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Utilization Review Nurse South Shore Health  East Weymouth, MA
If you are an existing employee of South Shore Health then please apply through the internal career site.Requisition Number:R-16141Facility:LOC0001 - 55 Fogg Road55 Fogg RoadWeymouth, MA 02190Departme ... Read more
Apply

East Weymouth,MA

If you are an existing employee of South Shore Health then please apply through the internal career site.Requisition Number:R-16141Facility:LOC0001 - 55 Fogg Road55 Fogg RoadWeymouth, MA 02190Departme

Registered Nurse - Case Management (Utilization Review) 13 WEEKS TRAVEL NEED- BOSTON,MA ATC Healthcare Travelers  Boston, MA
ATC Healthcare Travelers - Registered Nurse - Case Management (Utilization Review) @ TUFTS MEDICAL CENTER - BOSTON,MA Profession: Registered Nurse Specialty: Case Management (Utilization Review) Unit: ... Read more
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Boston,MA

ATC Healthcare Travelers - Registered Nurse - Case Management (Utilization Review) @ TUFTS MEDICAL CENTER - BOSTON,MA Profession: Registered Nurse Specialty: Case Management (Utilization Review) Unit:

Utilization Review Nurse Beth Israel Lahey Health  Burlington, MA
When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives.Job Type:RegularScheduled Hours:40Work Shift:Evening (United States of America)Lahey Hos ... Read more
Apply

Burlington,MA

When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives.Job Type:RegularScheduled Hours:40Work Shift:Evening (United States of America)Lahey Hos

Utilization Review Nurse Milford Regional Medical Center  Milford, MA
Per diem, 8a-4;30P as needed weekends + occ/ holidays About Us Milford Regional Medical Center is a full-service, community and regional teaching hospital located in Milford, Mass. and serves patients ... Read more
Apply

Milford,MA

Per diem, 8a-4;30P as needed weekends + occ/ holidays About Us Milford Regional Medical Center is a full-service, community and regional teaching hospital located in Milford, Mass. and serves patients

Supervisor Claims Reviewer Partners Healthcare System  Somerville, MA
As a not-for-profit organization, Mass General Brigham is committed to supporting patient care, research, teaching, and service to the community by leading innovation across our system. Founded by Bri ... Read more
Apply

Somerville,MA

As a not-for-profit organization, Mass General Brigham is committed to supporting patient care, research, teaching, and service to the community by leading innovation across our system. Founded by Bri

Supervisor Claims Reviewer AllWays Health Partners  Somerville, MA
As a not-for-profit organization, Mass General Brigham is committed to supporting patient care, research, teaching, and service to the community by leading innovation across our system. Founded by Bri ... Read more
Apply

Somerville,MA

As a not-for-profit organization, Mass General Brigham is committed to supporting patient care, research, teaching, and service to the community by leading innovation across our system. Founded by Bri

Internal Revenue Agent (Reviewer - Examiner) 12 MONTH ROSTER AMENDED Department Of The Treasury  Boston, MA
DutiesWHAT IS THE SMALL BUSINESS/SELF EMPLOYED (SBSE) DIVISION?A description of the business units can be found at: https://www.jobs.irs.gov/about/who/business-divisionsVacancies will be filled in the ... Read more
Apply

Boston,MA

DutiesWHAT IS THE SMALL BUSINESS/SELF EMPLOYED (SBSE) DIVISION?A description of the business units can be found at: https://www.jobs.irs.gov/about/who/business-divisionsVacancies will be filled in the

DRG Nurse Reviewer Zelis  Boston, MA
Position Overview:The DRG Validation Nurse Reviewer will be primarily responsible for conducting post-service, pre-payment and post pay comprehensive inpatient DRG reviews based on industry standard i ... Read more
Apply

Boston,MA

Position Overview:The DRG Validation Nurse Reviewer will be primarily responsible for conducting post-service, pre-payment and post pay comprehensive inpatient DRG reviews based on industry standard i

Utilization Review RN Beth Israel Deaconess Medical Center  Boston, MA
When you join the growing BILH team, you're not just taking a job, youre making a difference in peoples lives.Job Type:RegularScheduled Hours:40Work Shift:Day (United States of America)Position Summar ... Read more
Apply

Boston,MA

When you join the growing BILH team, you're not just taking a job, youre making a difference in peoples lives.Job Type:RegularScheduled Hours:40Work Shift:Day (United States of America)Position Summar

Sr. Supervisor, Credit Risk Review Santander Bank  Boston, MA
Sr. Supervisor, Credit Risk ReviewBoston, United States of AmericaThe primary function of the Commercial Credit Risk Review Senior Associate is to maintain subject matter expertise in, and lead and pa ... Read more
Apply

Boston,MA

Sr. Supervisor, Credit Risk ReviewBoston, United States of AmericaThe primary function of the Commercial Credit Risk Review Senior Associate is to maintain subject matter expertise in, and lead and pa

Medical Review Manager (Full-time, Remote) Integrity Management Services Inc.  Boston, MA
About UsIntegrity Management Services, Inc. (IntegrityM) is an award-winning, women-owned small business specializing in assisting government and commercial clients in compliance and program integrity ... Read more
Apply

Boston,MA

About UsIntegrity Management Services, Inc. (IntegrityM) is an award-winning, women-owned small business specializing in assisting government and commercial clients in compliance and program integrity

Senior Manager, Security Risk & Reviews Klaviyo  Boston, MA
At Klaviyo, we value the unique backgrounds, experiences and perspectives each Klaviyo (we call ourselves Klaviyos) brings to our workplace each and every day. We believe everyone deserves a fair shot ... Read more
Apply

Boston,MA

At Klaviyo, we value the unique backgrounds, experiences and perspectives each Klaviyo (we call ourselves Klaviyos) brings to our workplace each and every day. We believe everyone deserves a fair shot

Site Plan Review Engineer Careerbuilder  Boston, MA
Residency Requirement:Employees must be Boston residents on their date of hire and for the duration of theiremployment subject to BWSC policies and collective bargaining agreementsOverview:Position Pu ... Read more
Apply

Boston,MA

Residency Requirement:Employees must be Boston residents on their date of hire and for the duration of theiremployment subject to BWSC policies and collective bargaining agreementsOverview:Position Pu

Utilization Reviewer - Clinical Evaluation Center Per diem McLean Hospital(MCL)  Belmont, MA
Responsiblefor obtaining initial insurance authorizations for all applicable coverage andfor appropriate level of clinical care. Must demonstrateMcLean values of integrity, compassion and respect, div ... Read more
Apply

Belmont,MA

Responsiblefor obtaining initial insurance authorizations for all applicable coverage andfor appropriate level of clinical care. Must demonstrateMcLean values of integrity, compassion and respect, div

Sr Specialist, Quality Compliance - Law Enforcement Reviews Cardinal Health  Boston, MA
_What Quality Compliance contributes to Cardinal Health_Quality develops and implements quality policies, procedures, and processes to ensure products and services comply with regulatory standards and ... Read more
Apply

Boston,MA

_What Quality Compliance contributes to Cardinal Health_Quality develops and implements quality policies, procedures, and processes to ensure products and services comply with regulatory standards and

After School Food Program Reviewer (SY23-24) Boston Public Schools  Boston, MA
Child and Adult Care Food Program - At-Risk After-School Care ProgramPOSITIONS AVAILABLE 2023-2024Note: Interviews will be held virtually. Employment for the SY24 school year is temporary. All individ ... Read more
Apply

Boston,MA

Child and Adult Care Food Program - At-Risk After-School Care ProgramPOSITIONS AVAILABLE 2023-2024Note: Interviews will be held virtually. Employment for the SY24 school year is temporary. All individ

Associate Director, US Medical Review Committee Operations AstraZeneca PLC  Boston, MA
Associate Director, US Medical Review Committee OperationsThis is what you will do:The position of Associate Director, US Medical Review Committee (MRC) Operations is responsible for the overall imple ... Read more
Apply

Boston,MA

Associate Director, US Medical Review Committee OperationsThis is what you will do:The position of Associate Director, US Medical Review Committee (MRC) Operations is responsible for the overall imple

Associate Director, US Medical Review Committee Operations Alexion Pharmaceuticals, Inc.  Boston, MA
Associate Director, US Medical Review Committee OperationsThis is what you will do:The position of Associate Director, US Medical Review Committee (MRC) Operations is responsible for the overall imple ... Read more
Apply

Boston,MA

Associate Director, US Medical Review Committee OperationsThis is what you will do:The position of Associate Director, US Medical Review Committee (MRC) Operations is responsible for the overall imple

Associate Director, Medical Review Physician Moderna Theraputics  Cambridge, MA
The RoleThe Clinical Safety and Risk Management group within the Clinical Safety and Pharmacovigilance department promotes patient safety throughout the lifecycle of Moderna's product portfolio from f ... Read more
Apply

Cambridge,MA

The RoleThe Clinical Safety and Risk Management group within the Clinical Safety and Pharmacovigilance department promotes patient safety throughout the lifecycle of Moderna's product portfolio from f

Onsite Document Review Project - Boston Beacon Hill  Boston, MA
To Apply for this Job Click Here Beacon Hill Legal's Boston office is registering licensed attorneys in anticipation of an upcoming document review being hosted ON-SITE in our clients Back Bay office ... Read more
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Boston,MA

To Apply for this Job Click Here Beacon Hill Legal's Boston office is registering licensed attorneys in anticipation of an upcoming document review being hosted ON-SITE in our clients Back Bay office

Acuity Document Reviewer - MA, NY, NJ, PA, CT, MD, DC, VA FTI Consulting, Inc.  Boston, MA
Who We AreFTI Consulting is the world's leading expert-driven consulting firm. Over the last 40 years, FTI Consulting experts have served as the trusted advisor to Fortune 500 companies and the world' ... Read more
Apply

Boston,MA

Who We AreFTI Consulting is the world's leading expert-driven consulting firm. Over the last 40 years, FTI Consulting experts have served as the trusted advisor to Fortune 500 companies and the world'

DATA REVIEW COORDINATOR, School of Medicine, Microbiology (22500538800616) Boston University  Boston, MA
The Data Review Coordinator provides routine, real-time review and verification of Animal Rule/GLP study data, including all animal observation and procedure data, to ensure adherence to generally rec ... Read more
Apply

Boston,MA

The Data Review Coordinator provides routine, real-time review and verification of Animal Rule/GLP study data, including all animal observation and procedure data, to ensure adherence to generally rec

Quality control, bioassay data reviewer Randstad  Norwood, MA
job summary: As the largest staffing and recruitment agency in the world, we can commit to finding you the perfect role that gives you the opportunity to learn and grow in the life sciences arena. Uti ... Read more
Apply

Norwood,MA

job summary: As the largest staffing and recruitment agency in the world, we can commit to finding you the perfect role that gives you the opportunity to learn and grow in the life sciences arena. Uti

Medical Review Manager (Full-time, Remote) Integrity Management Services, Inc.  Boston, MA
About UsIntegrity Management Services, Inc. (IntegrityM) is an award-winning, women-owned small business specializing in assisting government and commercial clients in compliance and program integrity ... Read more
Apply

Boston,MA

About UsIntegrity Management Services, Inc. (IntegrityM) is an award-winning, women-owned small business specializing in assisting government and commercial clients in compliance and program integrity

Associate Director/Senior Associate - Private Credit Specialist JobRialto  Boston, MA
Job DescriptionClient Private Equity Credit ("Client PEC" or "PEC") offers discretionary and non-discretionary investment management and other services with respect to private equity co-investments, ... Read more
Apply

Boston,MA

Job DescriptionClient Private Equity Credit ("Client PEC" or "PEC") offers discretionary and non-discretionary investment management and other services with respect to private equity co-investments,

RN-Case Manager/Utilization Review/CDI Tryfacta, Inc  New York, NY
About US: Tryfacta is a leading, nationally renowned Workforce Management Solution provider for private public sector firms across the US. We specialize in Healthcare, IT, Business Support, and Profes ... Read more
Apply

New York,NY

About US: Tryfacta is a leading, nationally renowned Workforce Management Solution provider for private public sector firms across the US. We specialize in Healthcare, IT, Business Support, and Profes

Utilization Review Nurse SUNY Downstate Medical Center  Brooklyn, NY
The Department of Care Management at SUNY Downstate Health Sciences University is seeking a full-time Utilization Review Nurse. The successful candidate will:* Complete and send initial clinical revie ... Read more
Apply

Brooklyn,NY

The Department of Care Management at SUNY Downstate Health Sciences University is seeking a full-time Utilization Review Nurse. The successful candidate will:* Complete and send initial clinical revie

Registered Nurse-Utilization Review Ambe Healthcare Staffing  Secaucus, NJ
Candidate criteria: Willing to work weekends (expectation is they work a minimum of at least 4 weekend shifts in a 6 week period. These weekends can be all Saturdays, all Sundays, back to back Satur ... Read more
Apply

Secaucus,NJ

Candidate criteria: Willing to work weekends (expectation is they work a minimum of at least 4 weekend shifts in a 6 week period. These weekends can be all Saturdays, all Sundays, back to back Satur

2024-BWSO-007-Engineering & Regulatory Review Drilling Excavation Intern New York City, NY  Jamaica, NY
The NYC Department of Environmental Protection (DEP) enriches the environment and protects public health for all New Yorkers by providing 1.1 billion gallons of high quality drinking water, managing w ... Read more
Apply

Jamaica,NY

The NYC Department of Environmental Protection (DEP) enriches the environment and protects public health for all New Yorkers by providing 1.1 billion gallons of high quality drinking water, managing w

Technical Reviewer Joe Knows  New York, NY
We are looking for a Technical Reviewer on a New York project that has a minimum of (1) year prior experience in the construction and/or utility industry. This will be an administrative position.Respo ... Read more
Apply

New York,NY

We are looking for a Technical Reviewer on a New York project that has a minimum of (1) year prior experience in the construction and/or utility industry. This will be an administrative position.Respo

Product Reviewer for AndroidPolice.com Busy Pixel Media  New York, NY
This position will operate on a remote, freelance basis. Applicants must be located in the US or Canada. Are you an impeccable writer who loves tinkering with the newest Android devices? Want to work ... Read more
Apply

New York,NY

This position will operate on a remote, freelance basis. Applicants must be located in the US or Canada. Are you an impeccable writer who loves tinkering with the newest Android devices? Want to work

Credit Risk Audit/Review Consultant SGA Inc.  Jersey City, NJ
Software Guidance Assistance, Inc., (SGA), is searching for a Credit Risk Audit/Review Consultant for a CONTRACT assignment with one of our premier Financial Services ... Read more
Apply

Jersey City,NJ

Software Guidance Assistance, Inc., (SGA), is searching for a Credit Risk Audit/Review Consultant for a CONTRACT assignment with one of our premier Financial Services

Tax Return Reviewer, Global Mobility Services KPMG  New York, NY
At KPMG, you can become an integral part of a dynamic team at one of the world's top tax firms. Enjoy a collaborative, future-forward culture that empowers your success. Work with KPMG's extensive net ... Read more
Apply

New York,NY

At KPMG, you can become an integral part of a dynamic team at one of the world's top tax firms. Enjoy a collaborative, future-forward culture that empowers your success. Work with KPMG's extensive net

Internal Revenue Agent (Reviewer - Examiner) 12 MONTH ROSTER AMENDED Department Of The Treasury  New York, NY
DutiesWHAT IS THE SMALL BUSINESS/SELF EMPLOYED (SBSE) DIVISION?A description of the business units can be found at: https://www.jobs.irs.gov/about/who/business-divisionsVacancies will be filled in the ... Read more
Apply

New York,NY

DutiesWHAT IS THE SMALL BUSINESS/SELF EMPLOYED (SBSE) DIVISION?A description of the business units can be found at: https://www.jobs.irs.gov/about/who/business-divisionsVacancies will be filled in the

Lead Payment Reviewer Clinical Management Consultants  Yonkers, NY
Are you ready to take on a pivotal role in one of New York's top healthcare systems? Join this esteemed team as the Lead Payment Reviewer at a highly reputable 250 bed hospital, located near vibrant N ... Read more
Apply

Yonkers,NY

Are you ready to take on a pivotal role in one of New York's top healthcare systems? Join this esteemed team as the Lead Payment Reviewer at a highly reputable 250 bed hospital, located near vibrant N

VP, Capital Planning Review - Recovery and Resolution Planning (Hybrid) Citigroup  New York, NY
**Capital Planning Review Team Recovery and Resolution Planning**The Capital Planning Review Team (CPRT) is mandated by the Capital Committee and Board of Directors to lead the holistic independent r ... Read more
Apply

New York,NY

**Capital Planning Review Team Recovery and Resolution Planning**The Capital Planning Review Team (CPRT) is mandated by the Capital Committee and Board of Directors to lead the holistic independent r

Clinical Review Nurse - Prior Authorization Centene Corporation  New York, NY
You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offeri ... Read more
Apply

New York,NY

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offeri

2024-BWSO-007-Engineering & Regulatory Review Drilling Excavation Intern City of New York  New York, NY
Job DescriptionThe NYC Department of Environmental Protection (DEP) enriches the environment and protects public health for all New Yorkers by providing 1.1 billion gallons of high quality drinking wa ... Read more
Apply

New York,NY

Job DescriptionThe NYC Department of Environmental Protection (DEP) enriches the environment and protects public health for all New Yorkers by providing 1.1 billion gallons of high quality drinking wa

Quality Review Manager Vns Health  New York, NY
Overview Conducts daily reviews of case files, letters, and database records against required criteria. Ensures compliance with VNS Home care policies and procedures, regulatory requirements and busin ... Read more
Apply

New York,NY

Overview Conducts daily reviews of case files, letters, and database records against required criteria. Ensures compliance with VNS Home care policies and procedures, regulatory requirements and busin

Medical Review Manager (Full-time, Remote) Integrity Management Services Inc.  New York, NY
About UsIntegrity Management Services, Inc. (IntegrityM) is an award-winning, women-owned small business specializing in assisting government and commercial clients in compliance and program integrity ... Read more
Apply

New York,NY

About UsIntegrity Management Services, Inc. (IntegrityM) is an award-winning, women-owned small business specializing in assisting government and commercial clients in compliance and program integrity

Strategic Remediation & Control Office - Independent Review and Challenge - Vice President Deutsche Bank  New York, NY
Job Description:Job Title Strategic Remediation Control Office - Independent Review and ChallengeCorporate Title Vice PresidentLocation New York, NYOverviewThis role sits within the Strategic Remedia ... Read more
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New York,NY

Job Description:Job Title Strategic Remediation Control Office - Independent Review and ChallengeCorporate Title Vice PresidentLocation New York, NYOverviewThis role sits within the Strategic Remedia

Assessment Writer and Reviewer Careerbuilder  New York, NY
Correlation Oneis an education technology company building the workforce development platform of the future.We close skill gaps for enterprises, governments and individuals, while empowering disenfran ... Read more
Apply

New York,NY

Correlation Oneis an education technology company building the workforce development platform of the future.We close skill gaps for enterprises, governments and individuals, while empowering disenfran

Loan Review Officer Pelham Berkeley Search  New York, NY
High Profile Bank in Manhattan seeks a commercial lending Loan Review Officer with a strong credit risk background. Tremendous full-time direct hire career opportunity with International Organizatio ... Read more
Apply

New York,NY

High Profile Bank in Manhattan seeks a commercial lending Loan Review Officer with a strong credit risk background. Tremendous full-time direct hire career opportunity with International Organizatio

Associate - Review & Validation S&P Global, Inc.  New York, NY
About the Role:Grade Level (for internal use):11Title: Associate, Review ValidationGrade (relevant for internal applicants only):11Location: New York, NY; Chicago, ILTeam:The Review Validation team ... Read more
Apply

New York,NY

About the Role:Grade Level (for internal use):11Title: Associate, Review ValidationGrade (relevant for internal applicants only):11Location: New York, NY; Chicago, ILTeam:The Review Validation team

Client Relationship Manager - Medical Claim/Bill Review Alaffia Health  New York, NY
About Alaffia Our MissionEach year, the U.S. healthcare system suffers from over $500B in wasted spending due to medical billing fraud, waste, and administrative burden. At Alaffia, we're on a missio ... Read more
Apply

New York,NY

About Alaffia Our MissionEach year, the U.S. healthcare system suffers from over $500B in wasted spending due to medical billing fraud, waste, and administrative burden. At Alaffia, we're on a missio

Technical Reviewer Joe Knows Energy  New York, NY
We are looking for a Technical Reviewer on a New York project that has a minimum of (1) years prior experience in the construction and/or utility industry. This will be an administrative position.Requ ... Read more
Apply

New York,NY

We are looking for a Technical Reviewer on a New York project that has a minimum of (1) years prior experience in the construction and/or utility industry. This will be an administrative position.Requ

VP, Capital Planning Review - Recovery and Resolution Planning (Hybrid) Citigroup, Inc.  New York, NY
Capital Planning Review Team - Recovery and Resolution PlanningThe Capital Planning Review Team ("CPRT") is mandated by the Capital Committee and Board of Directors to lead the holistic independent re ... Read more
Apply

New York,NY

Capital Planning Review Team - Recovery and Resolution PlanningThe Capital Planning Review Team ("CPRT") is mandated by the Capital Committee and Board of Directors to lead the holistic independent re

Unpaid Tax Preparer and Quality Reviewer International Rescue Committee  New York, NY
Requisition ID: req47210Job Title: Unpaid Tax Preparer and Quality ReviewerSector: Economic Recovery LivelihoodEmployment Category: InternEmployment Type: Part-TimeCompensation: USD 0.00 - 0.00 Hourl ... Read more
Apply

New York,NY

Requisition ID: req47210Job Title: Unpaid Tax Preparer and Quality ReviewerSector: Economic Recovery LivelihoodEmployment Category: InternEmployment Type: Part-TimeCompensation: USD 0.00 - 0.00 Hourl

Freelance Medical Reviewer, Organic Content (Contract) Ro  New York, NY
Who We AreRo is a direct-to-patient healthcare company with a mission of helping as many patients as possible achieve their health goals. Ro is the only company to offer telehealth care, at-home diagn ... Read more
Apply

New York,NY

Who We AreRo is a direct-to-patient healthcare company with a mission of helping as many patients as possible achieve their health goals. Ro is the only company to offer telehealth care, at-home diagn

Utilization Review Clinician, Advocate, Virtual Social Work p.r.n.  New York, NY
Description Utilization Review Clinician/Advocate needed for full-time, permanent, remote position.Position Responsibilities:?Performs telephonic care review and authorization determinations for prosp ... Read more
Apply

New York,NY

Description Utilization Review Clinician/Advocate needed for full-time, permanent, remote position.Position Responsibilities:?Performs telephonic care review and authorization determinations for prosp

Utilization Review Nurse South Shore Health  East Weymouth, MA
If you are an existing employee of South Shore Health then please apply through the internal career site.Requisition Number:R-16141Facility:LOC0001 - 55 Fogg Road55 Fogg RoadWeymouth, MA 02190Departme ... Read more
Apply

East Weymouth,MA

If you are an existing employee of South Shore Health then please apply through the internal career site.Requisition Number:R-16141Facility:LOC0001 - 55 Fogg Road55 Fogg RoadWeymouth, MA 02190Departme

Registered Nurse - Case Management (Utilization Review) 13 WEEKS TRAVEL NEED- BOSTON,MA ATC Healthcare Travelers  Boston, MA
ATC Healthcare Travelers - Registered Nurse - Case Management (Utilization Review) @ TUFTS MEDICAL CENTER - BOSTON,MA Profession: Registered Nurse Specialty: Case Management (Utilization Review) Unit: ... Read more
Apply

Boston,MA

ATC Healthcare Travelers - Registered Nurse - Case Management (Utilization Review) @ TUFTS MEDICAL CENTER - BOSTON,MA Profession: Registered Nurse Specialty: Case Management (Utilization Review) Unit:

Utilization Review Nurse Beth Israel Lahey Health  Burlington, MA
When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives.Job Type:RegularScheduled Hours:40Work Shift:Evening (United States of America)Lahey Hos ... Read more
Apply

Burlington,MA

When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives.Job Type:RegularScheduled Hours:40Work Shift:Evening (United States of America)Lahey Hos

Utilization Review Nurse Milford Regional Medical Center  Milford, MA
Per diem, 8a-4;30P as needed weekends + occ/ holidays About Us Milford Regional Medical Center is a full-service, community and regional teaching hospital located in Milford, Mass. and serves patients ... Read more
Apply

Milford,MA

Per diem, 8a-4;30P as needed weekends + occ/ holidays About Us Milford Regional Medical Center is a full-service, community and regional teaching hospital located in Milford, Mass. and serves patients

Supervisor Claims Reviewer Partners Healthcare System  Somerville, MA
As a not-for-profit organization, Mass General Brigham is committed to supporting patient care, research, teaching, and service to the community by leading innovation across our system. Founded by Bri ... Read more
Apply

Somerville,MA

As a not-for-profit organization, Mass General Brigham is committed to supporting patient care, research, teaching, and service to the community by leading innovation across our system. Founded by Bri

Supervisor Claims Reviewer AllWays Health Partners  Somerville, MA
As a not-for-profit organization, Mass General Brigham is committed to supporting patient care, research, teaching, and service to the community by leading innovation across our system. Founded by Bri ... Read more
Apply

Somerville,MA

As a not-for-profit organization, Mass General Brigham is committed to supporting patient care, research, teaching, and service to the community by leading innovation across our system. Founded by Bri

Internal Revenue Agent (Reviewer - Examiner) 12 MONTH ROSTER AMENDED Department Of The Treasury  Boston, MA
DutiesWHAT IS THE SMALL BUSINESS/SELF EMPLOYED (SBSE) DIVISION?A description of the business units can be found at: https://www.jobs.irs.gov/about/who/business-divisionsVacancies will be filled in the ... Read more
Apply

Boston,MA

DutiesWHAT IS THE SMALL BUSINESS/SELF EMPLOYED (SBSE) DIVISION?A description of the business units can be found at: https://www.jobs.irs.gov/about/who/business-divisionsVacancies will be filled in the

DRG Nurse Reviewer Zelis  Boston, MA
Position Overview:The DRG Validation Nurse Reviewer will be primarily responsible for conducting post-service, pre-payment and post pay comprehensive inpatient DRG reviews based on industry standard i ... Read more
Apply

Boston,MA

Position Overview:The DRG Validation Nurse Reviewer will be primarily responsible for conducting post-service, pre-payment and post pay comprehensive inpatient DRG reviews based on industry standard i

Utilization Review RN Beth Israel Deaconess Medical Center  Boston, MA
When you join the growing BILH team, you're not just taking a job, youre making a difference in peoples lives.Job Type:RegularScheduled Hours:40Work Shift:Day (United States of America)Position Summar ... Read more
Apply

Boston,MA

When you join the growing BILH team, you're not just taking a job, youre making a difference in peoples lives.Job Type:RegularScheduled Hours:40Work Shift:Day (United States of America)Position Summar

Sr. Supervisor, Credit Risk Review Santander Bank  Boston, MA
Sr. Supervisor, Credit Risk ReviewBoston, United States of AmericaThe primary function of the Commercial Credit Risk Review Senior Associate is to maintain subject matter expertise in, and lead and pa ... Read more
Apply

Boston,MA

Sr. Supervisor, Credit Risk ReviewBoston, United States of AmericaThe primary function of the Commercial Credit Risk Review Senior Associate is to maintain subject matter expertise in, and lead and pa

Medical Review Manager (Full-time, Remote) Integrity Management Services Inc.  Boston, MA
About UsIntegrity Management Services, Inc. (IntegrityM) is an award-winning, women-owned small business specializing in assisting government and commercial clients in compliance and program integrity ... Read more
Apply

Boston,MA

About UsIntegrity Management Services, Inc. (IntegrityM) is an award-winning, women-owned small business specializing in assisting government and commercial clients in compliance and program integrity

Senior Manager, Security Risk & Reviews Klaviyo  Boston, MA
At Klaviyo, we value the unique backgrounds, experiences and perspectives each Klaviyo (we call ourselves Klaviyos) brings to our workplace each and every day. We believe everyone deserves a fair shot ... Read more
Apply

Boston,MA

At Klaviyo, we value the unique backgrounds, experiences and perspectives each Klaviyo (we call ourselves Klaviyos) brings to our workplace each and every day. We believe everyone deserves a fair shot

Site Plan Review Engineer Careerbuilder  Boston, MA
Residency Requirement:Employees must be Boston residents on their date of hire and for the duration of theiremployment subject to BWSC policies and collective bargaining agreementsOverview:Position Pu ... Read more
Apply

Boston,MA

Residency Requirement:Employees must be Boston residents on their date of hire and for the duration of theiremployment subject to BWSC policies and collective bargaining agreementsOverview:Position Pu

Utilization Reviewer - Clinical Evaluation Center Per diem McLean Hospital(MCL)  Belmont, MA
Responsiblefor obtaining initial insurance authorizations for all applicable coverage andfor appropriate level of clinical care. Must demonstrateMcLean values of integrity, compassion and respect, div ... Read more
Apply

Belmont,MA

Responsiblefor obtaining initial insurance authorizations for all applicable coverage andfor appropriate level of clinical care. Must demonstrateMcLean values of integrity, compassion and respect, div

Sr Specialist, Quality Compliance - Law Enforcement Reviews Cardinal Health  Boston, MA
_What Quality Compliance contributes to Cardinal Health_Quality develops and implements quality policies, procedures, and processes to ensure products and services comply with regulatory standards and ... Read more
Apply

Boston,MA

_What Quality Compliance contributes to Cardinal Health_Quality develops and implements quality policies, procedures, and processes to ensure products and services comply with regulatory standards and

After School Food Program Reviewer (SY23-24) Boston Public Schools  Boston, MA
Child and Adult Care Food Program - At-Risk After-School Care ProgramPOSITIONS AVAILABLE 2023-2024Note: Interviews will be held virtually. Employment for the SY24 school year is temporary. All individ ... Read more
Apply

Boston,MA

Child and Adult Care Food Program - At-Risk After-School Care ProgramPOSITIONS AVAILABLE 2023-2024Note: Interviews will be held virtually. Employment for the SY24 school year is temporary. All individ

Associate Director, US Medical Review Committee Operations AstraZeneca PLC  Boston, MA
Associate Director, US Medical Review Committee OperationsThis is what you will do:The position of Associate Director, US Medical Review Committee (MRC) Operations is responsible for the overall imple ... Read more
Apply

Boston,MA

Associate Director, US Medical Review Committee OperationsThis is what you will do:The position of Associate Director, US Medical Review Committee (MRC) Operations is responsible for the overall imple

Associate Director, US Medical Review Committee Operations Alexion Pharmaceuticals, Inc.  Boston, MA
Associate Director, US Medical Review Committee OperationsThis is what you will do:The position of Associate Director, US Medical Review Committee (MRC) Operations is responsible for the overall imple ... Read more
Apply

Boston,MA

Associate Director, US Medical Review Committee OperationsThis is what you will do:The position of Associate Director, US Medical Review Committee (MRC) Operations is responsible for the overall imple

Associate Director, Medical Review Physician Moderna Theraputics  Cambridge, MA
The RoleThe Clinical Safety and Risk Management group within the Clinical Safety and Pharmacovigilance department promotes patient safety throughout the lifecycle of Moderna's product portfolio from f ... Read more
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Cambridge,MA

The RoleThe Clinical Safety and Risk Management group within the Clinical Safety and Pharmacovigilance department promotes patient safety throughout the lifecycle of Moderna's product portfolio from f

Onsite Document Review Project - Boston Beacon Hill  Boston, MA
To Apply for this Job Click Here Beacon Hill Legal's Boston office is registering licensed attorneys in anticipation of an upcoming document review being hosted ON-SITE in our clients Back Bay office ... Read more
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Boston,MA

To Apply for this Job Click Here Beacon Hill Legal's Boston office is registering licensed attorneys in anticipation of an upcoming document review being hosted ON-SITE in our clients Back Bay office

Acuity Document Reviewer - MA, NY, NJ, PA, CT, MD, DC, VA FTI Consulting, Inc.  Boston, MA
Who We AreFTI Consulting is the world's leading expert-driven consulting firm. Over the last 40 years, FTI Consulting experts have served as the trusted advisor to Fortune 500 companies and the world' ... Read more
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Boston,MA

Who We AreFTI Consulting is the world's leading expert-driven consulting firm. Over the last 40 years, FTI Consulting experts have served as the trusted advisor to Fortune 500 companies and the world'

DATA REVIEW COORDINATOR, School of Medicine, Microbiology (22500538800616) Boston University  Boston, MA
The Data Review Coordinator provides routine, real-time review and verification of Animal Rule/GLP study data, including all animal observation and procedure data, to ensure adherence to generally rec ... Read more
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Boston,MA

The Data Review Coordinator provides routine, real-time review and verification of Animal Rule/GLP study data, including all animal observation and procedure data, to ensure adherence to generally rec

Quality control, bioassay data reviewer Randstad  Norwood, MA
job summary: As the largest staffing and recruitment agency in the world, we can commit to finding you the perfect role that gives you the opportunity to learn and grow in the life sciences arena. Uti ... Read more
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Norwood,MA

job summary: As the largest staffing and recruitment agency in the world, we can commit to finding you the perfect role that gives you the opportunity to learn and grow in the life sciences arena. Uti

Medical Review Manager (Full-time, Remote) Integrity Management Services, Inc.  Boston, MA
About UsIntegrity Management Services, Inc. (IntegrityM) is an award-winning, women-owned small business specializing in assisting government and commercial clients in compliance and program integrity ... Read more
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Boston,MA

About UsIntegrity Management Services, Inc. (IntegrityM) is an award-winning, women-owned small business specializing in assisting government and commercial clients in compliance and program integrity

Associate Director/Senior Associate - Private Credit Specialist JobRialto  Boston, MA
Job DescriptionClient Private Equity Credit ("Client PEC" or "PEC") offers discretionary and non-discretionary investment management and other services with respect to private equity co-investments, ... Read more
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Boston,MA

Job DescriptionClient Private Equity Credit ("Client PEC" or "PEC") offers discretionary and non-discretionary investment management and other services with respect to private equity co-investments,

Nurse Reviewer I Elevance Health  Chicago, IL
DescriptionNurse Reviewer ILocation: Within 50 miles of a pulse point in IllinoisShift: 9:30 am - 6 pm CSTThe Nurse Reviewer I is responsible for conducting preauthorization, out of network and approp ... Read more
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Chicago,IL

DescriptionNurse Reviewer ILocation: Within 50 miles of a pulse point in IllinoisShift: 9:30 am - 6 pm CSTThe Nurse Reviewer I is responsible for conducting preauthorization, out of network and approp

RN Review Analyst Compu-Vision Consulting Inc.  Chicago, IL
Job Title: RN Review Analyst Job ID: BCR0002603 Location: remote Local to Michigan State Only Word Typing Test: .- 100 words Per Min. Internet Speed Test: RN Review ... Read more
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Chicago,IL

Job Title: RN Review Analyst Job ID: BCR0002603 Location: remote Local to Michigan State Only Word Typing Test: .- 100 words Per Min. Internet Speed Test: RN Review

Registered Nurse RN Clin Documentation Improvement Specialist Adventist Health System  Hinsdale, IL
All the benefits and perks you need for you and your family:* Benefits from Day One for FT/PT positions* Paid Time Off from Day One for FT/PT positions* Student Loan Repayment Program for FT/PT positi ... Read more
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Hinsdale,IL

All the benefits and perks you need for you and your family:* Benefits from Day One for FT/PT positions* Paid Time Off from Day One for FT/PT positions* Student Loan Repayment Program for FT/PT positi

Contract Review Consultant Axelon Services Corporation  Chicago, IL
Contract Review Consultant REMOTE 6 months interested in candidates with an attorney background with extensive exposure in insurance policies. Most of the team has a legal education We are hiring a ... Read more
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Chicago,IL

Contract Review Consultant REMOTE 6 months interested in candidates with an attorney background with extensive exposure in insurance policies. Most of the team has a legal education We are hiring a

Tax Return Reviewer, Global Mobility Services KPMG  Chicago, IL
At KPMG, you can become an integral part of a dynamic team at one of the world's top tax firms. Enjoy a collaborative, future-forward culture that empowers your success. Work with KPMG's extensive net ... Read more
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Chicago,IL

At KPMG, you can become an integral part of a dynamic team at one of the world's top tax firms. Enjoy a collaborative, future-forward culture that empowers your success. Work with KPMG's extensive net

Internal Revenue Agent (Reviewer - Examiner) 12 MONTH ROSTER AMENDED Department Of The Treasury  Chicago, IL
DutiesWHAT IS THE SMALL BUSINESS/SELF EMPLOYED (SBSE) DIVISION?A description of the business units can be found at: https://www.jobs.irs.gov/about/who/business-divisionsVacancies will be filled in the ... Read more
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Chicago,IL

DutiesWHAT IS THE SMALL BUSINESS/SELF EMPLOYED (SBSE) DIVISION?A description of the business units can be found at: https://www.jobs.irs.gov/about/who/business-divisionsVacancies will be filled in the

Full-Time Utilization Management Physician Reviewer Oak Street Health Inc.  Chicago, IL
Role Description:This full-time role is responsible for provisioning accurate and timely coverage determinations for inpatient and outpatient services by applying utilization management (UM) criteria, ... Read more
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Chicago,IL

Role Description:This full-time role is responsible for provisioning accurate and timely coverage determinations for inpatient and outpatient services by applying utilization management (UM) criteria,

Physician Telecommute Medical Review Stream Concentra  Chicago, IL
OverviewAre you an accomplished Board Certified physician in one of the below specialties? Preferred candidates will have a IL license.* Orthopedic SurgeryAre you passionate about your work/life balan ... Read more
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Chicago,IL

OverviewAre you an accomplished Board Certified physician in one of the below specialties? Preferred candidates will have a IL license.* Orthopedic SurgeryAre you passionate about your work/life balan

Physician Reviewer - Internal Medicine Dane Street  Chicago, IL
Dane Street, a certified "Great Place to Work'' company, is searching for Board Certified Internal Medicine physicians to conduct Independent Medical Exams (IME) and Peer Reviews. This opportunity all ... Read more
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Chicago,IL

Dane Street, a certified "Great Place to Work'' company, is searching for Board Certified Internal Medicine physicians to conduct Independent Medical Exams (IME) and Peer Reviews. This opportunity all

RN - LEAD CARE COORDINATOR - Utilization Review Trinity Health  Maywood, IL
Employment Type:Full timeShift:Description:*** This position is located at the Westmont office***Join our small but mighty team to guide and manage Utilization Review and Management for the Loyola Phy ... Read more
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Maywood,IL

Employment Type:Full timeShift:Description:*** This position is located at the Westmont office***Join our small but mighty team to guide and manage Utilization Review and Management for the Loyola Phy

Physician Telecommute Medical Review Stream Select Medical  Chicago, IL
Are you an accomplished Board Certified physician in one of the below specialties? Preferred candidates will have a IL license.Orthopedic SurgeryAre you passionate about your work/life balance? We are ... Read more
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Chicago,IL

Are you an accomplished Board Certified physician in one of the below specialties? Preferred candidates will have a IL license.Orthopedic SurgeryAre you passionate about your work/life balance? We are

Medical Review Manager (Full-time, Remote) Integrity Management Services Inc.  Chicago, IL
About UsIntegrity Management Services, Inc. (IntegrityM) is an award-winning, women-owned small business specializing in assisting government and commercial clients in compliance and program integrity ... Read more
Apply

Chicago,IL

About UsIntegrity Management Services, Inc. (IntegrityM) is an award-winning, women-owned small business specializing in assisting government and commercial clients in compliance and program integrity

Contract Review Consultant - Remote Careerbuilder  Chicago, IL
About the job Contract Review Consultant - RemoteHoot-Recruit Agency, on behalf of our client, a professional services company that provides advice and solutions to clients in the areas of risk, strat ... Read more
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Chicago,IL

About the job Contract Review Consultant - RemoteHoot-Recruit Agency, on behalf of our client, a professional services company that provides advice and solutions to clients in the areas of risk, strat

Document Review Staff Attorney DLA Piper  Chicago, IL
_DLA Piper is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, natio ... Read more
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Chicago,IL

_DLA Piper is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, natio

Physician Reviewer PSG Global Solutions Careers  Chicago, IL
Apply now and our proprietary system will quickly have you in front of a live recruiter. The Opportunity Description We're looking for a Physician Reviewer, working in Insurance industry in Chicago, ... Read more
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Chicago,IL

Apply now and our proprietary system will quickly have you in front of a live recruiter. The Opportunity Description We're looking for a Physician Reviewer, working in Insurance industry in Chicago,

Contract Review Consultant - Remote Hoot-Recruit  Chicago, IL
About the job Contract Review Consultant - Remote Hoot-Recruit Agency, on behalf of our client, a professional services company that provides advice and solutions to clients in the areas of risk, str ... Read more
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Chicago,IL

About the job Contract Review Consultant - Remote Hoot-Recruit Agency, on behalf of our client, a professional services company that provides advice and solutions to clients in the areas of risk, str

Contract Review Consultant StaffWorthy Inc  Chicago, IL
Job SummaryWe are hiring a Contract Review Consultant to provide contract review solutions to meet client needs. The consultant will analyze and provide suggested changes to insurance requirements in ... Read more
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Chicago,IL

Job SummaryWe are hiring a Contract Review Consultant to provide contract review solutions to meet client needs. The consultant will analyze and provide suggested changes to insurance requirements in

Claro, Inpatient Chart Review Specialist Kaufman Hall & Associates LLC  Chicago, IL
Title: Inpatient Chart Review SpecialistThe OrganizationWe help society's foundational institutions-healthcare and higher education-to achieve their full potential in service to others.We are our clie ... Read more
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Chicago,IL

Title: Inpatient Chart Review SpecialistThe OrganizationWe help society's foundational institutions-healthcare and higher education-to achieve their full potential in service to others.We are our clie

Medical Review Coordinator Zenith American  Oak Brook, IL
Title: Medical Review Coordinator Department: PensionFLSA: Non-exempt Hours: 40Union: UFCW 1546 Grade: 23Date Posted: 02/28/2024Position SummaryThe Medical Review coordinator ensures documentation nee ... Read more
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Oak Brook,IL

Title: Medical Review Coordinator Department: PensionFLSA: Non-exempt Hours: 40Union: UFCW 1546 Grade: 23Date Posted: 02/28/2024Position SummaryThe Medical Review coordinator ensures documentation nee

Utilization Review (UR) Specialist Spectrum Billing Solutions  Skokie, IL
Spectrum Billing Solutions is an industry-leading revenue cycle management company for healthcare organizations. We are looking to add a Utilization Review (UR) Specialist to ou ... Read more
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Skokie,IL

Spectrum Billing Solutions is an industry-leading revenue cycle management company for healthcare organizations. We are looking to add a Utilization Review (UR) Specialist to ou

Environmental Health Specialist II - Plan Review DuPage County Health Department  Lombard, IL
Our Environmental Health Services Plan Review Unit has an opening on our team for a Environmental Health Specialist II. In this role, you will be responsible for providing a wide range of services for ... Read more
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Lombard,IL

Our Environmental Health Services Plan Review Unit has an opening on our team for a Environmental Health Specialist II. In this role, you will be responsible for providing a wide range of services for

Psychiatrist Physician Reviewer - PRN - Remote (Within Illinois) Acentra Health  Lombard, IL
CNSI and Kepro are now Acentra Health! Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that de ... Read more
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Lombard,IL

CNSI and Kepro are now Acentra Health! Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that de

Utilization Review Specialist Acadia Healthcare  Chicago, IL
ESSENTIAL FUNCTIONS:?Act as liaison between managed care organizations and the facility professional clinical staff.?Conduct reviews, in accordance with certification requirements, of insurance plans ... Read more
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Chicago,IL

ESSENTIAL FUNCTIONS:?Act as liaison between managed care organizations and the facility professional clinical staff.?Conduct reviews, in accordance with certification requirements, of insurance plans

Senior Bill Review Analyst - Workers' Compensation Zenith  Itasca, IL
Under limited supervision, analyzes and audits medical bills from providers in order to determine appropriate reimbursement. Audits, analyzes, arranges and revises submitted information to determine r ... Read more
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Itasca,IL

Under limited supervision, analyzes and audits medical bills from providers in order to determine appropriate reimbursement. Audits, analyzes, arranges and revises submitted information to determine r

Internal Medicine or Family Practice Physician Reviewer (Illinois Remote, PRN) Kepro  Lombard, IL
CNSI and Kepro are now Acentra Health! Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that de ... Read more
Apply

Lombard,IL

CNSI and Kepro are now Acentra Health! Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that de

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