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The Utilization Review Specialist manages daily operations, which include supervising the staff performing benefit enrollments and utilization management activities. The Utilization Review Specialist participates in department development and unit performance improvement.
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Review construction projects and keep track of projects involving RAM and RGE use areas. Manage the OSU TR Access Control program, including the review and approval or denial all applications for unescorted access to areas of increased controls, provide security trainings, assist with the testing of equipment, and maintaining all required documentation.
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Complete and review technical analyses prepared by others, including shallow and foundation design, support of excavation, slope stability, ground improvement, and other geotechnical analyses. Review engineering reports, drawings, and specifications.
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This role involves leading a team in various credit risk review engagements and continuous monitoring activities associated with a strong independent credit review and/or similar credit risk management function.
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Our specific services include state income and franchise tax, indirect tax, unclaimed property, business restructuring, credits and incentives, sales and use tax outsourcing, excise tax, property tax, state strategic tax review, and state tax controversy.
$68,180 - $144,300 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Modify and review production drawings for a variety of projects, including drinking water, wastewater, distribution & collection and industrial applications. Provide construction administration support, including submittal review, procurement, response to Contractor’s requests for information, review and approval of change orders, and development of record of construction documents.
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Create and review computer models of overhead electric transmission lines and structures in PLS-CADD, PLS-POLE and PLS TOWER. Assemble and review drawings, specifications, and design criteria for the procurement of tubular steel structures, lattice towers, and transmission line hardware.
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This position has supervisory oversight of the Reimbursement Analyst daily work schedule including flow of information, teaching of reimbursement fundamentals and principals, review of work and setting daily priorities.
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Experienced German Language Document Review Attorney – Remote Great opportunity for l icensed attorneys with document review experience and German fluency interested in quality focused e-Discovery.
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Typically, the inspections would require visual/physical inspection, witness of testing, review of QA/QC documentation including MTRs. Each inspection completed would require inspector issuing a report of findings within the specific time limit.
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Review, improve, and develop policies and procedures for critical maintenance functions with emphasis on successful HUD, Housing Authority, State, and City regulatory maintenance inspections and timely completion of required critical repairs.
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Job DescriptionSUMMARY:Under the direction of the Director of Loan Review, will provide assistance for the independent and objective evaluation of the quality of the loan portfolio, the adequacy of loan documentation, and the effectiveness of loan administration functions.
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Review DoD and open source intelligence for threats. Existing 8570 CSSP Analyst Certifications (CEH), CySA+ etc. In-depth knowledge of architecture, engineering, and operations of at least one enterprise SIEM platform (e.g. ArcSight, Splunk, Nitro/McAfee Enterprise Security Manager, QRadar, LogLogic.
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Performs review of the medical record including documentation, reports, flowsheets, and test results, applying evidence-based criteria related to DRG and clinical validation denials. Collaborates with Accuity Physician and Accuity CDI in appropriately identified clinical denials requiring communication to the Accuity clinical review teams.
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Prepare construction plans for agency/municipal review and complete and submit various land development permit applications. Engage with regulatory agencies, understanding what information to provide, when, and ensuring internal or client review as needed.
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review job Title: clinical in Ohio, OH
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