Applied Soft Computing Review Jobs in Usa

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Health Service RN Reviewer - 251156
Salary not disclosed
Albany, NY 2 days ago

Job Title: Health Service Reviewers (RN)


Pay (openings for each location/market):

  • Albany up to $52/hr
  • Central Islip up to $60/hr


Overview: These RNs will be doing a mix of standard quality audits, complaint initiated investigations, and more. When they are onsite, the amount of time that they are at the location is dependent on the audit that is required. It is expected that Health Service Reviewers will be traveling onsite about 85% of the time.


These individuals will be traveling to IDD housing to do state required Recertification (must be done every 15 months) or investigating specific complaints (disease outbreak, falls, etc.).


Travel: 85% of this role is traveling to sites. It is more location based and they will be traveling to the counties that surround their location. If anyone is traveling and not able to return home, they are able to coordinate accomodations through the travel office and miles/food will be reimbursed at the federal rate. If they are not onsite, they can work from home or in the DOH office.


Summary: Based in NY, working at the direction of the New York State Department of Health (NYSDOH), Office of Aging and Long-Term Care, this individual will conduct surveillance and investigation activities related to Intermediate Care Facilities for Intermediate Care facilities for Individuals with Intellectual Disabilities (ICF/IDD). Duties include but are not limited to participating in surveys or complaint investigations, document finding, draft Statement of Deficiencies (SOD) within specified timeframes, testifying in administrative hearing ad needed.

The position is majority travel and will be onsite at facilities.


Qualifications:

  • Strong interpersonal skills with the ability to communicate professionally with colleagues, supervisors, providers, medical and administrative personnel and residents/patients.
  • Excellent communication (verbal & written) skills.
  • Ability to work independently with minimal supervision.
  • Ability to relate effectively to clinical and administrative personnel and patients.
  • Computer proficiency with the ability to learn and understand new review programs and monitoring tools.
  • Able to travel to on-site facility within New York State, required.
  • Must have a valid driver's license & the ability to travel to on-site facilities review assignments.


Education/Experience:

  • Registered Professional Nurse (RN). Currently licensed and registered in New York State, required.
  • Bachelor’s degree, in any health care related field.
  • Two (2) years clinical experience with individuals with intellectual disabilities or in developmental disability facilities and deemed QIDP (Qualified Intellectual Disability Professional and ability to meets the federal requirements for attaining QIDP Certification with six (6) months of hire date.


Hours: Monday-Friday 8am-5pm

Not Specified
Licensed Applied Behavior Analyst (LABA) (Beverly)
🏢 Sevita
Salary not disclosed
Futures , a part of the Sevita family , provides community and center-based Applied Behavioral Analysis (ABA) services to individuals with Autism Spectrum Disorder (ASD) and other related disorders. For over 15 years, we've provided a collaborative, team-based approach dedicated to helping children and families reach their fullest potential. If you are passionate about making a difference in the lives of individuals and families, join our mission-driven team and experience a career well lived.

Licensed Applied Behavior Analyst (LABA)
Active Massachusetts LABA license required.
BCBA certification not required for this role.
  • Sign on $10,000
  • Salary $90,000 plus based on experience for onsite
  • Uncapped MONTHLY incentive plan!
  • Small case loads
Do you want to work in a dynamic Center based work environment where no day is ever the same as the next? In this role, your tasks will be diversified and you will be supporting our mission.
  • Work with the individuals we serve and staff to observe, identify, analyze, and document a range of behavior challenges.
  • Conduct functional behavioral assessments.
  • Develop and implement behavioral analysis service plans.
  • Create individualized treatment plans to help each individual we serve improve.
  • Use training and creativity to explore ways to handle challenging problems for our individuals in home settings, workplaces, and the community.
  • Train team members to reinforce the implementation of behavioral plans.
Qualifications:
  • Master's Degree in psychology or related field
  • One year experience working with special populations in crisis intervention, staff training, and development.
  • Conduct research in behavior analysis within an applied setting preferred.
  • Board Certification preferred.
  • Valid driver's license, current registration, and insurance.
  • Strong attention to detail and organizational skills.
  • Ability to multi-task and meet deadlines.
  • A reliable, responsible attitude and a compassionate approach.
  • A commitment to quality in everything you do.
Why Join Us?
  • Full, Part-time, Remote, and As-needed schedules available.
  • Full compensation/benefits package for employees working 32+ hours/week.
  • Employee Discounts/Perks program
  • 401(k) with company match.
  • Paid time off and holiday pay.
  • Rewarding work, impacting the lives of those you serve, working alongside a great team of coworkers.
  • Enjoy job security with nationwide career development and advancement opportunities.
Come join our amazing team of committed and caring professionals. Apply Today!


Join Our Team
If you are passionate about making a difference in the lives of individuals and families, we encourage you to join Future's mission of helping everyone live a full and happy life. Apply today and start your journey toward a rewarding career well-lived.

Sevita is a leading provider of home and community-based specialized health care. We believe that everyone deserves to live a full, more independent life. We provide people with quality services and individualized supports that lead to growth and independence, regardless of the physical, intellectual, or behavioral challenges they face.

We've made this our mission for more than 50 years. And today, our 40,000 team members continue to innovate and enhance care for the 50,000 individuals we serve all over the U.S.

As an equal opportunity employer, we do not discriminate on the basis of race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age, disability, genetic information, veteran status, citizenship, or any other characteristic protected by law

permanent
Licensed Applied Behavior Analyst (LABA)
✦ New
🏢 Sevita
Salary not disclosed
Beverly, MA 1 day ago
Futures, a part of the Sevita family, provides community and center-based Applied Behavioral Analysis (ABA) services to individuals with Autism Spectrum Disorder (ASD) and other related disorders.For over 15 years, we’ve provided a collaborative, team-based approach dedicated to helping children and families reach their fullest potential. If you are passionate about making a difference in the lives of individuals and families, join our mission-driven team and experience a career well lived.

Licensed Applied Behavior Analyst (LABA)
Active Massachusetts LABA license required.
BCBA certification not required for this role.

- Sign on $10,000

- Salary $90,000 plus based on experience for onsite

- Uncapped MONTHLY incentive plan!

- Small case loads

Do you want to work in a dynamic Center based work environment where no day is ever the same as the next? In this role, your tasks will be diversified and you will be supporting our mission.

- Work with the individuals we serve and staff to observe, identify, analyze, and document a range of behavior challenges.

- Conduct functional behavioral assessments.

- Develop and implement behavioral analysis service plans.

- Create individualized treatment plans to help each individual we serve improve.

- Use training and creativity to explore ways to handle challenging problems for our individuals in home settings, workplaces, and the community.

- Train team members to reinforce the implementation of behavioral plans.

Qualifications:

- Master's Degree in psychology or related field

- One year experience working with special populations in crisis intervention, staff training, and development.

- Conduct research in behavior analysis within an applied setting preferred.

- Board Certification preferred.

- Valid driver’s license, current registration, and insurance.

- Strong attention to detail and organizational skills.

- Ability to multi-task and meet deadlines.

- A reliable, responsible attitude and a compassionate approach.

- A commitment to quality in everything you do.

Why Join Us?

- Full, Part-time, Remote, and As-needed schedules available.

- Full compensation/benefits package for employees working 32+ hours/week.

- Employee Discounts/Perks program

- 401(k) with company match.

- Paid time off and holiday pay.

- Rewarding work, impacting the lives of those you serve, working alongside a great team of coworkers.

- Enjoy job security with nationwide career development and advancement opportunities.

Come join our amazing team of committed and caring professionals. Apply Today!

#LI-SR2 #LABA #LicensedAppliedBehaviorAnalyst #AppliedBehaviorAnalyst #SevitaCareers

Join Our Team
If you are passionate about making a difference in the lives of individuals and families, we encourage you to join Future’s mission of helping everyone live a full and happy life. Apply today and start your journey toward a rewarding career well-lived.

Sevita is a leading provider of home and community-based specialized health care. We believe that everyone deserves to live a full, more independent life. We provide people with quality services and individualized supports that lead to growth and independence, regardless of the physical, intellectual, or behavioral challenges they face.

We’ve made this our mission for more than 50 years. And today, our 40,000 team members continue to innovate and enhance care for the 50,000 individuals we serve all over the U.S.

As an equal opportunity employer, we do not discriminate on the basis of race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age, disability, genetic information, veteran status, citizenship, or any other characteristic protected by law
permanent
Applied Analytics Analyst
Salary not disclosed
Brentwood, TN 2 days ago

About the Job:

The Applied Analytics Analyst serves as the technical anchor of the Strategic Resource Group. This role is responsible for translating complex business and market questions into structured, executable data outputs using Trilliant Health’s proprietary claims, provider directory, and price transparency datasets.

The Applied Analytics Analyst owns feasibility validation, analytical methodology design, and data integrity across research initiatives and pre-sales support. This individual combines strong technical proficiency with healthcare domain expertise and plays a critical role in standardizing how recurring strategic questions are answered across the organization.


You are our ideal candidate if you:

  • Design and execute complex SQL queries and data builds from Trilliant’s data warehouse
  • Capture and maintain documentation outlining how and why analytical frameworks are applied to support consistency and institutional knowledge retention
  • Validate data integrity and identify gaps, missingness, structural limitations, or edge cases
  • Own technical feasibility assessments for research and pre-sales opportunities
  • Develop repeatable analytical frameworks for common strategic use cases
  • Support research initiatives through structured dataset construction and methodological validation
  • Create reusable datasets, templates, and documentation to reduce institutional knowledge concentration
  • Maintain high standards of quality control and analytical rigor across all deliverables
  • Interface effectively with Sales, SRG, Research, Product, and Data Engineering teams
  • Respond to ambiguity with structured problem solving and professional judgment


Technical Skills:

  • Advanced proficiency in SQL and experience querying large data warehouses
  • Experience working in Databricks or similar environments preferred
  • Strong proficiency in Excel and PowerPoint
  • Familiarity with Tableau or other BI tools
  • Experience working with complex healthcare claims datasets required


Other Skills:

  • Strong analytical and critical thinking skills
  • Ability to synthesize large datasets into structured outputs
  • Excellent documentation and organizational skills
  • Strong written and verbal communication skills
  • Ability to work independently with minimal supervision
  • High attention to detail and commitment to data quality


Position Location:

This position is onsite in Brentwood, TN


*We are unable to provide visa sponsorships for this role.


About Trilliant Health:

Trilliant Health is a high-growth, healthcare technology company. We are on a mission to be the most trusted advisor, dependable partner and provider of analytic insights to key stakeholders in the health economy enabling them to maximize return on invested capital. We do that by providing education and expertise through thought leadership, evidence-based strategy, and predictive analytics. We are looking to grow our team as we strive to influence positive change in healthcare by disrupting the status quo and promoting improved decision-making.

Not Specified
Licensed Applied Behavior Analyst (Framingham)
🏢 Sevita
Salary not disclosed
Mentor South Bay , provides Early Intervention, Applied Behavioral Analysis (ABA), Behavioral Health and Mental Health Outpatient services across Massachusetts and Connecticut. For over 35 years, we've provided a collaborative, team-based approach dedicated to helping children, adults, and families reach their fullest potential. If you are passionate about making a difference in the lives of individuals and families, join our mission-driven team and experience a career well lived.

Board Certified Behavior Analyst (BCBA with LABA) or Licensed ABA NEW HIRE BONUS $5,000

Mentor South Bay has provided Early Intervention, Applied Behavioral Analysis (ABA), Behavioral Health, and Mental Health Outpatient services across Massachusetts and Connecticut since 1986. For 35 years, we've provided a client-focused approach dedicated to helping children, adults, and families reach their fullest potential. Join our mission-driven team and experience a career well-lived.

Services are delivered in the community; however, clinicians are not expected to cover all listed towns. Caseloads are assigned geographically based on where you live to help minimize travel time. Client assignments are also scheduled to fit your availability, ensuring a manageable, balanced workload.

Catchment: Auburn, Barre, Berlin, Blackstone, Bolton, Boylston, Brookfield, Brimfield, Charlton, Cherry Valley, Clinton, Douglas, Dudley, East Brookfield, East Douglas, Fiskdale, Grafton, Hardwick, Harvard, Holden, Holland, Hopedale, Hubbardston, Jefferson, Leicester, Mendon, Milford, Millbury, Millville, North Brookfield, Northbridge, North Grafton, Oakham, Oxford, Paxton, Princeton, Rutland, Shrewsbury, Southbridge, South Grafton, South Rochdale, Spencer, Sterling, Sturbridge, Sutton, Upton, Uxbridge, Warren, Webster, West Boylston, West Brookfield, Whitinsville, and Worcester.

We Foster the Ideal Work Culture for BCBAs
  • Small caseloads - Fewer than 10
  • Average billable hours - 25
  • Free CEUs
  • Flexibility in scheduling where and when you work
  • Weekly peer reviews
  • Monthly collaboration sessions
  • Collaborative Culture
Full-Time BCBA Benefits
  • 401(k) program with a generous employer match up to 3%
  • Productivity Bonus
  • $2,000 BCBA Referral Bonus
  • $500 BT Referral Bonus
  • 15 days of PTO, which increases with tenure, plus sick time, plus 8 paid holidays
  • Medical, dental, vision, long-term disability, and life insurance
  • Mileage reimbursement and shorter commutes
Compensation:
  • Salary range, $80000+
Why Join us as a BCBA!
  • Stability - Mentor South Bay has been around in MA since 2007!
  • Career Growth - Mentor South Bay is a member of the Sevita family with growth across MA and 42 other states!
  • Strong Management - We ensure that every team member feels valued to contribute to our continued success.
  • Work-life Balance - We offer flexible scheduling options that support both your personal and professional well-being.
  • Team-Oriented Environment
  • New hire bonus
  • Monthly productivity bonus
Education/Experience and Other Requirements
  • BCBA certification
  • LABA certification
  • Valid driver's license, reliable form of transportation, and proof of auto insurance.
  • Strong organizational skills, attention to detail, and the ability to mutlitask
  • A compassionate, reliable, and responsible approach to client care, with a commitment to making a positive impact
What You'll Do
  • Conduct functional behavioral assessments and create personalized treatment plans
  • Observe, analyze, and document behavioral challenges to drive meaningful change.
  • Design and implement effective behavioral analysis service plans tailored to each individual's needs.
  • Mentor and train team members to ensure success
  • Provide support across diverse settings

Join Our Team



If you are passionate about making a difference in the lives of individuals and families, we encourage you to join Mentor South Bay's mission of helping everyone live a full and happy life. Apply today and start your journey toward a rewarding career well-lived.

As an equal opportunity employer, we do not discriminate on the basis of race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age, disability, genetic information, veteran status, citizenship, or any other characteristic protected by law.

permanent
Product Review Engineer (Liaison Engineering) Consultant (Level 5)
🏢 Boeing
Salary not disclosed
AUBURN, WA 4 days ago

Job Description

At Boeing, we innovate and collaborate to make the world a better place. We’re committed to fostering an environment for every teammate that’s welcoming, respectful and inclusive, with great opportunity for professional growth. Find your future with us.


Job Description

The Boeing Commercial Airplanes Liaison Engineering Organization is seeking Consultant (Level 5) Liaison Engineers to support operations in Everett, Seattle, Auburn, and or Renton Washington. We are looking for a proactive individual who can make prompt engineering decisions and who want to go beyond their desk and into the factory for hands on engineering.

This position requires excellent communication and collaboration skills as the candidate will be partnering closely with production personnel.  The candidate will be the engineering representative on the factory floor transforming design into reality.

Position Responsibilities: 

  • Analyzes, conducts root cause analysis and develops dispositions for production non-conformances.
  • Applies knowledge of Boeing design principles to assess and resolve product/process issues through the product lifecycle.
  • Applies engineering principles to research technical, operational and quality issues in support of executing final engineering solutions.
  • Identifies documents, analyzes reported problems and communicates deviations that could impact design intent and safety; recommends and manages resolution.
  • Develops and implements product/process improvements.
  • Supports Integrated Product Teams (IPT) and participates in design reviews.
  • Represents the engineering community from initial build through the production and post-production environment.
  • Ensures supplier and build partner compliance with Boeing standards.
  • Develops customer correspondence for continued safe operation and maintenance of equipment.
  • Participates in on-site disabled product repair teams, accident investigation and support teams.
  • Analyzes damage repair or structural modification to determine appropriate jacking and shoring, prevent collateral damage and assure a safe work environment.
  • Designs interim structural repairs and conducts static strength analysis.
  • Develops non-destructive test procedures, tools and standards.

This position is fully onsite. The selected candidate will be required to work onsite at one of the listed locations. This position involves daily exposure to factory environment which includes stairs, trip hazards, high noise areas, chemical hazards (breathing and handling), and entering airplanes during their many stages of build.

This position participates in the approximately 9-month Boeing Company Training Rotation Program, which may involve assignments to the first, second, or third shift, as well as weekend or daily overtime. The specific requirements for shift assignments and overtime vary between sites and are typically covered on a rotation basis. Additionally, there may be travel involved between Boeing Puget Sound sites during the training rotation.

Basic Qualifications (Required Skills/Experience): 

  • Bachelor's or Masters of Science Degree from an ABET OR ABET equivalent accredited course of study in Engineering
  • 14+ years of experience in structures, systems, design, or production engineering

Preferred Qualifications (Desired Skills/Experience): 

  • Hands-on experience with materials and manufacturing processes.
  • Prior BCA Engineering Material Review Board (MRB) Certification

Conflict of Interest:

 Successful candidates for this job must satisfy the Company’s Conflict of Interest (COI) assessment 
process

Drug Free Workplace:

Boeing is a Drug Free Workplace where post offer applicants and employees are subject to testing for marijuana, cocaine, opioids, amphetamines, PCP, and alcohol when criteria is met as outlined in our policies.  

Shift:

This position is for multiple shifts and may require off shift, weekend, and travel assignments.

The candidate may periodically be assigned to first, second, or third shift as well as weekend or daily overtime. This requirement varies from site to site and is typically covered on a rotation basis.

Union:

This is a union represented position.

In locations where SPEEA representation applies, this job family will be covered by the terms of the collective bargaining agreement. Applicable and appropriate educational/certification credentials from an accredited institution and/or equivalent experience is required.
 

Pay and Benefits:

At Boeing, we strive to deliver a Total Rewards package that will attract, engage and retain the top talent.  Elements of the Total Rewards package include competitive base pay and variable compensation opportunities.  

The Boeing Company also provides eligible employees with an opportunity to enroll in a variety of benefit programs, generally including health insurance, flexible spending accounts, health savings accounts, retirement savings plans, life and disability insurance programs, and a number of programs that provide for both paid and unpaid time away from work.  

The specific programs and options available to any given employee may vary depending on eligibility factors such as geographic location, date of hire, and the applicability of collective bargaining agreements.

Pay is based upon candidate experience and qualifications, as well as market and business considerations.  

  • Summary pay range for Expert (level 5): $165,750 - $224,250

Applications for this position will be accepted until Mar. 20, 2026


Export Control Requirements:

This position must meet U.S. export control compliance requirements. To meet U.S. export control compliance requirements, a “U.S. Person” as defined by 22 C.F.R. §120.62 is required. “U.S. Person” includes U.S. Citizen, U.S. National, lawful permanent resident, refugee, or asylee.

Export Control Details:

US based job, US Person required

Relocation

This position offers relocation based on candidate eligibility.

Visa Sponsorship

Employer will not sponsor applicants for employment visa status.

Shift

This position is for 1st shift


Equal Opportunity Employer:

Boeing is an Equal Opportunity Employer. Employment decisions are made without regard to race, color, religion, national origin, gender, sexual orientation, gender identity, age, physical or mental disability, genetic factors, military/veteran status or other characteristics protected by law.

permanent
Licensed Applied Behavior Analyst
🏢 Sevita
Salary not disclosed
Framingham, MA 4 days ago

Mentor South Bay, provides Early Intervention, Applied Behavioral Analysis (ABA), Behavioral Health and Mental Health Outpatient services across Massachusetts and Connecticut. For over 35 years, we’ve provided a collaborative, team-based approach dedicated to helping children, adults, and families reach their fullest potential. If you are passionate about making a difference in the lives of individuals and families, join our mission-driven team and experience a career well lived.



Board Certified Behavior Analyst (BCBA with LABA) or Licensed ABA

**NEW HIRE BONUS $5,000**


Mentor South Bay has provided Early Intervention, Applied Behavioral Analysis (ABA), Behavioral Health, and Mental Health Outpatient services across Massachusetts and Connecticut since 1986. For 35 years, we’ve provided a client-focused approach dedicated to helping children, adults, and families reach their fullest potential. Join our mission-driven team and experience a career well-lived.


Services are delivered in the community; however, clinicians are not expected to cover all listed towns. Caseloads are assigned geographically based on where you live to help minimize travel time. Client assignments are also scheduled to fit your availability, ensuring a manageable, balanced workload.


Catchment:  Auburn, Barre, Berlin, Blackstone, Bolton, Boylston, Brookfield, Brimfield, Charlton, Cherry Valley, Clinton, Douglas, Dudley, East Brookfield, East Douglas, Fiskdale, Grafton, Hardwick, Harvard, Holden, Holland, Hopedale, Hubbardston, Jefferson, Leicester, Mendon, Milford, Millbury, Millville, North Brookfield, Northbridge, North Grafton, Oakham, Oxford, Paxton, Princeton, Rutland, Shrewsbury, Southbridge, South Grafton, South Rochdale, Spencer, Sterling, Sturbridge, Sutton, Upton, Uxbridge, Warren, Webster, West Boylston, West Brookfield, Whitinsville, and Worcester.


We Foster the Ideal Work Culture for BCBAs




  • Small caseloads - Fewer than 10




  • Average billable hours - 25




  • Free CEUs




  • Flexibility in scheduling where and when you work




  • Weekly peer reviews




  • Monthly collaboration sessions




  • Collaborative Culture




Full-Time BCBA Benefits




  • 401(k) program with a generous employer match up to 3%




  • Productivity Bonus




  • $2,000 BCBA Referral Bonus




  • $500 BT Referral Bonus




  • 15 days of PTO, which increases with tenure, plus sick time, plus 8 paid holidays




  • Medical, dental, vision, long-term disability, and life insurance




  • Mileage reimbursement and shorter commutes




Compensation:



  • Salary range, $80000+

Why Join us as a BCBA!




  • Stability - Mentor South Bay has been around in MA since 2007!




  • Career Growth – Mentor South Bay is a member of the Sevita family with growth across MA and 42 other states!




  • Strong Management – We ensure that every team member feels valued to contribute to our continued success.




  • Work-life Balance  – We offer flexible scheduling options that support both your personal and professional well-being.  




  • Team-Oriented Environment



  • New hire bonus
  • Monthly productivity bonus

Education/Experience and Other Requirements




  • BCBA certification




  • LABA certification 




  • Valid driver's license, reliable form of transportation, and proof of auto insurance.




  • Strong organizational skills, attention to detail, and the ability to mutlitask




  • A compassionate, reliable, and responsible approach to client care, with a commitment to making a positive impact




What You’ll Do




  • Conduct functional behavioral assessments and create personalized treatment plans




  • Observe, analyze, and document behavioral challenges to drive meaningful change.




  • Design and implement effective behavioral analysis service plans tailored to each individual’s needs.




  • Mentor and train team members to ensure success




  • Provide support across diverse settings





Join Our Team
 


If you are passionate about making a difference in the lives of individuals and families, we encourage you to join Mentor South Bay’s mission of helping everyone live a full and happy life. Apply today and start your journey toward a rewarding career well-lived.
 


As an equal opportunity employer, we do not discriminate on the basis of race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age, disability, genetic information, veteran status, citizenship, or any other characteristic protected by law.



permanent
Applied AI Engineer
Salary not disclosed
Miami, FL 6 days ago
Who We Are

Propy is revolutionizing the real estate industry by building the world's first AI-powered Title and Escrow platform onchain. We have processed over $5B in transactions, and we are on a mission to make closing on a home as easy as buying a stock.

We combine blockchain for security with advanced AI to automate the heavy lifting of closing documents. We aren't just "using" AI; we are building the infrastructure that allows AI agents to securely manage escrow, eliminate fraud, and run 24/7.


The Role

We are looking for a pragmatic Applied AI Engineer to join our engineering team.

The role is not about training models and does not involve academic Machine Learning research. It is about building the rails that make AI usable in a high-stakes financial environment. You will bridge the gap between our robust C#/.NET architecture and the probabilistic world of LLMs.


The Challenge

Title and Escrow is a document-heavy industry with zero room for error. Your mission is to use AI to clean up the messiness of real-world real estate data.


You will solve problems like:

  • Structured Data Extraction: Converting messy, unstructured data (like emails, PDFs, documents)  from various sources into strictly validated JSON schemas with as close to 100% accuracy as possible.
  • Escrow Automation: Designing workflows that reduce human intervention by 50% by intelligently routing tasks based on AI analysis.
  • Fraud Detection: Implementing deterministic logic checks on bank and financial documents to detect fraud patterns before they happen.


What You’ll Do
  • Engineer the Integration: Writing production-grade code that interacts with external AI APIs
  • "Prompt Engineering" as Code: You won't just write prompts; you will version, test, and optimize them. You will define strict schemas to ensure the AI speaks the language of our internal tools.
  • Orchestrate & Validate: Help in building the logic that parses AI responses, validates them against our database (MongoDB), and flags inconsistencies before they reach the user.
  • Full-Stack Implementation: Work to visualize AI-aided services and data for user review and approval.
  • Collaborate: Work closely with the other senior engineers and product owners to translate complex "Title & Escrow" schemas into technical constraints that an AI can understand.


What You’ll Bring
  • Developer DNA: You are a software engineer first. You have strong experience in Python (C# / .NET is an advantage) and understand programming in depth. 
  • Applied AI Experience: You have integrated LLMs into applications via API. Have experience with not only models but also AI frameworks. Experience with workflows, AI agent building and orchestration. You understand context windows, token limits, temperature, and guardrails.
  • Data Handling: Experience with handling complex data structures.
  • The "Glue" Mindset: You enjoy writing the code that connects different services ( like the AWS, AI APIs, and Database) to make a seamless features.
  • Collaborative Autonomy: You will own the AI domain, but you won't be on an island. You will be embedded in a senior engineering team that supports you with architecture, code reviews, and best practices.


Nice to Have
  • Experience with AWS infrastructure.
  • Familiarity with the US Real Estate, Title, or Escrow process.


What We Offer
  • Working in a transparent environment which focuses on solving problems and getting things done.
  • The opportunity to work with very smart and driven people.
  • The ability to grow your talents and career in a high-growth sector.
  • A remuneration package that is based on the candidate's motivation, skills, and experience.


How to Apply

Please submit your resume to this job ad along with a portfolio of your AI-related experience, GitHub account and anything else you find applicable. 

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
Utilization Review Nurse
Salary not disclosed
Philadelphia, PA 1 week ago

Job Title: Utilization Management RN

Location: Remote – must reside within the PA/NJ/DE tri-state area for potential conversion to full-time

License Requirement: Active Pennsylvania RN license or Nurse Licensure Compact (including PA) required


Overview

The Utilization Management RN plays a vital role in evaluating members’ clinical conditions through detailed medical record review to determine medical necessity for services. Using advanced clinical knowledge and independent analysis, this position applies appropriate medical criteria to support high-quality, cost-effective care decisions.

This is a remote position with the opportunity for future on-site conversion.


Key Responsibilities

  • Apply critical thinking and clinical judgment to determine medical necessity using tools such as InterQual, Care Management Policy, and Medical Policy guidelines.
  • Review and evaluate medical records, treatment plans, and histories to determine the appropriateness of inpatient, outpatient, and ancillary services.
  • Contact providers to clarify or obtain additional clinical information as needed.
  • Independently authorize medically necessary services based on established criteria.
  • Refer cases that do not meet criteria to the Medical Director for further review.
  • Identify members in need of discharge planning and collaborate with case management and physicians to ensure safe transitions of care.
  • Maintain compliance with federal, state, and accreditation regulations and company policies.
  • Document all utilization management activities accurately and timely per departmental procedures.
  • Report potential utilization trends or issues to management with recommendations for improvement.
  • Refer cases appropriately to Case Management, Disease Management, or Quality Management as indicated.
  • Meet or exceed departmental productivity and turnaround time (TAT) goals.


Education/Licensure & Experience

  • Active PA Licensed RN (or Compact License including PA) – required
  • BSN preferred
  • Minimum of 3 years of acute care clinical experience (hospital or healthcare setting)
  • Discharge planning and/or utilization management experience preferred
  • Prior medical management or precertification experience a plus


Knowledge, Skills & Abilities

  • Strong clinical assessment, analytical, and problem-solving skills
  • Excellent verbal and written communication abilities
  • Effective prioritization and time management skills
  • Team-oriented with strong collaboration and relationship-building capabilities
  • Adaptable and open to change with a proactive, results-driven mindset
  • Familiarity with current trends in medical practice and utilization management
  • Proficient in Microsoft Word, Outlook, Excel, SharePoint, and Adobe; ability to learn new systems
Not Specified
Remote Personal Finance Content Reviewer
$32 per hour - monthly

We are hiring remote contributors to review consumer finance content focused on budgeting and money-saving strategies.

Your role will involve reading short financial guidance pieces and providing feedback on their usefulness for people managing tight budgets. You may also identify which tips are the most practical for everyday situations.

This position is ideal for people interested in personal finance, budgeting, or improving financial literacy.

The work is flexible and completed online.


Remote working/work at home options are available for this role.
temporary
Clinical Review Nurse Specialist (SEGUIN)
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 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
RN Clinical Review Nurse {167271}
Salary not disclosed
Alameda 6 days ago
Clinical Review Nurse Schedule for Clinical Review Nurse Monday – Friday | 8:00 AM – 5:00 PM Interview Process for Clinical Review Nurse One virtual interview Job Overview for Clinical Review Nurse We are seeking an experienced Clinical Review Nurse to support the investigation and resolution of complex member and provider grievances, appeals, and disputes .

This role is responsible for conducting detailed clinical reviews, evaluating medical necessity, and ensuring compliance with applicable regulatory requirements and organizational policies.

The Clinical Review Nurse will collaborate with internal teams and medical leadership to ensure timely and accurate resolution of cases while maintaining high standards of care and service.

Key Responsibilities for Clinical Review Nurse Conduct investigations and clinical reviews of member and provider grievances and appeals related to medical necessity .

Review prospective, inpatient, and retrospective medical records associated with denied services.

Summarize and present medical findings for Medical Directors, consultants, and external reviewers .

Apply clinical guidelines, policies, and benefit plan documentation when evaluating cases.

Prepare recommendations to uphold or overturn determinations and submit to the Medical Director for final approval.

Ensure appeals, grievances, and disputes are resolved within required regulatory timelines .

Evaluate requests for expedited review and determine urgency criteria.

Document case details and maintain accurate records within relevant tracking systems.

Draft written correspondence for members, providers, and regulatory entities .

Communicate with members, providers, and internal staff to support resolution of clinical concerns.

Identify potential quality-of-care concerns and escalate appropriately.

Serve as a clinical resource and subject matter expert to assist team members with appeals and grievance resolution.

Participate in additional projects and duties as assigned.

Essential Functions for Clinical Review Nurse Conduct thorough investigations of appeals, grievances, and provider disputes .

Evaluate the appropriateness of care within contractual, regulatory, and accreditation standards.

Identify system or process issues that may impact member care or service expectations and recommend improvements.

Perform documentation, reporting, and analytical tasks related to case reviews.

Maintain compliance with organizational policies, regulatory requirements, and professional standards .

Minimum Qualifications for Clinical Review Nurse Education / Licensing Active and unrestricted California Registered Nurse (RN) license Bachelor’s degree preferred Experience for Clinical Review Nurse Minimum 3 years of acute care clinical experience Minimum 2 years of appeals and grievances casework Preferred Experience for Clinical Review Nurse Utilization Management or Quality Management Experience applying standardized clinical guidelines Familiarity with Milliman Care Guidelines (MCG) , Managed Care, and NCQA standards Additional Details for Clinical Review Nurse No direct supervisory responsibilities Collaborative role working with clinical, operational, and leadership teams If you are an experienced nurse with strong clinical review and case evaluation skills and are looking to contribute to a team focused on quality care and regulatory excellence, we encourage you to apply.
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Not Specified
Clinical Data Review Pharmacist (onsite)
Salary not disclosed
West Jordan 3 days ago
A-Line Staffing is now hiring a Clinical Data Review Pharmacist in West Jordan, UT 84084.

The Clinical Data Review Pharmacist would be working for a Major Fortune 500 Company and has career growth potential.

Clinical Data Review Pharmacist Highlights: Schedule: ??? 6am to 2pm Monday to Friday ??? Sunday 3-11pm and Monday-Thursday 1-9pm OFF Friday/Saturday Pay Rate: $65/hr Clinical Data Review Pharmacist Responsibilities: Process prescription orders and perform clinical verification Consult with patients and providers as needed Support pharmacy programs that improve patient health outcomes, medication adherence, and prescription accuracy Clinical Data Review Pharmacist Qualifications: BS in Pharmacy or Doctor of Pharmacy (PharmD) Active Pharmacist License (RPh) Minimum 1 year of experience in a pharmacy environment If you are interested in this Clinical Data Review Pharmacist position, please apply to this posting with Luke H.

at A-Line!
Not Specified
Physician / Family Practice / Texas / Locum tenens / Telemedicine - Chart Review Locum Tenens Job
Salary not disclosed
Chicago, Illinois 4 days ago
Hiring a Telemedicine Family Practice, Family Medicine or General Practitioner for a Chart Review Telemedicine position in TexasStart is ASAP
- duration of 1 yearTotal amount of hours per month is 8 hoursPhysicians will be supervising and collaborating with In-home Nurse Practitioners for program.Supervising/Collaborating physicians must be licensed and located in the StateThe SP candidate must have an active and unrestricted medical license.The SP will not be expected or required to provide any type of direct patient care.The SP candidate should have a preferred specialty designation of Family Practice or Family Medicine, and General Practice will also be considered.

The SP Candidate may have either MD or DO designation.The maximum paid work hours per month are eight (8) based on the calculation of: maximum two (2) paid hours per NP per month x 4 NPs maximum = 8 for the Quality Representative Chart Reviews.

The actual amount of time spent per week to perform the chart reviews may vary depending on the SP as will the weekly paid time submissions.

The expectations for the Supervising Physician are as follows:Family Medicine Physicians only, due to our well child visits.Must be available by phone or other electronic means of communication during the NPs working hours (40 hours per week).Serve as a Supervising Physician in accordance with applicable law and terms and conditions of the Nurse Practitioner Collaborative Practice Protocol AgreementConduct a monthly chart review of a 10% representative sample and meet with NP on a monthly basis in person or by phone or electronic communication per state requirements and review and discuss a 10% representative sample of charts for quality assurance.Liability insurance will be provided for Physicians claims arising solely and exclusively from Physicians delivery of professional services relating to Physicians Supervision and collaboration services provided to NPs.The maximum paid work hours per month are eight (8) based on the calculation of: maximum two (2) paid hours per NP per month x 4 NPs maximum = 8 for the Quality Representative Chart Reviews.

The actual amount of time spent per week to perform the chart reviews may vary depending on the SP as will the weekly paid time submissionsWill not be expected or required to provide any type of direct patient carePlease apply today as this will fill very quickly!
Not Specified
Physician / Collaborating Physician-(Remote)Chart Reviews PRN Job
Salary not disclosed
Matrix Medical Network is searching for physicians looking for additional income as a collaborating physician (Chart Reviews).

Our collaborators over see our highly skilled Nurse Practitioners in the field as stated by state law.

This is a Great Opportunity for physician to earn extra income with no out of pocket expense to you, or your current practice situation.

This is a 1099 Contractor position.Type: Collaborating Physician
- 1099 (Chart Reviews)Location: Remote Opportunity
- State of MissouriHours: Flexible HoursRate of Reimbursement: Varies per stateThis is not a full-time position.

This position varies in days and hours.
Remote working/work at home options are available for this role.
Not Specified
Physician / Family Practice / Mississippi / Locum tenens / Collaborating Physician for Chart Reviews
🏢 Matrix Medical Netowrk
Salary not disclosed
Scottsdale, Arizona 2 days ago
We are looking for physicians to collaborate with our network of providers.

This opportunity will consist of reviewing medical data from our comprehensive health assessments.

This chart review can be completed in your office or at home in your spare time.
Not Specified
Physician / Family Practice / Missouri / Locum tenens / Collaborating Physician for Chart Reviews Jo
🏢 Matrix Medical Netowrk
Salary not disclosed
Scottsdale, Arizona 2 days ago
We are looking for physicians to collaborate with our network of providers.

This opportunity will consist of reviewing medical data from our comprehensive health assessments.

This chart review can be completed in your office or at home in your spare time.
Not Specified
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