- MUFG (Irving, TX)
- …the Regional Americas GFCD QA Execution function. As Americas GFCD Senior QA Reviewer , you will contribute to the operation of the financial crime compliance ... the financial crime risks. The Americas GFCD Senior QA Reviewer role reports directly into the Americas GFCD QA...refreshing, and maintaining the Americas GFCD QA Execution annual plan . + QA execution and supporting the deployment over… more
- Zelis (St. Petersburg, FL)
- …consumers. We serve more than 750 payers, including the top five national health plans , regional health plans , TPAs and millions of healthcare providers and ... interests that shape who you are. Position Overview The Inpatient DRG Reviewer will be primarily responsible for conducting post-service, pre-payment and post pay… more
- City of New York (New York, NY)
- …Quality Control Case Reviewer , who will: - Conduct the preliminary monthly review of MICSA and HCSP cases selected from a sample of activated, recertified, ... error trends and determines the need for corrective action plans and/or training. MAQC also ensures the Medicaid programs'...Query (SOLQ) databases. - Ensure the accuracy of the review sample by conducting preliminary WMS inquiries and case… more
- City of New York (New York, NY)
- …identify areas of programmatic deficiencies. Within that area is the Process Evaluation Review Team (PERT). The unit analyzes error trends and determines the need ... for corrective action plans and/or training. PERT is responsible for assessments and...Associate II to function as a NCA PERT Case Reviewer , who will: - Conduct NCA Supplemental Nutrition Assistance… more
- City of New York (New York, NY)
- …Design Guidelines, and handicap accessibility design standards; - Prepare, develop and/or review drawings, maps, plans , scopes of work, and specifications, using ... units which include: the Bureau of New Construction Design Review Services, the Bureau of Preservation Design Review...the Program Management Unit. Your Impact: As a Design Reviewer for Design Strategy, you will play a key… more
- City of New York (New York, NY)
- …(DSS) and Department of Homeless Services (DHS). Within DSS-AO, the Process Evaluation Review Team (PERT) was created as an independent unit within the Office of ... compliance and foster uniform interpretation/application of policy. PERT auditors review cases, monitor application and recertification interviews, check for… more
- City of New York (New York, NY)
- …THE PRINCIPAL ADMINISTRATIVE ASSOCIATE CIVIL SERVICE TITLE. The Process Evaluation Review Team (PERT) is tasked with aggressively monitoring program compliance with ... Administrative Associate, who will function as a Senior Case Reviewer who will: - Conduct legally mandated case reviews...recertification cases. Measure timeliness and adequacy of notices. - Review Paperless Office System (POS) entries. Review … more
- Cook Medical (West Lafayette, IN)
- …is currently accepting applications for a Scientific Communications Medical Reviewer to join our growing Scientific Communications/Clinical team. Medical Reviewers ... provide medical review of documents written by team members who do...of clinical and certain regulatory documents (including Clinical Evaluation Plans and Clinical Evaluation Reports); Assess clinical safety and… more
- Actalent (Madison, WI)
- Quality Control - Data Reviewer Job Description Join a dynamic Regulated BioAnalytical Team where you will play an essential role in reviewing lab data. This ... quality assurance within our team, focusing on electronic data review . Responsibilities + Review raw data and...life insurance, paid time off, and a 401(k) savings plan with employer match after six months. The environment… more
- Elevance Health (Cerritos, CA)
- The **Therapy Services Reviewer ** is responsible for the review of medical records to determine if requests for therapy services (physical therapy, occupational ... and determinable under the terms and conditions of the applicable policies and plans . The amount and availability of any bonus, commission, benefits, or any other… more