Review team at Optum, the Medical Director provides leadership, organization, and direction for the claims review program.... The Medical Director will participate in all aspects of claim review services including provider telephonic discussions...
a Registered Nurse to join our team in New Jersey. Optum is a clinician-led care organization that is changing the way clinicians... better for everyone. At Optum, you'll have the clinical resources, data and support of a global organization behind you so you can help...
for any organization’s wireless network infrastructure – with cellular as the entry point and zero trust security as a norm.... ## What you will do: Opportunity Identification and Problem Framing: Review intake process requests and articulate business opportunities and problems...
, influence how controls are applied, and directly support how risk is managed across the organization. Own clear, practical...Job Description: Senior Technology Governance Analyst Want to shape how a leading organization manages technology...
and issue detailed audit reports, including findings, non-conformances, and review and approve effective corrective actions... and ensure implementation effectiveness. Ensure Audit artifacts and records are properly managed in the appropriate repository...
Administrators, Managed Care Organizations, Employers, and Pharmacy Benefit Managers. We provide customized Independent Medical Exams... and Peer Review programs that assist our clients in reaching the appropriate medical determination as part of the claims...
Medical Affairs when appropriate and within Merz Therapeutics commercial policy. + Communicate and support corporate Managed.... + Provide insights back to the organization to support understanding of customer needs and value proposition development...
codes supported by clinical documentation. Your role involves a comprehensive review of medical records, validating... organization dedicated to healthcare improvement. As a team member you'll be able to enjoy benefits such as PTO package, 10 Paid...
in a Vendor Managed Inventory (V.M.I.) on-site at a Client's facility. This includes but is not limited to the following... with the customer on items needed to complete their tasks. Job Summary Serves as a liaison between the organization and the...
, implements, or promotes policies, standards, or procedures for engineering or technical work to enhance the organization.... Strong organizational skills. Strong written and communication skills. Experience implementing visually managed process controls...