Remote
Description: Evaluates clinical service requests made by an organization's members and providers. Uses clinical judgment in conjunction with organization's criteria to adjudicate these requests. May also provide clinical leadership in other areas of the organization. Identifies opportunities to manage members' clinical situations with a view toward creative problem solving and anticipation of possible future clinical problems for the member. Participates in the process to evaluate clinical service requests. Participates in the Physician Review Units' appeal process of service denials. Participates in the development of Physician Review Units' policies and procedures. Actively participates in all unit continuous quality improvement activities. Other duties as assigned by the Medical Director. Board Certified (ABMS) M.D. or D.O, unrestricted and active license to practice medicine requested and 5 years clinical experience to include inpatient experience, or any combination of education/experience that would provide an equivalent background. Must have understanding of managed care and demonstrate PC proficiency, as file review will be done via computer in most cases....Job ID#: 42331Cash Accounting SpecialistSchedule: Full-time, standard business hoursWork Arrangement: Fully onsite with 1 work-from-home day per weekTarget Start: Within 12 weeksWe are seeking a Cash Accounting Specialist to support daily cash accounting activities...
As a farmer-owned cooperative, Skagit Farmers Supply's Alaska division, Alaska Mill and Feed, provides farmers, homeowners, businesses, families and communities across the state with services through agronomy, erosion control, animal feed, deicing products, retail and ...
...: Senior This opportunity resides with Warfare Systems (WS), a business group within HIIs Mission Technologies division. Warfare Systems... ...HII Mission Technologies! We are seeking a mid-level Business Analyst (Business Process Analyst) to support the Defense Security...
...company-provided uniform \n \n Full-time casual package delivery drivers work eight to ten hours per day and workdays can vary (Monday - Friday) or (Tuesday - Saturday) depending on the business needs. \n Whats in it for you?\n \n Excellent weekly pay \n...
...Virtual Customer Service & Benefits Representative 100% Remote | Flexible Schedule | Growth-Focused Opportunity About the Opportunity Our company is growing faster than ever, and were seeking motivated, people-focused professionals to join our fully remote team...