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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.

• Ensure scientific accuracy and clinical appropriateness and validity of promotional materials from a medical/scientific standpoint
• Serve as a member of the Promotional Review Board or PRB

Relationships:

• Reports to a Director level employee in Medical Information and works with stakeholders throughout and at external agencies.
• Key relationships include Marketing, Legal, Regulatory Affairs and Medical Affairs.

Essential Functions:

• Provide critical review of promotional pieces to ensure medical accuracy, validity and appropriateness of content in accordance with approved labeling, scientific data and relevant laws, regulations to support the safe and effective use of products by patients and the medical community.
• Determine appropriateness of data and references used to support promotional claims and marketing messages and provide proactive recommendations and/or guidance for alternative da-ta/references/language where needed
• Align and collaborate with key cross-functional stakeholders including other Promotional Review Board or Promotional Review Board or PRB reviewers and commercial team members on issues or concerns related to promotional materials or claims
• Engage with commercial business partners early in the development of promotional materials to enhance efficiency, when applicable
• Review, provide comments and document verdicts for all assigned promotional materials within PRB workflow system based on assigned deadlines
• Participating in Promotional Review Board or PRB meetings as assigned
• Remain current with medical literature and data in assigned therapeutic area

Education Qualifications:

• PharmD (Doctor of Pharmacy) or MD (Doctor of Medicine) or DO (Doctor of Osteopathic Medicine) or NP (Nurse Practitioner) with a minimum of two years of relevant professional experience (e.g. academic or clinical or industry experience)

Additional Qualifications:

• Thorough understanding of the US pharmaceutical industry or healthcare landscape, promotional review process and relevant guidance and compliance requirements
• Detail-oriented with demonstrated editorial skills

Medical Promotional Review Specialist

6-month contract

Must be able to work on a W2

Hybrid in Plainsboro, NJ

TOP 3 “MUST HAVES”:

1. Demonstrated expertise in reviewing medical literature and independently evaluating scientific validity and clinical appropriateness of promotional content.

2. Proven ability to clearly and concisely communicate scientific information

3. Demonstrated ability to build and maintain collaborative relationships across multiple disciplines

PURPOSE:

Ensure scientific accuracy and clinical appropriateness and validity of promotional materials from a medical/scientific standpoint

Serve as a member of the Promotional Review Board (PRB)

ESSENTIAL FUNCTIONS:

• Provide critical review of promotional pieces to ensure medical accuracy, validity and appropriateness of content in accordance with approved labeling, scientific data and relevant laws, regulations and NNI policies to support the safe and effective use of products by patients and the medical community.

• Determine appropriateness of data and references used to support promotional claims and marketing messages and provide proactive recommendations and/or guidance for alternative da-ta/references/language where needed

• Align and collaborate with key cross-functional stakeholders including other PRB reviewers and commercial team members on issues or concerns related to promotional materials or claims

• Engage with commercial business partners early in the development of promotional materials to enhance efficiency, when applicable

• Work with the Medical Director for the assigned product(s)/therapeutic area(s) to increase efficiency, medical alignment, and mitigate risk of promotional claims

• Review, provide comments and document verdicts for all assigned promotional materials within PRB workflow system based on assigned deadlines

• Participate in PRB meetings as assigned

• Remain current with medical literature and data in assigned therapeutic area(s)

• Participate in relevant internal and external meetings and trainings on new guidance/regulations, new scientific information and marketing strategy

QUALIFICATIONS:

• PharmD / MD/ DO / NP with a minimum of two years of relevant professional experience (e.g. academic, clinical or industry experience); post-doctoral fellowship may be substituted for professional experience, as appropriate

• Thorough understanding of the US pharmaceutical industry and healthcare landscape, promotional review process and relevant guidance and compliance requirements

• Detail-oriented with demonstrated editorial skills

• Strong organization and prioritization skills

• Ability to work on cross-functional teams

• Ability to critically analyze and apply scientific data in a customer-focused manner

• Strong verbal and written communication skills

• Effective negotiation skills and ability to influence others

Insight Global is seeking Technical Evaluation Review Board/CCB Coordinator to join our team for an exciting opportunity to work on a unique government contract. The contract assists in acquisition and technical sustainment engineering and will augment government resources. The coordinator manages government technical review board submissions, ensuring all programs meet required deliverables and are fully prepared for review before board meetings. They control document accuracy, track changes, and maintain compliant review packages across all stakeholders. The role requires confidently driving engineers and IPTs to meet requirements and deadlines, including pushing back when inputs are incomplete. This is a highly organized, assertive position focused on accountability, readiness, and execution.

Must Haves:

• BS/MS in engineering/specialty area
• 7 yrs directly related experience (5 yrs with MS degree)
• Active secret level security clearance or higher
• Strong planning, coordination, and organizational skills with the ability to manage multiple priorities
• Demonstrated experience developing, maintaining, and assessing technical baselines within controlled programs
• Familiarity with engineering standards, manufacturing methods, and configuration management practices, including military and ASME-guided environments
• Working knowledge of technical drawing conventions and engineering documentation controls
• Proficiency with Microsoft Office tools to prepare data-driven reports, metrics, and formal documentation
• High attention to detail, strong writing and verbal communication skills, and the ability to manage time effectively
• Ability to sit on-site at Hill AFB in Clearfield, UT Monday-Wednesday

Plusses:

• Experience supporting configuration and data management activities within a defense or government program environment
• Working knowledge of Air Force or DoD engineering release processes, configuration control standards, and technical documentation lifecycle management
• Familiarity with Engineering Change Proposals (ECPs), Interface Control Documents (ICDs), and associated revision and audit activities
• Prior involvement with functional and physical configuration audits, including coordination with suppliers or government facilities
• Training or certification in configuration or data management disciplines (e.g., CMPIC or similar)
• Demonstrated ability to maintain and protect complex engineering baselines for hardware and software systems
• Strong judgment and decision-making skills aligned with regulatory, contractual, and policy requirements
• Commitment to continuous learning and maintaining up-to-date technical proficiency

The Estimator is responsible for ensuring all flooring bids are technically accurate, competitively structured, and financially sound before submission to customers. This role serves as the final quality control checkpoint for bid accuracy, scope alignment, and margin protection across new construction and large project bids.  

They will work closely with sales, estimating, purchasing, and operations to ensure bids are properly structured, risk is identified early, and projects are prepared for successful execution. 

This position requires extensive experience in flooring estimating, construction bidding, and plan/spec review, with the ability to identify scope gaps, quantity errors, and pricing risks before bids are released. This role plays a critical part in protecting company margin, preventing costly project mistakes, and improving bid quality across the organization. 

Primary Responsibilities:

Bid Strategy & Quality Control

• Review large and complex flooring bids prior to submission.
• Validate takeoffs, material quantities, labor assumptions, and pricing structures.
• Ensure bids align with project plans, specifications, and scope requirements.
• Identify risk areas such as:
• Scope gaps
• Quantity miscalculations
• Incorrect product specifications
• Margin erosion
• Installation complexity
• Provide feedback and corrections to estimators and sales teams before submission.

Preconstruction Review

• Review architectural plans and specifications for flooring scope.
• Confirm scope alignment between drawings, specifications, and proposals.
• Identify missing scope or potential change order risks prior to bid submission.
• Assist estimating team in improving bid structure and consistency.

Margin Protection

• Ensure bids meet company margin expectations.
• Identify pricing risks before customer submission.
• Flag bids that require leadership review.

Bid Process Improvement

• Identify recurring estimating errors and training opportunities.
• Develop internal bid review standards and checklists.
• Support ongoing estimator training and quality improvement.

Post-Award Project Validation

• Review awarded bids to confirm final scope and pricing accuracy.
• Ensure project setup in ERP reflects the approved bid structure.
• Confirm correct materials, quantities, and pricing before purchasing.

Cross-Department Coordination

• Work closely with sales, estimating, purchasing, operations, and finance to ensure projects are properly prepared for execution.

Required Experience

• 5–10+ years of construction estimating experience
• Extensive flooring estimating experience
• Experience reviewing construction plans and specifications
• Strong knowledge of flooring materials and installation methods
• Experience preparing or reviewing large project bids
• Strong understanding of construction scopes and subcontractor bidding
• Advanced Excel skills
• Experience with estimating software

Preferred

• Experience estimating large multifamily or production builder projects
• Experience with takeoff software such as:
• MeasureSquare
• PlanSwift
• Bluebeam

No Recruiters, please.

Make your mark with a Fortune 250 global leader.

Our client, a century-strong innovator in motion and control technologies, is recognized worldwide for engineered solutions that power productivity, safety, and sustainability. With operations spanning industries and continents, they’re driven by values of integrity, accountability, and continuous improvement.

The Quick Coupling Division – Fluid Connectors Group designs and manufactures advanced connection solutions for industrial, hydraulic, and pneumatic applications. Joining this team means stepping into a culture of collaboration, empowerment, and results — with the opportunity to influence global impact.

Plant Manager – Lead a High-Impact Manufacturing Operation

Union City, PA| Global Manufacturing Leader | Growth Opportunity

Are you ready to lead a flagship manufacturing site and shape its future?

Our client — a global leader in engineered solutions — is seeking a Plant Manager to drive strategy, operational excellence, and growth at their Union City, PA facility.

This is a key leadership role reporting to senior leadership, with responsibility for overall plant performance, successful production transfer from another location, and building a high-performance culture grounded in accountability, continuous improvement, and innovation.

What You’ll Do:

• Lead the Win Strategy and set clear operational goals
• Drive operational excellence across production, quality, logistics & supply chain
• Champion Lean initiatives to increase productivity and profitability
• Ensure world-class quality and customer satisfaction
• Manage financial performance and deliver sustainable growth
• Build, coach, and inspire a high-performing workforce
• Represent the plant with customers, internal stakeholders, and external partners

What We’re Looking For:

• 5+ years of progressive manufacturing leadership (Plant Manager, Operations Manager, or similar)
• Strong track record in production, safety, and budgeting
• Experience driving Lean and continuous improvement initiatives
• Knowledge of production scheduling, planning, quality, and logistics
• Bachelor’s degree in Engineering, Business, or related field (advanced degree a plus)
• Experience with production transfers preferred
• Union experience is a plus (not required)

Why Join:

This is your opportunity to lead a mission-critical site within a global company that values innovation, operational excellence, and talent development. The ideal candidate will be someone ready to grow beyond this role and influence broader strategic impact across the organization.

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.