408 medical reviewer jobs found

Description Maine Medical Center - Biddeford, ME Nursing Req #: 79558 Full Time/Days This is a Registered Nurse 2 vacancy open to RN candidates with greater than 1 year of experience For a limited time MaineHealth is offering up to $10,000 Sign-on bonus for all eligible experienced Registered Nurses with 1-2 years of experience and $20,000 for experienced Registered Nurses with greater than 3 years of experience! Eligible candidates are hired (offer accepted) into a Full or Part time RN position. Bonus amount prorated for Part time hires, per diem hires are ineligible Current MaineHealth member employees are ineligible; former MaineHealth Members are ineligible until greater than 6 months separation from employment. We are currently seeking a Discharge Planning/Case Management/Utilization Review RN to join our team. This is a 40 hour per week, salaried, day shift position working 8-hour shifts. Weekend rotation may be every third weekend. In addition...

Job Description Strong critical thinking and problem-solving skills, with the ability to apply company policies and procedures effectively while exercising sound business judgment. Ability to collaborate across teams on complex renewal and expansion opportunities that require strong attention to detail, strategic coordination, and adherence to established processes. Escalates non-standard or highly complex situations appropriately to management for guidance and resolution. Five or more years of experience in high-tech sales, customer success, renewals, or account management. Strong communication and relationship-building skills with the ability to engage effectively with executive-level decision makers. Self-motivated with the ability to work independently in a fast-paced environment while maintaining a high level of accuracy and attention to detail. Bachelor's degree in Business, Computer Science, or related field preferred; equivalent...

ATTENTION ALL APPLICANTS! The Department of Transportation and Public Facilities (DOT&PF), Project Delivery Bridge Design Section, is looking for a Technical Engineer/Architect 1/2 Flex to help us Keep Alaska Moving! Depending on the selected applicant's location, this position can be filled in Juneau, Anchorage, or Fairbanks. Salary information is listed below: Anchorage: $3,960.75 - $4,245.00 Biweekly Fairbanks: $4,079.25 - $4,372.50 Biweekly Juneau: $4,158.75 - $4, 457.25 Biweekly What you will be doing: As a member of our Bridge Section team, you'll collaborate closely with our Bridge Management Engineer to ensure compliance with federal requirements for bridge inspection, load ratings, commercial vehicle permits, and asset management. As a Technical Engineer, you will become a statewide authority in bridge analysis, load ratings, inspection methodologies, and management strategies. At the Technical Engineer 1 level, you'll work...

Summary This position is located at a USDA Forest Service Unit. The incumbent serves as a Forest Fire Management Officer (FFMO) responsible for providing leadership and program direction for the unit's fire and aviation management program. See ADDITIONAL INFORMATION for Regional contacts. Learn more about this agency This job is open to The public U.S. Citizens, Nationals or those who owe allegiance to the U.S. Career transition (CTAP, ICTAP, RPL) Federal employees whose job, agency or department was eliminated and are eligible for priority over other applicants. Clarification from the agency Applications will be accepted from any U.S. citizen. Direct Hire Authority will be used to fill this position. Veterans Preference and traditional rating and ranking of applicants does not apply to this vacancy. Duties Duties listed are at full performance grade GW-12 level. Serves as a member of the Forest Leadership Team,...

Requisition Id 16481 Overview: As a U.S. Department of Energy (DOE) Office of Science national laboratory, ORNL has an 80-year legacy of supporting the nation’s security and strategic missions. ORNL is home to more than 7,000 dedicated, innovative staff, working in a culture that values diverse perspectives and backgrounds. In addition to cutting edge science, ORNL’s work includes protecting sensitive technologies and ensuring compliance with U.S. laws and international obligations designed to prevent the spread of weapons of mass destruction and their delivery systems. The Nuclear Nonproliferation Division (NND) at ORNL advances U.S. export control and nonproliferation objectives by providing subject matter expertise that strengthens national security policy, supports regulatory improvements, and enhances compliance and implementation at both localized and federal levels. Within NND, the Nonproliferation Safeguards and Treaty Verification Section provides direct...

Are you looking for an exciting job where you can put your skills and talents to work at a company you can feel proud to be a part of? Do you want a workplace that will challenge you and offer you opportunities to learn and grow? A position at Xcel Energy could be just what you’re looking for. Position Summary The Senior Talent Management Analyst partners across the talent management team to support the delivery and sustainment of high-quality programs, tools and platforms. This role brings strong user experience and project execution capabilities to complex talent initiatives to ensure platforms, tools and content operate effectively at scale. This role also serves as the administrator for the GLINT platform and manages select vendor relationships and contracts in support of talent management solutions. Essential Responsibilities: Talent Management Tools, Programs & Design Partner with talent management team to develop and deploy processes, programs,...

Job Title Digital Workplace AV Support Engineer Location Bethlehem, PA. This role requires travel to other Guardian locations including Hudson Yards (NYC), Holmdel, NJ, and additional sites as needed (up to 25%). Occasional off-hours and weekend support is required. Job Summary Guardian is seeking a highly capable AV Support Engineer to join the Digital Workplace organization. This role is responsible for delivering reliable, high-touch audiovisual and collaboration support across conference rooms, executive meeting spaces, and enterprise event environments. This is a hands-on, customer-facing role supporting Microsoft Teams Rooms and modern hybrid collaboration technologies. The position requires strong technical depth, composure under pressure, and the ability to resolve issues in real time during business-critical meetings and events. The ideal candidate operates independently, partners effectively across IT, Facilities, and vendors, and takes ownership...

Become a part of our caring community The Utilization Management Behavioral Health Professional uses behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Utilization Management Behavioral Health Professional work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Utilization Management Behavioral Health Professional uses clinical knowledge, communication skills, and independent critical thinking skills towards interpreting criteria, policies, and procedures to provide the best and most appropriate treatment, care or services for members. Coordinates and communicates with providers, members, or other parties to facilitate optimal care and treatment. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas....

Job Description Strong critical thinking and problem-solving skills, with the ability to apply company policies and procedures effectively while exercising sound business judgment. Ability to collaborate across teams on complex renewal and expansion opportunities that require strong attention to detail, strategic coordination, and adherence to established processes. Escalates non-standard or highly complex situations appropriately to management for guidance and resolution. Five or more years of experience in high-tech sales, customer success, renewals, or account management. Strong communication and relationship-building skills with the ability to engage effectively with executive-level decision makers. Self-motivated with the ability to work independently in a fast-paced environment while maintaining a high level of accuracy and attention to detail. Bachelor's degree in Business, Computer Science, or related field preferred; equivalent...

Thank you for considering a career at Ensemble! Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! O.N.E Purpose: Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and...

Job Description Strong critical thinking and problem-solving skills, with the ability to apply company policies and procedures effectively while exercising sound business judgment. Ability to collaborate across teams on complex renewal and expansion opportunities that require strong attention to detail, strategic coordination, and adherence to established processes. Escalates non-standard or highly complex situations appropriately to management for guidance and resolution. Five or more years of experience in high-tech sales, customer success, renewals, or account management. Strong communication and relationship-building skills with the ability to engage effectively with executive-level decision makers. Self-motivated with the ability to work independently in a fast-paced environment while maintaining a high level of accuracy and attention to detail. Bachelor's degree in Business, Computer Science, or related field preferred; equivalent...

Job Description Strong critical thinking and problem-solving skills, with the ability to apply company policies and procedures effectively while exercising sound business judgment. Ability to collaborate across teams on complex renewal and expansion opportunities that require strong attention to detail, strategic coordination, and adherence to established processes. Escalates non-standard or highly complex situations appropriately to management for guidance and resolution. Five or more years of experience in high-tech sales, customer success, renewals, or account management. Strong communication and relationship-building skills with the ability to engage effectively with executive-level decision makers. Self-motivated with the ability to work independently in a fast-paced environment while maintaining a high level of accuracy and attention to detail. Bachelor's degree in Business, Computer Science, or related field preferred; equivalent...

Become a part of our caring community The Utilization Management Behavioral Health Professional uses behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Utilization Management Behavioral Health Professional work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Utilization Management Behavioral Health Professional uses clinical knowledge, communication skills, and independent critical thinking skills towards interpreting criteria, policies, and procedures to provide the best and most appropriate treatment, care or services for members. Coordinates and communicates with providers, members, or other parties to facilitate optimal care and treatment. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas....

Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines. Our 115,000 colleagues serve people in more than 160 countries. Working at Abbott At Abbott, you can have a rewarding career, you can grow and learn, care for yourself and your family and have a healthy work life balance. You'll have access to: At Abbott, you can do work that matters, grow, and learn, care for yourself and family, be your true self and live a full life. You'll have access to: Career development with an international company where you can grow the career you dream of. Free medical coverage for employees* via the Health Investment Plan (HIP) PPO An excellent retirement savings plan with high employer contribution Tuition reimbursement, the Freedom 2...

Become a part of our caring community The Utilization Management Behavioral Health Professional uses behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Utilization Management Behavioral Health Professional work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Utilization Management Behavioral Health Professional uses clinical knowledge, communication skills, and independent critical thinking skills towards interpreting criteria, policies, and procedures to provide the best and most appropriate treatment, care or services for members. Coordinates and communicates with providers, members, or other parties to facilitate optimal care and treatment. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas....

Job Title: Human Capital Management Analyst - Recruiter Requisition #: 704210-051926 Department: Human Resources Primary Location: Ohio-Franklin County-Columbus Work Location: 855 W. Mound Street, 43223 Union-covered Position: No FLSA Status: Non-Exempt Job Type: Full-Time Schedule: Monday – Friday, 8am-5pm Minimum Starting Salary: $24.98/hour Number of Openings: 1 Posting Start Date: 05/19/2026 Posting Close Date: Postings are available for a minimum of 10 days after the Posting Start Date. Postings may be extended or rescinded at Agency's discretion after 10 days. All submissions received within the first 10 days will be considered. How to Apply: Email your updated resume to fccshr@fccs.us. Who We Are: Franklin County Children Services (FCCS) is a large, metropolitan child welfare agency with more than 300 caseworkers and 400 support staff members dedicated to child protection and family stability. FCCS believes in investing our time and...

The pay range is $132,000.00 - $238,000.00 Pay is based on several factors which vary based on position. These include labor markets and in some instances may include education, work experience and certifications. In addition to your pay, Target cares about and invests in you as a team member, so that you can take care of yourself and your family. Target offers eligible team members and their dependents comprehensive health benefits and programs, which may include medical, vision, dental, life insurance and more, to help you and your family take care of your whole selves. Other benefits for eligible team members include 401(k), employee discount, short term disability, long term disability, paid sick leave, paid national holidays, and paid vacation. Find competitive benefits from financial and education to well-being and beyond at https://corporate.target.com/careers/benefits. About us: Working at Target means helping all families discover the joy of everyday life. We...

Thank you for considering a career at Ensemble! Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! O.N.E Purpose: Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and...

We believe that difference sparks brilliance, so we welcome people and ideas from everywhere to join us in stretching what’s possible. At Tapestry, being true to yourself is core to who we are. When each of us brings our individuality to our collective ambition, our creativity is unleashed. This global house of brands – Coach and Kate Spade New York – was built by unconventional entrepreneurs and unexpected solutions, so when we say we believe in dreams, we mean we believe in making them happen. We’re always on a journey to becoming our best, but you can count on this: Here, your voice is valued, your ambitions are supported, and your work is recognized. A member of the Tapestry family, we are part of a global house of brands that has unwavering optimism and is committed to being innovative and wholly inclusive. Visit Our People page to learn more about Tapestry's commitment to equity, inclusion, and diversity. The successful individual will leverage their proficiency...

Job Seekers can review the Job Applicant Privacy Policy by clicking here (http://ryder.com/job-applicant-privacy-policy) . Job Description : Summary The Rental Management Trainee is designed to be completed in 18-24 months and provides the incumbent general Rental Management training in addition to specific training in the areas of Finance, Operations, Human Resources and Sales /Marketing. The incumbent will be assigned to operational and administrative tasks in support of location and regional management. This program is fast-paced and touches every aspect of the business unit. Essential Functions Handling the sales and process for inbound calls as well as outbound solicitation Maintain current and accurate data within the company's marketing database Responsible for generating rental, lease and used vehicle sales leads Manage all rental asset processes to include Vehicle Pm and cleanliness standards Meet overall Ryder market share by successfully...

Mercy Health About Us As a faith-based and patient-focused organization, Mercy Health exists to enhance the health and well-being of all people in mind, body and spirit through exceptional patient care. Success in this goal requires a culture of compassion, collaboration, excellence and respect. Mercy Health seeks people that are committed to our values of compassion, human dignity, integrity, service and stewardship to create an environment where associates want to work and help communities thrive. Certified Medical Assistant - Defiance Clinic Job Summary: The Certified Medical Assistant is a key component of our team that works closely with the primary care physician to deliver excellent patient care to our community, ensuring services are provided within the Medical Assisting scope and state guidelines. The Certified Medical Assistant is responsible for reviewing and updating health records, measuring vital signs, and preparing treatment rooms for upcoming...

Job Description Strong critical thinking and problem-solving skills, with the ability to apply company policies and procedures effectively while exercising sound business judgment. Ability to collaborate across teams on complex renewal and expansion opportunities that require strong attention to detail, strategic coordination, and adherence to established processes. Escalates non-standard or highly complex situations appropriately to management for guidance and resolution. Five or more years of experience in high-tech sales, customer success, renewals, or account management. Strong communication and relationship-building skills with the ability to engage effectively with executive-level decision makers. Self-motivated with the ability to work independently in a fast-paced environment while maintaining a high level of accuracy and attention to detail. Bachelor's degree in Business, Computer Science, or related field preferred; equivalent...

The duties that the incumbent of the vacancy will be expected to perform. Duties Description This incumbent will function as a financial analyst within the Bureau of Global Cap, Rebates, and Supplemental Programs within OHIP’s Division of Finance and Rate Setting (DFRS) in the tracking, analyzing, and forecasting of the Medicaid Global Cap. Specifically, this position will oversee the Managed Care portfolio and serve as the Managed Care Team Lead within the Medicaid Global Cap and provide supervision of the Managed Care team analysts. The Medicaid Global Cap is comprised of payments to plans and providers to cover medical services for over 7 million Medicaid recipients and spends over $100 billion gross annually.The incumbent will perform analysis to identify trends and potential efficiencies within Medicaid. The incumbent will also interact and collaborate with rate setting, fiscal management, and program staff within the Department as well as other state agencies that interact...

Who We Are As the Savannah River Site’s management and operations contractor since 2008, Savannah River Nuclear Solutions (SRNS) makes the world safer. With safety and security in the forefront, SRNS develops innovative approaches to deliver on our environmental commitments and nuclear materials challenges; supplies products and services necessary to maintain the nation’s nuclear deterrent; secures nuclear materials to prevent unwanted proliferation; and transforms nuclear materials into assets and stable wasteforms. The SRNS workforce is highly capable, engaged, and adaptable to meet existing and expanding missions. SRNS employees apply superior expertise and innovative solutions to complex and challenging national and global issues. We have the knowledge to address a range of national and international nuclear issues. We make the world safer – and you can, too. Job Family Engineering Support Discipline Drafter Career Level T2 Salary Range $40,812 -...