Plans Review Specialist II - Atlanta, GA, United States

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

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

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 ...

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 ...

+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. · + ...

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 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 ...

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. · ...

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. This role focuses on reviewing brand submissions, supporting local mark ...

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 ...

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

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

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 that comply with city codes and regulations regarding structural adequacy life safety and fire emergency exit conf ...

+ Job summary: The Utilization Review (UR) Specialist is a Registered Nurse responsible for conducting thorough medical necessity reviews to assist with determining appropriate patient class designation. + Qualifications: Associate degree in nursing. Minimum of 5 years of recent ...

The Utilization Review (UR) Specialist is a Registered Nurse responsible for conducting thorough medical necessity reviews to assist with determining appropriate patient class designation. The UR Specialist will perform timely and comprehensive reviews of the patient chart utiliz ...

The Utilization Review (UR) Specialist is a Registered Nurse responsible for conducting thorough medical necessity reviews to assist with determining appropriate patient class designation. · ...

The Utilization Review (UR) Specialist is a Registered Nurse responsible for conducting thorough medical necessity reviews to assist with determining appropriate patient class designation. · ...