- Hackensack Meridian Health (Hackensack, NJ)
- The Senior Utilization Review Specialist collaborates with the healthcare team in the management and resolution of activities that assure the integrity ... population and Hackensack UMC. These include but are not limited to utilization review , hospital reimbursement, clinical compliance, case management, and… more
- Ascension Health (Baltimore, MD)
- …process. + Serve as content specialist for staff in the areas of utilization criteria, appeal and review process, and case management system documentation. + ... at the time of the offer._ **Responsibilities** Manage effective utilization review processes, including management of patient...of care, including more than 140 hospitals and 40 senior living communities in 19 states. Our Mission, Vision… more
- Walgreens (Deerfield, IL)
- **Job Description:** **Job Summary:** The Senior Ambulatory Pharmacist Specialist will lead the clinical pharmacy program and collaborate within a medical team. ... information is available at www.walgreensbootsalliance.com **Job ID:** 1594018BR **Title:** Senior Ambulatory Pharmacist Specialist (Remote) **Company Indicator:**… more
- Mastercard (Atlanta, GA)
- …people, businesses and governments realize their greatest potential._ **Title and Summary** Senior Specialist , Product Management - AI Fraud & Security Solutions ... to ensure a positive experience for consumers. Role The Senior Specialist , AI Fraud & Security Solutions...performance review * Build and deliver product utilization review * Support customers during fraud… more
- Olsson (Omaha, NE)
- Digital Asset Management Senior Specialist Omaha, NE **Company Description** We are Olsson, a team-based, purpose-driven engineering and design firm. Our ... manage workflows in the system for efficient and streamlined review processes. + System Integrations + Coordinate asset management...Facilitate the creation of new templates by partnering with senior specialist of templates and other key… more
- NJ Transit (Newark, NJ)
- Senior Business Development Specialist - Compliance Operations Civil Rights & Diversity Job Description: Move forward with us! At NJ TRANSIT, you'll join us in ... it all possible. We are currently looking for a Senior Business Development Specialist to join our...aspects of DBE certification, and DBE/SBE procurement processes including review of project scope and contract DBE/SBE language; delivering… more
- Sharp HealthCare (San Diego, CA)
- …business practices. **Summary** Seeking a detail-oriented (preferably experienced) Regulatory Affairs Senior Specialist to join our regulatory dept. Responsible ... interpreting and presenting clinical quality-related data + Previous case review experience **Preferred Qualifications** + Master's Degree In related field.… more
- Actalent (Tempe, AZ)
- Job Title: Sourcing Specialist Job Description This role will manage all aspects of the procurement deliverables in support of the overall program timeline and ... requirements. The Sourcing Specialist will work cross-functionally to develop procurement program timelines...risks to executive level and cross-divisional teams. + Influence senior leadership across divisions to champion program needs for… more
- Kodiak Gas Services (The Woodlands, TX)
- …well as the best benefits package in the industry. **Position Summary** The Senior Benefits Specialist will be responsible for supporting the Director, ... exchange of information with carriers and external brokers for claim and utilization data, enrollment information and invoice review . Ensures ongoing accuracy,… more
- Nestle (Solon, OH)
- …position is not eligible for Visa Sponsorship._ **Position Summary** We are seeking a Senior Specialist , Business Systems (CRM) to lead and enhance our customer ... role will be based in the Solon, Ohio office and report to the Senior Manager, Sales Operations. **Key Responsibilities** + Serve as the primary point of contact… more
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