Trabajos reviewer en Union City, New Jersey - Page 3Crear alertas

Job DescriptionWe deliver technology to some of the best startups and companies in the world through diverse empowered teams of technologists that want to create change in the digital world.We are an organization that was created to be a safe place for all people from all areas of life. A place where teams are gender-balanced and compensated equally. And a place where careers are unrestrained regardless of cultural, educational, or geographical background. We value people with strong technical skills that are collaborative, curious, results-driven, and take ownership. We embrace people that want to be themselves, have daily flexibility, grow, learn, and make a difference wherever the opportunity presents itself. So we hope this sounds like you. Because we are always looking for exceptional Senior Applied Scientist Engineers to work in immersive client projects that will challenge your abilities. This position requires: Role Summary We are seeking a Senior Applied Scientist to design and deploy AI systems and agentic workflows that safely automate document understanding and decision-making across FOIA, Privacy Act, eDiscovery, and Data Breach workflows. This role focuses on applied AI for high-risk, regulated documents, where systems must make or assist decisions related to review, classification, entity extraction, redaction, and disclosure, while remaining explainable, policy-aware, auditable, and defensible. You will work above core OCR and ingestion pipelines, transforming document content, metadata, layout, policy rules, and reviewer behavior into bounded automation that can be trusted in production. You will help define what decisions can be automated, under what conditions, and with what safeguards. What You’ll Own Automation of Document Decisions Design AI systems that safely automate or assist decisions related to: • Document review, including:, • Responsiveness and relevance, • Privilege and confidentiality, • Sensitivity and disclosure risk, • Entity and data extraction, including:, • Identifying, normalizing, and consolidating people, organizations, locations, and attributes, • Resolving entities across documents and datasets, • Redaction decisions, including:, • What information requires protection, • Where and how it should be applied, • Under which legal or policy authority Define automation boundaries and confidence thresholds, including: • Auto-apply vs. recommend vs. require human review, • Document-, page-, and entity-level decision logic Applied GenAI, Agentic Workflows & Document Intelligence • Build LLM-powered workflows for:, • Document and case summarization with citations and traceability, • Review assistance for responsiveness, privilege, and confidentiality, • Redaction and extraction rationale generation (the “why” behind decisions), • Implement guardrails and grounding to ensure GenAI outputs remain accurate, explainable, and policy-aligned Policy-Aware AI Systems • Translate legal and regulatory requirements into clear, testable AI behavior, • Align systems with:, • Data breach impact assessment and notification workflows, • Partner with legal, privacy, and compliance stakeholders to validate and refine decision logic Quality Assurance, Trust & Defensibility • Monitor model performance, drift, and automation outcomes in production, • Ensure all decisions are traceable, explainable, and defensible for audits, litigation, and public scrutiny Cross-Functional Leadership • Collaborate with Product, Engineering, Legal, Privacy, and Operations teams, • Influence product direction across Legal, Breach, and Government markets, • Bachelor’s or Master’s degree in Computer Science, AI, Data Science, or a related field, • 5+ years of experience building and deploying applied ML / NLP systems in production, particularly for document understanding, classification, or extraction, • 2+ years of hands-on experience with large language models or modern GenAI techniques, including prompt design, RAG pipelines, or LLM-assisted workflows, • Experience building explainable, auditable AI systems, • Experience designing human-in-the-loop automation, • Comfortable working in ambiguous, high-risk environments, • Experience with FOIA, Privacy Act, HIPAA, GDPR, or breach response workflows, • Background in eDiscovery, legal tech, or regulated government systems, • Prior technical leadership or mentoring experience, • Experience scaling AI systems to millions of documents or pages A happy team makes a huge difference, that's why we provide: * Payment in USD or in your local currency * A truly flexible work schedule * Holiday and performance bonuses * An excellent paid time off policy * 4 free Udemy courses a year * Home exercise & wellness membership * An opportunity for you to help create change in the industry * And more! ATHENAWORKS is an inclusive safe organization that only considers your technical ability, work experience, ability to collaborate, your capacity to grow to the next level of your career, and ability to deliver great work. This means that we also embrace/welcome self-taught people as well! We will NEVER consider any other personal or professional aspects of your life. We hope that you choose to have a conversation with us today and find out what makes us different from any company that you have experienced.

Provider Resources, LLC ( PRI ) is seeking board-certified clinicians to join our panel for an important mission of ensuring quality healthcare for our Nation s Veterans. As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care pro

Provider Resources, LLC ( PRI ) is seeking board-certified clinicians to join our panel for an important mission of ensuring quality healthcare for our Nation s Veterans.As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care prov

Provider Resources, LLC ( PRI ) is seeking board-certified clinicians to join our panel for an important mission of ensuring quality healthcare for our Nation s Veterans.As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care prov

We are actively recruiting specialists in the following areas: * Preventative Medicine - Medical Toxicology * Preventative Medicine - Undersea & HB Medicine * Preventative Medicine - Addiction Medicine As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the qualit

Job Description Overview Are you an accomplished Board Certified Spine Surgeon or Board Certified Neurosurgeon? Are you passionate about your work/life balance? We are seeking flexible and experienced physicians for our medical reviewstream division. This telecommute role provides the ability for you to customize your schedule and caseload within a Monday - Friday work week and within business hours. Create a flexible work schedule and be compensated on a per case basis as a 1099 independent contractor. Candidates must have a NJ license. JOB SUMMARY: Relying on clinical background, reviews health claims providing medical interpretation and decisions about the appropriateness of services provided by other healthcare professionals in compliance with Concentra Physician Review policies, procedures, and performance standards and URAAC guidelines and state regulations. Responsibilities MAJOR DUTIES AND RESPONSIBILITIES: • Reviews medical files and provides recommendations for utilization review, chart reviews, medical necessity, appropriateness of care and return to work, short and long-term disability, Family and Medical Leave Act (FMLA), Group health and workers’ compensation claims., • Meets (when required) with Concentra Physician Review Medical Director to discuss quality of care and credentialing and state licensure issues., • Maintain proper credentialing and state licenses and any special certifications or requirements necessary to perform the job., • Returns cases in a timely manner with clear concise and complete rationales and documented criteria., • Telephonically contacts providers and interacts with other health professionals in a professional manner. Discusses the appropriate disclaimers and appeal process with the providers., • Attends orientation and training, • Performs other duties as assigned including identifying and responding to quality assurance issues, complaints, regulatory issues, depositions, court appearances, or audits., • Identifies, critiques, and utilizes current criteria and resources such as national, state, and professional association guidelines and peer reviewed literature that support sound and objective decision making and rationales in reviews., • Provides copies of any criteria utilized in a review to a requesting provider in a timely manner Qualifications EDUCATION/CREDENTIALS: -Board certified MD, DO, with an excellent understanding of network services and managed care, appropriate utilization of services and credentialing, quality assurance and the development of policies that support these services. -Current, unrestricted clinical license(s) (or if the license is restricted, the organization has a process to ensure job functions do not violate the restrictions imposed by the State Board); -Board certification by American Board of Medical specialties or American Board of Osteopathic Specialties is required for MD or DO reviewer. -Must be in active medical practice to perform appeals JOB-RELATED EXPERIENCE: Post-graduate experience in direct patient care JOB-RELATED SKILLS/COMPETENCIES: -Demonstrated computer skills, telephonic skills -Demonstrated ability to perform review services. -Ability to work with various professionals including members of regulatory agencies, carriers, employers, nurses and health care professionals. -Medical direction shall also be provided consistent with the requirement that the physician advisor shall not have a financial conflict of interest -Must present evidence of current error and omissions liability coverage for job duties and activities performed -Managed care orientation -Knowledge of current practice standards in specialty -Good negotiation and communication skills WORKING CONDITIONS/PHYSICAL DEMANDS: -Phone accessability -Access to a computer to complete reviews -Ability to complete cases accompanied by a typed report in specified time frames -Telephonic conferences This job requires access to confidential and sensitive information, requiring ongoing discretion and secure information management. Concentra is an Equal Opportunity Employer M/F/Disability/Veteran Concentra's Data Protection Commitment • Concentra is committed to protect patient data and to ensure privacy of personal and medical information., • Every Concentra colleague has the responsibility to adhere to data protection principles., • If a colleague's role includes handling or processing sensitive data, role-specific policies and requirements apply to ensure the protection of patient information.

Job DescriptionRole Overview Seeking a curated group of independent fashion, design, and product experts for a two-day, project-based engagement taking place February 18th and 19th. Were looking for womens and mens fashion stylists, beauty specialists (makeup/skincare), interior designers and home dcor experts, jewelry and watch experts, and electronics enthusiasts who regularly research and review products. Selected experts will contribute their aesthetic judgment and domain knowledge to help evaluate items across various consumer categories. This is a short-term opportunity designed for individuals with exceptional taste and strong product discernment. Key Responsibilities * Conduct structured evaluations across your area of expertise (fashion, beauty, home, jewelry, watches, electronics) * Provide thoughtful, experience-based perspective on trends and consumer appeal * Deliver clear, concise written or verbal feedback within evaluation guidelines * Collaborate on a contract basis with a select group of experts during the two-day engagement Ideal Qualifications * 1+ years of experience as a fashion stylist, personal shopper, interior designer, home dcor specialist, jewelry expert, watch expert, beauty specialist, or product reviewer/electronics enthusiast * Demonstrated aesthetic taste and strong product judgment * Deep familiarity with premium, luxury, or high-performing consumer brands in your category * Experience researching, comparing, or reviewing products * Strong attention to detail and ability to articulate clear evaluations More About the Opportunity * Project dates: February 18th and February 19th * Short-term, two-day engagement * Structured evaluation sessions during designated project windows * Select group of vetted experts Application Process * Submit your resume and a brief summary of your specialty * Highlight relevant brands, clients, or product categories youve worked with * Selected experts will receive outreach with next steps * Final confirmations will be shared prior to the project start date Contract and Payment Terms • You will be engaged as an independent contractor., • This is a fully remote role that can be completed on your own schedule., • Projects can be extended, shortened, or concluded early depending on needs and performance., • Payments are weekly on Stripe or Wise based on services rendered.

Job Description Duties: Maintain knowledge of medical record review and EMR systems. Maintain up-to-date knowledge of HEDIS, QARR and Star specifications Distribute requests for records and schedules appointments with provider offices ensure timely completion of duties meet internal and regulatory standards and requirements. Perform clinical audits via EMR, in-house paper medical records, on-site provider visits measure compliance with preventive health guidelines and measure effectiveness of quality improvement initiatives. Identify, track and report variation from standards of care by audit of core operations, patient care processes and medical record documentation. Designs interventions drive improvement and minimize variation from standards of care. Data enter accurate and timely clinical quality findings in the appropriate system(s) in accordance with established documentation standards for Metro Plus Health Plan ensure integrity of member services provided over the continuum of care and over time. Assist in implementation of quality improvement activities as directed by Quality Management programming needs. Support interdepartmental and internal teams focused on process improvement projects and outcomes. Provide educational support physicians and staff ensure process improvement and increase member satisfaction, member retention, continuity of care and drive HEDIS and QARR improvement activities. Facilitate retrieval of medical record documentation and work with provider group(s) and in-field navigators retrieve electronic and paper records that supports HEDIS/QARR. Records findings of patient encounters include patient identifiers, relevant information and results in database. Participate in the annual HEDIS and QARR hybrid medical record review project: Work with provider offices facilitate request and review of charts Supports temporary staff in the review of medical records (electronic and paper-based) Serve as a final reviewer of HEDIS and QARR records Skills: Clinical background: Health Educator, RN, LPN, RN, LMSW or LCSW, Foreign Medical Graduate (FMG) with a minimum of three years relevant work experience. Experience with medical record review working on HEDIS/QARR in a managed care or health plan setting. 3 5 years in Quality Improvement in a health care and/or Managed Care setting strongly preferred. Ability travel within the Metro Plus service area. Knowledge of HEDIS and QARR specifications. Experience using EMR systems, e.g. EPIC, Quadramed. Proficient in Microsoft Office applications including Word, Excel, PowerPoint and Access. Knowledge of ICD-10 and CPT codes preferred. Ability proficiently read and interpret medical records; Ability measure compliance and identify deficiencies in chart documentation against standards. Education: High School/GED with a minimum of years HEDIS review experience. Clinical background preferred (Medical Assistant, Nursing Assistant, Health Educator, LPN, RN, LMSW or LCSW. Experience with medical record review working on HEDIS/QARR in a managed care, health plan or provider office setting. Proficient in Microsoft Office applications including Word, Excel, PowerPoint and Access. Schedule Notes: Shift Time: 9:00AM -5:00PM In person/Hybrid: Field Job Requirements: Maintain knowledge of medical record review and EMR systems. Maintain up-to-date knowledge of HEDIS, QARR and Star specifications Distribute requests for records and schedules appointments with provider offices ensure timely completion of duties meet internal and regulatory standards and requirements. Perform clinical audits via EMR, in-house paper medical records, on-site provider visits collect documentation of measure compliance. Data enter accurate and timely findings in the appropriate system(s) in accordance with established documentation standards for Metro Plus Health Plan ensure integrity of member services provided over the continuum of care and over time.

Job Description Dane Street is expanding our physician panel! This is a telework opportunity for supplemental income for physicians providing a caseload customized to your schedule. Our physician panel is comprised of independent contract reviewers (1099) compensated on a per-case basis. The ideal candidates will hold a NY license and be Board Certified in Orthopedic Surgery, with experience in completing Independent Medical Exams. The ideal candidate will be New York State Workers' Comp certified. Independent Medical Exams are available to be completed across the state of New York. Requirements As Physician Reviewer/Advisor, you will utilize clinical expertise and reviews insurance appeals, and prospective and retrospective claims. The Physician Reviewer will provide an interpretation of the medical necessity of services provided by other healthcare professionals in compliance with client specific policies, nationally recognized evidence-based guidelines, and standards of care. MAJOR DUTIES AND RESPONSIBILITIES: • Reviews all medical records and addresses each question posed by the client utilizing client specific criteria or other nationally recognized evidence-based criteria, • Ensures that the rationale for the determination is clear, concise, and contains adequate supporting documentation to substantiate the decision, • Identifies, critiques, and utilizes current criteria and resources such as national, state, and professional association guidelines and peer-reviewed literature that support sound and objective decision-making and rationales in reviews; refrains from using case studies, cohorts, and the like to make decisions due to their limited sample sizes, • Provides copies of any criteria utilized in a review with the report in a timely manner, • Returns cases on or before the due date and time, • Makes telephone calls as mandated by the state and/or client specifics, • Maintains proper credentialing and state licenses and any special certifications or requirements necessary to perform the job, • Attends all required orientation and training, • Performs other duties as assigned including identifying and responding to quality assurance issues, complaints, regulatory issues, depositions, court appearances, or audits, • Board certification required, active practice required PLEASE BE AWARE: In the interest of the security of all parties, Dane Street will never conduct interviews via text or request checks from candidates for any reason including the purchase of equipment. Benefits Robust opportunity for supplemental income • Schedule flexibility and predictable work hours - You choose services and case types, dictate volume, and conduct exams and reviews based on your schedule availability, • No doctor/patient relationship is established and no treatment is provided. These are advisory-only opinions., • Enhanced industry expertise strengthening your medical practice with medical necessity and utilization review/management expertise, • Expanded credentials as an expert in Independent Medical Exams and physician advisor services, • Fully prepped cases, streamlined case flow, transcription services at no cost, and user-friendly work portal Dane Street supports all referral processes, scheduling, preps cases extensively, prepares all medical records, provides transcription services as applicable, facilitates all client communications, and ensures the quality and timeliness of all reports and report delivery. Apply for this job

Job Description WHO WE ARE Crossmedia is the global media independent. We're committed to doing media and business the right way, guided by the principles of TRUST, REASON and the pursuit of HAPPINESS. Crossmedia US was founded in NY in 2000 and is one of the largest minority-owned full-service media planning & buying agencies in the nation. We are 500+ Crossmedians worldwide with big ambitions to continue to grow with soul. We focus on what media agencies should do: create innovative connections between brands and people regardless of channel or budget. And we do it in an honest way. We are and always have been a values-based organization. We earn our clients TRUST by ensuring media transparency in our business model and objectivity in decision-making. We apply REASON & logic to finding solutions to our clients' greatest business challenges. The pursuit of HAPPINESS matters to us. Big time. We invest in each colleagues' professional & personal wellbeing and growth. It's why we have countless initiatives, clubs & cultural events dedicated to our people and why we have been the top ranked media agency named to Ad Age's Best Places to Work for the past seven years in a row. We have offices in the US in New York and Philadelphia, with employees across 25+ states, as well as in London, Toronto, and Germany. Our client roster includes U.S. Bank, Invesco, Newell Brands, NASCAR, Planet Fitness, American Cancer Society, Ricola, Herschend Family Entertainment, Edible Arrangement and more. YOUR ROLE: We're hiring a full time Temporary Media Planner from late February through June. This role is responsible for leaning in to the strategic media plan development and holistic plan narrative, including tactical details and campaign performance. A successful Planner is resourceful, organized, and energetic throughout the planning process. A strong communicator [both oral and written], they are comfortable in a fast-paced industry and handling multiple projects. (Please note this role is Temporary from February through June. Reliable, ethical & operates in the best interest of Crossmedia & clients • The Planner maintains and grows a foundational knowledge of both online and offline media channels, • Collaborates with Investment, Redbox (Analytics) and Strategy team members to ensure actionable audience insights are incorporated into strategic recommendation, • Manages weekly status calls and serves as the main point of contact with clients, • Manages client budgets and upkeep of flowcharts to maintain holistic media plan accuracy, • Monitors the pulse on changing media and client trends, • Collaborates on tactical presentations with the Investment team, assuring a clear story and approach which is built around the strategic presentation., • Masters tools like Vivvix/Pathmatics, YouGov, MRI/Simmons, Infegy, Commspoint, RBOO and NMI and questions data and usage rigorously, • The first 'gatekeeper' and reviewer for Assistant's work., • Articulates a strong understanding of quantitative media strategy elements – media mix, role of channel, reach and frequency, flighting strategy, etc., • Fully comprehends client business objectives and the role media is meant to play in accomplishing them, • Develops holistic, strategic media plans in partnership with Supervisors and Directors, • Understands target audience behaviors & drivers and works with Investment team to translate those qualities into actionable segments., • Successfully interrogates tactical plan details to ensure strategy pull through, • Understands media metrics beyond the brilliant basics, including layers of quality, effectiveness, etc., • Encourages thinking outside of the box,, • Participates in training programs to enhance their professional growth., • Mentors Assistant Planner; provides ongoing feedback and reviews to guide growth., • Displays a high level of personal dedication and motivation., • Positively contributes to our culture., • Troubleshoots team issues and concerns., • Bachelor's Degree, • 2-3 + years of experience in media planning at an ad agency, • Ability to juggle multiple client projects and responsibilities and meet deadlines, • Attention to detail and organizational skills while working in a fast-paced environment, • Strong written and verbal communication skills, • Excellent analytical and math skills, • Capable of working independently and managing projects from start to finish, • Experience with managing and mentoring junior team members, • Takes initiative in acquiring new skills and taking on a workload, • Professionalism and confidence in working with vendors, team members and clients CROSSMEDIA BENEFITS Our principles of Trust, Reason, and the Pursuit of Happiness are brought to life through benefits that recognize and support the diversity and physical, emotional, and professional well-being of our people, including: • Flexibility to work in hybrid manner with in-office and work from home options (depending on role)., • Open/Flexible PTO with US & UK specific policies, • Sponsored healthcare options and agency-wide physical & mental health support, • 401k with company match (USA), and generous Pension (UK), • Paid sabbatical at significant milestone anniversaries, • Generous paid parental leave policy, • Life milestone recognition & support, • The Pursuit of Happiness Fund devoted to helping Crossmedians find their happy (be it travel, enrichment class, fitness membership or professional development), • Cell phone/tech reimbursement, • Student Loan payment plan (US), • Tuition reimbursement, • Learning & Development and training programs, • And burgers – lots and lots of burgers COMMITMENT TO DIVERSITY AND INCLUSION Diversity is in our DNA. As a minority-owned company, our commitment to an inclusive environment has long been embedded into agency practices and at every level. Almost one third of senior leadership identifies as a person of color and over half of our executive leadership are women. We have active mentoring & internship programs that create opportunities for underrepresented groups. Internal agency programming is anchored by XMEquity365, a permanent, year-round initiative fostering acknowledgement and support of marginalized communities within five pillars – Excellence, Voices, Education, Giving & Representation. Crossmedia is committed to providing equal employment opportunities and creating a diverse and inclusive company culture and that does not discriminate against candidates and employees because of their disability, sex, race, gender identity, sexual orientation, religion, national origin, age, veteran status, or any other basis prohibited by applicable federal, state, or local law. All job requirements are subject to possible revision to reflect changes in the position requirements, business necessities and/or to reasonably accommodate individuals with disabilities. Essential and other job functions are subject to modification. This job description in no way states or implies that these are the only duties to which will be required in this position. Employees will be required to follow other job-related duties as requested by their supervisor/manager (within guidelines and compliance with laws in the US and UK ). Continued employment remains on an "at-will" basis." Reasonable accommodations may be provided to enable individuals with disabilities to perform essential functions in compliance with the American with Disabilities Act of 1990 (US based) Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job: • Prolonged periods of sitting at a desk and working on a computer. Must be able to remain in a stationary position 50% of the time., • Ability to stand, bend, and reach, • Constantly operates a computer and other office productivity machinery, such as a calculator, copy machine, and computer printer., • The ability to communicate information and ideas so others will understand. Must be able to exchange accurate information in these situations.

Job Description Dane Street is expanding our physician panel! This is a telework opportunity for supplemental income for physicians providing a caseload customized to your schedule. Our physician panel is comprised of independent contract reviewers (1099) compensated on a per-case basis. The ideal candidates will hold a NY license and be Board Certified in Neurology with experience in completing Independent Medical Exams. The ideal candidate will be New York State Workers' Comp certified. Independent Medical Exams are available to be completed across the state of New York. Requirements As Physician Reviewer/Advisor, you will utilize clinical expertise and reviews insurance appeals, and prospective and retrospective claims. The Physician Reviewer will provide an interpretation of the medical necessity of services provided by other healthcare professionals in compliance with client specific policies, nationally recognized evidence-based guidelines, and standards of care. MAJOR DUTIES AND RESPONSIBILITIES: • Reviews all medical records and addresses each question posed by the client utilizing client specific criteria or other nationally recognized evidence-based criteria, • Ensures that the rationale for the determination is clear, concise, and contains adequate supporting documentation to substantiate the decision, • Identifies, critiques, and utilizes current criteria and resources such as national, state, and professional association guidelines and peer-reviewed literature that support sound and objective decision-making and rationales in reviews; refrains from using case studies, cohorts, and the like to make decisions due to their limited sample sizes, • Provides copies of any criteria utilized in a review with the report in a timely manner, • Returns cases on or before the due date and time, • Makes telephone calls as mandated by the state and/or client specifics, • Maintains proper credentialing and state licenses and any special certifications or requirements necessary to perform the job, • Attends all required orientation and training, • Performs other duties as assigned including identifying and responding to quality assurance issues, complaints, regulatory issues, depositions, court appearances, or audits, • Board certification required, active practice required PLEASE BE AWARE: In the interest of the security of all parties, Dane Street will never conduct interviews via text or request checks from candidates for any reason including the purchase of equipment. Benefits Robust opportunity for supplemental income • Schedule flexibility and predictable work hours - You choose services and case types, dictate volume, and conduct exams and reviews based on your schedule availability, • No doctor/patient relationship is established and no treatment is provided. These are advisory-only opinions., • Enhanced industry expertise strengthening your medical practice with medical necessity and utilization review/management expertise, • Expanded credentials as an expert in Independent Medical Exams and physician advisor services, • Fully prepped cases, streamlined case flow, transcription services at no cost, and user-friendly work portal Dane Street supports all referral processes, scheduling, preps cases extensively, prepares all medical records, provides transcription services as applicable, facilitates all client communications, and ensures the quality and timeliness of all reports and report delivery. Apply for this job

Our physician panel is comprised of independent contract reviewers (1099) compensated on a per-case basis.

Oversees the utilization of medical care and treatment of VNS MSO members and provides direction and guidance to the staff to assure appropriate and expedient decision-making with attention to quality of care.Consults and cooperates with internal and external partners.Generous paid time off (PTO), s

Description Dane Street, a leading national provider of Utilization Review (UR) and Independent Review Organization (IRO) services, is expanding our panel of physician reviewers.

Provide assistance with respective workflows to Appeal Reviewer's.

Senior Design Reviewer (Electrical). Hours: Full-Time 40 Hours Work Location: 30-30 Thomson Avenue, NY, 11101 The Department of Design & Construction, Division of Public Buildings, Architecture and Engineering Unit seeks a Senior Design Reviewer (Electrical).

Role Overview As a Specialty Physician Reviewer – Diagnostic Imaging, you will apply your clinical expertise to evaluate medical necessity, support evidence-based care delivery, and partner with ordering providers through peer-to-peer consultation.

Apply now to express interest in joining RediMinds’ panel of independent clinical reviewers and get early exposure to the technology advancing review quality and consistency.

Provides ongoing HEDIS/QARR/Risk Adjustment medical record collection and abstraction, as well as the collection of records related to Quality Management and Risk Adjustment initiatives.Responsible for clinical audits needed across products.Provides accurate assessment of provider performance agains

As a Medical Reviewer in the Healthcare sector, you play a crucial role in ensuring the accuracy, compliance, and quality of medical content and documentation. Medical Reviewers are the gatekeepers of medical information, ensuring that all materials meet high standards of accuracy and integrity. Imp

KLDiscovery, one of the largest national eDiscovery providers, is seeking experienced attorneys to support an upcoming litigation.This assignment offers a unique opportunity to contribute to a high-profile matter involving complex legal and social dynamics.This role is a contract-based position whic

We are currently adding to our team of concert reviewers in the NYC AREA ONLY. As a concert reviewer, you will attend some of the most promising live music shows passing through NYC, all while building your journalism portfolio.

Provide assistance with respective workflows to Appeal Reviewer's.

Train new employees and retraining of current staff when required.Review eligibility control report daily for discrepancies/inconsistencies and update of COBRA event status.Research and update COBRA based on member portal inquiries.Special COBRA projects and general duties as assigned.Import data an

Under the direction of the Deputy Director of the SNAP Benefits Error Resolution Unit (BERU) with considerable latitude, the Quality Control Case Reviewer is responsible for conducting quality control and compliance reviews of SNAP cases to ensure accurate eligibility determinations, benefit calcula

As an AI-Enabled Compliance Reviewer at Norm Ai, you will serve as a dedicated compliance reviewer for Norm Ai's clients, some of the largest asset management firms in the world. AI-Enabled Compliance Reviewer. You will serve as a compliance reviewer for Norm Ai clients, assigned to one or more clie

Under the direction of the Deputy Director of the SNAP Benefits Error Resolution Unit (BERU) with considerable latitude, the Quality Control Case Reviewer is responsible for conducting quality control and compliance reviews of SNAP cases to ensure accurate eligibility determinations, benefit calcula

Join Our Part-Time Research Studies Today!.Are you eager to earn extra income from the comfort of your home? We are looking for motivated individuals to participate in paid research studies including focus groups, clinical trials, online surveys, secret shopping, and product reviews.If you enjoy sha

Join Our Part-Time Research Studies Today!.Are you eager to earn extra income from the comfort of your home? We are looking for motivated individuals to participate in paid research studies including focus groups, clinical trials, online surveys, secret shopping, and product reviews.If you enjoy sha

Mercor is seeking senior attorneys or legal academics to review structured legal content related to special needs planning and disability benefits.Your expertise will ensure legal accuracy and clarity across datasets used for advanced AI evaluation.Key Responsibilities:** - Review legal documents an

BURGERHEAD is a new burger concept located in the heart of the West Village seeking front of house team members to join our team.Responsibilities & Qualifications:.Valid NYC / DOH food handlers certificate.Greet customers and take orders.Distribute orders to customers.Count the register for opening

Working in a high-energy festive restaurant environment, you are responsible for managing all payment processes with efficiency, precision, and professionalism.Process all customer payments accurately (cash, credit/debit cards, contactless payments, vouchers).Handle high transaction volumes during p

Mister Cheeks is an all-day café and neighborhood market located in the heart of Carroll Gardens, proudly owned and operated by a local family.We're on the hunt for passionate, creative team members who love great food, warm hospitality, and serving the community as much as we do.Guests can s

We're currently looking for individuals across the country to take part in remote paid research, including remote focus groups, product trials, and consumer studies.Earn up to $750 a week in your free time by providing feedback on everyday products and services.If you're comfortable sharing your opi

Walmart is expanding its massive workforce, and American Career Guide is here to help you explore available roles at the retail giant.Positions are open across multiple departments, offering career paths for both entry-level talent and experienced professionals.Join the Walmart team and help provide

Serving New York’s best bagels, Apollo Bagels is bringing simplicity back to the bagel! With our fresh, simple, high-quality food at a great value.Apollo is a fun and lively community-gathering place unlike any other.As we experience tremendous growth, our leaders are the driving force to our

Located in the heart of Grand Central Terminal, Grand Marche is a new food and beverage takeaway addition to renowned restaurant, Grand Brasserie.This is where classic brasserie energy meets modern New York vibrancy and we are making that energy quickly accessible with fast beverage and food service

Serving New York’s best bagels, Apollo Bagels is bringing simplicity back to the bagel! With our fresh, simple, high-quality food at a great value.Apollo is a fun and lively community-gathering place unlike any other.As we experience tremendous growth, our leaders are the driving force to our