Third Party Reviewer jobs - Philadelphia, PA

Viewing 1 - 10 of 1,949 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,...

  1 day ago from Temple University Health System, Inc

• Assistant Audit Manager

  Campbell's - Cherry Hill, NJ

  Fraud reviews o SOX compliance reviews o 3rd party contract reviews o Efficiency/effectiveness studies o Various financial/operational performance analyses. Share "best practice" ideas among the various Campbell...

  30+ days ago from Campbell's Soup Company

• Project Manager

  CIBER - Wilmington, DE

  and other supporting materials when changes introduced 3rd party vendor management Review and prepare summaries detailed US Request Logs from the Help Desk to aid in determining continuous improvement opportunities Conduct follow up based...

  10 days ago from Sologig

• Director Real Estate Expense Audit (OPEC Review)

  SunGard - Wayne, PA

  running tally for all applicable leases, working with third party auditors for historical expense reconciliations, working with tax appeal specialists & attorneys. . Responsible for development, maintenance and upkeep of database and...

  8 days ago from Beyond

• Auditor - Vendor Quality Assurance Doc Review

  PHH - Mount Laurel, NJ

  Quality Assurance Auditor will need to: * Review third party vendor (ie. Attorney) processes, procedures and work product for completeness and * Review legal documents and other work product created during default proceedings to ensure...

  30+ days ago from Bright.com

• Network Audit & Contract Spec

  Performrx - Philadelphia, PA

  the pharmacy audit process conducted and managed by a Third Party Vendor. Reviews and analyzes data from desktop pharmacy network reviews. Compares actual performance to predetermined standards and assists in gathering information...

  13 hours ago from JobHat

• D2D Sales Representative

  Public Energy Brokers - Philadelphia, PA

  contact and point of service information * Complete Third Party Verification procedure * Review sales contracts to ensure all requirements for enrollment are met * Maintain knowledge on all applicable pricing and value added products and...

  13 hours ago from JobHat

• Benefits Coordinator

  Presby's Inspired Life - Philadelphia, PA

  Communicate new hire, termination and life event changes directly with carrier and/or third-party administrator. Reviews and processes medical spending account claims and dependent day care accounts. * Assist with issue resolution for...

  17 hours ago from Beyond

• D2D Sales Representative

  WMS - Philadelphia, PA

  customer contact and point of service information Complete Third Party Verification procedure Review sales contracts to ensure all requirements for enrollment are met Maintain knowledge on all applicable pricing and value added products...

  8 days ago from Bright.com

• D2D Sales Representative

  Northeast Power & Gas Associates - Talleyville, DE

  contact and point of service information * Complete Third Party Verification procedure * Review sales contracts to ensure all requirements for enrollment are met * Maintain knowledge on all applicable pricing and value added products and...

  12 hours ago from JobHat