- LinkedIn (Sunnyvale, CA)
- …changing the way the world works. We are looking for a Senior Lead Analyst, Account Review for Trust Review Operations (TRO) to be a critical part of keeping ... and confidence in the ARE output as well as to maintain expertise in account review . . Provide coaching to the Account Review Experts to ensure precision and… more
- Centene Corporation (New York, NY)
- …including a fresh perspective on workplace flexibility. **Position Purpose:** The Utilization Review Nurse I provides first level clinical review for all ... requiring authorization. Utilizes decision-making and critical-thinking skills in the review and determination of coverage for medically necessary health care… more
- Takeda Pharmaceuticals (Lexington, MA)
- …the role:** Join Takeda as a Senior Manager, US Medical Information and Review where you will deliver high-quality, balanced and timely medical and scientific ... will report to the Director, US Medical Information and Review . This is a hybrid role based in Lexington,...to participate in medical, dental, vision insurance, a 401(k) plan and company match, short-term and long-term disability coverage,… more
- Houston Methodist (Houston, TX)
- …actions upon non-compliance (ie, licensure/certification compliance, focal point review requirements, disaster plan , in-services, influenza immunization, ... effective working environment; monitors and/or revises the department safety plan and/or any specific accreditation/regulatory required safety guidelines. Responsible… more
- Centene Corporation (Springfield, IL)
- …Master's degree for behavioral health clinicians required. Clinical knowledge and ability to review and/or assess treatment plans related to mental health and ... time zone with experience in mental health settings and utilization management / review . * Department: PHCO BH UM supporting IL Meridian Medicaid * Business Unit:… more
- Entergy (New Orleans, LA)
- …or applicant for employment. Please contact ###@entergy.com to schedule a time to review the affirmative action plan during regular office hours. **WORKING ... and project management standards; serves as a SGP Gate Reviewer . 3. Conducts training on the Entergy SGP, project...completing planned scopes of work according to multi-year budget plans . 5. Support in the development and maintenance of… more
- City National Bank (Honolulu, HI)
- *SENIOR COMMERCIAL APPRAISAL REVIEW * WHAT IS THE OPPORTUNITY? The Commercial Real Estate Review Appraiser is responsible for the engagement of third-party ... vendors and review of appraisal reports for the Bank's real estate...* Comprehensive healthcare coverage, including Medical, Dental and Vision plans , available the first of the month following start… 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
- MyFlorida (Tallahassee, FL)
- …technology duties, which includes profiling plans in VERSA REG, maintaining plan review database and other computer software, hardware, and data systems ... & RESTAURANTS GOVERNMENT OPERATIONS CONSULTANT II WORKING TITLE - PLAN REVIEWER POSITION NUMBER: 79011136 HIRING SALARY:...upon. Completes electronic plan reviews accurately. Sends plans and plan review packets… more