Reviewer jobs in Phoenix, ArizonaCreate job alerts

POSITION SUMMARY: The Prior Authorization RN is responsible for reviewing and processing medical prior authorization requests to ensure services are medically necessary, meet evidence-based guidelines, and align with the health plan’s policies. This RN plays a critical role in supporting cost-effective care while ensuring quality and compliance in alignment with regulatory and accreditation standards. CORE FUNCTIONS 1. Manages health Plan consumer/beneficiaries across the health care continuum to achieve optimal clinical, financial, operational, and satisfaction outcomes., 2. Provides pre-service determinations, concurrent review, and case management functions within Medical Management. Ensures quality of service and consistent documentation., 3. Works collaboratively with both internal and external customers in assisting health Plan consumers/beneficiaries and providers with issues related to prior authorization, utilization management, and/or case management. Meets internal and external customer service expectations regarding duties and professionalism., 4. Performs transfer of accurate, pertinent patient information to support the pre-service determination(s), the transition of patient care needs through the continuum of care, and performs follow-up calls for advanced care coordination. Documents accurately and timely, all interventions and necessary patient-related activities in the correct medical record., 5. Evaluates the medical necessity and appropriateness of care, optimizing health Plan consumer/beneficiary outcomes. Identifies issues that may delay patient services and refers to case management, when indicated, to facilitate resolution of these issues, pre-service, concurrently, and post-service., 6. Provides ongoing education to internal and external stakeholders who play a critical role in the continuum of care model. Training topics consist of population health management, evidence-based practices, and all other topics that impact medical management functions., 7. Identifies and refers requests for services to the appropriate Medical Director and/or other physician clinical peer when guidelines are not clearly met. Conducts call rotation for the health plan, as well as departmental call rotation for holidays., 8. Maintains a thorough understanding of each plan, including the Evidence of Coverage, Summary Plan Description, authorization requirements, and all applicable federal, state, and commercial criteria, such as CMS, MCG, and Hayes. Minimum Qualifications: • Active RN license -- AZ License or Compact State License, • Experience working in inpatient & outpatient settings, • Focus on Outpatient Prior Auths for surgeries and DME (Durable Medical Equipment), • Medicare review experience is highly preferred, • Experience with reviewing guidelines (this position is more pre-service), • Experience with MCG criteria, CareWebQI & Interqual, • Utilization Management experience required, • Payer background major plus

Sr Medical Writer Publications - Sponsor Dedicated - Remote Based Syneos Health is a leading fully integrated biopharmaceutical solutions organization built to accelerate customer success. We translate unique clinical, medical affairs and commercial insights into outcomes to address modern market realities. Our Clinical Development model brings the customer and the patient to the center of everything that we do. We are continuously looking for ways to simplify and streamline our work to not only make Syneos Health easier to work with, but to make us easier to work for. Whether you join us in a Functional Service Provider partnership or a Full-Service environment, you'll collaborate with passionate problem solvers, innovating as a team to help our customers achieve their goals. We are agile and driven to accelerate the delivery of therapies, because we are passionate to change lives. Discover what our 29,000 employees, across 110 countries already know: WORK HERE MATTERS EVERYWHERE Why Syneos Health • We are passionate about developing our people, through career development and progression; supportive and engaged line management; technical and therapeutic area training; peer recognition and total rewards program., • We are committed to our Total Self culture - where you can authentically be yourself. Our Total Self culture is what unites us globally, and we are dedicated to taking care of our people., • We are continuously building the company we all want to work for and our customers want to work with. Why? Because when we bring together diversity of thoughts, backgrounds, cultures, and perspectives - we're able to create a place where everyone feels like they belong. Job Responsibilities • Leads the clear and accurate completion of medical writing deliverables, ensuring scientific information is presented clearly and accurately. Manages medical writing activities associated with individual studies, coordinating medical writing activities within and across departments with minimal supervision. Leads the resolution of comments from the client., • Completes a variety of documents that may include journal manuscripts; and abstracts, posters, and presentations for scientific meetings., • Adheres to established regulatory standards, including, but not limited to, ICH E3 guidelines, as well as company standard operating procedures, client standards, and company and/or client approved-templates, authorship requirements, and style and formatting guides, when completing medical writing projects, on time and on budget., • Coordinates quality and editorial reviews. Ensures source documentation is managed appropriately. Leads team document reviews, and reviews documents as needed., • Acts as peer reviewer for internal team to ensure document scientific content, clarity, overall consistency, and proper format., • Interacts and builds good working relations with clients, department head, and peers in data management, biostatistics, regulatory affairs, and medical affairs, as necessary, to produce writing deliverables., • Identifies and proposes solutions to resolve issues, escalating as appropriate. Provides technical support, training, and consultation to department and other company staff. May contribute to development of internal materials and presentations or changes to internal process, standard practices, and capabilities., • Mentors and leads less experienced medical writers on complex projects, as necessary., • Develops deep expertise on key topics in the industry and the regulatory requirements and guidelines that affect medical writing., • Aware of budget specifications for assigned projects, working within the budgeted hours and communicating status and changes to medical writing leadership., • Completes required administrative tasks within the specified timeframes., • Performs other work-related duties as assigned., • Minimal travel may be required (less than 25%). At Syneos Health, we believe in providing an environment and culture in which Our People can thrive, develop and advance. We reward and recognize our people by providing valuable benefits and a quality-of-life balance. The benefits for this position may include a company car or car allowance, Health benefits to include Medical, Dental and Vision, Company match 401k, eligibility to participate in Employee Stock Purchase Plan, Eligibility to earn commissions/bonus based on company and individual performance, and flexible paid time off (PTO) and sick time. Because certain states and municipalities have regulated paid sick time requirements, eligibility for paid sick time may vary depending on where you work. Syneos complies with all applicable federal, state, and municipal paid sick time requirements. Salary Range: The base salary range represents the anticipated low and high of the Syneos Health range for this position. Actual salary will vary based on various factors such as the candidate's qualifications, skills, competencies, and proficiency for the role. Get to know Syneos Health Over the past 5 years, we have worked with 94% of all Novel FDA Approved Drugs, 95% of EMA Authorized Products and over 200 Studies across 73,000 Sites and 675,000+ Trial patients. No matter what your role is, you'll take the initiative and challenge the status quo with us in a highly competitive and ever-changing environment. Learn more about Syneos Health. _ Additional Information Tasks, duties, and responsibilities as listed in this job description are not exhaustive. The Company, at its sole discretion and with no prior notice, may assign other tasks, duties, and job responsibilities. Equivalent experience, skills, and/or education will also be considered so qualifications of incumbents may differ from those listed in the Job Description. The Company, at its sole discretion, will determine what constitutes as equivalent to the qualifications described above. Further, nothing contained herein should be construed to create an employment contract. Occasionally, required skills/experiences for jobs are expressed in brief terms. Any language contained herein is intended to fully comply with all obligations imposed by the legislation of each country in which it operates, including the implementation of the EU Equality Directive, in relation to the recruitment and employment of its employees. The Company is committed to compliance with the Americans with Disabilities Act, including the provision of reasonable accommodations, when appropriate, to assist employees or applicants to perform the essential functions of the job.

Senior Medical Writer - Publications Syneos Health is a leading fully-integrated life sciences services organization built to accelerate customer success. We partner with innovators at every point across the drug development and commercialization continuum, helping them navigate complexity, anticipate change and accelerate progress. Our Clinical Solutions team members act with a drug development mindset, applying their years of experience and deep expertise to truly understand customer needs and represent those in the solutions we shape. Whether you join us in a Functional Service Provider partnership or a Full-Service environment, you'll collaborate with passionate problem solvers, innovating as a team to help our customers achieve their goals. We are agile and driven to deliver - for one another, our customers, and, most importantly, for those in need. Discover what your 25,000 future colleagues already know: Why Syneos Health • We are passionate about developing our people, through career development and progression; supportive and engaged line management; technical and therapeutic area training; peer recognition and total rewards program., • We are committed to building an inclusive culture - where you can authentically be yourself. Central to this is our purpose - Driven to Deliver - which captures the passion of our colleagues to show up each day and shape solutions that have the ability to dramatically impact someone's life., • We are continuously building the company we all want to work for and our customers want to work with. Why? Because we know that when we bring together smart colleagues from across the world, we can shape the future of healthcare, driving impact for customers and defining the pace of patient progress. Job Responsibilities • Leads the clear and accurate completion of medical writing deliverables, ensuring scientific information is presented clearly and accurately. Manages medical writing activities associated with individual studies, coordinating medical writing activities within and across departments with minimal supervision. Leads the resolution of comments from the client., • Completes a variety of documents that may include clinical study protocols and clinical study protocol amendments; clinical study reports; patient narratives; annual reports; investigator brochures; informed consents; annual reports; plain language summaries; periodic safety update reports, clinical development plans; IND submissions; integrated summary reports; NDA and eCTD submissions; journal manuscripts; and abstracts, posters, and presentations for scientific meetings., • Adheres to established regulatory standards, including, but not limited to, ICH E3 guidelines, as well as company standard operating procedures, client standards, and company and/or client approved-templates, authorship requirements, and style and formatting guides, when completing medical writing projects, on time and on budget., • Coordinates quality and editorial reviews. Ensures source documentation is managed appropriately. Leads team document reviews, and reviews documents as needed., • Acts as peer reviewer for internal team to ensure document scientific content, clarity, overall consistency, and proper format., • Reviews statistical analysis plans and table/figure/listing specifications for appropriate content, and for grammar, format, and consistency. Provides feedback to further define statistical output required and document needs., • Interacts and builds good working relations with clients, department head, and peers in data management, biostatistics, regulatory affairs, and medical affairs, as necessary, to produce writing deliverables., • Performs online clinical literature searches and complies with copyright requirements., • Identifies and proposes solutions to resolve issues, escalating as appropriate. Provides technical support, training, and consultation to department and other company staff. May contribute to development of internal materials and presentations or changes to internal process, standard practices, and capabilities., • Mentors and leads less experienced medical writers on complex projects, as necessary., • Develops deep expertise on key topics in the industry and the regulatory requirements and guidelines that affect medical writing., • Aware of budget specifications for assigned projects, working within the budgeted hours and communicating status and changes to medical writing leadership., • Completes required administrative tasks within the specified timeframes., • Performs other work-related duties as assigned., • Minimal travel may be required (less than 25%). Qualifications: • 3-5 years of relevant experience in science, technical, or medical writing., • Experience working in the biopharmaceutical, device, or contract research organization industry required., • Strong understanding of FDA and ICH regulations, other regulatory guidelines, and/or good publication practices strongly required., • Experience writing relevant document types required., • Extensive knowledge of English grammar and ability to communicate clearly; strong familiarity with AMA Manual of Style. At Syneos Health, we believe in providing an environment and culture in which Our People can thrive, develop and advance. We reward and recognize our people by providing valuable benefits and a quality-of-life balance. The benefits for this position may include a company car or car allowance, Health benefits to include Medical, Dental and Vision, Company match 401k, eligibility to participate in Employee Stock Purchase Plan, Eligibility to earn commissions/bonus based on company and individual performance, and flexible paid time off (PTO) and sick time. Because certain states and municipalities have regulated paid sick time requirements, eligibility for paid sick time may vary depending on where you work. Syneos complies with all applicable federal, state, and municipal paid sick time requirements. Salary Range: $80,600.00 - $145,000.00 The base salary range represents the anticipated low and high of the Syneos Health range for this position. Actual salary will vary based on various factors such as the candidate's qualifications, skills, competencies, and proficiency for the role. Get to know Syneos Health Over the past 5 years, we have worked with 94% of all Novel FDA Approved Drugs, 95% of EMA Authorized Products and over 200 Studies across 73,000 Sites and 675,000+ Trial patients. No matter what your role is, you'll take the initiative and challenge the status quo with us in a highly competitive and ever-changing environment. Learn more about Syneos Health. _ Additional Information Tasks, duties, and responsibilities as listed in this job description are not exhaustive. The Company, at its sole discretion and with no prior notice, may assign other tasks, duties, and job responsibilities. Equivalent experience, skills, and/or education will also be considered so qualifications of incumbents may differ from those listed in the Job Description. The Company, at its sole discretion, will determine what constitutes as equivalent to the qualifications described above. Further, nothing contained herein should be construed to create an employment contract. Occasionally, required skills/experiences for jobs are expressed in brief terms. Any language contained herein is intended to fully comply with all obligations imposed by the legislation of each country in which it operates, including the implementation of the EU Equality Directive, in relation to the recruitment and employment of its employees. The Company is committed to compliance with the Americans with Disabilities Act, including the provision of reasonable accommodations, when appropriate, to assist employees or applicants to perform the essential functions of the job.

Clinical Data Reviewer - Internal Medicine (US, CAN, UK Only) Syneos Health is a leading fully-integrated life sciences services organization built to accelerate customer success. We partner with innovators at every point across the drug development and commercialization continuum, helping them navigate complexity, anticipate change and accelerate progress. Our Clinical Solutions team members act with a drug development mindset, applying their years of experience and deep expertise to truly understand customer needs and represent those in the solutions we shape. Whether you join us in a Functional Service Provider partnership or a Full-Service environment, you'll collaborate with passionate problem solvers, innovating as a team to help our customers achieve their goals. We are agile and driven to deliver - for one another, our customers, and, most importantly, for those in need. Discover what your 25,000 future colleagues already know: Why Syneos Health • We are passionate about developing our people, through career development and progression; supportive and engaged line management; technical and therapeutic area training; peer recognition and total rewards program., • We are committed to building an inclusive culture - where you can authentically be yourself. Central to this is our purpose - Driven to Deliver - which captures the passion of our colleagues to show up each day and shape solutions that have the ability to dramatically impact someone's life., • We are continuously building the company we all want to work for and our customers want to work with. Why? Because we know that when we bring together smart colleagues from across the world, we can shape the future of healthcare, driving impact for customers and defining the pace of patient progress. Job Responsibilities *Clinical Monitoring background is required *Internal Medicine experience is required *Must be located in US, CAN, or UK with no sponsorship needs to be considered for this role. • Ensure data readiness for important milestones including, but not limited to, interim analysis, final analysis, snapshots to support submissions, Data Monitoring Committee reviews and publications, • Review participant level data across a study in adherence with CRF Completion guidelines (CCGs) and the Data Review Plan (DRP), • Conduct point-to-point data checks (e.g. verifying the presence of a lab test that satisfies study inclusion criteria) and interpretive analysis (e.g. reviewing to identify inconsistencies in the participant's data)., • Generate queries on discrepant data and follow to resolution including escalation of issues that cannot be resolved through the query process, • Create and use data review best practices and associated data review tools to identify trends and any safety signals, • May identify protocol deviations during routine clinical review and escalation as appropriate, • Follow relevant SOPs and regulations, have an excellent understanding of and comply with applicable training requirements, constantly seeking further improvements in quality and efficiency of clinical procedures, • May liaise with data management, clinical and site management along with other members of the study team Attend Clinical Meetings and Study Meetings, as necessary QUALIFICATIONS • Bachelor's degree or nursing degree is preferred, • At least 7 years of clinical research experience in the pharmaceutical industry (Strong monitoring experience is a plus), • Background in clinical monitoring or RN strongly preferred., • Direct clinical review and query writing/resolution experience required, • Possess sufficient clinical knowledge to assess if participant data is scientifically and clinically valid., • Prior EDC experience preferred, • Proficient in reviewing large scale listings in Microsoft Excel format(filter, sort, data format (date)., • Basic understanding of how data points from different fields/CRFs interact and how data collection impacts analysis, • Ability to work independently in a virtual setting and as part of a remote team, • Ability to prioritize and adjust work priorities quickly as needed to meet deadlines (i.e. fluid, flexible work style), • Possess basic knowledge of data management including case report form design, workings of electronic edit checks, implementation of data handling conventions and interpretation of data status reports, • Good written and oral communication skills with strong attention to detail required At Syneos Health, we believe in providing an environment and culture in which Our People can thrive, develop and advance. We reward and recognize our people by providing valuable benefits and a quality-of-life balance. The benefits for this position may include a company car or car allowance, Health benefits to include Medical, Dental and Vision, Company match 401k, eligibility to participate in Employee Stock Purchase Plan, Eligibility to earn commissions/bonus based on company and individual performance, and flexible paid time off (PTO) and sick time. Because certain states and municipalities have regulated paid sick time requirements, eligibility for paid sick time may vary depending on where you work. Syneos complies with all applicable federal, state, and municipal paid sick time requirements. Salary Range: $80,600.00 - $145,000.00 The base salary range represents the anticipated low and high of the Syneos Health range for this position. Actual salary will vary based on various factors such as the candidate's qualifications, skills, competencies, and proficiency for the role. Get to know Syneos Health Over the past 5 years, we have worked with 94% of all Novel FDA Approved Drugs, 95% of EMA Authorized Products and over 200 Studies across 73,000 Sites and 675,000+ Trial patients. No matter what your role is, you'll take the initiative and challenge the status quo with us in a highly competitive and ever-changing environment. Learn more about Syneos Health. _ Additional Information Tasks, duties, and responsibilities as listed in this job description are not exhaustive. The Company, at its sole discretion and with no prior notice, may assign other tasks, duties, and job responsibilities. Equivalent experience, skills, and/or education will also be considered so qualifications of incumbents may differ from those listed in the Job Description. The Company, at its sole discretion, will determine what constitutes as equivalent to the qualifications described above. Further, nothing contained herein should be construed to create an employment contract. Occasionally, required skills/experiences for jobs are expressed in brief terms. Any language contained herein is intended to fully comply with all obligations imposed by the legislation of each country in which it operates, including the implementation of the EU Equality Directive, in relation to the recruitment and employment of its employees. The Company is committed to compliance with the Americans with Disabilities Act, including the provision of reasonable accommodations, when appropriate, to assist employees or applicants to perform the essential functions of the job.

Part Time - Instructional Project Develop Job ID: 318741 Location: Rio Salado Community College Full/Part Time: Regular/Temporary: Temporary Hourly Rate $32.94/per hour Not Eligible for Benefits This is a part-time, temporary position not eligible for benefits. Work Schedule Flexible - based on project deliverables/due dates Maricopa Summary Are you looking for a place to work where you can make a real difference in the lives of over 200,000 college students every year? Would you like to be part of an organization that adds $7.2 billion dollars to the economy and supports nearly 100,000 jobs in the fastest growing county in the United States? Whether you're teaching, working, or learning Make It Happen At Maricopa County Community Colleges! About Us _ • Many of our campuses have received grant awards through the _ to improve undergraduate STEM Education: Hispanic-Serving institutions program (HSI Program)., • Commitment to diversity, inclusion, equity and employee groups to create an environment of shared governance, • One of the largest community college systems in the country, • 2020 Healthy Arizona Worksites Program recipient, • Named 19th Best Employer for Women by Forbes, • 2019 No. 42 in Arizona's Best Employers Job Summary A course developer at Rio Salado College is a subject matter expert who is approved by the department faculty chair and works collaboratively with the faculty chair and an assigned instructional designer on a project-basis to author and/or curate content and/or assessments. The developer will meet periodically with the chair and/or designer which often includes a project kickoff meeting and periodic update/review meetings. The developer follows established department policies related to course authoring, producing MCCCD-owned deliverables according to agreed-upon timelines. The developer participates as a final reviewer as part of final quality assurance. Essential Functions 90% - Authors/curates MCCCD-owned educational content and assessments for assigned project/s 10% - Participates in kickoff, updates, and final review meetings Minimum Qualifications Must be pre-approved by the department Faculty Chair to apply for a position to complete course development work under this job posting How to Apply Applicants are strongly encouraged to submit a cover letter that details how the applicant meets the minimum and desired qualifications. A cover letter may further highlight an applicant's knowledge, skill and abilities. All minimum requirements must be met at the time of the application. Additional materials will not be accepted after the job posting has closed. Missing materials or incomplete employment history will not be considered. Please ensure your materials clearly provide the following information. • Clearly illustrate how prior experience, knowledge and education meet the minimum and desired qualifications for this position., • Indicate whether former or current employment is Full-Time or;, • Part-Time employment (must include number of hours worked), • Provide employment history in a month/year format (e.g., 09/07 to 10/11) including job title, job duties, for each position held and name of employer for each position., • Three professional references, preferably current and/or former supervisors. If references are not provided in resume upon application, they will be requested at time of interview. Posting Close Date Open until filled EEO, Title IX, & Clery Act Maricopa County Community College District (MCCCD) will not discriminate, nor tolerate discrimination in employment or education, against any applicant, employee, or student because of race, color, religion, sex, sexual orientation, gender identity, national origin, citizenship status (including document abuse), age, disability, veteran status or genetic information. Title IX of the Education Amendments of 1972, states: "No person in the United States shall, on the basis of sex, be excluded from participation in, be denied the benefits of, or be subjected to discrimination under any education program or activity receiving Federal financial assistance." The policy of the MCCCD is to provide an educational, employment, and business environment free of gender discrimination. Incidents of misconduct should be reported to the college Title IX Coordinator, as outlined in policy, contact information is available at this link Title IX Coordinators. Rio Salado Title IX/504 Coordinator is O. Tafari Osayande, _, 480-517-8196. The Clery Act is a Federal law requiring United States Colleges and Universities to disclose information about crime on and around their campuses. Crime reporting data for each of the Maricopa Community Colleges, as required under the Clery Act, is available at this link Clery Act. To apply, visit _ jeid-719b1266f7f5ca4b876203b245ee7bcb

Job DescriptionAre you ready to join a growth-oriented team where creativity meets innovation? At Ware Malcomb, we are a dynamic and forward-thinking design firm committed to pushing the boundaries. Our team-oriented, collaborative approach ensures that every project is a blend of visionary design, seamless project delivery, and we are actively engaged with both the community and the industry. Discover our vibrant culture to get an inside look into life at Ware Malcomb and the programs we offer. https://waremalcomb.com/life-at-ware-malcomb/ As a Project Manager at Ware Malcomb, you will deliver innovative design projects to diverse clients through all phases. You will lead internal and external teams, be financially responsible for projects by adhering to budgets and workplans and oversee the development of contract documents. As the primary client contact, your leadership and exceptional client service ensures project success.Your Role • Plan, schedule, conduct, and coordinate phases of the project. Typical phases include conceptual, schematic, design development, construction document and construction services., • Prepare the project schedule., • Discuss the project health, both administratively and technically, with their operations leader., • Alert the Business Operations Manager to any changing project conditions that need to be elevated to office leadership., • Maintain and weekly update the project planner for all phases of projects to discuss during weekly staffing meetings with studio leadership., • Issue add services and get them approved in a timely manner prior to starting work on any additional scope., • Utilize Ware Malcomb’s resource groups for design, preparation of design and construction documents., • Provide construction services (site visits, review shop drawings, etc.), • Coordinate with the contracts team for the successful execution of the project contract., • Represent Ware Malcomb at required jurisdiction public design review or development approval meetings and project presentations when required., • Assemble the consultant team for the project; Identify scope of work, collect fees, select consultants, and facilitate contracts., • Assist the studio leader by being a resource to mentor junior project members., • Assist in writing and reviewing proposals and the consultant team with the studio leader., • Coordinate with the accounting team regarding accounts receivable, consultants payable, and invoicing., • Coordinate the project consultants through all phases of the project., • Work with the QC studio, peer reviewer, or dedicated Project Architect to review all phases of the contract documents prior to issuance., • Assist the studio or office leader with marketing as requested to existing and new clients for repeat or new work.Qualifications, • 7+ years of experience in the field of Architecture, • Diverse commercial experience including Industrial, office, and/or retail project experience, • Bachelor’s or Master’s degree in Architecture, • AutoCAD and Revit skills, • Knowledge of Microsoft Project, Word, Excel, and Newforma, • Thorough knowledge of building codes, • Excellent verbal and written communication skills, • Ability to coordinate a complete set of contract documentsEstablished in 1972, Ware Malcomb is a dynamic, forward-thinking commercial real estate design firm providing professional architecture, interior design, civil engineering, branding, building measurement, structural engineering and MEP engineering services to clients throughout the world. With office locations throughout the United States, Canada, Mexico and Brazil, the firm specializes in the design of office, industrial, science & technology, healthcare, multifamily, retail, hospitality and public/institutional projects. The firm is also ranked among the top 10 Architecture/Engineering firms in Engineering News-Record’s Top 500 Design Firms and the Top 30 Interior Design Firms in Interior Design magazine’s Top 100 Giants. For more information, visit waremalcomb.com.

Job Description Cutler Advisors is hiring! Cutler Advisors is an independent, full-service accounting and advisory firm specializing in accounting and consulting services for businesses and individuals. We currently have offices in: Murrysville, PA Scottsdale, AZ Tucson, AZ Join a rapidly growing organization with a strategic vision and dynamic plan. We are committed to fostering a supportive and inclusive workplace where every team member can thrive. Apply today to be part of a company that values its people and their contributions! We are seeking an experienced and detail-oriented Tax Reviewer to join our growing firm. In this role, you will play a critical part in our tax compliance process by reviewing federal, state, and local tax returns for individuals, corporations, partnerships, and trusts. The ideal candidate has strong technical knowledge, excellent analytical skills, and a commitment to quality and client service. Responsibilities Review complex federal, state, and local tax returns prepared by tax staff for accuracy, completeness, and compliance with applicable tax laws and regulations Provide technical guidance Identify tax-saving opportunities and ensure clients take full advantage of all eligible deductions and credits Collaborate with engagement teams to ensure timely and efficient completion of tax engagements Research and analyze complex tax issues, including new tax laws and their implications Assist in managing client expectations, engagement timelines, and deliverables Ensure all work is completed in accordance with firm policies, procedures, and professional standards Maintain current knowledge of industry trends and regulatory changes affecting clients and the profession Participate in process improvement initiatives related to tax review procedures and workflow Maintain tax prep priorities, deliverables, and deadlines Work independently or as part of a team Requirements CPA required Bachelor’s or Associate’s degree required Experience with tax preparation and accounting Experience in public accounting preferred Excellent attention to detail and strong organizational skills Ability to professionally engage with clients, verbally and in writing Proficiency working with a computer and software Experience with compiled and reviewed financial statements a plus Experience with Click Up, CCH/Engagement, and QuickBooks a big plus. Work Arrangement With training and proven experience, working remotely is negotiable but is not guaranteed based on business needs. We will prioritize candidates who are able to work in-office Job Type: Full-time Pay: $100,000.00 - $150,000.00 per year Schedule: Monday to Friday This position operates in Tucson, AZ with typical working hours aligning with Mountain Standard Time (MST) zone to facilitate effective collaboration. We offer flexibility in managing your schedule to maintain a healthy work-life balance while meeting business needs. We are excited to invite talented individuals to join our dynamic team! This position offers a competitive salary range of $100K – $150K annually, commensurate with experience and qualifications. In addition to a rewarding career, we provide a robust benefits package, including: Health, Dental, and Vision Insurance (with options for fully paid employee only coverage for health and dental) Company-Paid Life and Long Term Disability Insurance Ancillary Benefits such as supplemental life insurance and short-term disability options Classic Safe Harbor 401(k) Plan with employer contributions Opportunities for professional growth, learning, and development including access to Becker and LinkedIn Learning "David Cutler Accountants + Advisors", an independent member of the Crete Professionals Alliance, is the brand name under which David S. Cutler, CPA, PC and David S. Cutler, CPA, PLLC (collectively referred to as “DSC CPA”) and Cutler Advisors LLC d/b/a David S. Cutler Advisors (“Advisors”) provide professional services. DSC CPA and Advisors practice as an alternative practice structure in accordance with the AICPA Code of Professional Conduct and applicable laws, regulations, and professional standards. DSC CPA is a licensed independent CPA firm that provides attest services to its clients, and Advisors provides tax and business consulting services to their clients. Advisors and Crete Professionals Alliance are not licensed CPA firms. The entities falling under the David Cutler Accountants + Advisors brand are independently owned and are not liable for the services provided by any other entity providing the services under the David Cutler Accountants + Advisors brand. Our use of the terms “our firm” and “we” and “us” and terms of similar import, denote the alternative practice structure conducted by DSC CPA and Advisors. Crete Professionals Alliance is an equal opportunity employer, considering all applicants for employment regardless of race, color, religion, sex, gender identity, pregnancy, national origin, ancestry, citizenship, age, marital status, physical disability, sexual orientation, genetic information, or any other characteristic protected by state of federal law. #LI-BP1

Job Description Hi, we're Oscar. We're hiring a Prior Authorization Pharmacist to join our Pharmacy Team. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family. About the role: This role serves as a reviewer of prior authorizations. You will report into the Clinical Pharmacist Supervisor. Work Location: This is a remote position, open to candidates who reside in: Alabama; Arizona; Arkansas; Colorado; Connecticut; District of Columbia; Florida; Georgia; Idaho; Illinois; Indiana; Iowa; Kansas; Kentucky; Maine; Maryland; Massachusetts; Michigan; Minnesota; Missouri; Nevada; New Hampshire; New Jersey; New Mexico; North Carolina; Ohio; Oregon; Pennsylvania; Rhode Island; South Carolina; Tennessee; Texas; Utah; Vermont; or Virginia. While your daily work will be completed from your home office, occasional travel may be required for team meetings and company events. #LI-Remote Pay Transparency: The base pay for this role is: $ $111,780 -146,711.25 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses. Responsibilities: • Review and render decisions on authorizations and appeals for specialty, non-specialty, and physician administered drugs, • Conduct peer-to-peer calls with prescribers to discuss the clinical rationale of adverse determinations, • Participate in clinical quality audits and inter-rater reliability testing, • Provide internal team support for escalations and questions, • Apply clinical expertise to ensure appropriate and safe use of pharmaceuticals by members and providers., • Compliance with all applicable laws and regulations, • Other duties as assigned Requirements: • 3+ years of experience as a licensed pharmacist, • 2+ years of experience performing prior authorization review in a managed care setting, • Active, unrestricted pharmacist license, • Doctor of Pharmacy Degree, • Willingness to obtain licensure/training with new states Bonus points: • Clinical experience applying clinical criteria in clinical review setting, • Board Certification (i.e. BCPS, BCOP), • Residency training, • Experience practicing pharmacy in a clinical setting (i.e. retail, hospital, and specialty) This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here. At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives. Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements. Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts. Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team (accommodations@hioscar.com) to make the need for an accommodation known. California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Privacy Policy.

Job DescriptionAre you ready to join a growth-oriented team where creativity meets innovation? At Ware Malcomb, we are a dynamic and forward-thinking design firm committed to pushing the boundaries. Our team-oriented, collaborative approach ensures that every project is a blend of visionary design, seamless project delivery, and we are actively engaged with both the community and the industry. Discover our vibrant culture to get an inside look into life at Ware Malcomb and the programs we offer. https://waremalcomb.com/life-at-ware-malcomb/ As a Project Architect at Ware Malcomb, you will manage the design development, construction documents, and specification of projects. You will oversee the production of drawing sets while mentoring team members on design strategies and delivery methods. As a licensed architect in your jurisdiction, your quality control and technical skills drive the success of projects. You will work on a specialized team focused on some of the most complex, large-scale advanced manufacturing projects in the world. This team partners with global technology leaders—including work on high-profile semiconductor fabrication—where precision, speed, and innovation are critical. It’s a unique opportunity to contribute to highly visible, technically demanding projects that are shaping the future of advanced industries.Your Role • Responsible for the contract drawings from start to finish., • Work with the Project Manager to prepare a projection of the project’s schedule and deadlines., • Manage clash resolution for complex project types., • Provide construction administration services including site visits, review shop drawings, etc., • Responsible for local, county, state, and federal project code searches and analysis., • Represent Ware Malcomb at required jurisdiction public design review or development approval meetings and make project presentations as needed., • Work with the QC studio and/or peer reviewer to review all contract documents prior to issuance., • Assist the office lead or studio lead and Project Manager in assembling the consultant team for the project as required; Identify scope of work, collect fees, select consultants, and facilitate contracts., • Work with Ware Malcomb contracted consultants and the client’s consultants to coordinate all of the various trades to achieve a complete set of contract documents and specifications which will be used for building permits and construction., • Responsible for technical success and the quality of drawings., • Work with the Specifications Team to create project manuals., • Review RFI’s and Submittals for consistency with the project drawings.Qualifications, • Architecture License, • 10+ years of experience in the field of Architecture, • Experience working on Life Science or other relevant Science & Technology projects, • Bachelor’s or Master’s degree in Architecture, • Well-versed in Revit, AutoCAD, Bluebeam, and Microsoft Office, • Thorough knowledge of building codes, • Excellent verbal and written communication skills, • Ability to coordinate a complete set of contract documentsThis is a full-time, long-term position. Established in 1972, Ware Malcomb is a dynamic, forward-thinking commercial real estate design firm providing professional architecture, interior design, civil engineering, branding, building measurement, structural engineering and MEP engineering services to clients throughout the world. With office locations throughout the United States, Canada, Mexico and Brazil, the firm specializes in the design of office, industrial, science & technology, healthcare, multifamily, retail, hospitality and public/institutional projects. The firm is also ranked among the top 10 Architecture/Engineering firms in Engineering News-Record’s Top 500 Design Firms and the Top 30 Interior Design Firms in Interior Design magazine’s Top 100 Giants. For more information, visit waremalcomb.com.

Job Description We are currently seeking resumes from qualified, responsible, self-sufficient, energetic Water Engineering Senior Project Managers for our Phoenix, Arizona office. The ideal candidate will be motivated to develop and build their personal knowledge and skills to assist with the growth and success of the office. We offer a friendly, professional atmosphere with excellent benefits and a salary commensurate with experience. Job Description: The Water Engineering Senior Project Manager will lead complex water infrastructure projects and programs from planning through design and delivery. This role blends client-facing project management with hands-on technical leadership and requires deep expertise in at least one technical niche (e.g. dams, conveyance/pipelines & pump stations, water/wastewater treatment, storage, hydraulics, stormwater). The role will manage multiple projects, mentor project managers, coordinate multidisciplinary teams, and support business development with proposals and client strategy. This position requires a strong affinity for international projects and for working effectively within multicultural teams across geographies and disciplines. Primary Job Duties: • Project & Program Leadership, • Lead multiple concurrent projects and/or programs, accountable for scope, schedule, budget, quality, and risk., • Develop project execution plans, work breakdown structures, staffing plans, and delivery schedules., • Manage project financials (budget development, forecasting, earned value/percent complete tracking, invoicing support)., • Drive QA/QC processes and ensure deliverables meet internal standards and client/regulatory requirements., • Technical Leadership (Niche Depth), • Serve as a technical leader and reviewer within your specialty area (eg, dams, conveyance, treatment)., • Guide engineering approach, alternatives analysis, design criteria, and coordination across disciplines., • Support permitting and coordination with relevant agencies and stakeholders as applicable to project type., • Client Management & Business Development, • Act as a primary point of contact for clients; build and maintain trusted relationships., • Support pursuit efforts: scope development, fee estimates, schedules, teaming, and proposal content/reviews., • Represent the firm in client meetings, public meetings (as needed), and professional organizations., • People & Team Development, • Mentor and support Project Managers and engineering staff (coaching on delivery, communication, and technical growth)., • Coordinate internal teams and subconsultants; set clear expectations and resolve delivery issues quickly. Job Qualifications (Education, Experience, and Skills): • Minimum Education: Bachelor of Science Degree in Civil Engineering (BSCE) or a related field. A Master's level education (MSCE) or post-graduate study is preferred., • Minimum twenty (20) years of progressive experience in water-related engineering., • Proven success as a Senior PM/PM delivering complex water projects for municipal, state, federal, and/or private clients., • Deep technical expertise in at least one niche, such as:, • Dams/levees/reservoirs (planning, safety, rehab, hydraulics/hydrology coordination), • Conveyance (pipelines, pump stations, hydraulics, transmission/distribution), • Treatment (water/wastewater treatment process integration, plant upgrades/expansions), • Stormwater, storage, irrigation, integrated water management, or similar, • Professional Engineer (PE) license or equivalent international credential (active, in good standing)., • Strong project controls skills: scope definition, scheduling, budgeting, forecasting, change management., • Strong affinity for working on international projects and collaborating within multicultural teams., • Strong written/verbal communication and ability to lead multidisciplinary teams and client discussions., • Preferred Qualifications, • Arizona PE (or ability to obtain AZ license by comity in a reasonable timeframe)., • Proficiency in additional languages is valued, particularly Spanish., • Experience managing large, multi-year programs and/or multiple projects simultaneously., • Demonstrated proposal leadership (capture planning, interviewing, win strategy). Competencies (To perform the job successfully, an individual should demonstrate the following competencies): • Communicative – interacts openly with others; can maintain relationships, works well independently or with a team., • Consultative - Consults with other disciplines as needed; tolerates different perspectives or opinions., • Decisive & Action Oriented - Has a high level of energy and stamina; gets things done; makes sound educated but rapid decisions even when short of information; enjoys managing challenging projects and works well in fast-paced and pressure environments. Self-motivated and proactive, • Flexible - Adapts to new challenges and circumstances; able to multi-task; thrives on variety and frequently changing environments; creative problem solver. Resourcefulness, with minimal direction., • Analytical – Uses sound data, and procedures, and follows all laws, rules, and regulations but is a solutionist or problem-solver., • Conscientious and Organized – Believes professional integrity is paramount; understands the importance of project records; responsive to clients and deadline oriented; quality oriented. Working Conditions and Environment: This position will require general supervision and will have to use independent judgment within established guidelines. Generally, uses the advanced knowledge to analyze, interpret, or make deductions from varying facts or circumstances. Will need the ability to establish rapport quickly with others working on the same project, and be able to promote a positive team environment. Working knowledge of dealing with a diverse population while using tact, diplomacy, and respect. TYPSA, Inc. Culture: • Thinking toward future company and personal growth, • Yielding equity, inclusion, and diversity, • Passionate supporter of clients and teammates, • Shared comradery, • Action oriented and flexible TYPSA, Inc. Benefits: TYPSA, Inc. offers competitive salaries and a comprehensive benefits package, including medical, dental, life insurance, short and long-term disability, flexible spending accounts, Paid-time-Off, and a 401(k) plan. TYPSA, Inc. Overview: TYPSA in the United States is a multi-discipline engineering and environmental consulting firm assisting public and private clients in planning, developing, designing, constructing, and maintaining critical infrastructure projects across the United States. With offices in Arizona and California, TYPSA provides local expertise with the backing of a global network. Originally established in 1992 as AZTEC Engineering Group, Inc., the company began as a two-person DBE firm and grew into a trusted corporation serving clients nationwide. In 2006, AZTEC joined TYPSA Group, an international leader in engineering, architecture, and environmental consulting headquartered in Spain with more than 60 offices worldwide. Today, as TYPSA in the United States, we proudly carry forward the AZTEC legacy while connecting our clients to the resources, innovation, and international experience of the TYPSA Group. This integration allows us to deliver tailored local solutions with the depth and reach of a global firm. TYPSA, Inc. is an Equal Opportunity Employer committed to affirmative action planning and encourages diversity in the workplace. All qualified applicants will receive consideration for employment without regard to race, religion, color, sex, sexual orientation, gender identity, national origin, ancestry, disability, marital status, veteran status, housing status, or any other non-job-related characteristic under applicable law. Please apply online at www.typsa.us/career.

Principal Medical Writer - Publications Syneos Health is a leading fully-integrated life sciences services organization built to accelerate customer success. We partner with innovators at every point across the drug development and commercialization continuum, helping them navigate complexity, anticipate change and accelerate progress. Our Clinical Solutions team members act with a drug development mindset, applying their years of experience and deep expertise to truly understand customer needs and represent those in the solutions we shape. Whether you join us in a Functional Service Provider partnership or a Full-Service environment, you'll collaborate with passionate problem solvers, innovating as a team to help our customers achieve their goals. We are agile and driven to deliver - for one another, our customers, and, most importantly, for those in need. Discover what your 25,000 future colleagues already know: Why Syneos Health • We are passionate about developing our people, through career development and progression; supportive and engaged line management; technical and therapeutic area training; peer recognition and total rewards program., • We are committed to building an inclusive culture - where you can authentically be yourself. Central to this is our purpose - Driven to Deliver - which captures the passion of our colleagues to show up each day and shape solutions that have the ability to dramatically impact someone's life., • We are continuously building the company we all want to work for and our customers want to work with. Why? Because we know that when we bring together smart colleagues from across the world, we can shape the future of healthcare, driving impact for customers and defining the pace of patient progress. Job Responsibilities • Leads the clear and accurate completion of medical writing deliverables, ensuring scientific information is presented clearly and accurately. Manages medical writing activities associated with individual studies, coordinating medical writing activities within and across departments with minimal supervision. Leads the resolution of comments from the client., • Completes a variety of documents that may include clinical study protocols and clinical study protocol amendments; clinical study reports; patient narratives; annual reports; investigator brochures; informed consents; annual reports; plain language summaries; periodic safety update reports, clinical development plans; IND submissions; integrated summary reports; NDA and eCTD submissions; journal manuscripts; and abstracts, posters, and presentations for scientific meetings., • Adheres to established regulatory standards, including, but not limited to, ICH E3 guidelines, as well as company standard operating procedures, client standards, and company and/or client approved-templates, authorship requirements, and style and formatting guides, when completing medical writing projects, on time and on budget., • Coordinates quality and editorial reviews. Ensures source documentation is managed appropriately. Leads team document reviews, and reviews documents as needed., • Acts as peer reviewer for internal team to ensure document scientific content, clarity, overall consistency, and proper format., • Reviews statistical analysis plans and table/figure/listing specifications for appropriate content, and for grammar, format, and consistency. Provides feedback to further define statistical output required and document needs., • Interacts and builds good working relations with clients, department head, and peers in data management, biostatistics, regulatory affairs, and medical affairs, as necessary, to produce writing deliverables., • Performs online clinical literature searches and complies with copyright requirements., • Identifies and proposes solutions to resolve issues, escalating as appropriate. Provides technical support, training, and consultation to department and other company staff. May contribute to development of internal materials and presentations or changes to internal process, standard practices, and capabilities., • Mentors and leads less experienced medical writers on complex projects, as necessary., • Develops deep expertise on key topics in the industry and the regulatory requirements and guidelines that affect medical writing., • Aware of budget specifications for assigned projects, working within the budgeted hours and communicating status and changes to medical writing leadership., • Completes required administrative tasks within the specified timeframes., • Performs other work-related duties as assigned., • Minimal travel may be required (less than 25%). Qualifications: • 3-5 years of relevant experience in science, technical, or medical writing., • Experience working in the biopharmaceutical, device, or contract research organization industry required., • Strong understanding of FDA and ICH regulations, other regulatory guidelines, and/or good publication practices strongly required., • Experience writing relevant document types required., • Extensive knowledge of English grammar and ability to communicate clearly; strong familiarity with AMA Manual of Style. Get to know Syneos Health Over the past 5 years, we have worked with 94% of all Novel FDA Approved Drugs, 95% of EMA Authorized Products and over 200 Studies across 73,000 Sites and 675,000+ Trial patients. No matter what your role is, you'll take the initiative and challenge the status quo with us in a highly competitive and ever-changing environment. Learn more about Syneos Health. _ Additional Information Tasks, duties, and responsibilities as listed in this job description are not exhaustive. The Company, at its sole discretion and with no prior notice, may assign other tasks, duties, and job responsibilities. Equivalent experience, skills, and/or education will also be considered so qualifications of incumbents may differ from those listed in the Job Description. The Company, at its sole discretion, will determine what constitutes as equivalent to the qualifications described above. Further, nothing contained herein should be construed to create an employment contract. Occasionally, required skills/experiences for jobs are expressed in brief terms. Any language contained herein is intended to fully comply with all obligations imposed by the legislation of each country in which it operates, including the implementation of the EU Equality Directive, in relation to the recruitment and employment of its employees. The Company is committed to compliance with the Americans with Disabilities Act, including the provision of reasonable accommodations, when appropriate, to assist employees or applicants to perform the essential functions of the job.

This position is located at JFHQ G1 in Phoenix, Arizona.The purpose of this position is to serve as the final reviewer and procedural authority of personnel actions submitted to the MILPO by lower echelons.Work is to be performed in one or more of the following work areas: Officer or Enlisted Person

Senior Commercial Appraisal Reviewer/h2pZions Bancorporation is comprised of a collection of extraordinary, locally led and community-focused banks serving businesses, households and local governments in some of the best growth markets in the nation. The Senior Commercial Appraisal Reviewer is respo

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting Title Physician Clinical Reviewer - Gastroenterology- REMOTE Job Description Key member of the utilization management team, and provides timely medical review of service requests that do not initially meet the applicable medical necessity guidelines. Routinely interacts with physicians, leadership and management staff, other Physician Clinical Reviewers (PCR), and health plan members and staff whenever a physician`s input is needed or required. Responsibilities Physician Clinical Reviewer - Job Description Responsibilities Reviews cases in which clinical determinations cannot be made by the Initial Clinical Reviewer. Discusses determinations with requesting physicians or ordering providers, when available, within the regulatory time frame of the request by phone or fax. Provides clinical rationale for standard and expedited appeals. Provides assistance and acts as a resource to Initial Clinical Reviewers as needed to discuss cases and problems. Utilizes medical/clinical review guidelines and parameters to assure consistency in the physician review process so as to reflect appropriate utilization and compliance with Prime's policies/procedures, as well as URAC and NCQA guidelines. Ensures documentation of all communications with medical office staff and/or physician/provider is recorded in a timely and accurate manner. Participates in on-going inter-rater reliability training and testing Assists the Medical Director and/or VP, Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines, and/or system support. On a requested basis, reviews appeal cases and/or attends hearings for discussion of utilization management decisions. On a requested basis, may function as Medical Director for select health plans or regions, assuming overall accountability for utilization management while working in conjunction with the VP, Medical Director Other duties as assigned. Education & Experience Education Level • DO MBBS • MD Required Yes Yes Yes Fields of Study Experience Level 5+ years Required Yes Details Clinical Must be eligible to work in the United States without the need for work visa or residency sponsorship. Additional Qualifications Preferred Qualifications Physical Demands Must be able to remain in a stationary position 50% of the time. Must be able to "move or traverse" Must be able to constantly operate a computer and/or other office productivity equipment Must be able to hear and constantly communicate information and ideas. Must be able to exchange accurate information Occasionally required to lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures. Potential pay for this position ranges from $90.87 - $154.33 based on experience and skills. To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page (https://www.primetherapeutics.com/benefits) and click on the "Benefits at a glance" button for more detail (https://www.primetherapeutics.com/benefits). Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (including pregnancy), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law. We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law. Prime Therapeutics LLC is a Tobacco-Free Workplace employer. Positions will be posted for a minimum of five consecutive workdays. At Prime Therapeutics (Prime), we are a different kind of PBM. We're reimagining pharmacy solutions to provide the care we would want for our loved ones. That purpose energizes our team and creates limitless opportunities to make a difference. We know that people make all the difference. If you're ready for a purpose-driven career and are passionate about simplifying health care, let's build the future of pharmacy together. Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (including pregnancy), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law. We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law. Prime Therapeutics LLC is a Tobacco-Free Workplace employer. If you are an applicant with a disability and need a reasonable accommodation for any part of the employment process, please contact Human Resources at 1.866.469.1257 or email Careers@primetherapeutics.com.

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting Title Physician Clinical Reviewer-Oncologist- REMOTE Job Description Key member of the utilization management team, and provides timely medical review of service requests that do not initially meet the applicable medical necessity guidelines. Routinely interacts with physicians, leadership and management staff, other Physician Clinical Reviewers (PCR), and health plan members and staff whenever a physician`s input is needed or required. Responsibilities Physician Clinical Reviewer - Job Description Responsibilities Reviews cases in which clinical determinations cannot be made by the Initial Clinical Reviewer. Discusses determinations with requesting physicians or ordering providers, when available, within the regulatory time frame of the request by phone or fax. Provides clinical rationale for standard and expedited appeals. Provides assistance and acts as a resource to Initial Clinical Reviewers as needed to discuss cases and problems. Utilizes medical/clinical review guidelines and parameters to assure consistency in the physician review process so as to reflect appropriate utilization and compliance with Prime's policies/procedures, as well as URAC and NCQA guidelines. Ensures documentation of all communications with medical office staff and/or physician/provider is recorded in a timely and accurate manner. Participates in on-going inter-rater reliability training and testing Assists the Medical Director and/or VP, Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines, and/or system support. On a requested basis, reviews appeal cases and/or attends hearings for discussion of utilization management decisions. On a requested basis, may function as Medical Director for select health plans or regions, assuming overall accountability for utilization management while working in conjunction with the VP, Medical Director Other duties as assigned. Education & Experience Education Level • DO MBBS • MD Required Yes Yes Yes Fields of Study Experience Level 5+ years Required Yes Details Clinical Must be eligible to work in the United States without the need for work visa or residency sponsorship. Additional Qualifications Preferred Qualifications Physical Demands Must be able to remain in a stationary position 50% of the time. Must be able to "move or traverse" Must be able to constantly operate a computer and/or other office productivity equipment Must be able to hear and constantly communicate information and ideas. Must be able to exchange accurate information Occasionally required to lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures. Potential pay for this position ranges from $90.87 - $154.33 based on experience and skills. To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page (https://www.primetherapeutics.com/benefits) and click on the "Benefits at a glance" button for more detail (https://www.primetherapeutics.com/benefits). Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (including pregnancy), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law. We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law. Prime Therapeutics LLC is a Tobacco-Free Workplace employer. Positions will be posted for a minimum of five consecutive workdays. At Prime Therapeutics (Prime), we are a different kind of PBM. We're reimagining pharmacy solutions to provide the care we would want for our loved ones. That purpose energizes our team and creates limitless opportunities to make a difference. We know that people make all the difference. If you're ready for a purpose-driven career and are passionate about simplifying health care, let's build the future of pharmacy together. Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (including pregnancy), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law. We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law. Prime Therapeutics LLC is a Tobacco-Free Workplace employer. If you are an applicant with a disability and need a reasonable accommodation for any part of the employment process, please contact Human Resources at 1.866.469.1257 or email Careers@primetherapeutics.com.

Requisition number: 2353481 Job category: Claims This position is National Remote. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? Join us to start Caring. Connecting. Growing together. The Outpatient Facility Auditor (Senior Recovery Resolution Analyst) performs medical record audits of identified suspect CPT codes, ICD-10-CM diagnosis codes, and HCPCS, as well as potential errors in billing. The Outpatient Facility Auditor validates codes by examining medical record for documentation of all procedures as well as coding. This position would be responsible for participating in code-related appeal decisions and provider calls when necessary. This position is full time (40 hours / week), Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00 am - 5:00 pm. It may be necessary, given the business need, to work occasional overtime or weekends. This will be on the job training and the hours during training will be normal business hours from Monday - Friday. Primary Responsibilities: Performs all necessary duties related to the Outpatient Audit process including: Maintain a dedicated HIPAA-compliant home office space with access to high speed cable internet available Review of outpatient hospital and ambulatory surgery centers medical records all associated documentation to determine the accuracy and appropriateness of outpatient coding and billing practices Create audit summary documentation Enter status and results into Claim Reviewer system Responsibilities may be added, deleted, or changed at any time at the discretion of management, formally or informally, verbally or in writing You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: High School Diploma / GED Must have one of the following coding certifications: CPC, COC, CCS, OR CCS - P with designation from AHIMA OR AAPC Must be 18 years of age OR older 2+ years of experience with medical code auditing in an outpatient facility (hospital and / or ASC (ambulatory surgery center) Advanced knowledge in CPT / HCPCS coding and National Correct Coding Initiative (NCCI) edit review / resolution Proficient in PC Windows environment Ability to work any of our full time (40 hours / week), 8-hour shift schedules during our normal business hours of 8:00 am - 5:00 pm from Monday - Friday, including the flexibility to work occasional overtime or weekends given the business need Preferred Qualifications: RN, RHIT, OR RHIA with a coding credential Experience with defending insurance company hospital outpatient coding denials and coding auditing experience Understanding of 3M Encoder / grouper logic Understanding of commercial insurance reimbursement Competency in APC payment classification Telecommuting Requirements: Ability to keep all company sensitive documents secure (if applicable) Required to have a dedicated work area established that is separated from other living areas and provides information privacy Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service Soft Skills: Ability to apply complex procedures requiring judgment Competency in oral and written communications particularly in the area of conflict resolution; ability to identify, define and explain day-to-day problems and solutions Direct, but moderately supervised, impact on quality and efficiency of services OR operation of company OR revenues / expenses Impact on quality and efficiency of services or operation of company Ability to organize complex tasks and analyze complex issues *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.94 - $51.63 per hour based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

Your Future Evolves Here Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones. Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business. Join Evolent for the mission. Stay for the culture. What You'll Be Doing: Job Description As a Clinical Reviewer, Nurse, you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in patients' lives, in a non-clinical environment. You can enjoy better work- life balance on a team that values collaboration and continuous learning while providing better health outcomes. Collaboration Opportunities: As a Clinical Reviewer, Nurse, you will routinely interact with leadership and management staff, other CR's (Clinical Reviewers), providers, office staff and Field Medical Directors (FMDs). What You Will Be Doing: Functions in a clinical review capacity to evaluate all cases, which do not pass the authorization approval process at first call while promoting a supportive team approach with call center staff. Clinical reviewers are supported by Field Medical Directors (MDs) in the utilization management determination process. Reviews charts and analyzes clinical record documentation in order to approve services that meet clinical review criteria. Conducts ongoing activities which monitor established quality of care standards in the participating provider network and for other clinical staff. Converses with medical office staff to obtain additional pertinent clinical history/information; notifies of approvals and denials, giving clinical rationale, while providing optimum customer service through professional/accurate communication and maintaining NCQA and health plans required timeframes. Documents all communication with medical office staff and/or treating provider. Practices and maintains the principles of utilization management by adhering to policies and procedures. Participates in on-going training programs to ensure quality performance in compliance with applicable standards and regulations, as well as, being audited to ensure guidelines are applied appropriately. Qualifications Required and Preferred: A current RN clinical license, active and in good standing, in your home state- Required Associate or Bachelors in Nursing (Must be a Registered Nurse) - Required Strong interpersonal and communication skills - Required Proficient computer skills; must be able to talk and type simultaneously- Required You must be able to work a minimum of 30 hours/week- Required Ability to work 3, 4 or 5 days a week- Required Start time must be 9am EST or later - Required Flexibility to choose length of shift ( ex. 3 (10s) 4 (10s) or 5 (8s) - etc. ) 5+ years clinical experience- Preferred To ensure a secure hiring process we have implemented several identity verification steps, including submission of a government issued photo ID. We conduct identity verification during interviews, and final interviews may require onsite attendance. All candidates must complete a comprehensive background check, in-person I-9 verification, and may be subject to drug screening prior to employment. The use of artificial intelligence tools during interviews is prohibited and monitored. Misrepresentation will result in immediate disqualification from consideration. Technical Requirements: We require that all employees have the following technical capability at their home: High speed internet over 10 Mbps and, specifically for all call center employees, the ability to plug in directly to the home internet router. Evolent is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status. If you need reasonable accommodation to access the information provided on this website, please contact recruitingteam@evolent.com for further assistance. The expected base salary/wage range for this position is $34-$37/hr. As part of our total compensation package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation determinations are based on the skills and experience required for the position and commensurate with experience of selected individuals, which may vary above and below the stated amounts. Don't see the dream job you are looking for? Drop off your contact information and resume and we will reach out to you if we find the perfect fit!

Clinical Appeals Reviewer (Licensed Healthcare Professional) Fully Remote-United States Job Type Full-time Description Overview Tanaq Support Services (TSS) delivers professional, scientific, and technical services and information technology (IT) solutions to federal agencies in health, agriculture, technology, and other government services. TSS is a subsidiary of the St. George Tanaq Corporation, an Alaskan Native Corporation (ANC) committed to serving Federal customers while also giving back to the Tanaq native community and shareholders. About the Role We are seeking a Clinical Appeals Reviewer to support a contract with our federal client. The Clinical Appeals Professional performs complex (senior-level) work. Provides dissatisfied parties with the opportunity to present documentation to demonstrate why an appeal should be allowed. Provides an independent second level determination based on the documentation, facts, laws, regulations, and guidelines. Works under general supervision, with moderate latitude for the use of initiative and independent judgment. Qualified candidates must be licensed health care professionals capable of rendering independent clinical judgment, including but not limited to Registered Nurses (RN), Physical Therapists (PT), Occupational Therapists (OT), and Respiratory Therapists (RT). This is a remote position that can be based anywhere in the United States. Must be able to work on a rotating schedule on weekends and holidays. Responsibilities Reviews medical records/case files, writes reconsideration decision letters that are clear, concise, and impartial, and support the determination made, and documents the review. Makes sound, independent decisions based on medical evidence in accordance with statutes, regulations, rulings, and policy. Responds to and ensures that all appeal issues raised by the beneficiary/patient, representative, and provider/supplier have been addressed. Provides a fair and impartial decision based on current evidence, regulations, policies, and procedures. Conducts research using online federal regulations, contract policy, standards of medical practice, contract manuals, coverage issues manuals, medical literature, and other related resources to complete an accurate and well-supported decision. Stays abreast of changes in regulations, medical and healthcare practices, policies, and procedures. Participates in case-specific verbal discussions. Conducts reviews of appeals/disputes with multiple beneficiaries/services in one case. Plans responses to statistical analysis challenges with assistance from statisticians. Attends meetings and participates in workgroups at management's direction. Conducts quality reviews, as needed. Serves as a subject matter expert. Mentors and/or trains staff. May conduct quality reviews and audits. Participates in special projects and performs other duties as assigned. Requirements Required Skills and Experience Three (3) years of experience in medical dispute resolution, Medicare appeals, medical review, clinical work, or related healthcare roles. Healthcare Professional with experience in Nursing, Physical Therapy, Respiratory Therapy, or Occupational Therapy experience. Demonstrated experience writing or making medical necessity decisions. Proficiency in research techniques, medical terminology, and analyzing and interpreting policies, along with knowledge of state and federal laws and regulations. Must have experience and working knowledge of the Medicare program, including coverage and payment rules. Experience with Medicare regulations, claims processing, and the medical review process, as well as applicable laws, rules, and regulations. Prioritize and organize work tasks to handle multitasking and meet deadlines. Ability to prepare correspondence and documents using correct spelling, grammar, and punctuation; proofreading and reviewing documents for clarity and consistency. Practice logic and reasoning to identify problems, verify facts, and reach valid conclusions. Experience in making decisions that support business objectives and goals. Ability to identify and resolve problems or refer issues appropriately. Communicate effectively verbally and in writing. Adapt to the needs of internal and external customers. Show integrity and ethical behavior, respect confidentiality, business ethics, and organizational standards. Ensure compliance with company policies, procedures, and guidelines, including cybersecurity, regulatory, contractual, and accreditation entities. Experience directly relevant to Medicare managed care appeals or utilization management activities, preferred. Must have resided in the United States for a minimum of three (3) years out of the last five (5) years. This is a contractual requirement. Must possess a valid driver's license with a clear and satisfactory driving record. Ability to obtain and maintain public trust clearance and customer approval. Must be legally authorized to work in the United States without the need for employer sponsorship, now or at any time in the future. Education and Training Associate's degree or 60 or more credit hours towards a Bachelor's degree from an accredited college or university in healthcare or related discipline. Additional experience in Medicare appeals, medical review, clinical, or other related experience in a healthcare setting may be substituted for an Associate's degree on a year per year basis. (Experience requirements may be satisfied by full-time experience or the prorated part-time equivalent.) Physical Requirements and Work Environment Requires working in an office/cubicle environment; sitting, standing, walking, bending, twisting, and/or reaching. Prolonged periods of sitting at a desk and working on a computer. May need to lift 25 pounds occasionally. May require the ability to operate a motor vehicle and travel by motor vehicle and commercial airline. May require overnight travel. Travel may be less than 5% annually. Who We Are Tanaq Support Services (TMS) is a public health contractor, certified 8(a) business, owned by St. George Tanaq Corporation, an Alaska Native Corporation. (ANC). We listen to our stakeholders and leverage our science, technology, communication, and program expertise to understand and provide feedback as we develop solutions. Our Commitment to Non-Discrimination Tanaq is an Equal Employment Opportunity Employer. All qualified applicants will receive consideration for employment without regard to disability, status as a protected veteran or any other status protected by applicable federal, state, or local law. Tanaq complies with the Drug-free Workplace Act of 1988 and E-Verify. If you are an individual with a disability and need assistance completing any part of the application process, please email accommodation@tanaq.com to request a reasonable accommodation. This email is for accommodation requests only and cannot be used to inquire about the status of applications. Notice on Candidate AI Usage Tanaq is committed to ensuring a fair and competitive interview process for all candidates based on their experience, skills and education. To ensure the integrity of the interview process, the use of artificial intelligence (AI) tools to generate or assist with responses during phone, in person and virtual interviews is not allowed. However, candidates who require a reasonable accommodation that may involve AI are required to contact us prior to their interview at accommodation@tanaq.com. To apply for this positions, visit: https://recruiting.paylocity.com/Recruiting/Jobs/Details/4071254

The Nurse Practitioner/Physician Assistant (ARNP/NP/PA) Oncology is responsible for support and assistance for all Oncology administrative and clinical utilization management and quality improvement functions under the auspices of the office of the Chief Medical Officer. Minimum of three (3) to five

Job Title Physician Clinical Reviewer- Pediatric Neurology- REMOTE Responsibilities Reviews cases in which clinical determinations cannot be made by the Initial Clinical Reviewer. Provides assistance and acts as a resource to Initial Clinical Reviewers as needed to discuss cases and problems.

A leading pharmacy benefit manager is seeking a Physician Clinical Reviewer - Endocrinology to join their utilization management team.

A healthcare organization is seeking a Physician Clinical Reviewer for a remote role.

Job Posting Title Physician Clinical Reviewer - Urology- REMOTE Job Description Key member of the utilization management team, and provides timely medical review of service requests that do not initially meet the applicable medical necessity guidelines. Routinely interacts with physicians, leadersh

A healthcare solutions company is seeking a remote Physician Clinical Reviewer specializing in gastroenterology.

A healthcare organization is seeking a remote Physician Clinical Reviewer specializing in Pediatric Gastroenterology.

The Prior Authorization RN is responsible for reviewing and processing medical prior authorization requests to ensure services are medically necessary, meet evidence-based guidelines, and align with the health plan’s policies. Works collaboratively with both internal and external customers in assi

Clinical Data Reviewer - Oncology Required (US, CAN, UK Only). The Clinical Reviewer (CR) is a specialized role that performs clinical review, typically ahead of significant project milestones (interim analysis, study closeout, submission etc.

We are hiring remote contributors to review consumer finance content focused on budgeting and money-saving strategies.You could be just the right applicant for this job Read all associated information and make sure to apply.Your role will involve reading short financial guidance pieces and providing

Candidates should have at least 3 years of clinical experience in med/surg or behavioral health, strong documentation skills, and eligibility for DoD background clearance.

Job Description Join Our Talent Pool | KDG Construction Consulting KDG Construction Consulting is on the search for skilled talent to join our field teams. Please submit your information and resume to be added to our Talent Pool so you can be connected to future opportunities. We are seeking ARIZONA BASED applicants as the upcoming projects are set to begin in the Phoenix-Metropolitan area. Sponsorship and relocation are not provided for this position. Why KDG? KDG places a strong emphasis on its employees, valuing their expertise and offering opportunities for professional growth. The company is involved in major infrastructure projects that have a significant impact on safety, capabilities, and efficiencies, making it fulfilling to be part of such transformative endeavors. KDG has a renowned reputation for delivering high-quality service and successful outcomes. It excels in providing the right professionals for each project, ensuring clients' goals are met. The company's industry-specific expertise, attention to detail, and customized solutions add extraordinary value. KDG takes a proactive and client-focused approach, going above and beyond to exceed standard service levels. Additionally, KDG promotes diversity and inclusivity, attracting individuals who value these principles. Overall, the opportunity to contribute to transformative infrastructure projects in a collaborative and inclusive environment makes KDG an appealing choice for many professionals Anticipated Positions of Employment • Commissioning Agents, • Project Managers /Assistant Project Managers, • Project Coordinators, • Schedulers, • Administrative Assistants, • Airport and Building System Experts, • Construction Communications Coordinators, • Office Engineers, • Construction Document Reviewer Our Clients Phoenix Sky Harbor International Airport (PHX), Los Angeles World Airports (LAWA), Ontario International Airport Authority (OIAA), LA Metro, City of Long Beach/Long Beach Airport (LGB), Glendale Water & Power, Los Angeles Department of Water & Power (LADWP), Caltrans, Southern California Edison, LA Sanitation and Environment (LASAN) Who is KDG? KDG Construction Consulting is a leading provider of program, project and construction management services. A certified Minority and Women-Owned Business Enterprise (MBE/WBE), diversity and inclusion is one of KDG’s core values. The firm serves clients in a broad range of markets throughout Southern California, including aviation, transportation, and infrastructure. KDG provides a full spectrum of management and technical services spanning the entire lifecycle of a construction project. Since 1980, KDG has partnered with public agencies to successfully deliver over 250 projects, with a construction value of over $30 billion. KDG's staff of construction managers, engineers, technical consultants, and business-degreed professionals serve as an extension of client staff to provide overall coordination, planning, and management necessary to control project cost, schedule, and quality. Visit us at www.kdgcc.com to learn more about our exceptional team! Powered by JazzHR ZLkjUgAnuE

A health consulting firm is seeking an experienced Physical Therapist to provide evidence-based medical reviews from home.This telework role allows you to customize your schedule as a 1099 independent contractor.Responsibilities include reviewing medical records and providing objective clinical opin

Serve as the Physician match reviewer in Imaging cases, that do not initially meet the applicable medical necessity guidelines, as well as other imaging requests when providers, clients, or state laws require specialty reviews to be completed by the subject matter expert. Aids and acts as a resource

Claims Clinical Documentation Reviewer Schedule: 5-10 hours per week.

Intensive Outpatient services for both Mental Health and Substance Abuse Psychological /Neuropsychological Testing service requests Participate in peer consultations, staff meetings, and trainings; entering determinations within federal, state, and local guideline requirements; and perform of othe