Medical Review Specialist Regular Exempt General Description: Responsible for conducting clinical reviews of post-service and pre-payment claims requiring medical documentation to determine medical necessity, coding accuracy, reimbursement appropriateness, and compliance with clinical guidelines, payment policies, and regulatory requirements.
Fluor Project Document & Data Management Role At Fluor, we are proud to design and build projects and careers. We are committed to fostering a welcoming and collaborative work environment that encourages big-picture thinking, brings out the
Clinical Review Specialist - Temporary Temporary - Employee on Leave Exempt General Description: Responsible for performing clinical quality assessments and documentation reviews across the Classicare provider network to ensure compliance with the Center for Medicare and Medicaid Services
Medical Coverage Drugs Review Pharmacy Technician Regular Non-Exempt General Description: Receives and attends calls from clients (insured parties, medical providers, specialized pharmacies) related to the medication management process. This involves making pre-authorizations according to established guidelines and
Job DetailsLevel: EntryJob Location: Northgate Branch - McAllen, TX 78504PRIMARY OBJECTIVE OF POSITIONThe primary objective of this position is commercial business credit underwriting, and detailed evaluation of applicants’ financial histories, projections, and statements. Tasks include analyzing
Senior Account Executive Toshiba America Business Solutions, a leader in digital technology. Our people bring creative, real-world solutions for our clients print management needs; we help cut costs, secure documents and reduce the environmental footprint. We are
Job DetailsLevel: EntryJob Location: Northgate Branch - McAllen, TX 78504PRIMARY OBJECTIVE OF POSITIONDelivering an exceptional member experience by efficiently handling high-volume inbound calls and digital inquiries, resolving member issues accurately, and completing transactions in real time.
Job DetailsJob Location: Weslaco Branch - Weslaco, TX 78596PRIMARY OBJECTIVE OF POSITIONPerform transactional duties to serve members by receiving or paying out funds with the highest of accuracy. Maintain accurate transactional records. Provide cash receipt, account,
SUMMARY Mortenson is currently seeking an experienced Senior Integrated Construction Coordinator to provide implementation and overseeing Virtual Design and Construction processes throughout phases of a project. Strong communication skills are necessary as you will be interacting
Where compassion meets innovation and technology and our employees are family. Thank you for your interest in joining our team! Please review the job information below. General Purpose of Job: The staff nurse (RN) is a professional
The Assistant Store Manager is an essential part of the store leadership team and is responsible for collaborating with the Store Manager to cultivate and maintain an environment that supports the Boot Barn Mission, Vision, and
Overview The Assistant Store Manager assists in the management of the retail facility. The Assistant Store Manager should know the necessary aspects of store operation and act as the Store Manager in their absence, on a
The Warehouse Inventory Control Specialist is responsible for coordinating and performing the shipping and receiving of material within the warehouse and yard. This role will manage and maintain incoming and outgoing government, commercial, and company property.
Title: Travel Youth Care Worker Location: McAllen, TX Schedule: This position is mission critical and essential to the ongoing operations and requires you to be available a minimum of 4 consecutive days per week to include
Job Description The Manager of Asset Protection (AP) is responsible for supervision of Asset Protection teams in the store they support. This supervision includes recruiting, development, performance oversight and budgeting. This position is responsible for the
Benefits: 401(k) Competitive salary Employee discounts Flexible schedule Free uniforms Opportunity for advancement Training & development Welcome, Empower, Connect! At Hand & Stone Massage and Facial Spas, our vision is simple: to make each visit the
SUMMARY Mortenson is currently seeking a Project Engineer to oversee the review, analysis, management, and resolution of field coordination issues with project team members and participants. This position offers opportunities at both levels 1 and 2, allowing
Overview When you join Kyocera Document Solutions Southwest, LLC you are joining an organization that is deeply rooted in the Philosophy of “doing what is right as a human being”. Through this Philosophy, our employees are passionate
Where compassion meets innovation and technology and our employees are family. Thank you for your interest in joining our team! Please review the job information below. General Purpose of Job: Reporting to the department manager/director, this position
Contract Specialist I or II; Pharr District (District Maint.) - (2601653) Position Information Do you enjoy working with contracts, collaborating with stakeholders, and ensuring projects are delivered with accuracy, compliance, and excellence? At TxDOT, every contract