Utilization Review Specialist - Atlanta, GA

The Utilization Review Specialist is responsible for performing utilization review services in compliance with URAC guidelines and applicable state regulations. · ...

We're at the forefront of innovation and excellence, blending cutting-edge technology with top-tier professional services. · The Utilization Review Specialist is responsible for performing utilization review services in compliance with URAC guidelines, · applicable state regulati ...

As a Utilization Review Specialist at Davies North America, you will be responsible for performing utilization review services in compliance with URAC guidelines and applicable state regulations. You will conduct precertification, concurrent, retrospective, and appeal reviews; co ...

The Audit Review Specialist leverages extensive expertise in premium audit standards to meticulously review audits, · ensuring adherence to established criteria and timelines. · Ensure timely analysis of assigned audits in compliance with state regulations; · verify that all data ...

The Audit Review Specialist leverages extensive expertise in premium audit standards to meticulously review audits, ensuring adherence to established criteria and timelines. · ...

+h2>Job summary · As a vital part of the global Davies Group we help businesses navigate risk optimize operations and spearhead transformation in the insurance and regulated sectors. · + ...

The Utilization Review Specialist is responsible for performing utilization review services in compliance with URAC guidelines, · Perform precertification reviews using accepted medical criteria in accordance with URAC standards and state-mandated timeframesEnsure medical request ...

The Case Review Specialist ensures that case documentation is provided by the provider for accurate and timely determinations and communicates with clinical and non-clinical staff to facilitate case discussions. · Flexible to work rotational shifts inside our office hours from 8: ...

We're on a journey to do our best. · Helping customers make better financial decisions, · enabling communities to grow and succeed. · A career here gives you opportunities to discover what makes you thrive.Conduct credit analyses including gathering information from credit report ...

A Fortune 500 marketing organization is seeking a strategic, detail-oriented Brand Review Support Specialist & Project Coordinator to support local marketing efforts across a large, distributed field network. This role focuses on reviewing brand submissions, supporting local mark ...

A Fortune 500 marketing organization is seeking a strategic, detail-oriented Brand Review Support Specialist & Project Coordinator to support local marketing efforts across a large, distributed field network. · ...

We are seeking a strategic detail-oriented Brand Review Support Specialist & Project Coordinator to support local marketing efforts across a large distributed field network. This role focuses on reviewing brand submissions supporting local marketing alignment managing project wor ...

A Fortune 500 marketing organization is seeking a strategic, detail-oriented Brand Review Support Specialist & Project Coordinator to support local marketing efforts across a large, distributed field network. · ...

The purpose of this job is to review construction plans to ensure compliance with regulatory codes, · ordinances and laws.Approving building plans and specifications; · Assisting architects and developers with building code conformation; · Answering inquiries regarding constructi ...

Directs the daily routing of workflow arising from collateral verification reviews that are used to ensure member compliance with Bank policy procedure and regulations. · ...

The purpose of this job is to review construction plans to ensure compliance with regulatory codes, · ordinances and laws. Approving building plans and specifications; Assisting architects and developers with building code conformity; · Answering inquiries regarding construction ...

The Collateral Verification Review Specialist directs the daily routing of workflow arising from collateral verification reviews that are used to ensure member compliance with Bank policy, procedure, and regulations. · The specialist is responsible for direct contact with members ...

This individual is responsible for directing daily workflow arising from collateral verification reviews used to ensure member compliance with Bank policy procedure and regulations. · Responsible for direct contact with members selected for collateral verification review · Takes ...

The purpose of this job is to review construction plans to ensure compliance with regulatory codes, ordinances and laws. · Duties include but are not limited to approving building plans and specifications; assisting architects and developers with building code conformation; · ans ...

Directs the daily routing of workflow arising from collateral verification reviews that are used to ensure member compliance with Bank policy procedure and regulations. · ...