- Commonwealth Care Alliance (Boston, MA)
- …Reviewer is responsible for day-to-day timely clinical and service authorization review for medical necessity and decision-making. The Nurse Utilization ... reports. **Essential Duties & Responsibilities:** + Conducts timely clinical decision review for services requiring prior authorization in a variety of clinical… more
- The Joint Commission (Oakbrook Terrace, IL)
- …Field Representatives, with minimal direction or supervision, survey and/or review health care organizations throughout the United States. Field Representatives ... **Responsibilities** Position Accountabilities: + Ability to analyze and synthesize survey/ review findings to provide conclusions, recommendations and educational opportunities.… more
- ABBTECH Professional Resources, Inc. (Reston, VA)
- …1 year of experience in providing professional expertise to DoD preferred. - Medical Expert in orthopedic rehabilitation with vocal cord atrophy as secondary skill. ... - Court certified expert of a certified independent medical examiner with knowledge of orthopedic rehabilitation. - Must...examiner with knowledge of orthopedic rehabilitation. - Must have medical expertise to provide a summary estimate of damages… more
- Banc of California (Santa Ana, CA)
- …expectations and internal governance standards. + Enhance the Credit Review program by strengthening governance, expanding portfolio coverage, and refining ... risk assessment methodologies and implement other critical elements for a credit review program to align with heightened regulatory expectations (eg, Federal Reserve… more
- Micron Technology, Inc. (Boise, ID)
- …to the growth and innovation of the semiconductor industry. As a Process Change Review Board Engineer, it is essential to have a thorough understanding of the ... of the conversion process. **Responsibilities:** + Facilitate Process Change Review Board Meetings. + Align and optimize system setups...prepare for the future. We offer a choice of medical , dental and vision plans in all locations enabling… more
- CoxHealth (MO)
- …authorizations from Insurance companies for scheduled tests/procedures providing necessary medical information for authorizations. Interprets patient medical ... records and reviews cases with the insurance nurse reviewer . Accurately enters information into multiple computer programs and insurance websites. Education: ▪… more
- DHL Express, Inc. (Jamaica, NY)
- …and procedures. DHL's continued success relies upon this role's ability to review , interpret and implement existing and new DHL policies. **Key Responsibilities:** + ... match + myShares - Voluntary plan to buy discounted company shares + Medical , Dental, Vision, well-being programs + Tuition Reimbursement + Generous Paid Time Off… more
- Terumo Medical Corporation (Somerset, NJ)
- …protocol, identification of investigators and KOLs, CRF review , Investigator brochure review , FDA/CA & IRB/EC assistance, support on medical and scientific ... questions/issues during trial follow-up phase). + Review CEC/DMC/Clinical trial reports. + Provide medical -clinical trial support to sites/investigators that are… more
- Stratolaunch, LLC (Mojave, CA)
- …and leadership to a team of engineers and specialists. Mentor junior engineers and review the work of team members to ensure technical accuracy and quality. + Lead ... and other stakeholders as aM&P subject matter expert (eg non-advocate technical reviewer , peer reviewer , proposal writing) + Collaborate with program technical… more
- Arvinas (New Haven, CT)
- …Radiology Reviewer activities, Central Lab on-boarding etc **Study Data Review and Analysis** + Lead development of Medical Monitor Plans ... activities. This role includes assembling, evaluating, and presenting scientific and medical data, writing or providing content to clinical documents (clinical study… more
- BroadPath Healthcare Solutions (Tucson, AZ)
- …to enhance understanding of criteria application, benefit use, and the appeal, External Medical Review (EMR), and Fair Hearing processes + Coordinate: Ensures ... results-driven **UM RN Appeals Coordinator.** This role collaborates with clinical review staff, medical directors/physician reviewers, network physicians, and… more
- Terumo Medical Corporation (Somerset, NJ)
- Sr. Medical Writer Date: Oct 20, 2025 Req ID: 5154 Location: Somerset, NJ, US, 08873 Company: Terumo Medical Corporation Department: Scientific Data & ... of science with the understanding of research, the Sr. Medical Writer will support the development and creation of...Sales & Marketing organizations. + Contribute to development and review of risk and benefits of Terumo devices. +… more
- Terumo Medical Corporation (Somerset, NJ)
- …asset review process + Develop, plan, and execute Professional Medical Education HCP programs, including identifying educational needs, and development of ... Professional Medical Education Manager Date: Nov 15, 2025 Req...execute contractual agreements with proctors to teach courses. + Review course curriculum and assist in developing new and… more
- Integra LifeSciences (Plainsboro, NJ)
- …launching of new or improved products/processes. He or She will act as a Quality Reviewer for NCs and CAPAs, in addition to being responsible for the quality efforts ... programs and policies that ensure that the development, manufacture and distribution of medical products is in compliance with corporate policies, US Food and Drug… more
- SanDisk (Milpitas, CA)
- …and IT teams. ESSENTIAL DUTIES AND RESPONSIBILITIES: + Manage the calculation and review of program reserves and oversight over the month end close process. + ... who may have questions around our reserves process + Review processes on an ongoing basis and implement improvements...enhancement projects for our program reserves + Approver and reviewer of SOX controls and internal and external PBC… more
- Highland Hospital (Geneseo, NY)
- …selection).Fax documents from EMR. Utilize menu filters for task views and chart reviewer . Review patient problem list. Review patient allergy list. Navigate ... AED certification (BLS for Healthcare Providers). Knowledge of age-specific medical terminology, anatomy, physiology, and pathophysiology. Familiarity with health… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …management. + Participate in the development, annual review , and approval of company medical review criteria as a member of the Premera Medical Policy ... and expertise to support ongoing education for all clinicians involved in medical review . + Provide professional advisement to all requests for consultation from… more
- Lyric (Newtown Square, PA)
- …editing solution, as a payment, reimbursement or medical policy analyst, medical claims processor, chart auditor/ reviewer , or claims edit/denial management + ... insurance payers, while managing a team of high performing Clinical Managers and Medical Content Analysts. In this intricate role, the Senior Clinical Manager will… more
- Lundbeck (Deerfield, IL)
- …+ Participates in budgetary processes as part of annual business planning and review of expenses within Medical Affairs. **REQUIRED EDUCATION, EXPERIENCE and ... Associate Director Medical Affairs - Neurology Requisition ID: 7013 Location:...and executes publication strategy and planning, including development and review of abstracts, posters, manuscripts for publication and scientific… more
- Parexel (Bismarck, ND)
- …PV workflows and projects and participate in safety processing for studies including medical review of serious adverse events. - Support regulatory safety ... and interactions such as: --Consultancy on protocol development, drug development program etc. -- Medical review of various documents which might be audited by… more
