- CVS Health (Columbus, OH)
- …each and every day. **Position Summary** This is a fulltime remote Utilization Review opportunity . Working hours are four 10hr days **including every Weekend** ... clinical experience and skills in a collaborative process to assess, plan , implement, coordinate, monitor and evaluate options to facilitate appropriate healthcare… more
- RGP (Ann Arbor, MI)
- …us scale our accounting operations for continued growth. + Perform and/or review account reconciliations in Blackline or similar tools, ensuring accuracy and ... + Participate in month-end close activities, including journal entry preparation and review with adherence to internal control practices. + Own key components of… more
- Truist (Winston Salem, NC)
- …(Required) **Work Shift:** 1st shift (United States of America) **Please review the following job description:** Supports key financial and analytical assessment ... test results, including presentations for senior and executive management during the review and challenge process as well as summary information included in Truist's… more
- Henry Ford Health System (Troy, MI)
- …proposal responses and reviewing/revising contract language and operational requirements. Review contracts with in house legal-council and work through contract ... facilitate resolution of contracting and operational issues, ie billing, utilization review , credentialing site visits, notification of site closures or new… more
- CVS Health (Blue Bell, PA)
- …who are in the Blue Bell, PA area for this hybrid opportunity Designs enterprise-wide and/or cross-functional solutions to support specialty business retention team, ... effectiveness. **Job Overview** Responsible for data analytics, reporting, and utilization review to inform business decision and optimize operations. This role… more
- Truist (Charlotte, NC)
- …(Required) **Work Shift:** 1st shift (United States of America) **Please review the following job description:** Responsible for executing testing and/or compliance ... 3. Ensure effective and appropriate testing, validation, and documentation of review activities for risk programs, risks and controls. 4. Incorporate results… more
- CVS Health (Columbus, OH)
- …Summary** The Behavioral Health UM Clinician position is designed to clinically review of behavioral health prior authorized services for assigned members. This ... experience. Must reside in the state of Ohio. + Managed care/utilization review experience + Be clinically and culturally competent/responsive with training and… more
- Fortive Corporation (TX)
- …dental, vision, life and LTD insurance, HSA, and a 401(k) retirement plan . EOE/AA/M/F/Vets/Disabled. We Are an Equal Opportunity Employer. Fortive Corporation ... team you want to be on, we have an opportunity for you to join us. With our rapid...government buildings to advanced lab facilities. **Responsibilities:** + Independently review client documentation in preparation and during inspection process… more
- US Tech Solutions (May, OK)
- **Position Summary:** Responsible for the review and evaluation of clinical information and documentation. Reviews documentation and interprets data obtained from ... compliance with clinical policy, regulatory and accreditation guidelines. + Accurately applies review requirements to assure case is reviewed by a practitioner with… more
- Cardinal Health (Little Rock, AR)
- …Lead and participate in project meetings, contributing to planning, documentation review , and implementation strategies. + Develop and maintain training materials ... Medical, dental and vision coverage + Paid time off plan + Health savings account (HSA) + 401k savings...Application window anticipated to close: 10/31/2025 *if interested in opportunity , please submit application as soon as possible. _The… more