, and operational risks. The **AI Non-Model Risk Review Team** within Model Risk Management (MRM) is seeking a Senior Validator to… more
- Citigroup (Wilmington, DE)
- **Job Description: Senior Validator - AI Non-Model Risk Review Team (Hybrid)** The Risk Analytics, Modeling, and Validation role focuses on developing, enhancing, ... types of risks, including market, credit, and operational risks. The AI Non-Model Risk Review team within Model Risk Management is seeking a Senior Validator to join… more
- Regions Bank (Birmingham, AL)
- …with Regions' Retention Schedule for a minimum of three years. You may review , modify, or update your information by visiting and logging into the careers ... the system. **Job Description:** At Regions, the Credit Risk Review Examiner conducts credit risk assessments by analyzing individual...Paid Vacation/Sick Time + 401K with Company Match + Medical , Dental and Vision Benefits + Disability Benefits +… more
- CRC Insurance Services, Inc. (Bronx, NY)
- …preferred, along with a minimum of three (3) years' experience in a related insurance /employee medical benefits sales role. + In-depth knowledge of group ... **Work Shift:** 1st Shift (United States of America) **Please review the following job description:** As part of our...of CRC Group offering the position. CRC Group offers medical , dental, vision, life insurance , disability, accidental… more
- St. Luke's University Health Network (Sellersville, PA)
- …serve, regardless of a patient's ability to pay for health care. The Utilization Review (UR) Assistant manages and obtains all funding for inpatient clients at the ... Center. JOB DUTIES AND RESPONSIBILITIES: + Manages the day-to-day insurance and funding reviews for all inpatient clients. +...who were Bucks County funded and have changed to Medical Assistance. + Is the primary link to the… more
- Children's Mercy Kansas City (Kansas City, MO)
- …of children beyond the walls of our hospital. Overview The Clinical Review Nurse Care Manager utilizes clinical expertise, evidence-based guidelines, insurance ... guidelines to determine the appropriate level of care and the medical necessity of continued hospitalization. Secures initial payer authorization and continued… more
- US Bank (Jacksonville, FL)
- …you excel at-all from Day One. **Job Description** We're looking for a Document Review Associate to support our mortgage operations team. This is a full-time, onsite ... PM, Monday through Friday. **Job highlights and responsibilities:** The Document Review Associate performs routine and/or repetitive clerical functions according to… more
- Kemper (Mcallen, TX)
- …balance can be highly motivating and productive. **Position Summary:** As Desk Review Specialist, you will be reviewing incoming auto damage demands from other ... + Provide recommendation and basis for reasonable settlement amount following demand review . + Complete ongoing company and external industry training required to… more
- Sutter Health (Sacramento, CA)
- …regarding physician practice patterns, over- and under-utilization of resources, medical necessity, documentation best practices, level of care progression, denial ... compliance with governmental regulations and conditions of participation and commercial insurance contracts. The PA is responsible for establishing, maintaining and… more
- Dignity Health (Bakersfield, CA)
- **Responsibilities** **Position Summary:** Responsible for the review of medical records for appropriate admission status and continued hospitalization. Works in ... guidance to Payer Communications staff to support communication with the insurance providers to obtain admission and continued stay authorizations as required… more