• The Joint Commission (Oakbrook Terrace, IL)
    …Field Representatives, with minimal direction or supervision, survey and/or review health care organizations throughout the United States. Field Representatives ... **Responsibilities** Position Accountabilities: + Ability to analyze and synthesize survey/ review findings to provide conclusions, recommendations and educational opportunities.… more
    DirectEmployers Association (12/24/25)
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  • KVK Tech (Newtown, PA)
    Job Description Job Description QA Batch Record Reviewer About KVK Tech KVK Tech is a US-based generic and specialty pharmaceutical manufacturer dedicated to ... life-improving pharmaceutical products. What You’ll Do The QA Batch Record Reviewer is responsible for ensuring that all packaging and production documentation… more
    ZipRecruiter (01/12/26)
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  • ATRIA CONSULTING LLC (New York, NY)
    …support quality improvement and regulatory reporting initiatives. This role focuses on medical record review , provider collaboration, and quality auditing to ... HEDIS and QARR standards. Responsibilities: Maintain working knowledge of medical record review processes and EMR systems...temporary staff during record reviews Serve as a final reviewer for HEDIS and QARR records as needed Perform… more
    ZipRecruiter (12/30/25)
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  • The Coding Network LLC (Chicago, IL)
    …To help with the application process, please take a minute to clarify what medical specialty or specialties you excel in and distinguish between surgical and E&M. ... the specialties in which you are strongest. Once we review your resume, the TCN team will send you...Care Company Description TCN has been providing specialty specific medical coding for over 30 years. TCN's 800+ US… more
    ZipRecruiter (12/09/25)
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  • Lundbeck (Deerfield, IL)
    …create new opportunities to drive value for external stakeholders + Serve as medical reviewer and internal subject matter expert for promotional and ... real-world evidence initiatives, and publication planning + Served as senior medical reviewer for promotional and non-promotional materials, ensuring alignment… more
    DirectEmployers Association (12/10/25)
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  • Lundbeck (Deerfield, IL)
    …brand and medical objectives. + Served as a medical reviewer in the promotional materials review process, ensuring accuracy, compliance, and scientific ... Director Medical Affairs, Rare Epilepsies Requisition ID: 7165 Location:...leadership as needed. + Build US Investigator-Initiated Trial strategy, review proposals, and present to leadership for review… more
    DirectEmployers Association (12/11/25)
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  • Lyric (Newtown Square, PA)
    …experience as a medical coder, medical claims adjuster, medical claims processor, chart reviewer /auditor, denial management analyst, clinical editing ... assumption and other immigration support are not available for this position. The Medical Content Staff team member is integral to the success of the content… more
    DirectEmployers Association (01/10/26)
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  • BlueCross BlueShield of Tennessee (Chattanooga, TN)
    … review requests, and UM pre\-certifications and appeals, utilizing medical appropriateness criteria, clinical judgement, and contractual eligibility\. + Various ... coordination of care\. + Seek the advice of the Medical Director when appropriate, according to policy\. + Performing...immunizations and/or associated medical tests may be required for this position\. **Job… more
    DirectEmployers Association (01/15/26)
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  • Imperial Management Administrators Services Inc (Pasadena, CA)
    …of initiating an appeal for each external denial for medical necessity. Develops medical summaries of denied cases for review by the Medical Directors. ... nursing background and 2 to 3 years of Utilization Review experience. The ideal nurse for this role would...services and IP hospital stays that fail to meet medical necessity consistent with MCG or CMS criteria. Completes… more
    ZipRecruiter (12/18/25)
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  • Workway, Inc. (Dallas, TX)
    …country to place exceptional candidates. We currently have a Foreclosure Title Review Specialist opportunity available with a Financial Services Company in Dallas, ... with a superior work environment and advancement opportunities. The Foreclosure Title Review Specialist will be responsible for the specific duties listed below.… more
    ZipRecruiter (01/02/26)
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