- Locations: California, Virginia, Texas, Florida, New York
- Related Keywords: Attitude Determination, Attitude Determination Control, Disability Determination, Disability Determination Services, Disability Determination Specialist, State Disability Determination Specialist
- Allied Health - Nurse Practitioner - Occupational Medicine
- Take Care Health Systems - PATake Care Health Systems… (Ripley, TN)
- ...to assess and treat occupational work injuries/illnesses Must be willing to learn specific job requirements of client employees in order to make determinations regarding return to work Discuss work comp issues with client, TPA, and outside providers Work with onsite therapy group to ensure...
- New Product Development Coordinator, Spanish Bilingual
- Pittsburgh Post-Gazette (Pittsburgh, PA)
- ...all phases of new product development; collaborate with external departments to secure performance of project plans; research vendors and make determinations as to the economic feasibility of using their products; conceptualize and/or research and present new product ideas to the...
- Claims Adjudicator
- Commonwealth of Massachusetts (Lawrence, MA)
- ...grant funds.Duties: Incumbents of positions in this series make determinations on eligibility for benefits in disputed claims after gathering...necessary information through interviews; issue timely notices of such determinations , together with the rational behind them, to parties in...
- Employment Security Representative II
- MyFlorida (Tallahassee, FL)
- ...from these individuals to apply the law in making initial determinations on claims. The individual in this position must be able...issues to ensure federal standards are maintained in making timely determinations and issuing first payments on claims when appropriate. This requires...
- Sr Classification Specialist
- FPMI Solutions, Inc. (Washington, DC)
- ...are appropriately classified * Making recommendations * Providing narrative justification to support FLSA determinations * Attending meetings to explain and defend FLSA determinations * Participation in 3rdParty arbitration or litigation proceedings * Providing expert testimony at...
- Claims Adjuster (3 Vacancies)
- Commonwealth of Massachusetts (Boston, MA)
- ...finding investigations, resolve issues and discrepancies, and issue eligibility determinations for one of four UI Program Integrity Work Units:...and/or Trade Re-adjustment Allowance payments. Analyze facts and make determinations in accordance with MGL Chapter 151A, 430 CMR, the...
- Assistant Medical Director
- Premera (Mountlake Terrace, WA)
- ...and data. Position Description The Assistant Medical Director provides determinations of eligibility and allowances for services in pre-certification...hormone, and assists in review of requests for benefit determinations when these determinations require physician participation...
- Engineer (Cause Analyst)
- Southern Company (Birmingham, AL)
- ...expertise and support for root cause and apparent cause determinations and corrective action activities for the assigned site. This...when assigned * Performs apparent cause and basic cause determinations as assigned * Performs effectiveness reviews of corrective actions...
- Utilization Management Retrospective Review Nurse
- Community Health Plan of Washington (Seattle, WA)
- ...utilization review team. Consults with Medical Director, Chief Medical Officer or physician designee as needed to make medical necessity determinations about what?? Assures contractual turnaround timelines are met on clinical determinations ; maintains appropriate documentation of all...
- Engineer (Cause Analyst)
- Southern Company (Birmingham, AL)
- ...expertise and support for root cause and apparent cause determinations and corrective action activities for the assigned site. This...leader when assigned Performs apparent cause and basic cause determinations as assigned Performs effectiveness reviews of corrective actions from...
- Compliance Administrator
- University of Washington (Seattle, WA)
- ...members as well as other UW Compliance Offices. Report to the ADQC and to the IRB the results of investigations, provide written determinations of researcher non-compliance and propose appropriate corrective actions for the IRB to consider. Under the direction of the ADQC, review reports...
- Staff Pharmacist
- Universal American Corporation (Solon, OH)
- Staff Pharmacist Tracking Code 304415-763 Job Description SUMMARY The Staff Pharmacist performs a clinical review of initial coverage determinations and re- determinations (appeals) on Non-Formulary, Prior Authorization, Quantity Limit, Step Therapy, and Tier Exception requests using...
- Director, Accounting Policy
- Unknown (New York, NY)
- ...to accounting issues arising from the investment portfolio including, but not limited to restructuring of investments, new investments, fair value determinations , etc. Education and Experience: - CPA with 4 or more years of accounting policy experience within the asset management industry...
- Manager, Information Systems Requirements
- General Dynamics Information Technology (Alexandria, VA)
- ...obligations/requirements concerning technical deliverables. g) Maintain liaison with EVM Manager/Program Controller to provide inputs/assessment for EVM determinations . Requires BS/BA degree. Requires 8-10 years experience. Min. 4 years experience with DOD contract support. Min....