NTT DATA, Inc. in Tampa, Florida seeks a BPO Clinical Review Specialist to perform clinical and medical necessity reviews supporting member and provider appeals. You will evaluate medical records and criteria to determine necessity and prepare recommendations for Medical Director review, ensuring compliance with NCQA standards and Medicaid guidance. This remote Florida role offers benefits including medical, dental and vision insurance, a 401(k) match, PTO, disability coverage, and a focus on #J-18808-Ljbffr
...level software programmers, Java Full stack developers, Python/Java developers, Data analysts/ Data Scientists, Data Visualization engineers, BI Analysts, Machine Learning engineers for full time positions with clients. Who Should Apply Recent Computer science/...
This position is responsible for implementing cutting edge gaming products for the largest gaming company in the business. Working across properties and participating on multiple project teams to provide Caesars with innovative business solutions that meet user needs and...
...Job Description Job Description Warehouse Order Puller - 1st Shift Pennsylvania Steel Company Carnegie, PA (near Pittsburgh, PA)(Full Time, Permanent Opportunity, Day Shift) ABOUT PA STEEL: Pennsylvania Steel is a privately held metals distribution...
...Description Job Summary We are seeking an experienced Neonatal Nurse Practitioner to join our Level III NICU team in Shreveport, LA . This position offers the opportunity to work alongside a highly collaborative group of neonatal providers dedicated to delivering...
...technology company in healthcare is seeking a translator to apply exceptional language skills to translate documentation and materials into German. The role requires fluency in both German and English, with a preference for experience in translating from American English. You...