- Molina Healthcare (San Antonio, TX)
- …on set schedule) Looking for a RN with experience with appeals, claims review , and medical coding. JOB DESCRIPTION Job SummaryProvides support for clinical member ... services review assessment processes. Responsible for verifying that services are...years experience, including experience in hospital acute care, inpatient review , prior authorization, managed care, or equivalent combination of… more
- Molina Healthcare (San Diego, CA)
- California residents preferred.** **EMERGENCY ROOM ADMISSIONS REVIEW NURSE** **_3-12 NIGHT SHIFT 7:30PM - 08:30AM PACIFIC HOURS NON EXEMPT, 3 days a week will ... **JOB DESCRIPTION** **Job Summary** Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically… more
- AbbVie (Mettawa, IL)
- …Senior Manager Change Enablement reports to the Associate Director of Review Transformation within the Marketing Operations organization. This dynamic role drives ... adoption of transformative solutions for AbbVie's Material Review Process (MRP), including AI-enhanced processes. As a visible change leader, this individual excels… more
- Molina Healthcare (Austin, TX)
- JOB DESCRIPTION **Job Summary** The RN Care Review Clinician provides support for clinical member services review assessment processes. Responsible for verifying ... 2 years experience, including experience in hospital acute care, inpatient review , prior authorization, managed care, or equivalent combination of relevant education… more
- Amazon (Nashville, TN)
- …join our team! For this role, the primary function will be as a Quality Review Specialist. As an Individual Contributor, the Quality Review Specialist is an ... day in the life The primary task of the Quality Specialist is to review the casework of Operations Specialists, ensuring that casework adheres to the standard… more
- M&T Bank (Louisville, KY)
- **Overview** Completes entry-level review of documents from Mortgage Warehouse Lending clients and reports on identified exceptions. Prepares document shipments. ... Custody tracking system to original documents. The data for review is uploaded to the tracking system for reporting...and update the tracking system accordingly. + Follow basic review criteria according to established procedures + Update the… more
- RTX Corporation (Midland, GA)
- …shift weekdays. **What You Will Do** We have an opportunity for a Material Review Board Team Member to be based in Columbus, GA. Responsibilities: + Assist ... Engineering and Manufacturing to properly disposition parts processing through the Material Review Board Process. + General organization and maintenance of MRB Cribs… more
- Actalent (Berkeley, MO)
- Job Title: Scientist II - Data ReviewJob Description The Scientist II, Data Review will oversee the review of testing documents generated by the Quality Control ... with lab managers to resolve testing priorities and timelines. Responsibilities + Review testing carried out by labs, including routine testing, validation, and… more
- Cornerstone Caregiving (Waco, TX)
- P&L Review Analyst for Waco, TX Finance & Accounting...Summary We are seeking a detail-oriented and analytical P&L Review Analyst to oversee the review and ... analysis of Profit & Loss (P&L) statements. This role is responsible for ensuring financial accuracy, identifying trends, and providing actionable insights to support business decisions. The ideal candidate will have strong financial acumen, excellent… more
- SUNY Upstate Medical University (Syracuse, NY)
- …contracts with reimbursement entities. This is achieved through a thorough chart review and utilization of first-level screening criteria to ensure patients are at ... proficiency in clinical conceptual understanding for purposes of level of care review . Strong communication skills, both written and verbal, as well as interpersonal… more