- Actalent (Irvine, CA)
- …LIMS and Empower Software. Position Summary: + The QAO Chemistry Lab Data reviewer is responsible for reviewing an validating the data in lab notebooks, data ... Assurance Oversight team in the Chemistry labs and perform document technical review . + Review and approve data per laboratory notebook and LIMS documentation. +… more
- APTIM (Santa Fe, NM)
- **Summary:** The Senior-Level Claims Reviewer is responsible for independently reviewing, analyzing, and processing complex claims related to disaster losses in ... on claims interpretation, policy compliance, and documentation quality. The Senior Reviewer also supports mentoring of mid-level staff, provides guidance on… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …healthcare? Bring your true colors to blue. The RoleThe RN Utilization Management Reviewer is responsible for facilitating care for members who may have complex ... benefit to provide the best quality care. The TeamThe RN Utilization Management Reviewer is part of a highly dedicated and motivated team of professionals, including… more
- Centers Plan for Healthy Living (Margate, FL)
- …for Full Time Registered Nurse without experience. The Utilization Management Clinical Reviewer works within a multidisciplinary team to help identify and manage ... their home to improve their quality of life. Utilization Management Clinical Reviewer will assess and process all authorization requests to determine medical… more
- JPMorgan Chase (Tampa, FL)
- …across the organization. As a Quality Control Manager within the Wholesale KYC Operations Reviewer team, part of Digital and Platform Services, you will lead a team ... objectives + Oversee governance and location-specific tasks for Plano and Tampa Reviewer teams, proactively engaging with senior stakeholders + Play an active role… more
- City of New York (New York, NY)
- …Associate Project Manager III, the Associate Project Manager I will serve as Project Reviewer and will review and approve applications for both wastewater and ... the Watershed Regulations, prepare technical comments on State Environmental Quality Review Act (SEQRA) notices, assist with Filtration Avoidance Determination (FAD)… more
- Jacobs (Fort Lauderdale, FL)
- …drives you-so together, we can make a difference. We are seeking a Civil Design Reviewer to join our team in Davie, Florida. This role offers the opportunity to ... sewer utilities * Stormwater modeling and erosion control * Construction document review and QA/QC You'll collaborate with multidisciplinary teams through all phases… more
- AmeriHealth Caritas (Philadelphia, PA)
- **Role Overview: ;** The Clinical Appeals Reviewer is responsible for processing appeals and ensuring all milestones are met in compliance with regulatory ... + Process appeals, ensuring compliance with all regulatory milestones + Review medical records to identify Hospital-Acquired Conditions (HAC), ensure proper… more
- NTT DATA North America (IL)
- HEDIS Reviewer - State of IL Position Summary: Participates in the collection and review of medical records to abstract clinical information for HEDIS quality ... the start of the assignment. This position interprets relevant clinical criteria through review of medical records, annotates via Adobe PDF and populates a data… more
- City of New York (New York, NY)
- …with all statutory, regulatory, and contractual standards. The Process Evaluation Review Team (PERT) is tasked with aggressively monitoring program compliance with ... (1) one Principal Administrative Associate, who will function as a Senior Case Reviewer : - Conduct legally mandated case reviews to comply with various lawsuit… more