17 Compliance Standards jobs

United States (Remote)

$83–132.8K / year

Job Summary: The Manager, Clinical Appeals is responsible for the oversight of all clinical appeals activities ensuring consistency of services and…

United States (Remote)

$50.00 / hour

POSITION: The West Region Licensed Nurse Practitioner (NP) is responsible for ensuring direct patient care is evidence-based and aligns with…

United States (Remote)

$50.00 / hour

POSITION: The Northeast Region Licensed Nurse Practitioner (NP) is responsible for ensuring direct patient care is evidence-based and aligns with…

United States (Remote)

$50.00 / hour

POSITION: The Southwest Region Licensed Nurse Practitioner (NP) is responsible for ensuring direct patient care is evidence-based and aligns with…

United States (Remote)

$75.3–135.4K / year

Position Purpose: Supervises Prior Authorization, Concurrent Review, and/or Retrospective Review Clinical Review team to ensure appropriate care to members.

United States (Remote)

$70–75K / year

The Utilization Management Registered Nurse is responsible for performing utilization review activities in compliance with federal and state…

United States (Remote)

$50.00 / hour

POSITION: The Midwest Region Licensed Nurse Practitioner (NP) is responsible for ensuring direct patient care is evidence-based and aligns with…

United States (Remote)

$47.00 – $63.00 / hour

Thank you for considering a career at Ensemble!

United States (Remote)

$50.00 / hour

POSITION: The Southeast Region Licensed Nurse Practitioner (NP) is responsible for ensuring direct patient care is evidence-based and aligns with…

United States (Remote)

$34.00 – $61.00 / hour

Position Purpose: Act as the liaison for all statewide appeals, fair hearings, review organizations, and other external type appeals.

United States (Remote)

$66.3–84K / year

To learn more about Arkansas Blue Cross and Blue Shield Hiring Policies, please click here .

United States (Remote)

$50.00 / hour

POSITION: The 50 State Licensed Nurse Practitioner (NP) is responsible for ensuring direct patient care is evidence-based and aligns with SimpliFed's…

United States (Remote)

Overview HealthEdge® offers AI-powered operational infrastructure for health insurance companies, guaranteeing an enduring financial edge in an…

United States (Remote)

$2.4–10K / year

Overview Nurse Practitioner Per Diem This position covers all zip codes in: Cheshire County, NH ComplexCare Solutions (CCS) specializes in helping…

United States (Remote)

Psychiatric Nurse Practitioner - Telehealth Position ***Candidates applying for the Psychiatric Nurse Practitioner role must have an independent…

United States (Remote)

$2.4–10K / month

Overview Nurse Practitioner Per Diem This position covers all zip codes in: Weld County, CO ComplexCare Solutions (CCS) specializes in helping those…

United States (Remote)

$2.4–10K / month

Overview Nurse Practitioner Per Diem This position covers all zip codes in: Belnap County, NH ComplexCare Solutions (CCS) specializes in helping…