Reviewer jobs in Michigan (MI) State

DutiesWHAT IS THE WHISTLEBLOWER OFFICE (WBO) DIVISION?A description of the business units can be found at: https://www.Vacancies will be filled in the following specialty areas: Whistleblower Office Case Development CDO, Award Recommendation and Coordination (ARC) and Litigation Monitoring Notifi...

DutiesWHAT IS THE SMALL BUSINESS/SELF EMPLOYED (SBSE) DIVISION?A description of the business units can be found at: https://www.Vacancies will be filled in the following specialty areas: Small Business/Self Employed, Field ExaminationThe following are the duties of this position at the full worki...

Minimum 8 years handson programming experience in Java.Experience in working with web applications that use large volume data.Clear understanding of enterprise deployment of applications.Has been the lead reviewer for code and coding practices.Very good analytical skills and estimation techniques...

Enjoy the convenience of reviewing cases remotely. ...

Handle all aspects of a project, including proposal, contract negotiation, Project Work Plan (scope, fees, hours, schedule, budget, Quality Plan), negotiate terms and conditions, and final agreement/contract in conjunction with the project team, including the quality reviewer; vet contracts with ...

Currently or previously held an Internal Revenue Agent GS-0512 position for at least one year. ...

Additional responsibilities include coordinating specialty drug reviews with the medical carriers, analyzing pharmacy and medical claims data, evaluating industry utilization management trends, and ...

Report or review findings from accident investigations, facilities inspections, or environmental testing * Maintain and apply knowledge of current policies, regulations, and industrial processes

The Compliance Analyst will review the contract submissions and determine whether to approve or reject the submissions based on a variety of criteria relating to lender requirements for loan funding ...

As a Technical Reviewer Building Water Systems (Filtration Team) you will be responsible for ensuring that technical decisions related to performance and extraction testing meet applicable standard ...

Reviews and authorizes services that meet criteria, along with supporting documentation. It is the responsibility of the URC to ensure outpatient physical therapy services are provided at the ...

Utilization Review Specialist/Behavioral Health Substance Abuse FLSA Status: Exempt Classification: Full-Time Reports To: The UR Specialist will report to UR Manager. Job Overview: The Utilization ...

Registered Nurse-Review Analyst Work Location: Detroit, MI, 48226 Duration: 5 Months Job Type: Contract Work Type: Remote Job Description: * Perform prospective, concurrent and retrospective review ...

Support providers and UM reviewers with prior authorization requests for post-acute care services. * Includes manually entering authorization requests into Care Management systems, following rules ...

Responsible for review, auditing and data-entry of medical bills for multiple states and lines of business. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Responsible for auditing medical bills to ensure ...

Local Contract TRA Case Manager / Utlization Review TRA is Tenet's in-house nationwide contingent pool for Nursing and Allied travel and local contracts. Receive a greater level of Contract security ...

Will NOT review travelers who can not start 6/17 or Prior.Auto Offers - You will receive an offer upon screening of a fully qualified candidate In order to receive an Auto Offer candidates may not ...

Paralegal/Contract or Document Reviewer Our client, a global company headquartered in Ann Arbor has a newly created full-time opportunity for an experienced Paralegal. Duties/Responsibilities

Please Review * Only looking for ASAP Starts - Please review Approved Compliance Short List Under Requirements Tab. Will NOT review travelers who can not start 6/17 or Prior. * Auto Offers - You will ...

Review and update union labor rates for each bid, as required. * Estimate special situations, including but not limited to tooling installation, steel erection, scaffolding, and rigging. * Estimate ...

This position performs a range of professional archaeologist assignments, including reviewing low to moderately complex Local Agency Program (LAP) transportation projects to ensure consistency with ...

Reviewing estimates: Ensuring estimates and proposals are accurate and complete, and reviewing them with the manager * Developing proposals: Preparing proposals for new construction and maintenance ...

Review large medical hospital claims for accuracy and necessity. * Telephone Communications with providers and patients. * Review of pre-treatment notification requests. * Concurrent Clinical review ...

Reviewing the relationship between the patient's current medical conditions, physical functioning status, environmental factors and psychosocial condition/prognosis, and assist by managing the ...