- 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
- Sharp HealthCare (San Diego, CA)
- …of Authorization Review for Sharp Health Plan (SHP). The Physician Reviewer will perform all reasonably necessary functions to ensure quality of care and ... care physician with knowledge of managed care and the process for prior authorization review . + California Physicians and Surgeons License - Medical Board of CA -… more
- ThermoFisher Scientific (Foster City, CA)
- **Work Schedule** Standard (Mon-Fri) **Environmental Conditions** Office **Job Description** Role: QC Reviewer This is a fully onsite role based at our customer's ... in: Foster City, CA Essential Functions: Performs complex analytical data review , evaluating laboratory data for compliance with analytical methods, SOPs, directives… more
- Aston Carter (West Des Moines, IA)
- …West Des Moines Area!! Job Description We are seeking a highly skilled Tax Reviewer to ensure the accuracy, completeness, and compliance of tax returns with current ... issues, and assessing current practices to recommend improvements. Responsibilities + Review tax returns for partnerships, corporations, and individuals for accuracy… more
- Chenega Corporation (Rockville, MD)
- …Strategic Business Unit** company, is looking for a Nurse Practitioner-Contract Medical Reviewer (CMR) to support the Department of Health and Human Services (HHS), ... programs, or managed care. + Professional Background: Relevant experience in claims review , healthcare administration, or related fields. + A minimum of five years… more
- City of New York (New York, NY)
- …of Public Buildings, Architecture and Engineering Unit seeks a Senior Design Reviewer (Electrical). Reporting to the Director and Deputy Directors of the Engineering ... project scope development; existing conditions surveys and forensic analyses; the review of design and construction documents prepared by consultants; the… more
- City of New York (New York, NY)
- …of Public Buildings, Architecture and Engineering Unit seeks a Senior Design Reviewer (Electrical). Reporting to the Director and Deputy Directors of the Engineering ... project scope development; existing conditions surveys and forensic analyses; the review of design and construction documents prepared by consultants; the… more
- Chenega Corporation (Rockville, MD)
- …Services Strategic Business Unit** company, is looking for a Physician- Contract Medical Reviewer (CMR) to support the Department of Health and Human Services (HHS), ... clients Rockville, MD location. + Professional Background: Relevant experience in claims review , healthcare administration, or related fields. + A minimum of 10… more
- Citizens (Johnston, RI)
- …real estate appraisal reviews on high complexity/risk properties. The Senior Risk Reviewer will be assigned to larger exposure, more complex collateral typically ... real estate appraisal reviews of high complexity/risk properties including memorializing such review in a comprehensive written format for the benefit of internal… more
- Zelis (FL)
- …interests that shape who you are. Position Overview The Inpatient DRG Reviewer will be primarily responsible for conducting post-service, pre-payment and post pay ... AHA Coding Clinic and client specific coverage policies. Conduct prompt claim review to support internal inventory management to achieve greatest savings for… more