- Zions Bancorporation (Midvale, UT)
- …community channels and events. + Act as a technical advisor and reviewer for critical projects. + Demonstrate emotional intelligence and empathy when interacting ... Training, Paid Time Off (PTO) and 11 Paid Federal Holidays + 401(k) plan with company match, Profit Sharing, competitive compensation in line with work experience… more
- Terracon (Somerset, NJ)
- …+ Works under the supervision of a Terracon Authorized Project Reviewer . **Requirements:** + Bachelor's degree in Environmental Science or related science ... we offer many programs including medical, dental, vision, life insurance, 401(k) plan , paid time off and holidays, education reimbursement, and various bonus… more
- Walmart (Sunnyvale, CA)
- …employment. Benefits are subject to change and may be subject to a specific plan or program terms. For information about benefits and eligibility, see One.Walmart ... Research, Statistics, Applied Mathematics, Econometrics, Publications or active peer reviewer in related journals or conference, Successful completion of one… more
- Roper St. Francis (Summerville, SC)
- …Nurse Practice Act. Applies professional nursing theory and practice to assess, plan , implement and evaluate patient care. Supports unit-based shared governance and ... thinking. Ability to run effective shift safety huddles, report safety concerns, review device utilization, report staffing concerns, and review surgical… more
- LA Care Health Plan (Los Angeles, CA)
- …(Min.) - $152,762.00 (Mid.) - $188,015.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by the state of California to ... low-income Los Angeles County residents. We are the nation's largest publicly operated health plan . Serving more than 2 million members, we make sure our members get… more
- Molina Healthcare (North Las Vegas, NV)
- …works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, ... performing one or more of the following activities: care review /utilization management (prior authorizations, inpatient/outpatient medical necessity, etc.), case… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- About The Role Brighton Health Plan Solutions (BHPS) is seeking an experienced Healthcare Claims Examiner skilled in the interpretation of Hospital and Ancillary ... adhering to the specified turnaround times. + Perform quality review of claims and logic changes/updates in Impact. +...school education is a plus. About At Brighton Health Plan Solutions, LLC, our people are committed to the… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- About The Role Brighton Health Plan Solutions (BHPS) provides Case Management / Medical Management services to its clients. Clinical Coordinator facilitates case ... GED is required. + Strong skills in medical record review . + Familiarity with medical terminology a plus. +...tasks as identified and/or assigned. About At Brighton Health Plan Solutions, LLC, our people are committed to the… more
- Arc Allegany-Steuben (Bath, NY)
- …or Corporate Compliance. * Assist in the maximization of billing by ensuring review of all services/ plans are completed per Agency and regulatory expectations. ... with the person in the development of his/her Life Plan and associated Staff Action Plans . *...procedure. * Reviews service documentation to ensure the service plan is being implemented as intended. * Review… more
- Geisinger (Danville, PA)
- …Ensures all regulatory requirements are met including the completion of annual fraud plans and reports. Acts as a point of contact for collaboration with local, ... management with reimbursement or recovery recommendations based on PI team's review of claims for appropriate coding, billed statistics, policies, industry standards… more