• Underwriter

    Aston Carter (Overland Park, KS)
    …business according to parameter guidelines and determine group eligibility for health insurance . + Review Medical Load Reports and evaluate medical ... set guidelines and determining the eligibility of groups for health insurance . This role requires a strong...run alternate quotes approved by the rate committee. + Review Health Renewals and renewal tools, making… more
    Aston Carter (08/22/25)
    - Related Jobs
  • Assistant Director, Institutional Review

    RWJBarnabas Health (Long Branch, NJ)
    …physical, emotional, social, and financial health . + Paid Time Off (PTO) + Medical and Prescription Drug Insurance + Dental and Vision Insurance + ... Category:Laboratory and Medical Technologist Status:Full-Time Shift:Day Facility:Monmouth Medical Center Department:Institutional Review Board Pay Range:$102,960.00… more
    RWJBarnabas Health (06/06/25)
    - Related Jobs
  • Director, Medical Information…

    Takeda Pharmaceuticals (Lexington, MA)
    …assigned US Medical Team(s) to lead a high performing team responsible for medical information and medical review activities across a broad portfolio of ... and alliance partnerships for assigned therapeutic area. + Manage Medical Review personnel in the participation and...US based employees may be eligible to participate in medical , dental, vision insurance , a 401(k) plan… more
    Takeda Pharmaceuticals (08/15/25)
    - Related Jobs
  • Senior Manager, US Medical Information…

    Takeda Pharmaceuticals (Lexington, MA)
    …matter expert representative at Regional Medical Strategy Team meetings. + Medical review of other materials pertinent to Takeda business as required, ... the role:** Join Takeda as a Senior Manager, US Medical Information and Review where you will...US based employees may be eligible to participate in medical , dental, vision insurance , a 401(k) plan… more
    Takeda Pharmaceuticals (08/15/25)
    - Related Jobs
  • Utilization Review Nurse - Remote

    Martin's Point Health Care (Portland, ME)
    …Outcomes/Results: + Review prior authorization requests (prior authorization, concurrent review , and retrospective review ) for medical necessity ... Join Martin's Point Health Care - an innovative, not-for-profit health...Medical Director as needed for additional expertise and review . + Utilize evidenced-based criteria, governmental policies, and internal… more
    Martin's Point Health Care (08/22/25)
    - Related Jobs
  • Clinical Peer Review Coordinator - Full…

    Henry Ford Health System (Wyandotte, MI)
    …continuum of services - from primary and preventative care to complex and specialty care, health insurance , a full suite of home health offerings, virtual ... from the Senior Level Leadership, in collaboration with the Medical Staff Leadership Team, the Clinical Peer Review...database management software, and Epic reports. + Understanding of health care cultures including medical and nursing… more
    Henry Ford Health System (08/25/25)
    - Related Jobs
  • Utilization Review Clinician - Behavioral…

    Centene Corporation (Springfield, IL)
    …per hour Centene offers a comprehensive benefits package including: competitive pay, health insurance , 401K and stock purchase plans, tuition reimbursement, paid ... 28 million members as a clinical professional on our Medical Management/ Health Services team. Centene is a...central or eastern time zone with experience in mental health settings and utilization management / review .… more
    Centene Corporation (08/21/25)
    - Related Jobs
  • Non-Clinical Coding and OASIS Review

    BAYADA Home Health Care (Orlando, FL)
    …following: Paid holidays, vacation and sick leave, vision, dental and medical health plans, employer paid life insurance , 401k with company match, direct ... Health Care is hiring a full time OASIS Review and Coding Manager. The OASIS and Coding ...Review Manager provides support to all BAYADA Home Health Care Medicare service offices by monitoring Outcome and… more
    BAYADA Home Health Care (08/15/25)
    - Related Jobs
  • Clinical Coding and OASIS Review Manager

    BAYADA Home Health Care (Austin, TX)
    …following: Paid holidays, vacation and sick leave, vision, dental and medical health plans, employer paid life insurance , 401k with company match, direct ... industry leader. Apply now for immediate consideration. OASIS Review , Utilization Review , Quality Assurance, Remote, Home Health Coding, Coder, Medicare **As… more
    BAYADA Home Health Care (08/15/25)
    - Related Jobs
  • RN Peer Review Specialist

    Sanford Health (Bemidji, MN)
    …full-time and part-time employees. Depending on eligibility, a variety of benefits include health insurance , dental insurance , vision insurance , life ... **Careers With Purpose** **Sanford Health is one of the largest and fastest-growing...monitoring activities to persons and committees for use in Medical Staff peer review processes and activities… more
    Sanford Health (07/09/25)
    - Related Jobs