An official State of Ohio site. Here’s how you know
Live Chat
Contact
ODJFS Logo in OMJ Seeker Header
1
Results based on filters ( 3 jobs found )

Utilization Management Reviewer

Keystone First
Washington, DC
Actions
Apply
Save to My Profile
See all jobs from this company
See who you know on LinkedIn
Report this job
$5,000.00 SIGN ON BONUS Role Overview Our Utilization Management Reviewers ...
Details
Summary
About the job:
evaluate medical necessity for inpatient and outpatient services, ensuring treatment aligns with clinical guidelines, regulatory requirements, and patient needs. This role requires reviewing provider requests, gathering necessary medical documentation, and making determinations based on clinical criteria. Using professional judgment, the Clinical Care Reviewer assesses the appropriateness of services, identifies care coordination opportunities, and ensures compliance with medical policies. When necessary, cases are...
Location:
Washington, DC
Job Type:
Full-Time
Permanent
Occupation:
Registered Nurses
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
Keystone First
Certifications / Licenses:
Associate of Science in Nursing
Certified Registered Nurse
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

UAT Test Validation Analyst II

Keystone First
Located in Ohio
Actions
Apply
Save to My Profile
See all jobs from this company
See who you know on LinkedIn
Report this job
Role Overview Under the direction of the UAT Team Lead, the UAT Test ...
Details
Summary
About the job:
Validation Analyst II executes comprehensive functional and regression test plans in support of system changes. This includes supporting or leading testing for all projects and required changes impacting systems from beginning to end. Work Arrangement This is a 100% Remote Position Responsibilities Participation in the development of business requirements and analyzing requirements to determine testing scope Creation of test approach documentation including scripts Successfully execute test cases and analyze results to...
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
Software Quality Assurance Analysts and Testers
Career Level / Education:
Bachelor's degree
Salary:
High Income Jobs ($80K-$99K)
From:
Keystone First
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

FACETS Business Systems Analyst

Keystone First
Located in Ohio
Actions
Apply
Save to My Profile
See all jobs from this company
See who you know on LinkedIn
Report this job
Role Overview The Facets Configuration Business Systems Analyst analyzes a ...
Details
Summary
About the job:
wide range of FACETS configuration change requests for the purpose of determining the technical scope of the change, the impact on existing system configuration, and ultimately the exact nature of the modifications required to implement the change. The position requires a thorough understanding and knowledge of relational database theory as well as technical testing methodologies. Work Arrangement This is a 100% remote position Responsibilities Serves as a technical consultant to assigned Health Plan(s) in the...
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
Computer Systems Analysts
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
Keystone First
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information
1

Current Filters

Refine

Industry
Location
Salary
Career/Education Level
Certificates
Occupation
Job Type
Other Opportunities
Display Results

Clear All Filters
This user has no active resume. Please click here to manage resumes.
My OhioMeansJobs Notice
You have reached the maximum number of Saved Searches / Matches. You must remove an existing record before you can save a new one. Access your saved items here.
Confirm your search criteria, then select the frequency of your search and give it a name.
Company Name: Keystone First
How often do you want to receive emails?
All fields are required
This field is required
Save
Search Jobs
Advanced close
Select up to 10 occupations
Add Occupations
...
  • x
x close
Loading Map, please wait...
Position is accurate to the ZIP Code or city location only.
Loading Map, please wait...