- WestCare Foundation (Henderson, NV)
- Utilization Review Specialist Job Details Job Location Henderson - 1711 Whitney Mesa - Henderson, NV Position Type Full Time Education Level 2 Year Degree ... LPN or RN and/or Bachelors or Masters level CADC/LADC with 2 years utilization review experience, preferred experience working with individuals with psychiatric… more
- Datavant (Carson City, NV)
- …The purpose of the Denial Prevention Specialist is to effectively defend utilization of available health services, review of admissions for medical necessity ... author appeal letter Identification of referrals to the medical director for review + Select appropriate preferred and contracted providers + Provide proper… more
- CBRE (Reno, NV)
- QA/QC Specialist -Data Center Job ID 235812 Posted 08-Sep-2025 Service line GWS Segment Role type Full-time Areas of Interest Construction Location(s) Reno - Nevada ... This position supports change, event & root cause analysis processes through review and/or approval actions. This role ensures all CBRE employees are qualified… more
- CVS Health (Carson City, NV)
- …We have an exciting opportunity available for highly motivated individuals as Medicare Sales Specialist . The position will be a part of a specialized team who will ... all sales presentations. + Servicing of existing members and inquiries related to utilization of their product, benefits, etc. + Cross selling applicable products to… more
- Sedgwick (Carson City, NV)
- …Fortune Best Workplaces in Financial Services & Insurance (Remote) EDI Support Specialist - Casualty **PRIMARY PURPOSE** **:** To identify, research, resolve, and ... Support Representatives on a variety of complex issues including expert review of International Association of Industrial Accident Boards and Commissions (IAIABC)… more
- Huntington Ingalls Industries (Nellis AFB, NV)
- …Summary: HII Mission Technologies is seeking a Weapons School RTO Specialist to support advanced live-fly and synthetic training environments with the ... progress and recommend syllabus advancement or additional training as needed. + Review live-fly and simulation scenario design, assessing virtual and live range… more
- Evolent (Carson City, NV)
- … utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality ... the mission. Stay for the culture. **What You'll Be Doing:** **Cardiovascular Utilization Management Reviewer (Interventional Cardiologist)** Are you ready to make a… more
- Clark County, NV (Las Vegas, NV)
- …examination. EXAMPLES OF DUTIES + Provides lead direction, training and work review to professional staff; organizes and assigns work, sets priorities, and ... resource management system tables; develops and analyzes user requirements for utilization of the appropriate system. + Prepares and maintains customer… more
- ASM Research, An Accenture Federal Services Company (Carson City, NV)
- …on the project in a senior administrator capacity. Considered a technical specialist in a variety of IT administrator disciplines. + Configure, monitor, and ... as needed (aside from on-call rotation). + Optimize system operations and resource utilization as well as perform system capacity analysis and planning. + Utilize… more