- Fluor (Reston, VA)
- …assessments regarding proposal readiness for color team reviews; set color team review goals and objectives; deconflict color team reviewer feedback; in ... of color team reviewer comments and develop the color team recovery plan Develop technical narratives that address the elements of the capture plan … more
- Florida Health Care Plans, Inc. (Daytona Beach, FL)
- …Management Office Specialist provides clerical support to clinicians performing utilization review and case management for members hospitalized or receiving other ... with any and all regulatory requirements including Florida Health Care Plans Policies and procedures. QUALIFICATIONS: Education, skills and experience: + High… more
- Fannie Mae (Washington, DC)
- …on risk mitigation strategies. * Advise management and provide recommendations on plans or decisions to avoid risks or mitigate their impact. Minimum Required ... * 8-10 years of directly related Multifamily Underwriting, Loan Surveillance or Breach Review * Comprehensive understanding of the Fannie Mae DUS Program and DUS… more
- BMO Financial Group (IL)
- …policies, and appetite. Identifies deficiencies and recommends corrective action plans . Supports the implementation, maintenance, and sustainment of vendor appraisal ... the business. + Assists in the development of strategic plans . + Identifies emerging issues and trends to inform...adherence with data governance standards. + Builds change management plans of varying scope and type; leads or participates… more
- Molina Healthcare (San Diego, CA)
- …works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, ... Monitoring team responsible for prior authorizations, inpatient/outpatient medical necessity/utilization review , and/or other utilization management activities aimed at providing… more
- Molina Healthcare (Phoenix, AZ)
- …works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, ... may be required. This can vary based on the individual State Plan . **JOB QUALIFICATIONS** **Required Education** Graduate from an Accredited School of Nursing.… more
- Conduent (Baton Rouge, LA)
- …to learn new skills and help adults in need?** As a **Medical Benefit Review Services Associate, Region 6** , you will help disadvantaged and disabled adults access ... of the Long-Term Care Program. + Create a Person-Centered Plan of Care that is based on individual needs....vision programs, life and disability insurance, a retirement savings plan , paid holidays, and paid time off (PTO) or… more
- Huntington Ingalls Industries (Pascagoula, MS)
- CARPENTER (DISCRETE REVIEW POSTED BASIC QUALIFICATIONS) Location: Pascagoula, Mississippi, United States Date: Sep 8, 2025 Req ID: 42440 Team: 10 Carpenters Entity: ... comprehensive benefits including: medical, prescription drug, dental and vision plan choices, on-site health centers, tele-medicine, wellness resources, employee… more
- Molina Healthcare (Ann Arbor, MI)
- …works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, ... required. This can vary based on the individual State Plan . + Must be able to travel within applicable...Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual /… more
- TEKsystems (St. Louis, MO)
- …+ Initiate third-party orders like title, appraisal, flood certs, and credit reports + Review and verify loan documents to ensure everything's in order + Respond to ... to change and may be subject to specific elections, plan , or program terms. If eligible, the benefits available...* Critical Illness, Accident, and Hospital * 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available *… more