- Northeast Family Services (Manchester, NH)
- …key function of this role, as well as establishing KPIs, QA Plans, data utilization , monitoring, and reporting on compliance. If you're looking to make a change and ... cares for their employees and clients! This is a remote position, but must reside in RI, MA, NH,...or NY. Responsibilities: + Collaborate with QA Manager to review , quality check, and clean data sets + Provide… more
- Battelle Memorial Institute (Dugway, UT)
- …the utilization of policies and procedures to collect and review financial and performance information to determine project status, identify significant ... teaming partners in collaboration with Business Development Staff. Establishes review procedures to ensure that proposed technical work can...model allows you to work 60% in-office and 40% remote , with Monday and Tuesday as common in-office days,… more
- V2X (Madison, MS)
- …operations and -10 level range equipment maintenance, land conditions and utilization . He/she will supervise multiple OCN technician augmentees in accordance with ... ICW the planning team. + Monitors range-land conditions and utilization . + Conducts range monitoring & use in accordance...preferably in Combat Arms. + Able to operate in remote and austere environments. + Working knowledge of Geographic… more
- Coinbase (Montpelier, VT)
- …you, there's no better place to be. While many roles at Coinbase are remote -first, we are not remote -only. In-person participation is required throughout the ... spaces that emphasize the work, the brand, and the people.* Coinbase's remote -first approach emphasizes flexibility and inclusivity, allowing most employees to work… more
- BlueCross BlueShield of Tennessee (Chattanooga, TN)
- …necessity determinations are consistent with CMS published guidelines corporate medical review criteria, and medical policy guidelines\. + Analyze, evaluate and ... medical management and quality improvement initiatives\. + Direct and support physician review to ensure timeliness, accuracy and reliability of UM and Appeals… more
- City of New York (New York, NY)
- …of DCP Standard Operating Procedures, and contribute to their improvement and consistent utilization by staff; - Review , analyze, and make recommendations and ... land use applications pursuant to the Uniform Land Use Review Procedure (ULURP), and providing technical and policy guidance...identity, or pregnancy. This position may be eligible for remote work up to 2 days per week, pursuant… more
- Veterans Affairs, Veterans Health Administration (Reno, NV)
- …aligned care team). The Advanced MSA coordinates with the patient care team to review the clinic utilization by using various reports (eg, Clinic Utilization ... required by law (ie, medical, religious or pregnancy). VHA HCPs do not include remote workers who only infrequently enter VHA locations. If selected, you will be… more
- Humana (St. Paul, MN)
- …member service or customer service telephone experience desired + Experience with Utilization Review and/or Prior Authorization, preferably within a managed care ... first** The UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2 performs varied activities… more
- Sodexo (Baltimore, MD)
- …business needs with technical solutions. The owner will drive awareness and utilization of a new digital platform across National Account Executives (NAEs), Supply, ... Suppliers, and cross-functional teams (Supply, IT, Data, Marketing), driving awareness, utilization , and evolution of the platform. + Oversee partner onboarding,… more
- Veterans Affairs, Veterans Health Administration (Harlingen, TX)
- …clinical pharmacy practice or specialty area of pharmacy such as quality assurance/ utilization review , informatics systems, drug information, etc. This level of ... patients. Serves as an authoritative information source on drugs and their utilization in therapy. Evaluates the drug literature by analysis of experimental design… more