Clinical Review Specialist | Admissions | Remote | $25/hourly Flexible Schedule · Part-Time with Path to Full-Time · Evenings & Weekends as Needed Banyan Treatment Centers is seeking a licensed clinician to serve as a Clinical Review Specialist
Work ScheduleStandard (Mon-Fri) Environmental ConditionsOffice Job Description Join Us as a Clinical Research Associate (Level II) – Make an Impact at the Forefront of Innovation We have successfully supported the top 50 pharmaceutical companies and more
Work ScheduleStandard (Mon-Fri) Environmental ConditionsOffice Job Description Join Us as a Clinical Research Associate (Level II) – Make an Impact at the Forefront of Innovation We have successfully supported the top 50 pharmaceutical companies and more
Description Our electric power generation clients are seeking to increase the power output of their existing power plants to meet the electric demands. This is expanding work in the nuclear industry. You will work on major
Description Our electric power generation clients are seeking to increase the power output of their existing power plants to meet the electric demands. This is expanding work in the Mechanical Analysis Engineering group. You will work
City/StateVirginia Beach, VA Work ShiftFirst (Days) Overview: Sentara Health Plans is looking to hire Pharmacy Prior Authorization Coordinator 1: This is a remote position: Remote opportunities available in the following states: Virginia, North Carolina, Alabama, Delaware,
A nationally recognized defense litigation firm is seeking a Litigation Attorney to join its team on a contract-to-hire basis. This is a great opportunity for a motivated attorney who thrives in a fast-paced, sophisticated litigation environment
Remote Prior Authorization Pharmacist Work From Home in Managed Care A confidential managed care organization is seeking a motivated Remote Prior Authorization Pharmacist to evaluate prescription requests, ensure medical necessity, and improve patient access to safe
Job Title Responsible for accurate and timely intake and interpretation of regulatory and/or functional requirements related to but not limited to coverage, reimbursement, and processing functions to support systems solutions development and maintenance. This role includes
Sales Compliance Analyst Molina Healthcares Medicare Compliance team provides oversight for sales operations for the Molina Medicare product lines. It is a centralized corporate function supporting compliance activities. Knowledge/Skills/Abilities Provide regulatory expertise to the Sales Organization:
Job Title Provides analyst support for delegation oversight activities including monitoring delegation oversight to ensure compliance with state, federal, National Committee for Quality Assurance (NCQA), and Molina requirements. Responsible for gathering, coordinating, analyzing, and processing compliance
Job Title Claims Recovery Specialist Job Description Job Summary Provides senior level support for claims recovery activities including researching claim payment and billing guidelines, audit results, and federal regulations to determine overpayment accuracy and provider compliance.
Job Title Investigative Support for Special Investigation Unit (SIU) Activities Provides investigative support for special investigation unit (SIU) activities. Responsible for supporting for the prevention, detection, investigation, reporting, and when appropriate, recovery of money related to