Merit Review Specialist

About Insight Global:We are a management consulting and professional services firm that values diversity and inclusivity in the workplace.Our team is committed to creating a work environment where everyone can bring their full, authentic selves to work every day.We are an equal opportunity/affirmative action employer that believes everyone matters.Qualified...

Job SummaryThe Merit Review Officer will play a critical role in ensuring the integrity and quality of PCORI's research funding process. This position will be responsible for coordinating the planning, implementation, and evaluation of high-quality, fair, and objective multi-stakeholder reviews of applications submitted for PCORI funding.Key...

Job SummaryBracco Medical Technologies is seeking a highly skilled Merit Review Officer PCORI to join our team. The successful candidate will be responsible for coordinating the planning, implementation, and evaluation of high-quality, fair, and objective multi-stakeholder reviews.Key ResponsibilitiesCoordinate the planning, implementation, and evaluation of...

Job DescriptionWe are seeking a highly skilled Clinical Review Specialist to join our team at Healthcare Legal Solutions LLC. The successful candidate will be responsible for conducting thorough clinical reviews and interpretations of medical records and claim documentation to support the appeals of denied insurance claims.Key Responsibilities:Conduct...

The Clinical Review Specialist will be responsible for conducting thorough clinical reviews and interpretations of medical records and claim documentation to support the appeals of denied insurance claims.Key Responsibilities:Drafting appeal letters based on clinical judgment and knowledgeExamine and interpret medical records and claim documentation to...

Job DescriptionRoss Professional Services, LLC (RPS) is a leading provider of professional support and operations to the District of Columbia and Federal government nationwide. We are seeking a highly skilled Soil and Groundwater Review Specialist to join our team.The ideal candidate will possess a Bachelor's Degree or higher in Engineering, Geology, or a...

Job Summary:Williams Lea is seeking a skilled Document Review Specialist to join our team in Wheeling, WV. As a key member of our document production team, you will be responsible for reviewing and preparing documents to support our clients' brands and track progress.Key Responsibilities:Create and edit legal documents to client specifications using...

Job SummaryWe are seeking a skilled RN Utilization Review Specialist to join our team at MedStar Washington Hospital Center. As a key member of our Utilization Review team, you will play a critical role in ensuring that our patients receive the highest quality care in the most efficient and cost-effective manner.Key ResponsibilitiesConduct thorough...

Consilio LLC is a leading provider of eDiscovery and document review services to law firms and corporations involved in complex investigations, litigations, and transactions. We are seeking a skilled Document Review Specialist to join our litigation support team on a remote basis.Job Summary:The Document Review Specialist will be responsible for reviewing...

Overview:Are you a skilled and experienced Board Certified Psychiatrist looking for a flexible work arrangement? We are seeking a talented professional to join our medical review team as a Telecommute Medical Review Specialist.This role provides the opportunity to work from home and customize your schedule within a Monday - Friday work week and within...

Job SummaryWe are seeking a skilled Clinical Utilization Review Specialist to join our team at Lexington Medical Center. As a key member of our Utilization Management Department, you will play a critical role in ensuring the quality and efficiency of our patient care services.Key ResponsibilitiesPerform admission and concurrent stay medical record reviews to...

Job Title: Program Analyst - Sensitive Review SpecialistEDC Consulting LLC is seeking a highly skilled Program Analyst to conduct sensitive, high-profile reviews of various programs and personnel. As a key member of our team, you will play a crucial role in promoting excellence, integrity, and accountability, enhancing program effectiveness, and preventing...

About UsCapitol Bridge, LLC is a subsidiary of Capitol Bridge and its affiliated companies. Our mission is to deliver consistent quality outcomes and solutions for our customers by utilizing sound processes and a stringent quality assurance program.Job OverviewThe Medical Reviewer will be responsible for the retrospective review of Medicare denials for Part...

OverviewWe are seeking a Board Certified Pain Medicine physician to join our medical review stream division as a telecommute medical review specialist. This role offers the flexibility to customize your schedule and caseload within a Monday - Friday work week and within business hours.ResponsibilitiesReviews medical files and provides recommendations for...

Job OverviewWe are seeking a highly skilled Federal Staffing Specialist to join our team at Avolinq, LLC. As a key member of our team, you will provide guidance and strategic consulting regarding qualification requirements, metric practices and principles, recruitment sources and applicable automated staffing systems.Your primary responsibilities will...

Job SummaryWatermark Risk Management International, LLC is seeking a highly skilled Security Specialist to join our team. As a key member of our security team, you will be responsible for managing and operating the Architect of the Capitol's (AOC) security program.Key Responsibilities:Liaise with Legislative Branch Organizations on security mattersDevelop...

Job Title: Federal Staffing SpecialistJob Summary:We are seeking a highly skilled Federal Staffing Specialist to join our team at FYI For Your Information Inc. As a key member of our team, you will provide guidance and strategic consulting regarding qualification requirements, metric practices and principles, recruitment sources and applicable automated...

Job Summary:Medix is seeking a skilled Utilization Review Nurse to join our team. As a Utilization Review Nurse, you will be responsible for conducting prospective, concurrent, and retrospective utilization reviews to ensure that members receive necessary care while minimizing costs. This is a 100% remote position, requiring a DC nursing license and 1-2...

Job Title: Medical Nurse ReviewerWe are seeking highly skilled Medical Nurse Reviewers to join our team at Seneca Holdings LLC. As a Medical Nurse Reviewer, you will play a critical role in ensuring the quality and accuracy of medical records for Afghan nationals who are pending emigration to the United States.Job Summary:The Medical Nurse Reviewer position...

Job SummaryMedix is seeking a skilled Utilization Review Nurse to join our team. As a Utilization Review Nurse, you will play a critical role in ensuring that patients receive necessary and effective care while optimizing resource utilization.Key ResponsibilitiesAssessment and Review: Conduct thorough assessments of patient care, review medical records and...