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Third Party Reviewer jobs

Viewing 1 - 10 of 443 jobs

  • THIRD PARTY REVIEWER

    Partners Healthcare - Charlestown, MA

    in support of the Partners mission.General Overview The Third Party Reviewer functions under the general supervision ... *Communicates effectively with other departments, third party representatives, and co-workers. *Performs all...

    11 days ago from Partners HealthCare

  • Registered Nurse (Revenue Utilization Review)

    United States Department of Veterans Affairs - Richmond, VA

    reviews; performs clinical reviews and contacts third party payers for authorization of services; acts as a patient advocate and program liaison; conducts special eligibility validation reviews; and, conducts clinical reviews for tort...

    1 day ago from United States Department of Veterans Affairs

  • Utilization Review

    Vail Valley Medical Center - Vail, CO

    for both patient and hospital through cooperation with third party payers and physicians. Follows up on denials based on resource utilization issues. Provides a smooth transition for the patient from hospital to home or alternative care...

    24 days ago from HEALTHeCAREERS Network

  • Utilization Review / Prebill Case Management RN

    HCA Shared Services/supply Chain - Orange Park, FL

    payor that require clinical expertise. Communicates with third party payors to resolve discrepancies prior to billing. Accurately and concisely documents all communications and action taken on the account in accordance with policies and...

    30+ days ago from HEALTHeCAREERS Network

  • Staff Nurse (Utilization Review)

    United States Department of Veterans Affairs - Madison, WI

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

    12 hours ago from United States Department of Veterans Affairs

  • Sr SQA Engineer

    Symantec - Mountain View, CA

    trouble-shooting skills.Experience with reviewing third-party certification requirements and implementing a test ... in a software development environment.Experience using third party automation tools for UI testing of mobile device...

    30+ days ago from Symantec

  • ASSOCIATE ENERGY SPECIALIST (EFFICIENCY)

    State Personnel Board - Sacramento, CA

    certification applications from manufacturers and third party certifiers. Review test reports for accuracy and compliance with regulations. Enter certification data into the Energy Commission’s appliance database. • Enforcement Outreach:...

    30+ days ago from State Personnel Board

  • Manager Regulatory Affairs

    Dennis Partners - Montville, NJ

    well as grow their career. Responsibilities * Support 3rd party products * Review and comment on any and all ... at the project meeting providing regulatory strategy for third party products at project meetings * Manage...

    30+ days ago from MRINetwork

  • Quality Assurance Manager

    Fep Executive Search - Chicago, IL

    such as HACCP, Food Safety, Environmental testing and 3rd party audits, to support strategic business plans 9) Conduct ... new ingredients and finished product details to third party certification agencies for review and approval...

    30+ days ago from FEPSearchGroup.com

  • Gaming Engineer

    Avid Technical Resources - San Francisco, CA

    Gathering / Documentation. * Assess middleware and 3rd party solutions. * Review the work of other Gameplay Engineers to ensure adherence to design, patterns and coding standards. JOB REQUIREMENTS * Undergraduate degree or...

    30+ days ago from Avid Technical Resources

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