- 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
- Geisinger (Danville, PA)
- …information, suggests alternatives and assists in ensuring documentation integrity. + Enters utilization review data into database for tracking and trending ... Access Specialist performs initial, concurrent and retrospective medical record review to determine medical necessity for acute care admission based on the… 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
- 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
- TIAA (Dallas, TX)
- The Retirement Plan Operations Specialist Senior provides day-to-day client service and administrative support to plan sponsors and the back office operations, ... space are available for use. + Manages records of data storage utilization , back-up and maintenance procedures, and recommends procedural improvements. + Engages… more
- Bristol Myers Squibb (Tampa, FL)
- …personal lives. Read more: careers.bms.com/working-with-us . **Job Summary** The position of Senior Specialist , Benefit Operations plays a central role in ... resolution. + Compile and present relevant data for second-level appeals. + Review and make timely updates to employee reference materials and Knowledge Articles.… more
- Burns & McDonnell (Minneapolis, MN)
- **Description** The Senior Compliance Specialist will lead various environmental air permitting, analysis, and compliance projects. This position will lead ... + Review emissions calculations and background documentation. + Approve utilization of compliance tools and remediation project strategies. + Build and maintain… more
- V2X (Patrick Air Force Base, FL)
- …Inventory, Subcontractor Control, Reports, Relief of Stewardship and Liability, Utilization , Maintenance, and Property Closeout + Ensures compliance with the ... receiving, issuing, accountability, and preservation of all government property, and review work for accuracy and compliance with established procedures. +… more
- Centene Corporation (Jefferson City, MO)
- …to direct compliance issues to appropriate channels for research and resolution. Review and evaluate the status and effectiveness of corrective action plans and ... and CMS work plans including but not limited to, care management utilization management, quality improvement plan management and oversight, and appeals. + Educate,… more
- V2X (Patrick Air Force Base, FL)
- …Inventory, Subcontractor Control, Reports, Relief of Stewardship and Liability, Utilization , Maintenance, and Property Closeout. + Ensures compliance with the ... receiving, issuing, accountability, and preservation of all government property, and review work for accuracy and compliance with established procedures. +… more
- KeyBank (Brooklyn, OH)
- …Will be onsite for the first week This position is responsible for the review of loan documentation for complex commercial loan clients and the booking of basic ... queues to ensure timely processing of tasks. + Effective utilization of "dual monitor" environment. + Ability to work...Act as team champion to assist team members. + Review and book the most complex loans, which include… more
- Nestle (Glendale, AZ)
- …for improvement initiatives that define equipment data, equipment capabilities, utilization , efficiencies, and obsolescence in area of responsibility. + Subject ... as required, meeting project and budgetary expectations. + Author and review documents including Preventive Maintenance plans, Standard Operating Procedures, Batch… more
- Pfizer (Olympia, WA)
- …of strong leadership, cross functional leadership, collaboration, and effective utilization of available resources to drive performance. **NON-STANDARD WORK ... other value received, generally for public disclosure. Subject to further legal review and statutory or regulatory clarification, which Pfizer intends to pursue,… more
- Entergy (New Orleans, LA)
- …available for this posting. This position will be assigned as a Category Management Specialist I, II, III, or Senior based on education, relevent experience, and ... success at the Category Management Level.** **Summary** The Senior Category Management Specialist utilizes significant supply chain, category management and… more
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