- Citigroup (New York, NY)
- …functional and regional teams. **Key Responsibilities:** + Lead the global liquidity assumption review function with a focus on the full risk lifecycle: from risk ... business lines, geographies, and products. + Drive the design, review , and challenge of liquidity assumptions embedded in the...and validate key inputs into the Recovery & Resolution Plan (RRP), with a focus on liquidity outflow and… more
- S&P Global (New York, NY)
- …quality of S&P Global Ratings' ratings methodologies, models, and analysis. The Review Analyst will participate in assigned risk-based activities and is expected to ... Team members typically specialize in either model validation or criteria validation/credit review but will have the opportunity to develop skills and experience… more
- Sanford Health (WI)
- …**Weekly Hours:** 40.00 **Salary Range:** $31.00 - $49.50 **Job Summary** The Peer Review Specialist facilitates provider peer review processes at a regional ... persons and committees for use in Medical Staff peer review processes and activities to include case review...dental insurance, vision insurance, life insurance, a 401(k) retirement plan , work/life balance benefits, and a generous time off… more
- New York State Civil Service (New York, NY)
- …1 Psychiatric (NY HELPS), New York State Psychiatric Institute, Utilization review , P26749 Occupational Category Health Care, Human/Social Services Salary Grade 18 ... Zip Code 10032 Duties Description The selected candidate will provide Utilization Review services, including but not limited to conducting daily Utilization … more
- MUFG (Tempe, AZ)
- …portfolios to identify deterioration or negative management control trends and review compliance with policies, guidelines, and regulations. + Prepare periodic Risk ... Profile & Monitoring Plans to outline key risk factors and allocate appropriate...(EIC) for complex portfolios or processes. As EIC, effectively plan , coordinate and oversee all aspects of on-site activities.… more
- Molina Healthcare (Las Vegas, NV)
- **Job Description** **Job Summary** Provides support for member clinical review processes specific to applied behavioral analysis (ABA) services. Responsible for ... authorization requests for BHT treatment by reviewing BHT assessments and treatment plans for medical necessity and BHT best practice guidelines. This includes but… more
- Children's Mercy Kansas City (Kansas City, MO)
- …children beyond the walls of our hospital. Overview The Clinical Review Nurse Care Manager utilizes clinical expertise, evidence-based guidelines, insurance ... process. Works with physicians and multidisciplinary teams to evaluate the medical plan , length of stay, avoidable days/delays and progression of care. Works… more
- Centene Corporation (Raleigh, NC)
- …provides recommendations to senior management team to identify ways to improve the review and execution of therapy services based on clinical reviews of service ... and provisions + Partners with leadership on opportunities to improve the review and therapy services and/or durable medical equipment outcomes to members based… more
- The Boeing Company (Seal Beach, CA)
- …with us. Boeing Commercial Airplanes (BCA) is seeking an **Experienced** **Product Review Engineer** **(Level 3)** to support our Customer Support Boeing Operations ... Center (BOC) based in **Seal Beach, CA.** As a Product Review (Service Engineer) Engineer, you will collaborate with the structures team within the Operations Center… more
- Baylor Scott & White Health (Dallas, TX)
- …vary based on position type and/or level **Job Summary** + You will review patient cases for medical necessity and establish service suitability. You'll educate the ... healthcare team on resource use to ensure timely care plan follow-through. + Your job includes staying in contact...provider's care coordination departments. Your expertise is needed to review medical necessity. + Working with the team, you'll… more