SSM Health is an Equal Opportunity Employer:Community Description:About SSM Health St. Mary's Hospital - Madison: SSM Health-Dean Medical Group, a 500-physician multi-specialty group, is actively recruiting a Cardiothoracic Surgery Physic...

About Us: 4LEAF, Inc. (4LEAF) is a multi-discipline Firm providing services throughout the United States. For over 20 years, 4LEAF has assisted communities in successfully navigating contract services, leading to fiscally responsible solu...

Multi-Specialty Peer Review Committee Coordinator in San Francisco/Bay Area contract Opportunity! This Jobot Consulting Job is hosted by: Robert Reyes Are you a fit? Easy Apply now by clicking the "Apply" button and sending us your resu...

, data entry and tracking data from various insurance providers and health plans regarding authorization, expedited reviews...

and tracking data from various insurance providers and health plans regarding authorization, expedited reviews and appeals...

, expedited reviews and appeals. Document and track all communication attempts with insurance providers and health plans and scan...

authorization, expedited reviews and appeals. Document and track all communication attempts with insurance providers and health...

. Supports Integrated Product Teams (IPT) and participates in design reviews. Represents the engineering community in the build... Support Integrated Product Teams (IPT) and participate in design reviews Represent the engineering community in the build...

in TX, VA, MD, DC, or FL** Click to learn about BRMi's culture. Click to see BRMi’s Glassdoor reviews Responsibilities.... Maintaining a continuous and strong security posture across all business and ISD IAM stakeholders via ongoing, proactive reviews...

, Medicaid, and/or other claims. Reviews beneficiary, provider, and/or pharmacy cases for potential overpayment, fraud, waste...

Position: Project Reviews Manager - Archaeology Location: Columbus, Ohio Salary: $52,000 - $62,000/year Benefits... to details important to relationships and strategy. Able to work independently without supervision and assume responsibility for reviews...

and process improvements Support Integrated Product Teams (IPTs) and participate in design reviews Represent engineering...

reviews to determine correct patient class, documents patient class and clinical review information utilizing standard medical...

clinicians to support Applied Behavior Analysis (ABA) clinical reviews and authorization assessments. Resources... reauthorizations, clinical reviews, and appeals as applicable Ensure documentation is complete, compliant, and audit ready...

, contextually relevant, and policy-compliant data. General Job Profile Reviews the work of others Develops innovative approaches... information Demonstrated experience performing clinical prior authorization reviews across diverse service categories, including...

and debugging complex issues. This job also participates in code reviews to maintain high code quality and share knowledge...

is error-free and accurate Reviews quality reports to identify trends, issues and root causes and makes recommendations...

clinicians to support Applied Behavior Analysis (ABA) clinical reviews and authorization assessments. Resources... reauthorizations, clinical reviews, and appeals as applicable Ensure documentation is complete, compliant, and audit ready...

agreements. Reviews loan (or collateral) documents, handles file processing and works with external/internal clients and contacts...

amounts vs. legal amounts on checks to ensure proper reviews on items are done, should there be a need to return items... of all responsibilities, duties, and skills required by all incumbents. Reviews and processes large items ($7,500 and greater...