• Medicaid Quality Control Case Review

    City of New York (New York, NY)
    …Principal Administrative Associate, who will function as a Medicaid Quality Control Case Review Supervisor who will: - Review the audit findings determined by ... the Quality Control Case Reviewers to ensure they are relevant and appropriate. Review the programs' responses to error findings and determine whether MAQC agrees or… more
    City of New York (07/05/25)
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  • Pro Fee Coding Quality Review Educator

    HCA Healthcare (Dublin, GA)
    …to join an organization that invests in you as a Pro Fee Coding Quality Review Educator? At Parallon, you come first. HCA Healthcare has committed up to $300 million ... are looking for a dedicated Pro Fee Coding Quality Review Educator like you to be a part of...for coder education via coder reviews, stakeholder feedback, and review of data analytics that identify educational opportunities, trends,… more
    HCA Healthcare (09/27/25)
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  • Commercial Loan Servicing Representative…

    Wells Fargo (Des Moines, IA)
    …Commercial Loan Servicing Representative as part of the Commercial Insurance Review team within **Commercial Banking Operations.** The collateral monitoring team is ... agents. This role ensures a full and comprehensive quality review that commercial equipment insurance policies meet all related...this role, you will:** + Manage risk by performing review and analysis of insurance policies for the express… more
    Wells Fargo (09/27/25)
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  • Utilization Review Clinician - Behavioral…

    Centene Corporation (Raleigh, NC)
    …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
    Centene Corporation (09/27/25)
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  • Development Review Engineer

    City of Durham (Durham, NC)
    Development Review Engineer Print (https://www.governmentjobs.com/careers/durhamnc/jobs/newprint/5082142) Apply  Development Review Engineer Salary $77,507.00 - ... community, join our team! This position supports and assists with development review activities for the Planning & Development Department. The position performs… more
    City of Durham (09/25/25)
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  • Operations Review Specialist

    MyFlorida (Miami, FL)
    OPERATIONS REVIEW SPECIALIST Date: Sep 25, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... Requisition No: 861754 Agency: Department of Corrections Working Title: OPERATIONS REVIEW SPECIALIST Pay Plan: Career Service Position Number: 70040266 Salary:… more
    MyFlorida (09/25/25)
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  • Peer Review Coordinator Full-Time Days

    Trinity Health (Boise, ID)
    **Employment Type:** Full time **Shift:** Day Shift **Description:** **Peer Review Coordinator - Saint Alphonsus Health System** Location: **Boise, Idaho** (with ... care? Join our Performance Improvement team as a **Peer Review Coordinator** , supporting the medical staff peer ...Review Coordinator** , supporting the medical staff peer review process across the health system. This role is… more
    Trinity Health (09/25/25)
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  • CDI Concurrent Review and Query Specialist

    HCA Healthcare (Nashville, TN)
    …you want to join an organization that invests in you as a CDI Concurrent Review and Query Specialist? At HCA Healthcare, you come first. HCA Healthcare has committed ... difference. We are looking for a dedicated CDI Concurrent Review and Query Specialist like you to be a...of our team. **Job Summary and Qualifications** The Concurrent Review and Query Specialist interprets information within the company's… more
    HCA Healthcare (09/24/25)
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  • Material Review Board QRC 2nd Shift…

    RTX Corporation (Midland, GA)
    …during first shift hours. **What You Will Do** We have an opportunity for a Material Review Board, MRB, team member to be based in Columbus, GA. A quality review ... coordinator, QRC, is a key member of the Material Review Board. Responsibilities: + Assisting Engineering and Manufacturing to properly disposition parts running… more
    RTX Corporation (09/24/25)
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  • Utilization Review and Nurse Educator - SHW

    Idaho Division of Human Resources (Nampa, ID)
    Utilization Review and Nurse Educator - SHW Posting Begin Date: 2025/09/22 Posting End Date: 2025/10/20 Category: Nursing Work Type: Full Time Location: Nampa, ID, ... Nurse Seniorto take on a critical role in our Utilization Review , Performance Improvement, Nursing Education programs. This is an exciting opportunity… more
    Idaho Division of Human Resources (09/23/25)
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