- CalSTRS (Sacramento, CA)
- …Program Manager II, the Pension Program Manager I operating as the Payment Review Manager plans , organizes, and supervises technical and professional staff ... Job Posting: Payment Review Manager State Teachers' Retirement System JC-490733 - Payment Review Manager PENSION PROGRAM MANAGER I $7,216.00 - $8,971.00 per… more
- Community Health Systems (Franklin, TN)
- …Clinical Utilization Review Specialist monitors adherence to hospital utilization review plans and works to optimize hospital resource utilization, reduce ... **Job Summary** The Clinical Utilization Review Specialist is responsible for evaluating the necessity, appropriateness, and efficiency of hospital services to… more
- Snap Inc. (Los Angeles, CA)
- …and other services; and its AR glasses, Spectacles (https://www.spectacles.com/) . The Review Operations team - a group within Snap's Platform Integrity and ... and engaging experiences with content on Snapchat. We're looking for a Lens Review Specialist to join Team Snapchat! Working closely with the Augmented Reality,… more
- CVS Health (Columbus, OH)
- …journeys. As a Utilization Management (UM) Nurse Consultant specializing in Medical Review , you'll play a vital role in ensuring members receive timely, medically ... necessary care through thoughtful clinical review and collaboration with providers. This fully remote position... cases. + Applies the appropriate clinical criteria/guideline and plan language or policy specifics to render a medical… more
- Kelly Services (Blue Ash, OH)
- …Commercial Education asset owner to prepare for copy approval meetings, including previewing reviewer comments. + Attend copy review meetings for all materials ... **On-going Knowledge:** + Become an expert in internal copy review standards (Medical, Legal, and Regulatory review ),...employee, you will have access to a retirement savings plan , service bonus and holiday pay plans … more
- University of Washington (Seattle, WA)
- …and Pathology department** has an outstanding opportunity for a **VARIANT REVIEW SCIENTIST** (FULL-TIME, DAY-SHIFT). This position's location is hybrid; work ... transportation in the region. + Excellent healthcare, dental, disability, and retirement plan options. + Lots of free fitness, healthy eating, finance, and stress… more
- American Express (Sandy, UT)
- …**How will you make an impact in this role?** The Manager, Commercial Credit Review , will perform the Commercial Credit Review function within the third line ... defense at American Express - reporting to the Director of Commercial Credit Review . This position is responsible for delivering end-to-end credit review … more
- Thomas Edison State University (Trenton, NJ)
- **Professional Learning Review Specialist** **X98: $85,000** **Office of Professional Learning Review ** **301 W. State Street, Trenton, NJ 08618** Thomas Edison ... opportunities, should submit an application. **Summary:** The Professional Learning Review Specialist is a 35-hour-a-week, grant-funded, administrative year-to-year contract… more
- Citigroup (New York, NY)
- **Enterprise Stress Testing - Market Risk Independent Review and Challenge lead** **Team/Role Overview** This role sits in Enterprise Risk Analytics (ERA), and will ... review and challenge the stress testing process, which requires... findings are remediated by risk pools through action plans execution + Conduct data analysis as needed to… more
- Children's Mercy Kansas City (Kansas City, MO)
- …training oversight of programs and services. Responsible for effective utilization review and proper resource management of patients, including patient statusing ... processes, ongoing monitoring of medical necessity review functions utilizing InterQual and/or MCG screening guidelines, and...Required Upon Hire Benefits at Children's Mercy The benefits plans at Children's Mercy are one of many reasons… more