A company is looking for a Medical Reviewer III - Managed Care Project (MCP). ...
At Zelis, the Itemized Bill Review Facility Reviewer is responsible for analyzing facility inpatient and outpatient claims for Health Plans and ensuring adherence to proper billing guidelines. ...
A company is looking for a SQL Engineer - Code Reviewer for Data Training. ...
REMOTE (Optometrist) Medical Expert Reviewer Needed. Medical Consultant panel to be an Expert Medical Reviewer to conduct Quality Management Reviews. ...
A company is looking for a Clinical Reviewer III, responsible for conducting treatment record reviews and analyzing clinical documentation. ...
Our Client, a Retail Pharmacy company, is looking for HEDIS Reviewer II for their Remote/NJ location. ...
Job Title: Quality Assurance Nurse Reviewer (Overread Team) - (100% REMOTE). The HEDIS Quality Assurance Nurse Reviewer will validate abstracted medical record data and enter findings electronically into a specified database to support HEDIS Reporting and Quality Improvement. ...
What You’ll Be Doing:As a Physician Clinical Reviewer you will be a key member of the utilization management team. What You Will Be Doing:Serve as the Physician match reviewer in Imaging cases, that do not initially meet the applicable medical necessity guidelines, as well as other imaging requests ...
Our Client, a Retail Pharmacy company, is looking for HEDIS Reviewer II for their Remote/NJ location. ...
Adecco Healthcare & Life Sciences is hiring Nurse Reviewers! This role is remote / work from home. Responsibilities of the Nurse Reviewer:**. Qualifications for the** **Nurse Reviewer** **:**. IMPORTANT:** This **Nurse Reviewer** job is being recruited for by Adeccos Healthcare & Life Sciences divis...
Our Client, a Retail Pharmacy company, is looking for HEDIS Reviewer II for their Remote/NJ location. ...
A-Line Staffing is now hiring HEDIS Medical Record Reviewers. This HEDIS Medical Record Reviewer position is with a Fortune 500 company and offers career growth potential. If you are interested in this HEDIS Medical Record Reviewer position, please contact Treaver Gibbs at. The HEDIS Medical Record ...
Work hours will be 8:00 am to 5:00 pm Monday through Friday.You must have high-speed (non-satellite) internet service and a private home office to work from home.Performs medical claim reviews for one or more of the following: claims for medically complex services, services that require preauthoriza...
At Zelis, the Itemized Bill Review Facility Reviewer is responsible for analyzing facility inpatient and outpatient claims for Health Plans and ensuring adherence to proper billing guidelines. ...
Located in Honolulu, Hawaii, the Nurse Reviewer is responsible for coordinating and conducting various review activities as defined by HSAG's contract with the State of Hawaii, Department of Human Services MedQUEST Division (DHS/MQD). The Nurse Reviewer is responsible for using professional judgemen...
Job Title: Quality Assurance Nurse Reviewer (Overread Team) - (100% REMOTE). The HEDIS Quality Assurance Nurse Reviewer will validate abstracted medical record data and enter findings electronically into a specified database to support HEDIS Reporting and Quality Improvement. ...
Reviewers are not required to walk on roofs or in attics. Reviewers must be available 3-5 days Monday thru Friday to work partial and sometimes full days. ...
Tax Return Reviewer, Global Mobility Services. KPMG is currently seeking a Tax Return Reviewer, Global Mobility Services to join our Global Mobility Services (GMS) practice. ...
We have an ongoing need for Document Reviewers. Document Reviewers will review documents for complex litigation matters using an electronic review platform to code for relevancy, confidentiality, and privilege. ...
We have a variety of remote tax projects with clients across the US; these clients consist of CPA firms who are looking for project assistance throughout busy seasons as well as special projects year-round.These are remote, career-building project opportunities with cutting-edge firms that are embra...
The Inpatient DRG Reviewer will be primarily responsible for conducting post-service, pre-payment and post pay comprehensive inpatient DRG reviews based on industry standard inpatient coding guidelines and rules, evidence based clinical criteria plan, and policy exclusions. ...
This position reviews water mitigation estimates and invoices in an effort to control water mitigation costs on residential and commercial property claims.The position will be responsible for reviewing estimates and negotiating adjustment of losses with contractors, public adjusters, insurers, and a...
Workforce Group (WFG) is seeking experienced Licensed Building Plans Reviewers, to review/approve structural building plans associated with Hurricane Milton's rebuilding activity. ...
Located in Honolulu, Hawaii, the Nurse Reviewer is responsible for coordinating and conducting various review activities as defined by HSAG's contract with the State of Hawaii, Department of Human Services MedQUEST Division (DHS/MQD). The Nurse Reviewer is responsible for using professional judgemen...
You are welcoming, reassuring, and have a passion for providing exceptional customer service.You are a go-to tax expert with 3+ years filing a minimum of 30 federal and state individual tax returns annually.You are an exceptional communicator and enjoy translating complex tax terminology into a lang...