Remote Utilization Review Specialist - New York

· Terumo Medical Corporation (TMC) develops, manufactures, and markets a complete, solutions-based portfolio of high-quality medical devices used in a broad range of applications for numerous areas of the healthcare industry. TMC places a premium on providing customers with worl ...

REPORTS: Director of Utilization Review · DEPARTMENT: Clinical · LOCATION: George Rosenfield Center for Recovery - 13 Hell Gate Circle, Ward's Island, NY 10035 · MAJOR FUNCTIONS: · Under the direction of the Director of Utilization Review, the Specialist will coordinate Medicaid ...

The Clinical Review Specialist (RN) conducts clinical reviews of inpatient medical appeals for medical necessity and quality of care. · Review appeal cases for medical necessity. · Analyze medical records. · Prepare summaries and rationale. · ...

The Disability Review Specialist is responsible for proactively calling, renewing and making coverage recommendations for disability policyholders. · Proactively places outbound calls to existing customers with disability policies within specified timeframe.Maximizes opportunitie ...

The Disability Review Specialist is responsible for proactively calling renewing and making coverage recommendations for disability policyholders while cross-selling additional products as directed. Meets established sales targets and other quality of business factors. ...

The Disability Review Specialist is responsible for proactively calling, renewing, and making coverage recommendations for disability policyholders, while cross-selling additional products as directed. Meets established sales targets and other quality of business factors. Signifi ...

Job Description · Role: Specialist - Legal Contracts Review · Location: New York, NY or Edison, NJ. Candidate must work from one of these offices 5 days a week. · Job Description: · The position requires review of Statements of Work, Work Orders, Change Orders, amendment to SOWs, ...

Initio Sphere is a full-service private capital ecosystem where capital meets talent. We serve fund managers, investors, operators and finance professionals across private markets—combining deal flow analytical talent investor relations networking training and job placement into ...

We're looking to hire a trustworthy Global Communications Review Specialist to execute communications reviews for Jane Street globally in our Legal & Compliance team. · This role sits within our Legal & Compliance team and will coordinate with individuals across offices to monito ...

The position requires review of Statements of Work, Work Orders, Change Orders etc. · ...

This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Utilization Management Specialist - REMOTE. In this role, you will leverage your clinical expertise to significantly influence patient outcomes through effective utilization manage ...

This role involves reviewing legal contracts for consistency with master service agreements and ensuring compliance with internal approvals. · ...

· About the Position · We're looking to hire a trustworthy Compliance Specialist to execute communications reviews for Jane Street globally. This role sits within our Legal & Compliance team and will coordinate with individuals across offices to monitor our internal electronic c ...

ABOUT FRESH YOUTH INITIATIVES (FYI) · FYI is a dynamic community-based organization that partners with young people to develop their leadership and build their legacy. Founded in 1993, FYI supports the immigrant and first-generation youth of Washington Heights and Inwood to grow ...

The Promotional Review Specialist is responsible for managing the Advertising and Promotional Material Review/Approval Process (A&P Review Process) and will be a contributing member of the Communications & Brand Experience team. · ...

The Utilization Review (UR) Specialist is a critical member of the administrative team at Advanced Revenue Solutions. This role ensures timely approvals and continued stay authorizations from insurance payers by effectively communicating clinical information and advocating for ap ...

To assist in the daily operation of oasis scrubbing and coding. · ...

The Promotional Review Specialist is responsible for managing the Advertising and Promotional Material Review/Approval Process (A&P Review Process) and will be a contributing member of the Communications & Brand Experience team. · ...

Fresh Realm is hiring a Document Review Specialist for the Food Safety Quality Assurance team. This individual is responsible for reviewing, verifying, and maintaining production and quality assurance records to ensure compliance with regulatory, customer, and internal requiremen ...

Fresh Realm is hiring a Document Review Specialist for the Food Safety Quality Assurance team. This individual is responsible for reviewing, verifying, and maintaining production and quality assurance records to ensure compliance with regulatory, customer, and internal requiremen ...