Applied Soft Computing Review Jobs in Usa

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Applied Mental Health Research Assistant
✦ New
Salary not disclosed
Boston, MA 1 day ago

Applied Mental Health Research Assistant

Remote (US – EST hours) or Remote/Hybrid (Cambridge, UK)

Full-Time | Entry-Level | Industry Research


Help shape the future of mental health care.

Our mission is simple but powerful to help people feel better and live fuller lives by making trusted mental-health support accessible to everyone. We are redefining care through innovative, AI-enabled solutions that go beyond today’s capabilities to create meaningful, lasting change.


We’re looking for an early-career researcher who is ready to take their academic training into a fast-moving industry environment. This is a rare opportunity to gain hands-on experience across the full research lifecycle while working alongside experienced clinical and research leaders.

If you enjoy being organised, proactive, and deeply involved in research from concept through to publication this role is for you.


Why Join Us?

  • Work across the entire evidence lifecycle in an applied industry setting
  • Gain exposure to research requirements for regulators, healthcare partners, and payers
  • Develop practical experience in AI safety and clinical governance
  • Receive mentorship from a Director of Evidence Generation (PhD Neuroscience) and Head of Clinical (PhD Clinical Psychology)
  • Build a strong foundation for future doctoral training


What You’ll Be Doing

Research Operations & Coordination

  • Coordinate study activities, timelines, and communications
  • Maintain regulatory documentation and version control
  • Prepare ethics and governance submissions
  • Support data management and research processes

Research Delivery

  • Assist with study design and clinical evaluations
  • Conduct literature reviews to support protocols and claims
  • Collect and manage research data
  • Support real-world implementations such as survey deployment
  • Engage with lived-experience partners

Analysis & Scientific Communication

  • Analyse qualitative and quantitative data
  • Prepare internal reports and research summaries
  • Contribute to peer-reviewed publications

Clinical Safety Monitoring

  • Review safety dashboards and AI-generated outputs under supervision
  • Identify trends and flag potential risks in line with protocols

(All clinical monitoring is supervised by a licensed Clinical Psychologist — this role does not involve independent clinical decision-making.)


What We’re Looking For

Essential

  • Master’s degree in Psychology, Neuroscience, Mental Health Science, Social Work, or related field
  • Experience conducting human-subjects research
  • Exceptional organisation and attention to detail
  • Proactive mindset with the confidence to take initiative
  • Strong scientific writing and communication skills
  • Understanding of research ethics and Good Clinical Practice

Desirable

  • Exposure to mental health populations through placements, volunteering, or paid roles
  • Experience across multiple stages of the research lifecycle
  • Familiarity with qualitative methods
  • Understanding of mental health in chronic health conditions
  • Experience working with patient involvement or lived-experience groups


Who Thrives Here?

You’ll succeed in this role if you:

  • Take initiative and naturally step in where needed
  • Are comfortable managing multiple moving parts
  • Enjoy the operational side of research as much as the scientific thinking
  • Are eager to learn and ask questions
  • Want to build real-world confidence quickly


If you’re ready to apply your research skills in a role that genuinely impacts lives — we’d love to hear from you.


Apply now and help us transform the future of mental health care.

Please add a cover letter to the front page of your CV.

Not Specified
Medical Review Specialist (Hybrid - Local Candidates)
✦ New
Salary not disclosed

The Medical Review Specialist is responsible for reviewing, analyzing, and interpreting medical documentation to support eligibility determinations and alternative treatment evaluations in alignment with Christian Healthcare Ministries’ guidelines and values. This role exists to ensure medical review decisions are accurate, evidence-based, and applied consistently while maintaining compassion and clarity in member interactions.


At the highest level, the Medical Review Specialist focuses on clinical analysis, guideline interpretation, and professional judgment, supporting sound decision-making that upholds CHM’s mission, stewardship, and commitment to member care.


WHAT WE OFFER


  • Compensation based on experience.
  • Faith and purpose-based career opportunity!
  • Fully paid health benefits
  • Retirement and Life Insurance
  • 12 paid holidays PLUS birthday
  • Lunch is provided DAILY.
  • Professional Development
  • Paid Training


PRIMARY RESPONSBILITIES


  • Review and analyze complex medical records to assess eligibility, appropriateness of services, and alignment with CHM medical guidelines.
  • Apply clinical judgment and established criteria to support consistent, evidence-based eligibility determinations.
  • Conduct medical literature reviews and research to support recommendations, alternative treatment considerations, and guideline application.
  • Collaborate with the Eligibility Review Supervisor, Medical Director, and Medical Review leadership to ensure alignment and consistency in medical review decisions.
  • Communicate clearly and compassionately with members and internal teams regarding medical review outcomes, addressing questions and concerns professionally.
  • De-escalate sensitive or emotionally charged interactions while maintaining CHM standards and values.
  • Maintain accurate documentation of medical review findings, rationale, and decisions within CHM systems.
  • Stay current on medical research, industry standards, and regulatory considerations relevant to medical review activities.
  • Uphold strict confidentiality and HIPAA compliance in all handling of protected health information.


CORE COMPETENCIES & SKILLS


  • Medical analysis and critical thinking – Interpret complex medical information and applies clinical reasoning.
  • Evidence-based decision making – Utilizes research and guidelines to support review outcomes.
  • Clear and compassionate communication – Explains medical determinations in an understandable and empathetic manner.
  • Case management and prioritization – Manages multiple cases while meeting accuracy and timeliness standards.
  • Documentation and compliance – Maintain thorough, accurate records aligned with regulatory and internal requirements.
  • Collaboration – Works effectively with leadership, medical reviewers, and cross-functional teams.


REQUIRED QUALIFICATIONS & CONSIDERATIONS


Education

  • Bachelor’s degree in a healthcare-related field (e.g., nursing, health sciences, biology) preferred.
  • Equivalent clinical or medical review experience may be considered in lieu of a degree.


Experience

  • Prior experience in medical record review, utilization review, clinical review, or a related healthcare role preferred.
  • Experience applying medical guidelines or clinical criteria to eligibility or treatment determinations strongly preferred.
  • Familiarity with HIPAA regulations and protected health information handling required.
  • Experience working with EMR/EHR systems, medical coding, or health information systems is a plus.


Certifications

  • No certifications required at time of hire.
  • Clinical licensure or healthcare-related certifications (e.g., RN, LPN, CPC) are a plus but not required.


About Christian Healthcare Ministries

Founded in 1981, Christian Healthcare Ministries (CHM) is a health care sharing ministry for Christians. CHM is a nonprofit, voluntary cost-sharing ministry through which participating Christians meet each other’s medical bills. The mission of CHM is to glorify God, show Christian love, and experience God’s presence as Christians share each other’s medical bills.


Remote working/work at home options are available for this role.
Not Specified
Supervisor, Concurrent Review (New York)
🏢 MJHS
Salary not disclosed
New York 2 days ago

The challenges of affordable healthcare continue to create new opportunities.

Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs.

These high-quality healthcare plans are designed to help keep people independent and living life on their own terms.

Provides quality, cost-effective care to all members through the direct supervision of staff responsible for the management and coordination of the member's care through the incorporation of interdisciplinary strategies, medicare regulations, and medically accepted standards of care.

Supervises the assessment of all acute and sub-acute inpatient care for appropriateness of setting and services, according to pre-established criteria and guidelines and ensure a 95% compliance or greater.

Supervises the assessment and coordination of the members physical, psychosocial and discharge planning needs through communication with appropriate hospital staff including treating physician, PCP, utilization managers, social workers, discharge planners.

Assures appropriate staffing to support departmental/agency services.

Ensures all employees are oriented to their department/agency and job and provided with appropriate training, development and continuing education.

Correctly interprets and applies all Human Resources policies and procedures relative to discipline, recruitment and selection, performance appraisals, salary reviews and staffing.

Bachelor's Degree in Nursing.

Minimum one to three years previous management experience preferred.

Previous managed care experience in the areas of utilization management and/or case management required.

Working knowledge of Windows, Word, Excel.

Knowledge of Federal and State regulations, managed care regulations and concepts, and CQI methodologies.
permanent
Field Property Quality Reviewer (DALLAS)
✦ New
🏢 Usaa
Salary not disclosed
Dallas, TX 1 day ago

Why USAA?

At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families.

Embrace a fulfilling career at USAA, where our core values – honesty, integrity, loyalty and service – define how we treat each other and our members. Be part of what truly makes us special and impactful.

The Opportunity

***Multiple Openings***

As a dedicated Quality Property Reinspector, you will ensure a quality property repair estimate and valuation product by focusing on targeted areas to continuously calibrate the reinspection process, validates reported findings and provides an objective subject matter expert (SME) knowledge to the Property Claims community and Third-Party vendors. Drives USAA’s financial strength by measuring and reporting estimate accuracy for Property Claims and Third-Party vendors.

This is a field-based role that will require you to reside and work within one of the following regions: San Antonio, TX, Austin, TX, Dallas/Ft Worth, TX, or Houston, TX. Candidates who are willing and able to work in the following regions: San Antonio, TX, Austin, TX, Dallas/Ft Worth, TX, or Houston, TX are encouraged to apply. Relocation assistance is not available for this position.

What you’ll do:

  • Measures property estimates accuracy and efficiency through conducting thorough, timely re-inspections/audits of property and property repair estimates, and reports on payment accuracy and compliance by method of inspection (Staff, PDRP, Independents and Third-Party vendors).
  • Reports reinspection/audit findings on estimate accuracy and compliance by method of inspection (Staff, PDRP, Independents and Third-Party vendors) for corporate score cards.
  • Assesses the health of property estimating through participation in ad-hoc and market audits, working closely with Claims stakeholders to identify areas for improvement.
  • Provides objective, proactive, and actionable feedback of Physical Damage (PD) policy, procedures and regulations to the Claims Stakeholders and Third-Party vendors.
  • Creates awareness and drives understanding of Property adjusting and estimating procedures by delivering a work product that is consistent and compliant with policy, procedures, and regulations to Claims Stakeholders.
  • Serves as a Property Adjusting SME on property estimating through post audit calibration meetings, ride-a-longs with other Property employees inspecting property, training materials, Property Director teleconferences and Property Champion teleconferences.
  • Applies expert knowledge of P&C insurance industry products, services, and processes to include P&C insurance policy contracts and coverages, USAA property estimate/repair process and procedures.
  • Provides support for the presentation, discussion, and auditing of diagnostic estimates within key regional markets, contributing to the assessment of estimate quality. During a catastrophe, or post event, performs property reinspections for catastrophe claims with a minimum of 28 consecutive days during the catastrophe event or post event. Requires working time requirement of 7 consecutive days, 7:00AM 7:00PM, member time.
  • Ensures risks associated with business activities are effectively identified, measured, monitored, and controlled in accordance with risk and compliance policies and procedures.

What you’ll have:

  • High School Diploma or General Equivalency Diploma.
  • 2 years relevant property field adjusting experience.
  • Experience writing estimates in Xactimate and XactAnalysis.
  • Knowledge and experience of property claims contracts.
  • Knowledge of property construction and structural repair techniques.
  • Working knowledge of Microsoft Office applications (Outlook, Word, Excel).

What sets you apart:

  • Previous experience managing TPA estimating, QA, Audits.
  • Strong analytical skills with demonstrated ability to perform root cause analysis and provide useful insights.
  • 4+ recent years writing Dwelling estimates in Xactimate and XactAnalysis.
  • 4+ recent years of working property claims contract knowledge.
  • Experience working with both internal and external partners/suppliers.
  • Willingness to travel at least one week per month.
  • Currently reside or work within any of the following regions: San Antonio, TX, Austin, TX, Dallas/Ft Worth, TX, or Houston, TX.

Physical Demand Requirements:

  • Ability to lift a minimum of 35 pounds to include lifting a ladder in and out of the trunk of a car.
  • Ability to climb ladders and traverse roofs, this includes the ability to work at heights while inspecting roofs and attics.
  • Ability to crouch and stoop to inspect confined attic spaces and go beneath homes into crawl spaces.
  • Meet all USAA safe driving requirements including verification of driving record through MVR & possession of valid driver’s license.

The above description reflects the details considered necessary to describe the principal functions of the job and should not be construed as a detailed description of all the work requirements that may be performed in the job.

Compensation range: $77,120-$147,390.

USAA does not provide visa sponsorship for this role. Please do not apply for this role if at any time (now or in the future) you will need immigration support (i.e., H-1B, TN, STEM OPT Training Plans, etc.).

Compensation: USAA has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location.

 

Employees may be eligible for pay incentives based on overall corporate and individual performance and at the discretion of the USAA Board of Directors.

The above description reflects the details considered necessary to describe the principal functions of the job and should not be construed as a detailed description of all the work requirements that may be performed in the job.

 

Benefits: At USAA our employees enjoy best-in-class benefits to support their physical, financial, and emotional wellness. These benefits include comprehensive medical, dental and vision plans, 401(k), pension, life insurance, parental benefits, adoption assistance, paid time off program with paid holidays plus 16 paid volunteer hours, and various wellness programs. Additionally, our career path planning and continuing education assists employees with their professional goals.

 

For more details on our outstanding benefits, visit our benefits page on .

Applications for this position are accepted on an ongoing basis, this posting will remain open until the position is filled. Thus, interested candidates are encouraged to apply the same day they view this posting.

 

USAA is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Not Specified
Applied Behavior Analysis Consultant (Hiring Immediately)
✦ New
Salary not disclosed
Houston, TX 1 hour ago

APPLICATIONS ARE REVIEWED DAILY. YOU CAN EXPECT A RESPONSE WITHIN 24 HOURS. 



Why ABC?



1. Our Patients: An intentional focus on small caseloads with a compassionate care approach.



2. Our Culture: ABC Core Values are more than just words on a wall. It's how we strive to live everyday.



3. Our Community: We ground ourselves in our WHY and the impact we have on the lives of others.



 

Total Compensation Package from $84,500 to $119,000 annually. Opportunity to earn MORE based on center size, mentorship of RBT’s and supervision of assigned trainees.


 

Your total compensation consists of a competitive base salary, performance bonuses, mentorship bonuses, and long-term ownership in the company.



 *BCBA’s become eligible for long-term ownership upon promotion to the Sr. BCBA role. All other roles eligible.



Monthly Performance Bonuses: Bonuses are uncapped and start at just 26 hours of treatment delivery per week, meaning you’ll be rewarded for your impact without waiting months to qualify. 



Sign On Bonus: Up to $10,000 based on start date and location.

Mentorship Bonuses: Provide supervision hours to an RBT pursuing their Master’s in ABA and earn bonus pay for your guidance, oversight and impact!



Certification Bonuses: Get rewarded for each therapist who becomes certified under your supervision. 



Relocation Packages available: To ease the expenses of your transition.



temporary
NP / PA / Independent Reviewer UAS Contractors - $
✦ New
Salary not disclosed
Albany, NY 1 hour ago

885522: NP / PA / Independent Reviewer UAS Contractors (New York State)

Med-Scribe, Inc. is a healthcare staffing service recruiting top-notch employees all throughout New York State for over 30 years! We are partnered with a large multi-national company dedicated to strengthening communities and improving the lives of those they serve by facilitating connections to government health and human services.

We are in search of experienced clinicians to join a UAS Home Care Project. In this role, you will be responsible for independent review and evaluation of completed UAS reassessments for appropriateness of long-term care services for consumers, in accordance with Medicare and Medicaid guidelines.

These are contractor positions ? which allow for flexibility in scheduling, at your own pace training, and pay at $100/hr.

In this role, you will be scheduled for in person appointments with members of the long term care population, who are applying for Managed Long Term Care services (MLTC). Your clients will have already completed a UAS evaluation with a Registered Nurse, and your role will be to determine whether MLTC and home care services are adequate for the patient?s care, or if they should instead be admitted to a supportive facility. Each appointment will last approximately 1.5 hours ? 30 minutes of preparation time, 30 minutes meeting with the member, and 30 minutes completing and submitting your determination. Additional compensation is offered for longer appointments.

Schedules are arranged according to your availability; however hours are not guaranteed. You must be willing to work at least 9 hours weekly, within operation hours which run Monday ? Friday 8AM ? 7PM, and Saturday between 10AM-6PM. Candidates who are unable to work during these operation hours, or who cannot commit to 9 hours weekly will not be considered.

Expect to travel! Appointments will be scheduled anywhere within the county or counties of your choice, based on your availability. Candidates covering multiple counties will receive more hours. Please note, you must choose one full county to be considered!

Current openings include:

  • Albany County
  • Schenectady County

Minimum Qualifications:

  • NYS Certified Nurse Practitioner License plus 3600 hours of experience OR
  • NYS Certified Physician Assistant License
  • An active NYS Medicaid number
  • 2 years of prior experience within home care, geriatrics, or community health populations
  • Willing to travel for in person appointments, with reliable transportation

Contractors will be compensated for each completed assessment, and will receive partial compensation for interrupted assessments.

These roles are 1099 contractor positions, and do not include benefits.

Follow us on Facebook for automatic updates to our listings!

To be considered, please visit our website at and reference job number 885522.

Med-Scribe is an equal opportunity employer. In accordance with anti-discrimination law, it is the purpose of this policy to effectuate these principles and mandates. Med-Scribe prohibits discrimination and harassment of any type and affords equal employment opportunities to employees and applicants without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law. Med-Scribe conforms to the spirit as well as to the letter of all applicable laws and regulations.

#ESJ123

Job Type: Contract

Pay: $100.00 per hour

People with a criminal record are encouraged to apply

Application Question(s):

  • Do you currently have an active NYS Medicaid Provider Number?

Experience:

  • geriatric, community health, or home care: 1 year (Required)

License/Certification:

  • NYS Nurse Practitioner or Physician Assistance License (Required)

Work Location: Hybrid remote in Albany, NY 12202

Not Specified
Clinical Case Review Nurse (BOERNE)
Salary not disclosed
BOERNE, Texas 4 days ago
POSITION SUMMARY AND RESPONSIBILITIES

Conducts comprehensive clinical reviews of adverse determinations related to medical necessity. Initiates outreach to providers to obtain clarification or additional documentation in alignment with established clinical criteria and organizational policies, to support Medical Director decision making. Provides support for claim appeals in relation to medical necessity. Ensures the timely and accurate resolution of appeal cases and supports organizational adherence to all state, federal, and accreditation standards. Facilitates member second level appeal process.

EDUCATION/EXPERIENCE

Graduate from an accredited school of professional nursing is required. BSN preferred. Minimum 2 years acute care experience or managed care experience is required. Basic knowledge of Medicaid, Medicare preferred. Knowledge of InterQual screening criteria, ICD-10, CPT coding preferred.

LICENSURE

Current Registered Nurse (RN) license to practice professional nursing issued by the Board of Nurse Examiners for the State of Texas is required. Active Certification in Case Management (CCM) is preferred.
temporary
Clinical Review Nurse Specialist (SEGUIN)
🏢 University Health
Salary not disclosed
SEGUIN, Texas 4 days ago
POSITION SUMMARY AND RESPONSIBILITIES

Conducts comprehensive clinical reviews of adverse determinations related to medical necessity. Initiates outreach to providers to obtain clarification or additional documentation in alignment with established clinical criteria and organizational policies, to support Medical Director decision making. Provides support for claim appeals in relation to medical necessity. Ensures the timely and accurate resolution of appeal cases and supports organizational adherence to all state, federal, and accreditation standards. Facilitates member second level appeal process.

EDUCATION/EXPERIENCE

Graduate from an accredited school of professional nursing is required. BSN preferred. Minimum 2 years acute care experience or managed care experience is required. Basic knowledge of Medicaid, Medicare preferred. Knowledge of InterQual screening criteria, ICD-10, CPT coding preferred.

LICENSURE

Current Registered Nurse (RN) license to practice professional nursing issued by the Board of Nurse Examiners for the State of Texas is required. Active Certification in Case Management (CCM) is preferred.
temporary
Clinical Review Nurse PRN (PLEASANTON)
🏢 University Health
Salary not disclosed
PLEASANTON, Texas 4 days ago
POSITION SUMMARY AND RESPONSIBILITIES

Conducts comprehensive clinical reviews of adverse determinations related to medical necessity. Initiates outreach to providers to obtain clarification or additional documentation in alignment with established clinical criteria and organizational policies, to support Medical Director decision making. Provides support for claim appeals in relation to medical necessity. Ensures the timely and accurate resolution of appeal cases and supports organizational adherence to all state, federal, and accreditation standards. Facilitates member second level appeal process.

EDUCATION/EXPERIENCE

Graduate from an accredited school of professional nursing is required. BSN preferred. Minimum 2 years acute care experience or managed care experience is required. Basic knowledge of Medicaid, Medicare preferred. Knowledge of InterQual screening criteria, ICD-10, CPT coding preferred.

LICENSURE

Current Registered Nurse (RN) license to practice professional nursing issued by the Board of Nurse Examiners for the State of Texas is required. Active Certification in Case Management (CCM) is preferred.
temporary
Medical Necessity Reviewer (HONDO)
🏢 University Health
Salary not disclosed
Hondo, Texas 3 days ago

Conducts comprehensive clinical reviews of adverse determinations related to medical necessity.

Initiates outreach to providers to obtain clarification or additional documentation in alignment with established clinical criteria and organizational policies, to support Medical Director decision making.

Provides support for claim appeals in relation to medical necessity.

Ensures the timely and accurate resolution of appeal cases and supports organizational adherence to all state, federal, and accreditation standards.

Facilitates member second level appeal process.

Graduate from an accredited school of professional nursing is required.

BSN preferred.

Minimum 2 years acute care experience or managed care experience is required.

Basic knowledge of Medicaid, Medicare preferred.

Knowledge of InterQual screening criteria, ICD-10, CPT coding preferred.

Current Registered Nurse (RN) license to practice professional nursing issued by the Board of Nurse Examiners for the State of Texas is required.

Active Certification in Case Management (CCM) is preferred.

Not Specified
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