• Medical Review Coordinator

    University of Utah (Salt Lake City, UT)
    …**Requisition Number** PRN39526B **Job Title** PS Program Assistant **Working Title** Medical Review Coordinator **Job Grade** C **FLSA Code** Nonexempt ... Date (Note - Posting may close at any time)** **Job Summary** The Medical Review Coordinator ( MRC ) is responsible for the completion of transplant donor… more
    University of Utah (08/07/25)
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  • PS Medical Review Coordinator

    University of Utah (Salt Lake City, UT)
    …**Requisition Number** PRN42418B **Job Title** PS Program Assistant **Working Title** PS Medical Review Coordinator **Job Grade** C **FLSA Code** Nonexempt ... life-changing daily impact. Join us and help give the gift of sight! The Medical Review Coordinator at the Utah Lions Eye Bank is responsible for evaluating the … more
    University of Utah (08/07/25)
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  • Medical Review Auditor Analyst…

    Conduent (Charlotte, NC)
    …and be part of a culture where individuality is noticed and valued every day. ** Medical Review Auditor Analyst (Remote - Charlotte Area)** **Are you a strong, ... you, then please apply!** **Job Summary:** Conduent is seeking an experienced Medical Review Auditor Analyst to join our team. This individual will work closely… more
    Conduent (06/21/25)
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  • Medical Claim Review Nurse (RN)

    Molina Healthcare (Salt Lake City, UT)
    …DESCRIPTION** **Job Summary** Utilizing clinical knowledge and experience, responsible for review of documentation to ensure medical necessity and appropriate ... + Minimum 3 years clinical nursing experience. + Minimum one year Utilization Review and/or Medical Claims Review . + Minimum two years of experience in… more
    Molina Healthcare (08/08/25)
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  • Medical Bill Review Assoc II

    Zurich NA (Schaumburg, IL)
    Medical Bill Review Assoc II 125620 At Zurich North America Claims we acknowledge that work life-balance and flexibility are a priority when it comes to choosing ... our Schaumburg, IL Headquarter office. Zurich is currently looking for a Medical Bill Review Assoc II for our Schaumburg, IL office. This position with minimal… more
    Zurich NA (07/27/25)
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  • Medical Benefit Review Services…

    Conduent (Baton Rouge, LA)
    …**Are you eager to learn new skills and help adults in need?** As a ** Medical Benefit Review Services Associate, Region 2,** you will help disadvantaged and ... expression, sex/gender, marital status, sexual orientation, physical or mental disability, medical condition, use of a guide dog or service animal, military/veteran… more
    Conduent (08/01/25)
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  • Utilization Review Medical Director

    Commonwealth Care Alliance (Boston, MA)
    …to the Senior Medical Director of Medical Policy and Utilization Review , the Utilization Review Medical Director will be responsible for providing ... **Essential Duties & Responsibilities:** + Primary responsibility for performing daily medical reviews, appeals as appropriate, correspondence regarding review more
    Commonwealth Care Alliance (06/27/25)
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  • Medical Review Coordinator

    Prime Healthcare (Bristol, PA)
    …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/217672/ medical - review -coordinator/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) ... is a community hospital, serving the Lower Bucks County region with medical , surgical, and emergency care. Located in historic Bristol, Pennsylvania, the Hospital… more
    Prime Healthcare (07/25/25)
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  • Director Financial Investigations & Provider…

    Highmark Health (Pittsburgh, PA)
    …fraud, waste and abuse (FWA) programs and fraud awareness training, (d) participates on Medical Review Committee (MRC), including being a key liaison to external ... execution of the strategic plan of the Financial Investigations & Provider Review (FIPR) organization. The strategic plan focuses on the detection and investigation… more
    Highmark Health (08/08/25)
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  • Utilization Review Specialist RN - FT Days

    Houston Methodist (Sugar Land, TX)
    …is a licensed registered nurse (RN) who comprehensively conducts point of entry and concurrent medical record review for medical necessity and level of care ... or concurrently determines the appropriateness of inpatient or observation services following review of relevant medical documentation, medical guidelines,… more
    Houston Methodist (07/29/25)
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