- Excellus BlueCross BlueShield (Latham, NY)
- …regulatory and accreditation entities. Refers appropriate cases to the Medical Director for review . Refer to and work closely with Case Management to address member ... and treatment of members' behavioral health conditions, applying established clinical review criteria, guidelines and medical policies and contractual benefits as… more
- State of Massachusetts (Taunton, MA)
- *Position Summary* Incumbents of positions in this series prepare or review plans, designs, specifications and cost estimates for engineering projects; prepare ... and/or review reports, studies and analytical data; perform calculations relating...bridges and other structures through on-site inspection, discussions, and review of available data. *Preferred Qualifications* * Proficiency in… more
- Centene Corporation (Baton Rouge, LA)
- …a fresh perspective on workplace flexibility. **Position Purpose:** Performs a clinical review and assesses care related to mental health and substance abuse. ... appropriateness in accordance with regulatory guidelines and criteria + Performs concurrent review of behavioral health (BH) inpatient to determine overall health of… more
- Assistant Secretary for Housing-Federal Housing Commissioner (Washington, DC)
- …through homeownership, rental housing and healthcare opportunities. As a Supervisor Mortgage Review Board Officer, you will: Review , track, and analyze ... and writing letters or comprehensive reports which affect changes in Mortgage Review Board activities.; AND - Experience with oversight and analysis of lender… more
- PennyMac (Carrollton, TX)
- …A Typical Day We are seeking a highly skilled Mortgage Fulfillment Manager - Condition Review to lead and oversee our condition review team. This role is ... quality in a mortgage origination environment. The Mortgage Fulfillment Manager - Condition Review will : + Lead, coach and develop a team of Condition Reviewers,… more
- MyFlorida (Orlando, FL)
- OPERATIONS REVIEW SPECIALIST - 60022447 Date: Jan 12, 2026 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... . Requisition No: 868086 Agency: Children and Families Working Title: OPERATIONS REVIEW SPECIALIST - 60022447 Pay Plan: Career Service Position Number: 60022447… more
- PennyMac (St. Louis, MO)
- …mortgage journey. A Typical Day Position Summary:The Operations Manager - Precision Review at Pennymac will lead and oversee a specialized team responsible for ... improvement, and team development, driving efficiency and accuracy across the Precision Review function. The Operations Manager will serve as a key partner to… more
- Caterpillar, Inc. (Peoria, IL)
- …digital capabilities, technology and operational excellence. As a **Warranty Analyst (Claim Review & Validation)** , you'll facilitate the claim review and ... claims adhere to policies. This is accomplished through detailed claim review and identification of improvement opportunities. This role requires collaboration with… more
- State of Arkansas (Little Rock, AR)
- CLAIMS REVIEW SPECIALIST Date: Jan 7, 2026 Req ID: 54816 Location: Little Rock, AR, US, 72202 Category: AR DEPT OF HUMAN SERVICES Anticipated Starting Salary: ... care for others. Position Information Job Series:Program Operations - Claims Review Classification:Claims Review Specialist Class Code:PCR02P Pay Grade:SGS03… more
- Bevilacqua Research Corporation (Panama City, FL)
- …Returning Applicant? Login Now (https://www.vs4.vscyberhosting.com/brc/AppSelfService.aspx) Scientific Review Personnel *Consultant* Job Code:26-NSWCPCD-002 Primary ... & integration, security & intelligence, and R&D. Responsibilities: + Provide Scientific review support of NEDU's research protocols and test plans conducted by the… more