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Reviewer - Physics United States Jobs

66 Job Offers

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Manager - Utilization Review
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Seeking a Utilization Review Manager in El Paso to oversee service utilization and optimize facility reimbursement. This role requires a clinical license (LPN/RN) and involves securing insurance authorizations and managing staff. You will ensure regulatory compliance while maximizing patient bene...
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United States , El Paso
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Not provided
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Acadia Healthcare
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Medical Peer Reviewer
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Join Healthfirst as a Medical Peer Reviewer, ensuring medical necessity and regulatory compliance in utilization management. This vital role requires an MD/DO/DMD/DDS license and relevant board certification. You will assess authorization requests, collaborate with medical teams, and enjoy compre...
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United States
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122907.00 - 188020.00 USD / Year
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Healthfirst
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Commercial Credit Review, Sr. Manager
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Seeking a Senior Manager for Commercial Credit Review, focusing on Energy lending portfolios. This role involves leading risk assessments, transactional testing, and targeted reviews to ensure credit quality. Ideal candidates have 8+ years of credit experience and 5+ years in energy lending. The ...
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United States , Plano; Charlotte; New York; McLean; Richmond
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182500.00 - 249900.00 USD / Year
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Capital One
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Manager, Accountability & Standards Review
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Lead the strategic Standards Review process for United Way investments in San Antonio. Ensure agency governance, fiscal integrity, and program effectiveness through full lifecycle management. Ideal candidates have 3+ years in non-profit operations, audit experience, and financial analysis skills....
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United States , San Antonio
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70000.00 - 75000.00 USD / Year
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United Way
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Utilization Review Nurse-RN
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Seeking a Utilization Review Nurse (RN) to assess medical necessity for treatment plans. This remote role requires a current U.S. RN license, 1+ years of clinical experience, and offers a standard Monday-Friday schedule. Enjoy competitive benefits, professional development, and a mission-driven c...
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United States
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30.00 - 38.00 USD / Hour
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Personify Health
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Utilization Review Nurse-RN
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Seeking a Utilization Review Nurse (RN) to assess medical necessity for treatment plans. This remote U.S. role requires a current RN license, 1+ years of clinical experience, and offers a standard Monday-Friday schedule. Enjoy competitive salary, comprehensive benefits effective day one, and clea...
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United States
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30.00 - 38.00 USD / Hour
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Personify Health
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Senior Tax Reviewer Consultant
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Join our team in Troy as a Senior Tax Reviewer Consultant for a key short-term engagement. Utilize 7+ years of public accounting expertise to review complex individual and business tax returns. You will ensure accuracy and compliance using Axcess Tax software in a fast-paced environment. This rol...
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United States , Troy
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Not provided
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Robert Half
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Dhvi data review specialist
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Join our team as a QA Data Review Specialist in Durham, NC. This role involves critical review of GMP analytical data, deviations, and investigations to ensure compliance. The ideal candidate has 5+ years of GMP quality experience and strong attention to detail. We offer competitive benefits incl...
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United States , Durham
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60.00 USD / Hour
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Medasource
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Document Review Attorney
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United States , Denver
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Not provided
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Robert Half
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Doc Review Attorney
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Join our legal team in Saint Louis, MO, as a Doc Review Attorney on a contract basis. Utilize your active license and civil litigation expertise to conduct precise document reviews, with a focus on pharmaceutical or medical device cases. This role offers competitive benefits and requires strong a...
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United States , Saint Louis
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Not provided
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Robert Half
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Medical Coding Review Specialist
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Join our remote team as a Medical Coding Review Specialist. Utilize your CPC/CCS certification and 3-5 years of inpatient coding experience in retrospective reimbursement reviews. Analyze CPT codes, modifiers, and EOBs to draft binding determination letters, supporting the IDRE process. We offer ...
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United States , Remote
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21.42 USD / Hour
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MMC Group LP
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Initial Clinical Reviewer
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United States , Phoenix
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Not provided
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Blue Cross Blue Shield of Arizona
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Senior Advisor, Supervision- Advertising Review
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Join Raymond James as a Senior Advisor, Supervision in Saint Petersburg. You will conduct critical advertising and marketing reviews, ensuring compliance with SEC and FINRA regulations. This role requires Series 7, 24, and 65/66 licenses, plus 3+ years of compliance experience. Apply your experti...
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United States , Saint Petersburg
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Not provided
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Raymond James
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Loan Review Manager
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Lead credit risk assessments for commercial and private bank loan portfolios at Raymond James Bank. Utilize your 7+ years of CRE/C&I lending or credit review expertise to evaluate underwriting standards and regulatory compliance. Analyze financial statements and risk ratings to ensure portfolio q...
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United States , Saint Petersburg
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Not provided
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Raymond James
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Senior Finance Manager-Agreements Reviews Lead
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United States , Redmond
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96500.00 - 188400.00 USD / Year
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Microsoft Corporation
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Clinical Quality HEDIS Reviewer
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Seeking a detail-oriented Registered Nurse for a remote Clinical Quality HEDIS Reviewer role. You will analyze medical charts for STARS/HEDIS measures to close quality gaps and improve program rates. This position requires 2+ years of HEDIS experience and proficiency in data analysis and Microsof...
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United States , Eden Prairie
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Not provided
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Robert Half
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Ai-enabled compliance reviewer
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United States , New York City
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100000.00 - 140000.00 USD / Year
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Norm AI
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Engineering Design Reviewer
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United States
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Not provided
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Navarro Inc
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Material Review Engineer
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United States , Wichita
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89500.00 - 177500.00 USD / Year
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Boeing
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Material Review Engineer
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United States , Wichita
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89500.00 - 177500.00 USD / Year
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Boeing
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Explore rewarding careers in analysis and quality assurance with Reviewer jobs, a profession centered on meticulous examination, evaluation, and validation within specialized fields. Reviewers serve as critical gatekeepers of quality, accuracy, and compliance, ensuring that processes, documents, data, or systems adhere to established standards, regulations, and internal policies. Professionals in these roles are essential for risk mitigation, maintaining integrity, and driving continuous improvement within their organizations. The core responsibility of a Reviewer is to conduct systematic and independent assessments. This typically involves analyzing complex information, which can range from financial statements and credit applications to technological controls and operational procedures. They design and execute testing protocols, scrutinize documentation, and evaluate the effectiveness of existing controls and frameworks. A key output of their work is the identification of gaps, weaknesses, or non-compliance issues. Following their analysis, Reviewers are responsible for compiling detailed reports that clearly articulate findings, assess risk levels, and provide actionable recommendations for remediation. They often collaborate with various departments, such as risk management, compliance, audit, and business units, to discuss findings and influence the implementation of corrective solutions. Typical day-to-day duties include performing in-depth qualitative and quantitative analysis, staying current with relevant industry regulations and best practices, managing multiple review projects simultaneously, and presenting results to stakeholders and management. They may also be involved in mentoring junior analysts, contributing to the development of review methodologies, and participating in strategic initiatives to enhance the overall control environment. To succeed in Reviewer jobs, candidates generally need a strong educational foundation, usually a bachelor’s degree in a relevant field such as finance, accounting, business administration, information technology, or a related discipline. Several years of experience in areas like risk management, compliance, audit, or a specific operational domain (e.g., technology, underwriting) are standard requirements. Essential skills include advanced analytical and critical thinking abilities, exceptional attention to detail, and superior written and verbal communication skills for drafting precise reports and conveying complex issues clearly. Proficiency with standard office software and specialized analytical tools is expected. Industry-specific certifications (such as CIA, CISA, CRISC, or similar) are highly valued and often preferred, as they demonstrate a committed expertise. Strong ethical judgment, professional skepticism, and the ability to work both independently and as part of a team are fundamental personal attributes for this profession. If you are a detail-oriented professional with a passion for ensuring standards and driving organizational excellence, a career as a Reviewer offers a challenging and impactful pathway. Discover a wide range of opportunities in this vital field by exploring current Reviewer jobs that match your expertise and career ambitions.

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