- Kepro (AR)
- …for Arkansas Medicaid. Job Responsibilities: + Collaborate with Medical Director and other Dental Physician Reviewers on case consultations as needed. + Discuss ... complicated Utilization Management reviews or clinical scenarios with Utilization Management Dental Hygienist Reviewers . + Review safety, sentinel, and Quality… more
- Ivyhill Technologies LLC (Bethesda, MD)
- Team Ivyhill is currently seeking to hire Referral Management (Non-Nurse) Reviewers to support its contract with the Integrated Referral Management and Appointing ... for beneficiaries in the Defense Health Network. Referral Management (Non-Nurse) Reviewers will be responsible for facilitating centralized product line and… more
- Ivyhill Technologies LLC (Bethesda, MD)
- Ivyhill has an immediate need for LPN Reviewers for its project located in Bethesda, MD. The qualified candidates will perform all tasks associated with referral ... PM. Benefits Ivyhill has a competitive benefits program which includes medical, dental and vision; Life and AD&D insurance; Short- and Long-Term Disability;… more
- Elevance Health (Norfolk, VA)
- …and providers for care-coordination. + May access and consult with peer clinical reviewers , Medical Directors and/or delegated clinical reviewers to help ensure ... healthcare providers. + Refers treatment plans/plan of care to peer clinical reviewers in accordance with established criteria/guidelines and does not issue medical… more
- Elevance Health (Louisville, KY)
- …providers for care coordination. + May access and consult with peer clinical reviewers , Medical Directors and/or delegated clinical reviewers to help ensure ... healthcare providers. + Refers treatment plans/plan of care to peer clinical reviewers in accordance with established criteria/guidelines and does not issue medical… more
- Parsons Corporation (Washington, DC)
- …through established work flow for review/approval to the pertinent AOC staff, reviewers and consultants and transmits responses back to contractors for action. The ... and responses issued by AOC and its consultants and reviewers . Services will be performed on-site and the CMS...is why we offer best-in-class benefits such as medical, dental , vision, paid time off, Employee Stock Ownership Plan… more
- Kepro (AR)
- …partner for health solutions in the public sector. Acentra is looking for a Dental UM Supervisor (Remote within Arkansas) to join our growing team. Job Summary: + ... meet the workload demands of the department. + Analyze the productivity of reviewers . + Identify clinical staff orientation and continuous learning needs and, in… more
- Elevance Health (Columbus, OH)
- …and member eligibility, benefits, and contracts. + Consults with clinical reviewers and/or medical directors to ensure medically appropriate, high quality, cost ... the healthcare continuum and refers treatment plans/plan of care to clinical reviewers as required and does not issue non-certifications. + Facilitates accreditation… more
- Elevance Health (MO)
- …cost-effective setting according to contract. + Consult with clinical reviewers and/or medical directors to ensure medically appropriate, high-quality, ... the healthcare continuum and refers treatment plans/plan of care to clinical reviewers as required and does not issue non-certifications. + Facilitates accreditation… more
- Alaka'ina Foundation Family of Companies (Atlanta, GA)
- …Manuscript Submission Process: Assisting authors, associate editors, and peer reviewers with their accounts in EID's ScholarOne/Manuscript Central submission portal ... reports from ScholarOne run annually to capture names, emails, and addresses of reviewers for the current year by removing duplicate entries, adding missing key… more
- Elevance Health (Tampa, FL)
- …cost-effective setting according to contract. + Consult with clinical reviewers and/or medical directors to ensure medically appropriate, high-quality, ... the healthcare continuum and refers treatment plans/plan of care to clinical reviewers as required and does not issue non-certifications. + Facilitates accreditation… more
- ADM (Colby, WI)
- …with OJT (on the job training) mentors, subject matter experts, procedure reviewers , training reviewers , engineers, managers/supervisors, and EHS staff to ... package to enhance your well-being, including: + **Physical wellness** - medical/Rx, dental , vision and on-site wellness center access or gym reimbursement (as… more
- ADM (Mexico, MO)
- …and collaborate with Trainers, subject matter experts (SMEs), procedure reviewers , training reviewers , engineers, managers/supervisors, and EHS staff ... package to enhance your well-being, including: + **Physical wellness** - medical/Rx, dental , vision and on-site wellness center access or gym reimbursement (as… more
- Elevance Health (Tampa, FL)
- …a cost effective setting according to contract. + Consult with clinical reviewers and/or medical directors to ensure medically appropriate, high quality, cost ... the healthcare continuum and refers treatment plans/plan of care to clinical reviewers as required and does not issue non-certifications. + Facilitates accreditation… more
- Elevance Health (Grand Prairie, TX)
- …a cost effective setting according to contract. + Consults with clinical reviewers and/or medical directors to ensure medically appropriate, high quality, cost ... healthcare continuum and refers treatment plans/plan of care to clinical reviewers as required and does not issue non-certifications. **Required Qualifications** +… more
- OCT Consulting, LLC (Rosslyn, VA)
- …given program is reviewed. You will be expected to serve on the team of reviewers that are vetting procurements / programs with a lifecycle value of $500 million or ... and duties include: * Serve on a team of reviewers to evaluate documents submitted to the acquisition /...compensation and a full suite of benefits: + Medical, Dental , and Vision insurance + Retirement savings 401K plan… more
- Harvard University (Cambridge, MA)
- …with publishers for the receipt of review copies; + Identifies qualified book reviewers , and coordinates their deadlines + Oversees receipt of book reviews and ... carry out reviews approved and initially edited articles, contacts identified reviewers , coordinates deadlines and follows-up; + Provides peer review guidelines,… more
- Penguin Random House (New York, NY)
- …and Editorial teams, and works hand-in-hand with authors/illustrators, booksellers, and reviewers externally to create and execute cohesive campaigns. * Meets with ... of and interest in the media landscape; existing relationships with book reviewers across outlets a plus * Excellent organizational, attention to detail, and… more
- Elevance Health (Sacramento, CA)
- …a cost effective setting according to contract. + Consults with clinical reviewers and/or medical directors to ensure medically appropriate, high quality, cost ... the healthcare continuum and refers treatment plans/plan of care to clinical reviewers as required and does not issue non-certifications. + Facilitates accreditation… more
- Elevance Health (Tampa, FL)
- …a cost effective setting according to contract. + Consult with clinical reviewers and/or medical directors to ensure medically appropriate, high quality, cost ... the healthcare continuum and refers treatment plans/plan of care to clinical reviewers as required and does not issue non-certifications. + Facilitates accreditation… more