Clinical reviewer jobs in Passaic, New Jersey - Page 4Crear alertas

Clinical Quality Reviewer - Hybrid.

Clinical Quality Reviewer - Hybrid. Clinical Quality Reviewer – Seasonal. Perform clinical audits via EMR, in-house paper records, and on-site provider visits to collect documentation of measure compliance.

Paying $63 an hour Position Overview: The primary function of the Clinical Quality Reviewer - Seasonal is to conduct audit of medical charts for compliance with HEDIS, QARR, Medicare Advantage Star measure specifications. TOP HEALTH INSURANCE COMPANY NOW HIRING CLINICAL QUALITY REVIEWER Located in

Clinical background: Health Educator, LPN, RN, LMSW, or LCSW Minimum 2 years of HEDIS review experience in a managed care or health plan setting Experience with medical record review for HEDIS/QARR measures Licensure/Certification Required: Health Educator, LPN, RN, LMSW, or LCSW with ≥2 years HED

Responsibilities include reviewing medical records and providing clinical summaries, while offering advisory services without establishing doctor-patient relationships.

Clinical Quality Reviewer - Hybrid.

Nurse Practitioner - Pediatrics physician job in New York :.Job Reference Id: ORD-207027-NP-NY.Dates Needed: Jan - 3-6 months.Assignment Type: Outpatient; Clinic.Board Certification Required: Negotiable.A pediatric clinic is seeking a Pediatric Nurse Practitioner for locum tenens covera

Zone IT Solutions is seeking an experienced Data Analyst with a strong background in Python and SQL.In this role, you will be responsible for gathering, processing, and analyzing large datasets, ensuring data integrity while developing actionable insights for our clients.Your ability to translate co

Thanks for your interest in Success Academy! Running a large, fast-growing, and high-performing network of public charter schools takes a village - families, children, teachers, staff and faculty, advocates, and supporters alike.We would love to welcome you to our community! We work tirelessly every

Have you ever had that green-light feeling? When you hit every green light and the day just feels like magic.CLEAR's mission is to create frictionless experiences where every day has that feeling.With more than 30+ million passionate members and hundreds of partners around the world, CLEAR’s ident

Our client is a leading force in advancing safer, smarter AI technology.Their work has been featured in.They have built a global community of expert contributors and have paid more than.No contracts, no 9-to-5 - you control your schedule.Most experts work 5-10 hours/week, with the option to work up

Data Analyst/Risk Adjustment - US Remote.The Risk Adjustment Sr Data Analyst is an experienced analyst possessing a deep understanding of the Risk Adjustment business domain and is skilled at data modeling and analysis and identifying and communicating insights to stakeholders.You will be joining a

Empassion is a Management Services Organization (MSO) focused on improving the quality of care and costs on an often neglected “Advanced illness/ end of life” patient population, representing 4 percent of the Medicare population but 25 percent of its costs.The impact is driven deeper by families

Applications for this cohort will be considered on a rolling basis.You must apply by October 7 to be considered.Applications without an accompanying Tableau Public visualization.You must submit your application by October 1 to receive feedback on your application.The Information Lab has a simple mis

Job Title: Data Analyst Intern.Asheville Cottages is seeking a highly motivated and detail-oriented Data Analyst Intern to join our team.We are a luxury vacation rental company located in the beautiful mountains of Asheville, North Carolina.Our company prides itself on providing our guests with exce

Optimove is a global marketing tech company, recognized as a Leader by Forrester and a Challenger by Gartner.We work with some of the world's most exciting brands, such as Sephora, Staples, and Entain, who love our thought-provoking combination of art and science.With a strong product, a proven busi

Position at New York City Transit.Department: Department of Subways.Location: 2 Broadway, New York, NY 10004.Position Title: Data Analyst, Subways & Admin Support - Emerging Talent Intern (Summe

Zone IT Solutions is seeking an experienced Data Analyst with a strong background in Python and SQL.In this role, you will be responsible for gathering, processing, and analyzing large datasets, ensuring data integrity while developing actionable insights for our clients.Your ability to translate co

Current is a leading US-based fintech company dedicated to empowering individuals to achieve their financial goals.We're committed to providing innovative and accessible financial solutions, and data plays a crucial role in driving our success.We're looking for a talented and passionate Data Analyst

Weedmaps, you will shape how the business understands and acts on data insights.You will be a key thought leader helping senior leadership from across the business turn their objectives into data strategies that drive multi-million dollar decisions.Rather than waiting for requests, you will proactiv

We’re releasing a wave of new data products in our analytics platform.We need someone who can build the math behind our metrics, make it production-ready, and ship it in Looker so customers see clean, trustworthy numbers.This person owns the statistics behind our platform and turns them into repea

We're looking for a Sales Analyst to join our team at Squarespace.You will be the go-to data expert for our Sales Development and Customer Success teams.You'll partner with these teams to uncover main insights that directly inform how we attract and support our customers.You'll translate broad busin

At True Venture Group, we are more than a leader in community-based healthcare—we are catalysts for meaningful change.Our mission is to identify and nurture business opportunities that drive innovation, enhancing the health and well-being of the communities we serve.Our unwavering commitment to ex

Prizeout is a fast-growing fintech transforming how people interact with their money by turning everyday transactions into rewarding, value-driven moments.We sit at the intersection of payments, rewards, and loyalty, empowering financial institutions to build deeper connections with their users.Our

The perfect candidate will possess extensive experience with Excel, Power BI, Tableau, and SQL, and familiarity with Oracle databases, data mining, and ETL processes is highly preferred.You'll be instrumental in conducting data analyses, generating reports, and enhancing processes through insightful

The New York Times is to seek the truth and help people understand the world.That means independent journalism is at the heart of all we do as a company.It’s why we have a world-renowned newsroom that sends journalists to report on the ground from nearly 160 countries.It’s why we focus deeply on

Licensed Clinical Social Worker LCSW - Bilingual Spanish Speaking Are you passionate about working with an underserved and rewarding population? Looking for a clinical role without the administrative burden, and one that offers real work-life balance? If so, read on and apply today! Senior Care Ther

We’re a next-generation platform that provides a comprehensive,.Whether you're a travel enthusiast or an experienced professional, Fora equips you with everything needed to.At the heart of Fora is our mission: to.We believe that everyone, from seasoned travel professionals to first-time entreprene

Our client is a leading force in advancing safer, smarter AI technology.Their work has been featured in.They have built a global community of expert contributors and have paid more than.No contracts, no 9-to-5 - you control your schedule.Most experts work 5-10 hours/week, with the option to work up

Valon is building the AI-native operating system for regulated finance, starting with mortgage servicing.We're a Series C company backed by a16z, transforming industries that others have written off as too complex to innovate.Rather than build on top of broken legacy systems, we took a different app

Troveo is building the next-generation data platform to train AI video models.We offer the world’s largest library of AI video training data, offering millions of hours of licensed, training-ready content.Our end-to-end data pipeline connects creators, rights holders, and AI research labs, enabli

MongoDB’s mission is to empower innovators to create, transform, and disrupt industries by unleashing the power of software and data.We enable organizations of all sizes to easily build, scale, and run modern applications by helping them modernize legacy workloads, embrace innovation, and unleash

SundaySky has a unique and exciting opportunity to join an analytics group for a rapidly growing startup.Our product combines digital technology, advertising, consumer relationship management, and big data for the most recognizable brand names across multiple industries.We are seeking an energetic,

Veeva Systems is a mission-driven organization and pioneer in industry cloud, helping life sciences companies bring therapies to patients faster.As one of the fastest-growing SaaS companies in history, we surpassed $2B in revenue in our last fiscal year with extensive growth potential ahead.At the h

We are seeking a highly experienced Data Analyst with over 7 years of expertise in the AML domain.The ideal candidate will have a strong background in both business and data analysis, with hands-on experience in AML in Transaction Monitoring projects.This role requires a deep understanding of data a

Weedmaps you will serve as an analytical thought partner with teams across the business, primarily Product and Marketing.You will help shape the product roadmap through exploratory analysis, hypothesis generation, and experimentation.Your strong proficiency in SQL, combined with a resourceful and sc

At The Knot Worldwide, we champion celebration - and that starts with celebrating our people.Our employees are passionate dreamers, thoughtful doers, and lifelong learners who power meaningful moments for millions around the world.We’re united by authentic connection, shared purpose, and a deep co

If you can send your friends money in seconds, why does it still take your employer two weeks to send your paycheck?.At Clair, we are on a mission to create financial freedom for America's workers by giving them a digital banking platform that allows them to get paid as soon as they clock out of wor

Our team members are the heart of what makes us better.At Hackensack Meridian we help our patients live better, healthier lives - and we help one another to succeed.With a culture rooted in connection and collaboration, our employees are team members.Here, competitive benefits are just the

Investigate potentially fraudulent or abusive claims patterns in coordination with clinical and legal partners.

Zeta Global (NYSE: ZETA) is the AI-Powered Marketing Cloud that leverages advanced artificial intelligence (AI) and trillions of consumer signals to make it easier for marketers to acquire, grow, and retain customers more efficiently.Through the Zeta Marketing Platform (ZMP), our vision is to make s

Applications for this cohort will be considered on a rolling basis for cohorts beginning every 4 months.The next cohort begins on January 5.Applications without an accompanying Tableau Public visualization.The Information Lab has a simple mission: to help people make sense of data.We believe that co

Book of the Month is seeking a Data Analyst to contribute to the Supply Chain team’s ongoing initiatives, which will require keen attention to detail and precision.This role will primarily assist with Inventory Management and Forecasting, but you will have the opportunity to gain exposure to other

Our client is a leading force in advancing safer, smarter AI technology.Their work has been featured in.They have built a global community of expert contributors and have paid more than.No contracts, no 9-to-5 - you control your schedule.Most experts work 5-10 hours/week, with the option to work up

PLEASE NOTE - This is NOT a technical role for a Data Analyst, Data Scientist or someone with an IT background.Candidates MUST have experience in the Market Data realm and be able to administer Market Data contracts.Please read the description before you apply**.The Market Data Analyst at S4 Market

We are seeking a highly motivated an.Analyst and IT Administrator for the Arc Companies’ real estate, venture and family office activities.Arc is an entrepreneur led firm where bright, creative thinkers have joined together to do.We foster learning from each other and growing personally and profes

At Talkspace, we are committed to fostering a diverse, equitable, inclusive, and belonging-centered workplace where everyone can thrive while making a difference in mental health.Want to help over two million people receive quality mental healthcare? Come join our mission of getting therapy in the h

Support adoption automation tools (such as Matik) to scale client reporting and standardize storytelling of clinical and business outcomes across customer portfolios. Experience with value/ROI/clinical outcomes storytelling. Maven's award-winning digital programs provide clinical, emotional, and fin