• Medical Documentation Review

    ConvaTec (South Easton, MA)
    …guideline requirements needed to set up and maintain client accounts of 180 Medical . + Review received documentation to determine insurance requirements ... are met. + Communicate to applicable team members when documentation does or does not comply with insurance requirements...of comprehension and critical thinking with quick recall of review requirements + Flexible and adaptable to change in… more
    ConvaTec (11/14/24)
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  • Utilization Review Specialist - Per…

    Westborough Behavioral Healthcare Hospital (Westborough, MA)
    …Employee Discount Program + Employee Assistance Program Job Description: The Utilization Review Specialist is responsible for monitoring adherence to the ... authorization for services needed. + Advises treatment team in documentation of medical necessity in the ...experience. + 2-3 years experience working as a UR Specialist , Medical Billing or health care quality… more
    Westborough Behavioral Healthcare Hospital (12/10/24)
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  • CDI Specialist - Managed Care Exp preferred

    Fallon Health (Worcester, MA)
    …of coding, ambiguous, conflicting or incomplete documentation . * Conducts concurrent review of the medical records to increase the accuracy, clarity and ... overall improvement of the quality, completeness and accuracy of medical record documentation through interaction with physicians...clinical or financial personnel * Assist with coding chart review projects and RADV audits * May be required… more
    Fallon Health (12/26/24)
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  • Accommodations Specialist , Pre-College…

    Brown University (Providence, RI)
    review requests for accommodation, respond to disability inquiries, request and review supporting documentation . Within the frameworks of the pre-college ... of Pre-College Student Life - Student Support and Operations, the Accommodations Specialist contributes to these goals by creating and facilitating quality delivery… more
    Brown University (12/20/24)
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  • Contracts Specialist , Federal Government…

    IMSolutions, LLC (Providence, RI)
    Contracts Specialist , Federal Government - All Levels Remote Full Time \#1201 - Evergreen Experienced Share ... the agency's office in Washington, DC._** As a **Federal Contract Specialist ** , you provide acquisition support services, including contract pre‐award,… more
    IMSolutions, LLC (11/27/24)
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  • INTL - Application Test Specialist

    Insight Global (Woonsocket, RI)
    …Win11 *Experience and understanding of with bios drivers, 20H2, and 23H2 * Strong documentation and communication skills * Ability to review test cases and ... organization with over 300,000 dedicated employees nationwide. The Application Test Specialist will play a critical role in supporting the enterprise transition… more
    Insight Global (01/10/25)
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  • Deposit Operations Specialist III

    Needham Bank (Needham, MA)
    …compliance guidelines, with special focus on verification of proper account documentation and product knowledge training of deposit accounts and products Assisting ... the NACHA operating rules in a timely and accurate manner. + Support IRA Specialist - all IRA accounts have proper documentations, fully compliant and in adherence… more
    Needham Bank (12/22/24)
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  • Validation Specialist , Quality Assurance

    Astellas Pharma (Westborough, MA)
    **Validation Specialist , Quality Assurance** Do you want to be part of an inclusive team that works to develop innovative therapies for patients? Every day, we are ... countries around the world. We are committed to turning innovative science into medical solutions that bring value and hope to patients and their families. Keeping… more
    Astellas Pharma (01/16/25)
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  • Property Adjuster Specialist (Field)

    USAA (Providence, RI)
    …makes us so special! **The Opportunity** As a Insurance Property Adjuster Specialist , you will work within established guidelines and framework to investigate, ... equitable settlements in compliance with all state regulatory requirements. Property Adjuster Specialist focus on using technology and desk adjusting for a virtual… more
    USAA (01/16/25)
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  • Specialist II, National Technical Support…

    Fujifilm (Providence, RI)
    **Overview** **Job Title:** ** Specialist II, National Technical Support - MRI** **Job purpose** This position is intended to provide technical assistance, primarily ... participating in installations as needed. Providing guidance for site planning documentation , and Installations procedures and processes. + Diagnose service issues… more
    Fujifilm (01/12/25)
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  • Fraud Detection Senior Specialist

    Citizens (Johnston, RI)
    …and resolve fraudulent activity. Primary Responsibilities + Perform moderately complex analytical review of data and/or documentation which may include customer ... Description As a Fraud Detection Sr. Specialist , you'll play a pivotal role in our...work proactively and independently in a fast-paced environment. You'll review products for the prevention and detection of possible… more
    Citizens (01/24/25)
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  • Quality Assurance, Compliance Specialist

    Astellas Pharma (Westborough, MA)
    **QA Compliance Specialist ** Do you want to be part of an inclusive team that works to develop innovative therapies for patients? Every day, we are driven to develop ... countries around the world. We are committed to turning innovative science into medical solutions that bring value and hope to patients and their families. Keeping… more
    Astellas Pharma (12/18/24)
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  • Collection Recovery Specialist

    Citizens (Johnston, RI)
    …in a fast paced environment that is ever changing? Our Collections and Recovery Specialist role may be the right career choice for you. At Citizens, our colleagues ... offer + Competitive salary + Exceptional benefits such as medical , dental, and generous Paid Time Off policy +...local, state and federal laws. + Adhere to system documentation , policies and procedures to ensure accurate operational reporting.… more
    Citizens (12/29/24)
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  • Commercial Operations Loan Specialist II

    Citizens (Johnston, RI)
    …industries and consumers across the country. As the Commercial Operations Loan Specialist II, you will be responsible to deliver services to Commercial customers ... operational excellence, including collateral intake, SBA, hazard, life and flood insurance review and monitoring. Provide support for processes, problem solving and … more
    Citizens (12/27/24)
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  • Intermediate Electrical Specialist

    CDM Smith (Pawtucket, RI)
    …have multiple openings for Intermediate Electrical Specialists. As an Intermediate Electrical Specialist , you will: - Create basic to moderately complex designs of ... Technical Knowledge Management (TKM) by developing white papers and technical design documentation of new or special case designs, studies, etc. Submit technical… more
    CDM Smith (01/18/25)
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  • Quality Specialist

    CSL Plasma (Johnston, RI)
    …will report to the Assistant Manager Quality **The Role** + Perform final QA review and release for all shipment and associated documents, to ensure shipment meets ... customer specifications. + Ensure center records QA review to ensure thoroughness, accuracy and timeliness of required information. Initiate investigation and ensure… more
    CSL Plasma (01/09/25)
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  • Specialist I, CRE

    SitusAMC (Providence, RI)
    …reports, business operating statements, and other financial due diligence. + Review , analyze, and summarize loan documents, lease documentation , organizational ... in one or more of the following skills: + Review , analyze, and summarize financial operating statements, rent rolls,...+ Perform audit of accounts payable and accounts receivable documentation to verify appropriate use of business funds. +… more
    SitusAMC (01/18/25)
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  • Senior Credentialing Specialist

    ASM Research, An Accenture Federal Services Company (Providence, RI)
    …advanced knowledge of the credentialing and privileging process. Provides quality review and control of work produced by those processing credentialing transactions. ... (including adverse privileging actions and malpractice history), health status, documentation of contingency and continuing education training, national provider… more
    ASM Research, An Accenture Federal Services Company (01/23/25)
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  • Management Specialist - Project Management…

    CDM Smith (Pawtucket, RI)
    …management platform. Typical tasks include: -Meeting preparation, facilitation, and documentation -Task management -Coordination across a large virtual team ... programs. With high level goals provided, contacts clients to collect or review initial datasets or presentations. Provides project status updates to clients, as… more
    CDM Smith (01/16/25)
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  • Quality and Regulatory Compliance…

    Adecco US, Inc. (Framingham, MA)
    …Healthcare & Life Sciences is hiring a contract Quality/Regulatory Compliance Specialist for our Pharmaceutical partner in Framingham, MA. The anticipated hourly ... education, geographic location, and other factors. Benefit offerings include medical , dental, vision, life insurance, short-term disability, additional voluntary… more
    Adecco US, Inc. (01/17/25)
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