Third Party Reviewer jobs

Viewing 1 - 10 of 64,856 jobs

• MANAGER, CLINICAL RESOURCE CENTER (Utilization Review/Pre-Cert)

  Temple University Health System - Philadelphia, PA

  review, pre-certification procedures and collaboration with third party payors non-clinical departments (finance, admissions, medical records is preferred. - Experience with case management software application systems, like Midus,...

  6 days ago from Temple University Health System, Inc

• Case Manager-Utilization Review

  Sutter Health - Castro Valley, CA

  in Utilization Review. Knowledge of Federal, State and Third Party Payor requirements. Knowledge of MIDAS computer program helpful. Basic computer skills. Primary Location : California-San Francisco East Bay and Solano-Castro...

  7 days ago from Sutter Health

• Registered Nurse (Utilization Review) VN-0610-I-II-Iii

  United States Department of Veterans Affairs - San Antonio, TX

  and appeals/denial reviews to obtain approval from third party payers for services provided to Veterans. · ... the clinical review in CPRS and to contact the third party payer for authorization of services. · The...

  1 day ago from United States Department of Veterans Affairs

• Retrospective Review Coordinator

  Kaiser Permanente - Portland, OR

  education through attendance in programs affecting the third party payer system and continuously pursues educational opportunities as available. Reviews pertinent articles, regulatory requirements and other documents affecting policies...

  30+ days ago from Kaiser Permanente

• Third Party Quality Operations Associate Director, Exel Warehouse QA

  Novartis Pharmaceuticals - Mechanicsburg, PA

  Job ID 121790BR Posting Title Third Party Quality Operations_ Associate Director, Exel ... improving, executing and communicating all Third Party Compliance related processes, procedures and...

  7 days ago from Beyond

• Direct Hire- Sr. Manager of Third Party Manufacturing

  Insource Technical Group - Bridgewater, NJ

  Implements appropriate metrics for management of third party production including KPIs and monitors ... Actively seeks appropriate cost reductions in the third party manufacturing networks whilst maintaining...

  1 day ago from ZipRecruiter

• Third Party Quality Operations Associate Director, Exel Warehouse QA

  Sandoz - Mechanicsburg, PA

  improving, executing and communicating all Third Party Compliance related processes, procedures and ... establish and revise procedures associated with Compliance Third Party processes. Responsible for managing and...

  5 days ago from JobHat

• Information Risk Analyst - Third Party Audit

  Chase - Delaware

  based on the Risk Classification level assigned to the Third Party q Establish, enforce and manage future ... of the risks associated with continued utilization of a third-party relationship q Utilize expertise to identify...

  3 days ago from JobHat

• Sr Director Third Party Relations

  Lexis Nexis - Alpharetta, GA

  plans for Third Party relationships. Review and evaluate Third Party performance against plan and address ... Third Party Relationships 10. Has significant experience in third party relationships including specialist knowledge of...

  30+ days ago from Bright.com

• Program Manager - 3rd Party Software Security

  GE - Glen Allen, VA

  lead program vision, processes and components of the 3rd party application security review service. Essential ... / vet and direct testing of external (as authorized) third-party software * Tracking and enforcing remediation of...

  18 days ago from Beyond