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Third Party Reviewer jobs

Viewing 1 - 10 of 16,985 jobs

  • Registered Nurse, Case Manager/Utilization Review - PRN - Variable

    HCA Healthcare - West Hills, CA

    ence preferred; knowledge of discharge planning needs and community resources, governmental regulation for Medicare, Medi-cal, and Champus patients, Prospective payment systems and third party payer contracts and agreements, and the...

    13 days ago from HCA Healthcare

  • QA Analyst - No third parties

    Crossfire Consulting - Alpharetta, GA

    ance test scripts, tests plans and checklists Application of software development life cycle concepts Primary Skill Requirement QTP Testing, Scripting, Test Analysis In person interview required. No third parties QA Analyst, QTP,...

    1 day ago from Dice

  • Senior Project Manager/Business Analyst-Third Party Programs

    Sage Group - San Francisco, CA

    Job Description Senior Project Manager/Business Analyst-Third Party Programs The Sage Group is looking for a hybrid Seni ... of processes to support the Third Party Program for third parties which is scalable to support the enterprise...

    1 hour ago from Startwire

  • Director, Third Party Industry Relations

    Major Drug Store Chain - Etters, PA

    claim edits, instruct pharmacies on the processing of third party claims, and reduce the number of audit ... of pharmacy claims during real time adjudication. Evaluate third party payers, Medicare Medicaid, for changes in...

    5 days ago from IvyExec

  • Case Management Coordinator Utilization Review Behavioral Health

    Wheaton Franciscan Healthcare - Racine, WI

    treatment team, patient accounts, the patient, and third party payors from admission to discharge. This position ... and limitations of the third party payors and that third party payors have the knowledge of the patient's...

    12 days ago from Wheaton Franciscan Healthcare

  • Third Party Management (TPM) Product Manager

    Coty - Fashion Industry - Morris Plains, NJ

    Igualdad de Empeo Efficiently coordinate and manage TPM (third party manufacturer) projects for global distribution. ... party manufacturers • Ability to conduct basic patent search and review • Basic knowledge of global cosmetic...

    9 days ago from VelvetJobs

  • Utilization Review RN

    Judge Group - Washington, DC

    and the healthcare team to ensure understanding of third-party payer guidelines. Serves as a resource for education to patients and families Ensures consistent data capture to identify trends/problems related to delivery-of-care delays and...

    3 days ago from ZipRecruiter

  • RN-Utilization Review Specialist

    HCA Healthcare - Panama City, FL

    and corresponds to appropriate agencies and third party payers regarding pre-admission screening, concurrent, outpatient and retrospective review process as it relates to federal and commercial insurance plans to maximize positive...

    11 days ago from HCA Healthcare

  • Enterprise Vendor Management-Senior - Third-Party Vendor Risk

    Leading Diverse Derivatives Marketplace - Mclean, VA

    of identifying, monitoring, reviewing, and rating of third-party vendor risk. Responsibilities include: Independently take responsibility for completing risk reviews for a portfolio of vendors. This includes initiating, facilitating, and...

    6 days ago from IvyExec

  • Third Party API / SDK Interfaces

    Avast Software - Charlotte, NC

    Company Description: Avast! is your place to innovate! Security for home, mobile, and business! Maker of the world's most popular antivirus, protects over 210 million computers and mobile devices with our security applications. In business...

    3 days ago from ZipRecruiter

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