- Kepro (AR)
- …complicated Utilization Management reviews or clinical scenarios with Utilization Management Dental Hygienist Reviewers . + Participate in the client's quarterly ... being a vital partner for health solutions in the public sector. The Dental Physician Reviewer will oversee utilization /management (UM) activities to include peer… more
- Kepro (AR)
- …for Arkansas Medicaid. Job Responsibilities: + Collaborate with Medical Director and other Dental Physician Reviewers on case consultations as needed. + Discuss ... complicated Utilization Management reviews or clinical scenarios with Utilization Management Dental Hygienist Reviewers . + Review safety, sentinel, and Quality… more
- City of Tacoma WA (Tacoma, WA)
- …and timelines. + Serves as a liaison between review engineers, plan reviewers , land use planners, inspectors and external developers/applicants while providing high ... as needed. + Coordinates and facilitates meetings between customers and reviewers including pre-development meetings where applicants can receive clarification on… more
- Corner Alliance (Washington, DC)
- …create results for the government. We are currently seeking multiple Programmatic Application Reviewers with 4+ years of experience to join our team and fully ... with expected deliverables of data entry, completed checklists, and draft communications. Reviewers shall be available to conduct reviews beginning November 4, 2024… more
- Elevance Health (Miami, FL)
- …providers for care coordination. + May access and consult with peer clinical reviewers , Medical Directors and/or delegated clinical reviewers to help ensure ... healthcare providers. + Refers treatment plans/plan of care to peer clinical reviewers in accordance with established criteria/guidelines and does not issue medical… more
- Citigroup (Wilmington, DE)
- …aspects of the Exam and Audit spectrum of work including: working with reviewers on scope and focus, preparing deliverables and meetings, leveraging prior existing ... business, mediating discussions during the review, providing guidance to business SMEs and reviewers and helping to ensure a proper result and conclusion to every… more
- Citigroup (Irving, TX)
- …activities, including establishing key risk indicators (KRI) to facilitate Lead Reviewers execute BM coverage of relevant credit risk families. Develop customized ... analytics for Risk Differentiated Reviews (RDR), which help reviewers in determining key focus areas for the detailed review plan, and in detecting potential… more
- Parsons Corporation (Washington, DC)
- …through established work flow for review/approval to the pertinent AOC staff, reviewers and consultants and transmits responses back to contractors for action. The ... and responses issued by AOC and its consultants and reviewers . Services will be performed on-site and the CMS...is why we offer best-in-class benefits such as medical, dental , vision, paid time off, Employee Stock Ownership Plan… more
- Medical Mutual of Ohio (OH)
- …to more than 1.2 million members through our high-quality health, life, disability, dental , vision and indemnity plans. We offer fully insured and self-funded group ... updates, procedure changes, etc.** + **Discusses consult findings with Physician Reviewers and reviews edit updates and questions with payment recovery staff.**… more
- Kelly Services (Rockville, MD)
- …+ Competitive compensation and comprehensive benefit package + Optional health, vision, and dental plans + Vacation leave as well as 10 paid federal holidays and ... in portions of the DCRC meetings + Solicit review comments from assigned reviewers and meeting participants, and synthesize them into the post-meeting DCRC Memo +… more