Lancesoft Inc Reviews Jobs in Usa

10,214 positions found

Hospital RN – Care Coordination & Utilization Review
Salary not disclosed
San Jose, CA 5 days ago

Immediate need for a talented Hospital RN – Care Coordination & Utilization Review . This is a 06+months contract opportunity with long-term potential and is located in San Jose, CA (Onsite). Please review the job description below and contact me ASAP if you are interested.


Job ID: 25-80861


Pay Range: $80 - $95/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).


Key Responsibilities:


  • Conduct utilization reviews using InterQual® / MCG®
  • Support discharge planning and post-acute coordination
  • Communicate with physicians, social work, and external providers
  • Manage authorizations and payer-related workflows
  • Maintain compliance with regulatory standards


Key Requirements and Technology Experience:


  • Key Skills; CA RN License (Active)
  • Acute inpatient hospital experience
  • UM / Case Management / Discharge Planning background


Our client is a leading Healthcare Industry and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration.


Pyramid Consulting, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.


By applying to our jobs you agree to receive calls, AI-generated calls, text messages, or emails from Pyramid Consulting, Inc. and its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy here.

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Operations Specialist III – Medicaid / Medi-Cal (Epic + Utilization Review
🏢 Pyramid Consulting, Inc
Salary not disclosed
Long Beach, CA 6 days ago

Immediate need for a talented Operations Specialist III – Medicaid / Medi-Cal (Epic + Utilization Review. This is a 06+months contract opportunity with long-term potential and is located in Long Beach, CA(Remote). Please review the job description below and contact me ASAP if you are interested.


Job ID: 26-02810


Pay Range: $30 - $45/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).Traveler benefits as per agency package. (Benefits vary by vendor and assignment.)


Key Responsibilities:


  • Medicaid / Medi-Cal Chart Review
  • Perform comprehensive health chart and administrative chart reviews
  • Ensure documentation completeness and regulatory compliance
  • Identify and escalate quality or utilization concerns
  • Support Medicaid program performance metrics and reporting
  • Utilization Review & Authorizations
  • Conduct Utilization Review activities
  • Support authorization workflows and payor processes (Anthem, Blue Shield, etc.)
  • Review medical necessity documentation
  • Collaborate with clinical and administrative teams to resolve discrepancies
  • Epic & Workflow Execution
  • Navigate and abstract data within Epic (HealthConnect preferred)
  • Manage assigned review queues and documentation workflows
  • Track operational performance metrics
  • Suggest workflow improvements where applicable
  • Operational & Process Support
  • Assist in centralizing and refining hospital/system-wide workflows
  • Support productivity standards and cost-reduction initiatives
  • Contribute to operational efficiency and sustainability projects
  • Schedule: 8:00 AM – 4:30 PM
  • 5 days/week including every other weekend (Saturday & Sunday


Key Requirements and Technology Experience:


  • 1–2+ years healthcare operations experience (3–5 years ideal)
  • Strong Medicaid / Medi-Cal background
  • Experience with Epic EHR (Kaiser HealthConnect highly preferred)
  • Utilization Review exposure (authorization workflows, Tapestry preferred)
  • Experience conducting chart reviews (clinical or administrative)
  • Ability to work independently post-training
  • Stable healthcare employment history
  • Education: High School Diploma required; Associate or Bachelor’s degree preferred.


Our client is a leading Healthcare Industry, and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration.


Pyramid Consulting, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.


By applying to our jobs you agree to receive calls, AI-generated calls, text messages, or emails from Pyramid Consulting, Inc. and its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy here.

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Physician / Infectious Disease / South Carolina / Any / Pacific Companies, Inc. Job
Salary not disclosed
Chicago, Illinois 3 days ago
Good day Are you looking for a change? A way to fill your time while in transition? Or looking for a 1099 independent contractor position? Continue to read below- one of the locum tenens opportunities that we have.

Our firm has a nationwide (locums and permanent) presence so please let me know if you are interested in a different location.The Infectious Disease locum tenens opportunity in South CarolinaLocation: Conway, SCDuration: July 25
- November 25 ( 12 weeks)Reason for coverage: Maternity leaveSchedule: 3 days in clinic + 2 days of inpatient + 1 weekend of callShift: Clinic 3 times a week, Mon/Tues/Wed, half day in the mornings from 9AM to 12PMRounds after clinic (on own patients only)Call: 10 days per month (inpatient days are on the same day as call)Inpatient scope: Rounding and consults on the med surg floor (infectious disease only)Outpatient Scope: Provided antibiotics (no labs on site), infusion lab review, rehab lab (no pharmacist for labs, so this is the physicians responsibility)EMR: CERNER w/ Dragon DictationHospital: Level 3 Trauma, 210 bedsRequirements (boards, license): BC with SC license, Clean NPDBInitial COVID Vaccine Required Travel, Accommodations, and Malpractice
- PAID for locum opportunities Assistance with credentialing provide Call or Email for further details If you (or someone you know) are interested, please let me know your availability, rates, and contact information.

Followed with an updated CV.

All information is held strictly confidential.Looking forward to hearing from you.

Thank you, Shawn Faucette
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Medical Promotional Review Specialist I -- SAHDC5737160
Salary not disclosed
Plainsboro, NJ 6 days ago

Job Summary:

The Medical Promotional Review Specialist ensures the scientific accuracy, clinical appropriateness, and regulatory validity of promotional materials from a medical and scientific perspective. This role serves as a member of the Promotional Review Board (PRB), collaborating with cross-functional stakeholders including Marketing, Legal, Regulatory Affairs, and Medical Affairs. The specialist reviews promotional content, evaluates supporting scientific data, and provides recommendations to ensure compliance with approved labeling, regulations, and company policies while supporting safe and effective product use.


Key Responsibilities:

  • Review promotional materials to ensure medical accuracy, scientific validity, and clinical appropriateness
  • Verify alignment of promotional content with approved labeling, scientific evidence, regulations, and company policies
  • Evaluate the appropriateness of data, references, and claims used in marketing materials
  • Provide recommendations for alternative data, references, or language when needed
  • Collaborate with PRB reviewers and commercial teams to address concerns related to promotional materials
  • Engage with business partners early in promotional material development to improve efficiency
  • Work with Medical Directors for assigned products or therapeutic areas to ensure alignment and mitigate risk
  • Document review comments and verdicts within the PRB workflow system within assigned timelines
  • Participate in Promotional Review Board meetings as required
  • Stay current with medical literature and scientific data in assigned therapeutic areas
  • Attend internal and external meetings and training related to regulations, scientific updates, and marketing strategy


Required Skills:

  • Demonstrated expertise in reviewing medical literature and evaluating scientific validity of promotional content
  • Ability to clearly and concisely communicate complex scientific information
  • Proven ability to build and maintain collaborative cross-functional relationships
  • Strong understanding of the US pharmaceutical industry, healthcare landscape, and promotional review compliance requirements
  • Detail-oriented with strong editorial and analytical skills
  • Strong organizational and prioritization abilities
  • Ability to work effectively within cross-functional teams
  • Ability to critically analyze and apply scientific data in a customer-focused manner
  • Strong verbal and written communication skills
  • Effective negotiation and influencing skills


Education:

  • PharmD, MD, DO, or NP required
  • Minimum 2 years of relevant professional experience (academic, clinical, or industry)
  • Post-doctoral fellowship may substitute for professional experience where appropriate
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Medical Reviewer
✦ New
Salary not disclosed
Bronx, NY 1 day ago

Medical Reviewer


As a Medical Reviewer in the Healthcare sector, you play a crucial role in ensuring the accuracy, compliance, and quality of medical content and documentation. Your work directly impacts patient safety, regulatory adherence, and the overall success of the company.


Importance of the Role:

Medical Reviewers are the gatekeepers of medical information, ensuring that all materials meet high standards of accuracy and integrity.

Impact on Team Collaboration: By collaborating with medical writers, researchers, and regulatory affairs teams, Medical Reviewers contribute to seamless teamwork and project success.

Industry Trends: Medical Reviewers must stay abreast of evolving regulations, digital health innovations, and data privacy laws to uphold best practices in medical content creation.

Key Stakeholders: This role interacts closely with medical writers, regulatory bodies, compliance officers, and project managers, playing a vital role in the company’s content development pipeline.

Success Measurement: Performance is gauged based on adherence to regulatory guidelines, accuracy of medical content, timely completion of reviews, and feedback from stakeholders.


Key Responsibilities

As a Medical Reviewer, your responsibilities encompass a range of critical tasks:

Project Planning and Execution: You will be involved in planning, scheduling, and executing medical content reviews to ensure timely delivery and accuracy.

Problem-Solving and Decision-Making: Medical Reviewers analyze complex medical data, resolve discrepancies, and make informed decisions to maintain content integrity.

Collaboration with Cross-Functional Teams: You will collaborate with medical writers, researchers, and regulatory teams to align content with medical and regulatory standards.

Leadership and Mentorship: Mentoring junior team members, providing guidance on medical writing best practices, and leading by example in quality assurance processes.

Process Improvement and Innovation: Constantly seeking ways to enhance efficiency, streamline review processes, and innovate in medical content creation and review.

Technical or Customer-Facing Responsibilities: Engaging with clients, healthcare professionals, or regulatory bodies to address queries, clarify medical information, and ensure compliance.


Required Skills and Qualifications

To excel as a Medical Reviewer, candidates must possess the following skills and qualifications:

Technical Skills:

Proficiency in medical terminology, knowledge of medical writing software, familiarity with regulatory guidelines, understanding of clinical trial protocols.


Educational Requirements:

A degree in Pharmacy, Medicine, Life Sciences, or a related field. Certification in Medical Writing or Regulatory Affairs is a plus.


Experience Level:

Minimum 3-5 years of experience in medical reviewing, pharmaceutical industry experience, familiarity with FDA and EMA regulations.

Soft Skills:

Excellent communication skills, attention to detail, critical thinking, ability to work under pressure, and a collaborative mindset.

Industry Knowledge:

In-depth knowledge of medical content regulations, pharmacovigilance processes, adverse event reporting, and medical device documentation requirements.

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Physician / Orthopedics / Georgia / Locum tenens / Telemedicine Physician Opportunity with Great Inc
✦ New
Salary not disclosed
Augusta, Georgia 1 day ago
Quivvy Tech is currently hiring telemedicine physicians!Quivvy Tech is the fastest growing national telemedicine network in the U.S.

We have a triage call center where all patients are pre-screened for medical necessity and to confirm compliance with legal and regulatory standards all while ensuring a positive patient experience.Telemedicine Physician Responsibilities Include: Evaluate patients medical conditions (review patient chart); Determine medical necessity of products requested by the patient; Electronically sign Rx prescriptions upon consult completion; Your contact information will remain private at all times Telemedicine Physician Requirements: Must be a commercial insurance provider and/or Medicare provider; Maintain all appropriate licensure to prescribe medications under applicable state and federal laws; Maintain familiarity with our state of the art portalTelemedicine Physician Benefits: Competitive compensation; No billing insurance companies; Reliable volume; Work from anywhere; Flexible hoursPlease contact me for more information at
Not Specified
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Physician / Orthopedics / Arizona / Locum tenens / Telemedicine Physician Opportunity with Great Inc
✦ New
🏢 Quivvy Tech
Salary not disclosed
Tucson, Arizona 1 day ago
Quivvy Tech is currently hiring telemedicine physicians!Quivvy Tech is the fastest growing national telemedicine network in the U.S.

We have a triage call center where all patients are pre-screened for medical necessity and to confirm compliance with legal and regulatory standards all while ensuring a positive patient experience.Telemedicine Physician Responsibilities Include: Evaluate patients medical conditions (review patient chart); Determine medical necessity of products requested by the patient; Electronically sign Rx prescriptions upon consult completion; Your contact information will remain private at all times Telemedicine Physician Requirements: Must be a commercial insurance provider and/or Medicare provider; Maintain all appropriate licensure to prescribe medications under applicable state and federal laws; Maintain familiarity with our state of the art portalTelemedicine Physician Benefits: Competitive compensation; No billing insurance companies; Reliable volume; Work from anywhere; Flexible hoursPlease contact me for more information at
Not Specified
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Physician / Orthopedics / Wyoming / Locum tenens / Telemedicine Physician Opportunity with Great Inc
✦ New
🏢 Quivvy Tech
Salary not disclosed
Cheyenne, Wyoming 1 day ago
Quivvy Tech is currently hiring telemedicine physicians!Quivvy Tech is the fastest growing national telemedicine network in the U.S.

We have a triage call center where all patients are pre-screened for medical necessity and to confirm compliance with legal and regulatory standards all while ensuring a positive patient experience.Telemedicine Physician Responsibilities Include: Evaluate patients medical conditions (review patient chart); Determine medical necessity of products requested by the patient; Electronically sign Rx prescriptions upon consult completion; Your contact information will remain private at all times Telemedicine Physician Requirements: Must be a commercial insurance provider and/or Medicare provider; Maintain all appropriate licensure to prescribe medications under applicable state and federal laws; Maintain familiarity with our state of the art portalTelemedicine Physician Benefits: Competitive compensation; No billing insurance companies; Reliable volume; Work from anywhere; Flexible hoursPlease contact me for more information at
Not Specified
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Physician / Orthopedics / Montana / Locum tenens / Telemedicine Physician Opportunity with Great Inc
✦ New
🏢 Quivvy Tech
Salary not disclosed
Billings, Montana 1 day ago
Quivvy Tech is currently hiring telemedicine physicians!Quivvy Tech is the fastest growing national telemedicine network in the U.S.

We have a triage call center where all patients are pre-screened for medical necessity and to confirm compliance with legal and regulatory standards all while ensuring a positive patient experience.Telemedicine Physician Responsibilities Include: Evaluate patients medical conditions (review patient chart); Determine medical necessity of products requested by the patient; Electronically sign Rx prescriptions upon consult completion; Your contact information will remain private at all times Telemedicine Physician Requirements: Must be a commercial insurance provider and/or Medicare provider; Maintain all appropriate licensure to prescribe medications under applicable state and federal laws; Maintain familiarity with our state of the art portalTelemedicine Physician Benefits: Competitive compensation; No billing insurance companies; Reliable volume; Work from anywhere; Flexible hoursPlease contact me for more information at
Not Specified
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Physician / Orthopedics / Alabama / Locum tenens / Telemedicine Physician Opportunity with Great Inc
✦ New
🏢 Quivvy Tech
Salary not disclosed
Quivvy Tech is currently hiring telemedicine physicians!Quivvy Tech is the fastest growing national telemedicine network in the U.S.

We have a triage call center where all patients are pre-screened for medical necessity and to confirm compliance with legal and regulatory standards all while ensuring a positive patient experience.Telemedicine Physician Responsibilities Include: Evaluate patients medical conditions (review patient chart); Determine medical necessity of products requested by the patient; Electronically sign Rx prescriptions upon consult completion; Your contact information will remain private at all times Telemedicine Physician Requirements: Must be a commercial insurance provider and/or Medicare provider; Maintain all appropriate licensure to prescribe medications under applicable state and federal laws; Maintain familiarity with our state of the art portalTelemedicine Physician Benefits: Competitive compensation; No billing insurance companies; Reliable volume; Work from anywhere; Flexible hoursPlease contact me for more information at
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Physician / Orthopedics / Indiana / Locum tenens / Telemedicine Physician Opportunity with Great Inc
✦ New
🏢 Quivvy Tech
Salary not disclosed
Quivvy Tech is currently hiring telemedicine physicians!Quivvy Tech is the fastest growing national telemedicine network in the U.S.

We have a triage call center where all patients are pre-screened for medical necessity and to confirm compliance with legal and regulatory standards all while ensuring a positive patient experience.Telemedicine Physician Responsibilities Include: Evaluate patients medical conditions (review patient chart); Determine medical necessity of products requested by the patient; Electronically sign Rx prescriptions upon consult completion; Your contact information will remain private at all times Telemedicine Physician Requirements: Must be a commercial insurance provider and/or Medicare provider; Maintain all appropriate licensure to prescribe medications under applicable state and federal laws; Maintain familiarity with our state of the art portalTelemedicine Physician Benefits: Competitive compensation; No billing insurance companies; Reliable volume; Work from anywhere; Flexible hoursPlease contact me for more information at
Not Specified
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Physician / Orthopedics / Vermont / Locum tenens / Telemedicine Physician Opportunity with Great Inc
✦ New
🏢 Quivvy Tech
Salary not disclosed
Quivvy Tech is currently hiring telemedicine physicians!Quivvy Tech is the fastest growing national telemedicine network in the U.S.

We have a triage call center where all patients are pre-screened for medical necessity and to confirm compliance with legal and regulatory standards all while ensuring a positive patient experience.Telemedicine Physician Responsibilities Include: Evaluate patients medical conditions (review patient chart); Determine medical necessity of products requested by the patient; Electronically sign Rx prescriptions upon consult completion; Your contact information will remain private at all times Telemedicine Physician Requirements: Must be a commercial insurance provider and/or Medicare provider; Maintain all appropriate licensure to prescribe medications under applicable state and federal laws; Maintain familiarity with our state of the art portalTelemedicine Physician Benefits: Competitive compensation; No billing insurance companies; Reliable volume; Work from anywhere; Flexible hoursPlease contact me for more information at
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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
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Supervisor, Concurrent Review (New York)
✦ New
🏢 MJHS
Salary not disclosed
New York 1 day 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
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Quality Review & Staff Education Supervisor (New York)
✦ New
🏢 MJHS
Salary not disclosed
New York 1 day 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.

Care Management Supervisor of Quality Review & Staff Education is responsible for quality assurance, accuracy, and overall integrity of the care management records completed by Care Management staff. This role is to ensure compliance with NYS DOH and CMS regulations through development of auditing tools and data validation. This Supervisor will analyze collected audit data, identify trends for staff re-training, and implement corrective action plans in collaboration with Clinical Management and Staff Education. They will oversee and conduct orientation, training, and education to all members of the Care Management team. Provides support to Director and Managers of Coordinated Care to ensure that all reporting requirements are prepared, submitted, and maintained in a professional and well-coordinated manner.

  • Baccalaureate Nursing Degree from an NLN-Accredited School of Nursing
  • Experience and knowledge of Managed Care: A minimum of two years nursing experience in Community Health or related field and/or minimum of two years of progressive job-related experience, including care management and coordination, education and supervision
  • Demonstrates strong critical-thinking, problem-solving skills, and knowledge of Medicare and Medicaid
  • Effective communication skills both written and oral
  • Possesses strong critical thinking skills and knowledge of Medicare and Medicaid regulations
  • Excellent analytical skills, interpretation of data
  • Ability to set priorities and to handle multiple assignments
  • Working knowledge of audit techniques and methodologies
  • Secures relevant information to identify potential problems and makes recommendations for appropriate solutions
  • Work effectively within interdisciplinary team environment
  • Computer literate, Windows, Excel, Word, Visio and data base programs required. PowerPoint preferred
  • Working knowledge of State and Federal regulations
permanent
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Clinical Review Nurse Specialist (SEGUIN)
Salary not disclosed
SEGUIN, Texas 3 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
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Clinical Review Nurse PRN (PLEASANTON)
🏢 University Health
Salary not disclosed
PLEASANTON, Texas 3 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
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Medical Necessity Reviewer (HONDO)
🏢 University Health
Salary not disclosed
HONDO, Texas 3 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
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Product Review Engineer (Liaison Engineering) Consultant (Level 5)
🏢 Boeing
$165,750 - 224,250
Arlington, WA 3 days ago
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. 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.

Analyzes, conducts root cause analysis and develops dispositions for production non-conformances.
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; Develops and implements product/process improvements.
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.
Designs interim structural repairs and conducts static strength analysis.
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.

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

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

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

~ Applications for this position will be accepted until Mar. S. export control compliance requirements. S. export control compliance requirements, a “U.Citizen, U.National, lawful permanent resident, refugee, or asylee.
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
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
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Data Reviewer, QC
✦ New
Salary not disclosed
Hopewell, NJ 1 day ago

Essential Functions of the job:

  • Review and validate QC data and test records.
  • Support investigations related to Out of Specification (OOS), Out of Trend (OOT), and Out of Expectation (OOE) results.
  • Ensure compliance with current Good Manufacturing Practices (cGMP) in the laboratory.
  • Assist in the technical documentation of investigations and change control assessments to evaluate the impact on product quality, in alignment with FDA/EU regulations, international standards
  • Undertake other duties as required.

This position is ideal for candidates who are detail-oriented and committed to quality assurance in the pharmaceutical industry.

Education/Experience Required:

  • Bachelor’s Degree or above in Chemistry, Biochemistry, or Biotechnology related scientific discipline. Scientific degree (ideally chemistry, biochemistry, biotechnology or related).
  • Minimum 4 years working experience in an FDA-regulated biotechnology or pharmaceutical company is required.
  • Working knowledge and experience with chemistry analytical methods such as HPLC, GC, TOC, Capillary Electrophoresis (CGE-Reduced, CGE-Non-Reduced, and Capillary Zone Electrophoresis), etc.
  • Strong working knowledge with USP/EP and cGMP/EU GMP.
  • Technical writing experience.
  • Familiar with instrument and equipment validation.
  • Impressive, demonstrable track record and skills/experience gained within a similar position(s), at a similar level.
  • Credible and confident communicator (written and verbal) at all levels.
  • Strong analytical and problem-solving ability.
  • Hands-on approach, with a ‘can do’ attitude.
  • Ability to prioritize, demonstrating good time management skills.
  • Excellent attention to detail, with the ability to work accurately in a busy and demanding environment.
  • Self-motivated, with the ability to work proactively using own initiative.
  • Committed to learning and development
  • Self-motivated, with the ability to work proactively using own initiative.

Computer Skills:

  • Strong PC literacy required; MS Office skills (Outlook, Word, Excel, PowerPoint).

Travel:

  • Must be willing to travel approximately 10%.
  • Ability to work on a computer for extended periods of time.
Not Specified
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