• Medical Review Unit Director…

    Rising Medical Solutions (Chicago, IL)
    …standards. This position plays a critical role in shaping the strategy for our medical review services and leading a team of qualified healthcare ... Rising Medical Solutions seeks a Medical Review Unit Director for our...Benefits + Competitive base salary, profit sharing, comprehensive benefit package including 401k matching, generous time off, and… more
    Rising Medical Solutions (06/28/25)
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  • 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 ... Posting may close at any time)** **Job Summary** The Medical Review Coordinator ( MRC ) is...with Operational, Executive, and Medical Directors concerning medical histories. + Maintaining excellent customer service … more
    University of Utah (05/12/25)
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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 ... U of U Health - Academics **Department** 00267 - Ophthalmology- Services **Location** Campus **City** Salt Lake City, UT **Type...us and help give the gift of sight! The Medical Review Coordinator at the Utah Lions… more
    University of Utah (07/08/25)
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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, ... please apply!** **Job Summary:** Conduent is seeking an experienced Medical Review Auditor Analyst to join our...medical condition, use of a guide dog or service animal, military/veteran status, citizenship status, basis of genetic… more
    Conduent (06/21/25)
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  • Sr. Medical Promotional Review…

    J&J Family of Companies (Santa Clara, CA)
    …States of America **Job Description:** Johnson & Johnson is hiring for a **Sr. Medical Promotional Review Specialist** **- Shockwave Medica** l to join our team ... sonic pressure waves for the treatment of calcified plaque. **Position Overview** The Sr. Medical Promotional Review Specialist is an integral member of the … more
    J&J Family of Companies (07/19/25)
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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 ... to report into our Schaumburg, IL Headquarter office. Zurich is currently looking for a Medical Bill Review Assoc II for our Schaumburg, IL office. This position… more
    Zurich NA (07/27/25)
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  • Medical Benefit Review…

    Conduent (Baton Rouge, LA)
    … field? Are you eager to learn new skills and help adults in need?** As a ** Medical Benefit Review Services Associate, Regions 7 and 8,** you will ... Through our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100...medical condition, use of a guide dog or service animal, military/veteran status, citizenship status, basis of genetic… more
    Conduent (07/29/25)
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  • Medical Director, Clinical Review…

    MVP Health Care (Rochester, NY)
    …innovative thinking and continuous improvement. To achieve this, we're looking for a ** Medical Director, Clinical Review and Care Integrity** to join #TeamMVP. ... If you have a passion for collaboration and clinical leadership, quality improvement and medical decision making this is the opportunity for you. **What's in it for… more
    MVP Health Care (07/29/25)
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  • Utilization Review Nurse (40 Hour)

    State of Connecticut, Department of Administrative Services (New Haven, CT)
    …monitor agency and third-party administrator files to oversee contractor handling; + May review medical records of various health care eligibility, resource unit ... medical treatment facility, in rehabilitative or occupational nursing or providing medical review of insurance claims. MINIMUM QUALIFICATIONS - SUBSTITUTIONS… more
    State of Connecticut, Department of Administrative Services (07/23/25)
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  • Utilization Review Specialist RN - FT Days

    Houston Methodist (Sugar Land, TX)
    …will prospectively or concurrently determines the appropriateness of inpatient or observation services following review of relevant medical documentation, ... engagement, ie peer-to-peer accountability. ** SERVICE ESSENTIAL FUNCTIONS** + Performs review for medical necessity of admission, continued stay, and… more
    Houston Methodist (07/29/25)
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