13 medical reviewer jobs found

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...

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...

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....

Summary This is a Direct-Hire advertisement. Veterans preference is not applicable to this advertisement. Learn more about this authority at: Direct Hire Authority This Management & Program Analyst (Fire Business) position serves as a regional Fire Business Analyst with the United States Wildland Fire Service (USWFS) in Nashville, Tennessee, providing budget, business, and fire management expertise 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 HIRING AUTHORITY will be used to fill this position. Veteran's preference and traditional rating and ranking of applications do not apply. All qualified applicants...

Technical Program Manager-Integration Management Office Locations: This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. PLEASE NOTE: This position is not eligible for current or future VISA sponsorship. The Technical Program Manager-Integration Management Office is responsible for the development and ongoing management of one or more multi-year programs. Manages enterprise-wide...

The University of Tennessee Foundation, Inc (UTFI) invites applications and nominations to fill the position of Constituent Management II. Reporting to the Senior Director of Gift Import and Processing, the Constituent Management II is responsible for reviewing, coding, and posting gift data into the constituent management system in compliance with internal guidelines and industry standards. This role will support the accurate recognition of gifts and the integrity of donor records by ensuring data accuracy and timely processing. Job responsibilities include, but are not limited to: Gift Import & Processing: Retrieve, open, and organize daily USPS and courier deliveries containing contributions. Sort documentation for processing by the GIP team. Review donor correspondence and supporting documentation to determine correct gift type, coding, and designation. Accurately and timely enter gifts and pledge information into the donor CRM system in accordance...

Job Description Staff Program Manager, Incident Management - Autonomous Vehicle Development At General Motors, our product teams are redefining mobility. Through a human-centered design process, we create vehicles and experiences that are designed not just to be seen, but to be felt. We're turning today's impossible into tomorrow's standard - from breakthrough hardware and battery systems to intuitive design, intelligent software, and next-generation safety and entertainment features. Every day, our products move millions of people as we aim to make driving safer, smarter, and more connected, shaping the future of transportation on a global scale. The Safety Assurance for Effective Autonomous Driving Software (SAFE-ADS) department is part of GM's Global Product Safety, System, and Certification (GPSSC) organization. Our mission is to help GM deliver trusted automated driving products. As the central authority for automated driving system (ADS) safety, SAFE-ADS brings...

Management, Distance Education, Full-Time Lecturer, Faculty Job Number: FAC689 Work Type: Lecturer Location: Murfreesboro, Tennessee Categories: Business Job Title Management, Distance Education, Full-Time Lecturer, Faculty Department Management University Expectation MTSU seeks candidates committed to innovative teaching and meaningful service. We also seek to attract culturally and academically diverse faculty who value working with diverse students. Salary The salary is commensurate with education and experience. Job Summary/Basic Function The Department of Management at Middle Tennessee State University invites applicants for a full-time, temporary (non-tenurable) distance education faculty position (#111360) at the rank of lecturer. This is a one-year temporary appointment. The contract may be renewed annually based on available funding, demonstrated need, and satisfactory performance as assessed by annual...

Management, Full-Time Lecturer, Faculty Job Number: FAC690 Work Type: Lecturer Location: Murfreesboro, Tennessee Categories: Business Job Title Management, Full-Time Lecturer, Faculty Department Management University Expectation MTSU seeks candidates committed to innovative teaching and meaningful service. We also seek to attract culturally and academically diverse faculty who value working with diverse students. Salary The salary is commensurate with education and experience. Job Summary/Basic Function The Department of Management at Middle Tennessee State University invites applicants for a full-time, temporary (non-tenurable) faculty position (#747010) at the rank of lecturer. This is a one-year temporary appointment. The contract may be renewed annually, subject to available funding, demonstrated need, and satisfactory performance as assessed through annual evaluations. The appointment start date is August 1, 2026....

Job Summary In collaboration with the Senior Director of Clinical Management, the Director is responsible for the operational strategy and management of Otsuka clinical programs, including coordination with other relevant parties (e.g., other Otsuka departments, external service providers (ESPs), etc.). Responsibilities include the planning, execution, and completion of clinical programs according to applicable regulations and guidance; ICH Guidelines, Good Clinical Practices (GCP), and Otsuka SOPs, within agreed upon timelines and budget. Job Description Provides scientific clinical research and operational expertise in the development of overall strategy and objectives of the Global Clinical Development Plan (GCDP), including performing/overseeing and providing background research. May represent Clinical Management in the development of the Clinical Development Plan, timelines, and budget for Business Development opportunities. Ensures program specific...

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting Title AVP, Enterprise Program Portfolio Management - REMOTE Job Description The AVP Program Portfolio Management is responsible for leading and developing the overall portfolio and project vision for one or more accounts. This position will be responsible for creating an implementation strategy to accomplish the division's long term strategic and market driven vision within their accounts. This position requires broad technical and analytical experience, as well as strong interpersonal leadership skills. This leader works directly with external clients and customers to ensure that business needs are met while leveraging cross functional internal, matrixed resources to deliver results. Responsibilities Lead a long-term...

Under general direction, the Treasury Management (TM) Sales Analyst supports the Treasury Management Officers (TMOs) in growing TM revenue. This position is responsible for the creation, analysis and delivery of proposals, RFPs, and sales presentations. The TM Sales Analyst performs pre-call planning, preparation and participates in joint sales calls with TMOs and Commercial Bankers. The TM Sales Analyst provides a high level of internal customer support through understanding and driving the sales culture and vision of the organization within the member banks, maintaining and delivering reporting and metrics; and managing all additional aspects of sales support in the sub lines of business. How you will spend your time: Develop proformas, proposals and customer profitability analysis for Treasury opportunities Prepare pre-call planning prep and materials for TM client and prospect meetings Coordinate proposal responses and works across business lines to...