• Therapist Reviewer

    Elevance Health (Indianapolis, IN)
    **Therapist Reviewer ** **Location: Fort Wayne IN.** **This field-based role enables associates to primarily** **operate** **in the field, traveling to client sites ... unless_ _an accommodation_ _is granted as required by law._ The **Therapist Reviewer ** is provides comprehensive support and assistance to the faculty and staff… more
    Elevance Health (01/07/26)
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  • Senior Specialist, QA Deviation Reviewer…

    Bristol Myers Squibb (Summit, NJ)
    …for the incumbent include ensuring accurate and timely maintenance and review of procedures and methods; providing compliance oversight; ensure accurate and ... timely review of manufacturing and laboratory investigations; and identifying any...+ US Exempt Employees: flexible time off (unlimited, with manager approval, 11 paid national holidays (not applicable to… more
    Bristol Myers Squibb (01/21/26)
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  • Nurse Practitioner-Contract Medical…

    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), ... this aligns closely with the types of cases we review . Clinicians with backgrounds in Internal Medicine, Family Medicine,...project team as directed. + Support the CSCS Program Manager and Project Manager 's efforts to provide… more
    Chenega Corporation (01/15/26)
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  • Physician-Contract Medical Reviewer (CMR)

    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), ... project team as directed. + Support the CSCS Program Manager and Project Manager 's efforts to provide...MD location. + Professional Background: Relevant experience in claims review , healthcare administration, or related fields. + A minimum… more
    Chenega Corporation (01/13/26)
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  • HEDIS Data Reviewer

    US Tech Solutions (Philadelphia, PA)
    …Description:** + Under the direction of the Manager of Medical Record Review Operations, the HEDIS Data Reviewer is responsible for performing medical record ... Coordination of the medical records identification process, collection activities and review . + Performing and applying structured auditing abstraction criteria to… more
    US Tech Solutions (01/14/26)
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  • Nurse Reviewer I

    Elevance Health (Costa Mesa, CA)
    The **Nurse Reviewer ** is responsible for conducting preauthorization, out of network and appropriateness of treatment reviews for diagnostic imaging services by ... that are routine having limited or no previous medical review experience requiring guidance by more senior colleagues and/or...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
    Elevance Health (01/17/26)
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  • Physical Therapist/Occupational Therapist (Therapy…

    Elevance Health (WI)
    The **Therapy Services Reviewer ** is responsible for the review of medical records to determine if requests for therapy services (physical therapy, occupational ... in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance Health location at least… more
    Elevance Health (01/17/26)
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  • Psychologist Reviewer - part time

    Elevance Health (Grand Prairie, TX)
    …unless an accommodation is granted as required by law._ The **Psychologist Reviewer ** - **part time** is responsible for collaborating with providers and Medical ... in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance Health location at least… more
    Elevance Health (01/14/26)
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  • Medical Reviewer /Safety Reviewer…

    Actalent (North Chicago, IL)
    …to area projects and objectives. Identify issues and escalate them to the manager as necessary. Conduct medical safety assessments MSA for medical device complaints ... involving reported adverse events and occasionally technical events. This involves evaluating the seriousness of adverse events determining device relatedness and assessing whether a recurring malfunction could cause or contribute to serious injury or death.… more
    Actalent (01/14/26)
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  • Consumer Credit Review Senior…

    Capital One (Mclean, VA)
    …number of hours to be regularly worked. Chicago, IL: $182,500 - $208,300 for Sr. Credit Review Manager McLean, VA: $200,700 - $229,100 for Sr. Credit Review ... Manager New York, NY: $219,000 - $249,900 for Sr. Credit Review Manager Wilmington, DE: $182,500 - $208,300 for Sr. Credit Review Manager Candidates… more
    Capital One (12/04/25)
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