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This telework opportunity provides the ability to customize your schedule and caseload within the week while maintaining client-mandated turnaround times. 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.
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Quick payment turnaround, with funds in your account within 24-48 hours. Flexibility to work your own schedule and control your work-life balance. Must be licensed for Life and Health insurance (assistance with obtaining license provided if.
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Business Development DirectorMadison Turnaround Services – Business Development DepartmentBusiness base location can be determined. Madison Industrial Services Team, LLC. is seeking a Business Development Director to identify prospective opportunities for the company, conduct presentations for prospective clients/owners to promote the Company’s experience and capabilities, and cultivate opportunities to submit proposals on future work.
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Reviews all medical records and addresses each question posed by the client utilizing client specific criteria or other nationally recognized evidence-based criteria. 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.
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Utilizes clinical expertise, and reviews insurance appeals, prospective and retrospective claims. Our reviewers are compensated on a per-case basis as a 1099 independent contractor. Performs other duties as assigned including identifying and responding to quality assurance issues, complaints, regulatory issues, depositions, court appearances, or audits.
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Optimize developer turnaround time by reducing compile time and innovating new techniques to reduce compile and link time overhead. Develop and enhance test suites to amplify code coverage and reduce regressions, harmonized with our QA team to ensure the qualify of the compiler.
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We are the largest turnaround school operator in the nation and have been lauded by President Obama and the US Department of Education for our ability to dramatically boost academic achievement in historically low-performing schools.
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Maintains proper credentialing and state licenses and any special certifications or requirements necessary to perform the job. PLEASE BE AWARE: In the interest of the security of both parties, please be aware that Dane Street will never conduct an interview via text or request checks from candidates for purchasing equipment.
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Our focus is on providing high-quality clothing with quick turnaround times and affordable pricing. This is a full-time, on-site role as the Vice President of Operations at Pearce Bespoke Franchising in Baton Rouge, LA. As the Vice President of Operations, you will be responsible for overseeing all aspects of the company's operations, including operational management, franchisee communications, asset building, strategic planning, and project management.
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With a focus on providing quality life insurance solutions to seniors, our goal is to help. The opportunity to make a positive impact by serving seniors and helping them protect their. Perks for top performers, including all-expense paid travel incentive trips.
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Provides copies of any criteria utilized in a review with the report in a timely manner. Makes telephone calls as mandated by the state and/or client specifics. Ensures that the rationale for the determination is clear, concise, and contains adequate supporting documentation to substantiate the decision.
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Responsibilities Include: The NSUF Program Administrator administers the NSUF aspects of the Consolidated Innovative Nuclear Research (CINR) Funding Opportunity Announcement (FOA) solicitation ( ) and is a backup for the NSUF Rapid Turnaround Experiments ( ) solicitations.
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Boston Public Schools seeks an exceptional Mathematics Teacher with an SEI Endorsement who is highly qualified and knowledgeable to join our community of teachers, learners, and leaders.
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Data entry for purchase order/correspondence with emphasis on accuracy and timely turnaround. Attention to Detail About UsViskase is a global powerhouse in the food packaging industry, renowned for delivering top-tier artificial casings and a comprehensive range of casings and nettings.
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Performs and reports laboratory tests accurately in required turnaround time. State of Florida Clinical Laboratory Technologist license - maintain active and in good standing throughout employment.
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