- Zelis (Morristown, NJ)
- Position Overview: At Zelis, the Itemized Bill Review Facility Reviewer is responsible for analyzing facility inpatient and outpatient claims for Health Plans ... clearly identifying findings + Accurately calculate/verify the value of review and documentation for claim processing + Monitor multiple reports to track client… more
- City of New York (New York, NY)
- … Reviewers who will: Facilitate participant intake process, including collection and review of documentation required to obtain approval in education and ... One Viewer system, including data entry and retrieval on computerized systems. - Review records processed by the unit, identifying errors, and indicating need for… more
- City of New York (New York, NY)
- …care (NAMI-Net Available Monthly Income) if institutionalized. - Interview and/or review documentation submitted by applicants/recipients (A/R) or authorized ... seeking (1) Eligibility Specialist II to function as Case Reviewer . The Case Reviewer will: - Respond...to determine eligibility for Medicaid. - Conduct a comprehensive review of applications including financial and legal documentation… more
- City of New York (New York, NY)
- … for both sustainability and resiliency; LEED compliance strategies; and certification documentation . The Sr. Design Reviewer will also be responsible for ... Department of Design & Construction, Public Buildings Division seeks a Sr. Design Reviewer to join the Sustainability Unit. The selected candidate will serve as one… more
- City of New York (New York, NY)
- …Quality Control Case Reviewer , who will: - Conduct the preliminary monthly review of MICSA and HCSP cases selected from a sample of activated, recertified, ... from the State On-Line Query (SOLQ) databases. - Ensure the accuracy of the review sample by conducting preliminary WMS inquiries and case review ; utilize… more
- City of New York (New York, NY)
- …care (NAMI-Net Available Monthly Income) if institutionalized. - Interview and/or review documentation submitted by applicants/recipients (A/R) or authorized ... representatives, to determine eligibility for Medicaid. - Conduct a comprehensive review of applications including financial and legal documentation , as well as… more
- City of New York (New York, NY)
- …supervision of the Director of the Evaluation Standards Unit, the Evaluation Reviewer will: Provide quality assurance for the Early Intervention Program by reviewing ... Office staff in their implementation of a standardized process of evaluation review . Provide training and technical assistance to EI provider agencies and evaluators… more
- City of New York (New York, NY)
- …for (1) one Supervisor of Nurses to function as a Complex Medical Case Reviewer , who will: - Conduct medical reviews and analyses claims to calculate injury related ... conclusions. - Communicate with plaintiff's counsel to obtain additional medical documentation or information. Negotiate repayment of the Medicaid lien with counsel.… more
- City of New York (New York, NY)
- …third-party contacts to clarify and identify any variances, discrepancies or inadequate documentation discovered during the review of State Quality Control ... II to function as a Quality Control Case Reviewers, who will: - Review POS, HRA One Viewer of imaged/scanned documents, Welfare Management System (WMS) data… more
- The Mount Sinai Health System (New York, NY)
- …applications related to human subjects research projects submitted for Institutional Review Board (IRB) analysis, maintaining the data archiving system and ... submitted for category determination and each level of IRB review (pre- review , re- review , clarifying issues,...decides on project determinations and acts as the non-committee reviewer for the majority of projects reviewed while also… more
- City of New York (New York, NY)
- …by the New York State Office of Temporary and Disability Assistance (NYSOTDA). Review the corrective action memorandums and supporting documentation on State ... Associate III to function as a Quality Control Case Review Supervisor who will: - Supervise and provide guidance...Monitor the preparation and submission of detailed correspondence and documentation to be sent to New York State Quality… more
- Mizuho Corporate Bank (New York, NY)
- …and enhance Credit Review 's Risk Assessment process. + Draft potential review issues for discussion with relevant Reviewer -in-Charge, Credit Review ... About the Team Credit Review provides the Board and bank management with...to opine on the adequacy of facility underwriting and documentation , including, but not limited to, collateral, repayment sources,… more
- ManpowerGroup (Rahway, NJ)
- …overall documentation change control process and ensure efficient access, review , and approval. Organize and maintain current procedural documents for easy ... one of the largest pharmaceutical companies in USA is looking for a Documentation Specialist. **Job Title: Documentation Specialist - III** **Duration: 2 Month… more
- City of New York (New York, NY)
- …where staff will be engaged include, but are not necessarily limited to, review of plans, calculations and supporting documentation for stormwater pollution ... has reduced the soil disturbance threshold of projects requiring review and approval in the MS4 areas to 20,000...supporting calculations to demonstrate compliance with the code; the reviewer must be able to read and understand documents… more
- RWJBarnabas Health (Elizabeth, NJ)
- …+ Must be able to work fully onsite + Prior experience in clinical documentation review preferred as well as an understanding of ICD-9-CM coding requirements ... Clinical Document Specialist, Clinical Documentation ManagementReq #:0000159034 Category:Nursing Status:Full-Time Shift:Day Facility:Trinitas Regional Medical Center… more
- Daiichi Sankyo Inc. (Basking Ridge, NJ)
- …Engagement. This position will be responsible for supporting the global Cross Border Engagement Review (CBER) process and will also serve as the initial reviewer ... approvers, and CBER Steering Committee members to coordinate the submission and review of Cross Border Engagements. Additionally, this role will consult with… more
- Santander US (New York, NY)
- Market Risk Model Testing & Documentation - VP / ED, Corporate & Investment Banking New York, United States of America We are seeking a Quantitative Analyst to be a ... team at Santander Capital Markets. Key Responsibilities + Support Independent Model Review with Model Risk Management Group: + Perform qualitative and quantitative… more
- Mizuho Corporate Bank (New York, NY)
- …to our processes and methods. Job Description: As a Client Tax Documentation Operations Analyst, you will be responsible for the verification and validating ... tax profile on various client systems. Responsibilities: + Manage and review weekly/monthly reports to assure counterparties are fully documented with valid… more
- SMBC (New York, NY)
- …Prepare work papers, document exam results and conclusions + Monitor adherence to documentation , limits and risk mitigants including review of covenants and ... offers a competitive portfolio of benefits to its employees. **Role Description** SMBC Credit Review Department (CRVD) seeks a Credit Review Officer. As a Credit… more
- Hackensack Meridian Health (Belle Mead, NJ)
- …clinical knowledge and understanding of behavioral health resource management to review and coordinate the care for a designated patient caseload. Collaborates ... benefits on a case by case basis. Applies case management and utilization review principles in monitoring the delivery of care and promoting optimal communication… more