Human Resources SME Content Writer and/or Reviewer - Chicago

The Medical Reviewer has a key role within the designated Therapeutic Area. Working under the leadership of the Scientific Director, this leader supports the development and execution of the therapeutic area medical strategy by providing scientific, strategic, and operational inp ...

Job description · Toker's Guide ) is a rapidly growing cannabis start-up helping people find the best weed in their area by utilizing reviews from local connoisseurs. We are looking for cannabis connoisseurs who think they have what it takes to join our ranks as a reviewer of Ill ...

· 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 allows you to customize your schedule and caseload within a standard Monday - Fr ...

***Must apply on our website *** · Agency: Department of Human Services · Location: Chicago, Illinois, 60634 · Opening Date: 10/03/2025 · Closing Date: 10/17/2025 · Salary: Anticipated Salary: $7,345 - $10,734 per month ($88,140 - $128,808 per year) · Category: Full Time · County ...

This role provides medical necessity reviews for pre-service clinical requests on a remote, · weekend-only schedule. Physicians work 8-hour shifts on Saturdays and/or Sundays, · with a productivity expectation of 32 cases per day.Conduct pre-service medical necessity reviews base ...

This role provides medical necessity reviews for pre?service clinical requests on a remote, weekend?only schedule. The position requires an initial 4?week training period, followed by ongoing weekend coverage for at least two weekend days per month. · Conduct pre?service medical ...

This leader supports the development and execution of a therapeutic area medical strategy by providing scientific, strategic, and operational input into core medical affairs activities. · ...

This position is responsible for ensuring accurate and timely clinical review of behavioral health cases for medical necessity. · ...

Provides support for clinical member services review assessment processes, verifying that services are medically necessary and align with established clinical guidelines. · ...

Job Title: App Functionality Reviewer · Location: (Global) · Job Overview: We are seeking a highly motivated and detail-oriented individual to join our QA team as a App Functionality Reviewer. In this role, you'll be responsible for meticulously evaluating the core functionality ...

Utilization Review Nurse · A remote position for a contract period of approximately 9 months requires candidates to reside in Texas or Illinois. · Perform accurate and timely medical review of claims suspended for medical necessity using medically accepted criteria. · Interpret c ...

KPMG Advisory practice is currently our fastest growing practice. We are seeing tremendous client demand. · Supervise team members and manage resource allocation for document review engagements. · Advise clients on eDiscovery workflows, including review analytics and TAR workflow ...

Job Title: In-App Experience Reviewer · Location: (North America) · Job Overview: We are looking for a highly motivated and detail-oriented individual to join our QA team as an In-App Experience Reviewer. You'll be responsible for meticulously evaluating user journeys within vari ...

This position is responsible for ensuring compliance of the Utilization Management (UM) and Quality Review (QR) functions performed by the Medical Groups/IPAs participating in the networks of client's HMOs. · 3 years clinical experience with 2 years' experience in utilization rev ...

This role supports the end to end appeals process to ensure timely accurate and compliant resolution of member and provider appeals. You will collaborate across multiple operational teams uphold regulatory and accreditation standards and contribute to continuous improvement initi ...

Job Requisition ID: 53472  · Opening Date: 03/02/2026 · Closing Date: 03/13/2026 · ​Agency: Department of Human Services · Class Title: PUBLIC AID QUALITY CTRL REVIEWER · Skill Option: None  · Bilingual Option:  · Salary: Anticipated Salary $5,637-$8,026/month ($67,644-$96,312/y ...

We are looking for a Utilization Review Specialist to join our team The Utilization Review Specialist bridges between a Utilization Review Nurse and Pre-Clinical Coordinator providing coverage for both teams. · The full UR function can be performed in applicable jurisdictions. UR ...

Provides support for clinical member services review assessment processes. · Responsible for verifying that services are medically necessary and align with established clinical guidelines, · insurance policies and regulations - ensuring members reach desired outcomes through inte ...

We're looking for a Utilization Review Coordinator who truly understands the substance use disorder treatment world and how payors work. · In this role, you'll be a key bridge between our clinical team and payors, making sure our clients get – and keep – the right level of care a ...

+The Medical Director is responsible for the overall quality, effectiveness and coordination of medical review services. · +Conduct coverage reviews based on individual member plan benefits and national and proprietary coverage review policies. · Renderecoverage determinations. · ...

This position is responsible for pre-authorization reviews in accordance with the medical contract and regulations. · ...