compliance reviewer

TELUS Digital

<div>
 
 Looking for a freelance opportunity where you can make an impact on technology from the comfort of your home? If you are dynamic, tech-savvy, and always online to learn more, this part-time flexible project is the perfect fit for you!
 
 
 
 
 
 
 A Day in the Life of a Content Reviewer - US:
 
 
 <ul>
 <li>
 In this role, you&rsquo;ll be analyzing and providing feedback on texts, pages, images, and other types of information for top search engines, using an online tool
 </li>
 <li>
 Through reviewing and rating search results for relevance and quality, you&rsquo;ll be helping to improve the overall user experience for millions of search engine users, including yourself.
 </li>
 </ul>
 
 
 
 
 Join our team today and start putting your skills to work for one of the world's leading search engines.
 
 
 
 
 
 
 The estimated hourly earnings for this role are 14 USD per hour.
 
 
 
 
 
 
 Please note only one member per household can work on this program. If at a later stage it is identified that more than one person in your household is working on the TELUS Digital Rating Program, it will result in removal from the program.
 
 
 
 
 
 
 
 
 
 TELUS Digital AI Community
 
 
 
 Our global AI Community is a vibrant network of 1 million+ contributors from diverse backgrounds who help our customers collect, enhance, train, translate, and localize content to build better AI models. Become part of our growing community and make an impact supporting the machine learning models of some of the world&rsquo;s largest brands.
 
 
 
 
 
 Qualification path
 
 
 
 
 
 No previous professional experience is required to apply to this role, however, working on this project will require you to pass the basic requirements and go through a standard assessment process. This is a part-time long-term project and your work will be subject to our standard quality assurance checks during the term of this agreement.
 
 
 
 
 
 
 Basic Requirements
 
 
 <ul>
 <li>
 Working as a freelancer with excellent communication skills in English
 </li>
 <li>
 Being a resident in the United States for the last 3 consecutive years and having familiarity with current and historical business, media, sport, news, social media, and cultural affairs in the US.
 </li>
 <li>
 Active use of Gmail and other forms of social media and experience in the use of web browsers to navigate and interact with a variety of content
 </li>
 <li>
 Daily access to a broadband internet connection, a smartphone (Android 5.0, iOS 14 or higher), and a personal computer to work on.
 </li>
 </ul>
 
 
 
 
 
 Assessment
 
 
 
 In order to be hired into the program, you&rsquo;ll take a language assessment and an open book qualification exam that will determine your suitability for the position and complete ID verification. Don&rsquo;t worry, our team will provide you with guidelines and learning materials before your exam. You will be required to complete the exam in a specific timeframe but at your convenience!
 
 
 
 
 
 
 Equal Opportunity
 
 
 
 All qualified applicants will receive consideration for a contractual relationship without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. At TELUS Digital AI, we are proud to offer equal opportunities and are committed to creating a diverse and inclusive community. All aspects of selection are based on applicants&rsquo; qualifications, merits, competence, and performance without regard to any characteristic related to diversity.
 
</div>

Content Reviewer - US | WFH

State of Nevada

<div>
 ***THIS RECRUITMENT MAY CLOSE WITHOUT FURTHER NOTICE DEPENDING ON THE NUMBER OF APPLICATIONS RECEIVED. APPLICANTS ARE ENCOURAGED TO APPLY AS SOON AS POSSIBLE***
 
 
 
 Job Summary
 
 
 
 This position is for Compliance Investigator 1, underfilling a Compliance Investigator 2 in the Southern I&amp;R. The Division of Social Services Compliance Investigators perform investigations regarding violations of federal and/or State laws or regulations pertaining to public assistance programs including but not limited to the Supplemental Nutrition Assistance Program (SNAP), Temporary Assistance for Needy Families (TANF), Nevada Medicaid, Low Income Home Energy Assistance Program (LIHEA), Nevada Child Support Enforcement and Nevada Child Care program. Compliance investigations will be completed following a formal complaint or suspected violation utilizing standard investigative techniques. Incumbents are not sworn peace officers, and enforcement actions are limited to compliance rules specific to the program or regulatory statutes and involve informal resolution and/or recommendations for administrative sanctions or penalties which are imposed by a higher authority. Under close supervision, incumbents perform the duties described in the series concept in a training capacity.
 
 
 
 Essential Qualifications
 
 
 
 Bachelor's degree from an accredited college or university in criminal justice, political science, psychology, social work, business administration or closely related field; OR graduation from high school or equivalent education and two years of experience where standard investigative techniques were utilized to make program compliance determinations and prepare detailed reports for the purpose of justifying administrative sanctions, penalties or criminal prosecution. Work experience may be obtained in law enforcement, investigative, regulatory or compliance setting; OR an equivalent combination of education and experience as described above.
 
 
 
 Job Duties
 
 
 
 Receive informal and formal complaints by phone or in writing and make determinations regarding possible program violations and jurisdiction under a specified program area; gather and analyze background information and facts pertaining to the case.
 
 
 Conduct interviews with complainants, witnesses, employers, State and local governmental agencies and other sources to obtain information regarding violations or noncompliance; develop leads and facts pertaining to the case to substantiate violation.
 
 
 Prepare required forms and/or notices and send to appropriate parties regarding complaint and alleged violations; review responses and discuss with complainant and respondent.
 
 
 Gather evidence such as records, reports, bank statements, bills, check stubs, sales receipts, transaction verifications, personnel files and historical data pertaining to the initial violation to develop trends or patterns to support the complaint; conduct surveillance activities and serve subpoenas to obtain evidence and expedite the case as required.
 
 
 Develop case files and maintain case logs and reports; file evidence along with chronological documentation regarding investigative steps taken and all contact made with complainant, respondent, witnesses and other sources; utilize information to develop final case report for further litigation as appropriate.
 
 
 Coordinate possible resolution of complaint on an informal basis by conducting meetings and discussions with contending parties, addressing evidence gathered and steps to regain compliance and/or resolution of complaint; negotiate and stipulate final agreements in writing; monitor case to ensure adherence to agreements.
 
 
 Prepare investigative reports encompassing all facts pertaining to the case; outline suspected violations, statements of facts, documentation of evidence, violations committed, statements obtained and findings and conclusions, for review by a higher authority for sanctions and/or criminal prosecution; appear before the governing body or in a court of law to provide testimony as required.
 
 
 Maintain logs and statistical reports regarding status of on-going cases, final disposition, and field work performed, complaints received, and penalties imposed.
 
 
 Conduct training programs regarding agency services, rules and regulations for employers, community groups and the general public to ensure compliance, understanding and awareness.
 
 
 May conduct investigations of business activities on an as needed basis to ensure compliance with program rules and regulations and stipulated agreements.
 
 
 Perform related duties as assigned.
 
 
 Under close supervision, incumbents perform the duties described in the series concept in a training capacity. Work is assigned through instructions and reviewed for accuracy. Progression to the next level may occur upon meeting the minimum qualifications, satisfactory performance and with the recommendation of the appointing authority.
 
 
 
 Knowledge, Skills, And Abilities
 
 
 
 
 General knowledge of:
 
 research techniques and application; basic investigative techniques; the theories of human behavior and psychology.
 
 
 
 Ability to:
 
 write concise, logical, grammatically correct reports; speak on a one-to-one basis using appropriate vocabulary and grammar to obtain information and to explain policies; record information quickly and accurately; convey accurate and precise data in a timely manner within established time frames; read and interpret statutes related to the program area to make compliance determinations; speak with individuals of various social, cultural, economic and educational backgrounds.
 
 
 Recruiter Contact Information: Ana Maria Ornellas -aornellas@admin.nv.gov
 
 
 The State of Nevada is an equal opportunity employer dedicated to building diverse, inclusive, and innovative work environments with employees who reflect our communities and enthusiastically serve them. All applicants are considered without regard to race, color, national origin, religion or belief, age, disability, sex, sexual orientation, gender identity or expression, pregnancy, domestic partnership, genetic information (GINA), or compensation and/or wages.
 
 
 
 Please send direct Inquiries or correspondence to the recruiter listed on this announcement.
 
 
 
 
 Benefits Include
 
 
 
 <ul>
 <li>
 Health Insurance: Medical, dental, life, and disability insurance programs for employees and their dependents/family are offered through the Public Employees&rsquo; Benefits Program (PEBP).
 </li>
 <li>
 Vacation: Accrual of three weeks of annual leave each year.
 </li>
 <li>
 Sick Leave: Accrual of three weeks of sick leave each year.
 </li>
 <li>
 Holidays: 12 paid holidays per year.
 </li>
 <li>
 Retirement: Participation in the Nevada Public Employees Retirement System (PERS). Employees do not contribute to Social Security but will contribute to PERS if their position is at 50% or more full-time equivalency. For more information on how PERS service may impact Social Security benefits, visit the SSA publication.
 </li>
 <li>
 Deferred Compensation: The State offers a voluntary Deferred Compensation Program.
 </li>
 <li>
 No Nevada state income tax.
 </li>
 <li>
 Public Service Loan Forgiveness: Eligible due to public sector employment.
 </li>
 <li>
 Longevity Payments Eligibility: Employees who have received a performance rating of &ldquo;standard&rdquo; or better and have completed eight (8) or more years of continuous service are eligible for longevity pay.
 
 
 </li>
 </ul>
 
 Additional benefits
 
 may apply to employees covered under a Collective Bargaining Agreement (CBA), depending on their designated bargaining unit. For more information, visit the Labor Relations Unit (LRU).
 
 
 For more details about your rights and responsibilities as a State of Nevada employee, please review the State of Nevada Employee Handbook (PDF).
 
 
 <ul>
 <li>
 State Holidays The holiday schedule for State employees is established by the Legislature.
 
 
 </li>
 </ul>
 
 The Following Are Legal Holidays
 
 
 
 January 1.............................................. New Year's Day
 
 
 Third Monday in January.................. Martin Luther King, Jr.'s Birthday
 
 
 Third Monday in February................ Washington&rsquo;s Birthday
 
 
 Last Monday in May........................... Memorial Day
 
 
 June 19................................................ Juneteenth Day
 
 
 July 4.................................................... Independence Day
 
 
 First Monday in September.............. Labor Day
 
 
 Last Friday in October....................... Nevada Day
 
 
 November 11........................................ Veterans' Day
 
 
 Fourth Thursday in November........ Thanksgiving Day
 
 
 Friday following the Fourth Thursday in November...................... Family Day
 
 
 December 25........................................ Christmas Day
 
 
 When January 1, June 19, July 4, November 11, or December 25 falls on a Saturday, the preceding Friday is the observed legal holiday. If these days fall on Sunday, the following Monday is the observed holiday. Eligibility for holiday pay is covered by the provisions of NAC 284.255
 
 
 01
 
 
 Do you have any of the following?
 
 
 <ul>
 <li>
 Bachelor&rsquo;s degree from an accredited college or university in criminal justice, political science, psychology, social work, business administration or closely related field.
 </li>
 <li>
 Graduation from high school or equivalent education and two years of experience where standard investigative techniques were utilized to make program compliance determinations and prepare detailed reports for the purpose of justifying administrative sanctions, penalties or criminal prosecution. Work experience may be obtained in law enforcement, investigative, regulatory or compliance setting.
 </li>
 <li>
 An equivalent combination of education and experience as described above.
 </li>
 <li>
 None of the above.
 
 
 </li>
 </ul>
 02
 
 
 A pre-employment criminal history check and fingerprinting are required. Persons offered employment in this position will be required to pay for these items. Can you meet this requirement?
 
 
 <ul>
 <li>
 Yes
 </li>
 <li>
 No
 
 
 </li>
 </ul>
 03
 
 
 This position requires a valid driver's license or evidence of equivalent mobility at the time of appointment and for continuing employment. Can you meet this requirement?
 
 
 <ul>
 <li>
 Yes
 </li>
 <li>
 No
 </li>
 <li>
 Required Question
 </li>
 </ul>
</div>

COMPLIANCE INVESTIGATOR 1 - UNDERFILL

Texas State Board of Pharmacy

Agency Job Posting #: TSBP 26-022 Work in Texas #: 17001691 Opening Date: April 13, 2026 Closing Date: May 13, 2026How to ApplyApplicants must follow the instructions found on www.pharmacy.texas.gov/careers to apply for this position. TSBP cannot accept resumes in lieu of the State of Texas Application.General DescriptionPerforms highly complex (senior-level) inspection work. Work involves coordinating and conducting inspections on licensed pharmacies and pharmacies applying for licensure to ensure compliance with laws and rules governing the practice of pharmacy. Inspection work is conducted throughout the State of Texas but primarily in the region(s) as assigned by the Director of Compliance.Inspection work is conducted throughout the State of Texas but primarily in assigned region(s). A designated home office must be based in the assigned region(s) of El Paso, Midland, or Ector Counties.Works under limited supervision of the Director of Compliance and Compliance Officers with considerable latitude for the use of initiative and independent judgment within the limits of agency and team policies and procedures.Essential Duties and ResponsibilitiesConducts inspections for licensed pharmacies, including facilities applying for a license, for compliance with laws and regulations governing the practice of pharmacy. Work includes:<ul><li>Identify and select licensees for inspection and evaluation.</li><li>Documenting findings accurately in inspection reports and other required forms;</li><li>Makes recommendations to pharmacy staff, including pharmacists and pharmacy owners, on how to correct violations and conducts follow-up inspections to determine compliance;</li><li>Distributes reports and resources to pharmacy staff during inspections; and</li><li>May collect samples of compounded preparations for analysis according to established procedures.</li></ul>Provides highly technical information and explanations of pharmacy laws and rules to pharmacists, agency customers, and other governmental agencies.Prepares, reviews, and evaluates inspection records and reports.Prepares other written and electronic reports as assigned or required.Reviews inspection roster and request for inspections to determine weekly inspection schedules to ensure pharmacies are inspected within performance measures as required by the Board.Participates in the training of Compliance Inspectors and Officers.Prepares and delivers presentations at applicable meetings, conferences, or events. May attend job-related training events and professional conferences and meetings.May investigate complaints as requested and assigned by the Director of Compliance or designee. Work involves:<ul><li>Gathering and analyzing physical evidence and preparing written reports regarding findings of investigations; and</li><li>Conducting joint investigations with other agency staff or agents of other regulatory agencies, as necessary.</li></ul>May testify at hearings regarding inspection procedures, findings, and evidence, as necessary.May present continuing education materials.May assist the Compliance Officers in the development and review of team forms and procedures.May attend job-related training events, professional conferences, and meetings.Maintains confidentiality as required by agency policies and procedures.Determines work priorities and schedules time accordingly.Complies with all agency personnel policies, including regular attendance.Performs related work as assigned, including job duties provided in the SAO job description.General QualificationsKnowledge, Skills, and Abilities:Knowledge of laws and rules governing the practice of pharmacy; procedures relating compounding of sterile and non-sterile preparations; the principles and methods of field inspection and quality control; the basic rules of evidence; and practices of general and specialized pharmacy operations.Skill in interpersonal relationships necessary to represent, present, inform, and persuade.Ability to prepare reports; interpret laws and regulations; gather and analyze data; communicate effectively both verbally and in writing; and make presentations to groups of professionals.Ability to manage multiple priorities concurrently and independently manage time efficiently while meeting team goals and deadlines.Ability to maintain confidential and sensitive information.Skill in the use of standard office equipment, computers, and computer software, including Microsoft Word, Excel, and Adobe.Education and Experience Requirements:Graduation from a standard high school or equivalent is preferred.Graduation from an accredited college or university is highly desirable. Experience and education may be substituted for one another.Minimum of one year as a registered pharmacy technician is required, preferably in a community and/or hospital pharmacy in Texas within the last ten years.Advanced education or varied work experience in public administration, business administration, law of pharmacy is desirable.Previous experience or education in compounding sterile and non-sterile preparations, including the completion of an accredited training program is highly desirable.ACPE IV Certification is desirable.Prior experience in compliance or inspection work is desirable.License Required: YesMust possess a current pharmacy technician registration and be in good standing with the Texas State Board of Pharmacy.Must have a valid Texas Driver&rsquo;s License and have insurability by the agency&rsquo;s car insurance carrier.Within the first three months of employment, will be required to complete the process to become commissioned as a notary public.Environment/Physical ConditionsDesignated duty point is personal residence. Must reside and operate from a headquarters located in a county as assigned or be willing to relocate. Work may require extended stays from designated duty point. The designated duty point must be in the assigned region or surrounding counties.Work involves traveling by state-issued vehicle within assigned region and throughout the State of Texas, as needed, to complete inspections, including periodic travel to Austin Headquarters. Sitting and driving for long periods of time may be required. Work may involve overnight travel. Work may involve travel by commercial airlines.State of Texas is a tobacco free workplace, including state-owned buildings and state-owned vehicles.Work requires gathering of record and requires the ability to correctly lift and move up to 30 pounds. Physical conditions will require a person with sufficient stamina to maintain a constant high level of concentration, frequently intense with many interruptions, for long periods of time.May work in the Austin office which has a normal office environment.The specific statements shown in each section of this position description are not intended to be all-inclusive. They represent typical elements and criteria necessary to successfully perform the job. Military CrosswalkArmy: 68R, 640ANavy: AD, AM, AME, HTCoast Guard: IV, ME, MST, BOSN, MSSD, MSSE, MSSR, OAP11, OAP14Marine: 6016, 6017, 6033, 8012, 8056Air Force: 1S0X1, 2A7X2, 2F0X1, 4E0X1, 8I000, 8S000, 8I100, 43HX, 86M0, 87G0, 87I0, 87Q0For more information about this position, please go to www.pharmacy.texas.gov/careersJob Type: Full-timePay: $4,613.51 per monthBenefits:<ul><li>401(k)</li><li>Dental insurance</li><li>Employee assistance program</li><li>Flexible schedule</li><li>Flexible spending account</li><li>Health insurance</li><li>Health savings account</li><li>Life insurance</li><li>Paid time off</li><li>Retirement plan</li><li>Vision insurance</li></ul>Application Question(s):<ul><li>Have you completed and submitted the required State of Texas Application that can be found on our Careers page: https://www.pharmacy.texas.gov/careers/ ?</li><li>Are you located in the preferred region(s) of El Paso, Midland, or Ector Counties?</li></ul>Willingness to travel:<ul><li>75% (Required)</li></ul>Work Location: On the road

Compliance Inspector - West Texas

MCMC

<div><div><div>Ready for a Rewarding Career that Fits Your Lifestyle?
</div></div><div><div>Imagine a job where you can keep your clinical skills sharp, tackle exciting challenges, AND work from the comfort of your own home. Sounds like the perfect mix, right?</div></div>
<div><div>MES is looking for a self-driven, high-performing Registered Nurse (RN) or Licensed Vocational Nurse (LVN) to join our dynamic team as a Clinical Quality Assurance Coordinator. In this role, you&rsquo;ll ensure our Peer Review case reports are nothing short of exceptional&mdash;delivering top-notch quality and integrity, all while staying fully aligned with client agreements, regulatory standards, and state and federal mandates.</div></div>
<div><div>The position is 100% remote with a schedule of Monday through Friday:</div></div><ul><li><div>
three days: 12-8:30PM EST
</div></li><li><div>two days: 8-4:30PM EST</div></li></ul>
<ul><li><div>Performs quality assurance review of peer review reports, correspondences, addendums or supplemental reviews.</div></li><li><div>
Ensures clear, concise, evidence-based rationales have been provided in support of all recommendations and/or determinations.</div></li><li><div>
Ensures that all client instructions and specifications have been followed and that all questions have been addressed.</div></li><li><div>
Ensures each review is supported by clinical citations and references when applicable and verifies that all references cited are current and obtained from reputable medical journals and/or publications.</div></li><li><div>
Ensures the content, format, and professional appearance of the reports are of the highest quality and in compliance with company standards.</div></li><li><div>
Ensure that the appropriate board specialty has reviewed the case in compliance with client specifications and/or state mandates and is documented accurately on the case report.</div></li><li><div>
Verifies that the peer reviewer has attested to only the fact(s) and that no evidence of reviewer conflict of interest exists.</div></li><li><div>
Ensures the provider credentials and signature are adhered to the final report.</div></li><li><div>
Identifies any inconsistencies within the report and contacts the Peer Reviewer to obtain clarification, modification or correction as needed.</div></li><li><div>
Assists in resolution of customer complaints and quality assurance issues as needed.</div></li><li><div>
Ensures all federal ERISA and/or state mandates are adhered to at all times.</div></li><li><div>
Provides insight and direction to management on consultant quality, availability and compliance with all company policies and procedures and client specifications.</div></li><li><div>
Promote effective and efficient utilization of company resources.</div></li><li><div>
Participate in various educational and or training activities as required.</div></li><li><div>
Perform other duties as assigned.</div></li></ul>
<div></div><div><div>If you&rsquo;re ready to make a real impact in healthcare, all while enjoying the flexibility of working remotely, we want to hear from you!
</div></div><ul><li><div>Active RN/LVN nursing license required.</div></li><li><div>
Must be a graduate of an accredited nursing program or related medical experience; bachelor's degree preferred.</div></li><li><div>
A minimum of two years clinical or related field experience; or equivalent combination of education and experience.
</div></li><li><div>Must have strong knowledge of medical terminology, anatomy and physiology, medications and laboratory values.</div></li><li><div>
Must be able to add, subtract, multiply, and divide in all units of measure, using whole numbers and decimals; Ability to compute rates and percentages.</div></li><li><div>
Must be a qualified typist with a minimum of 40 W.P.M</div></li><li><div>
Must be able to operate a general computer, fax, copier, scanner, and telephone.</div></li><li><div>
Must be knowledgeable of multiple software programs, including but not limited to Microsoft Word, Outlook, Excel, and the Internet.</div></li><li><div>
Must possess excellent skills in English usage, grammar, punctuation and style.</div></li><li><div>
Ability to follow instructions and respond to upper managements&rsquo; directions accurately.</div></li><li><div>
Demonstrates accuracy and thoroughness. Looks for ways to improve and promote quality and monitors own work to ensure quality is met.</div></li><li><div>
Must demonstrate exceptional communication skills by conveying necessary information accurately, listening effectively and asking questions where clarification is needed.</div></li><li><div>
Must be able to work independently, prioritize work activities and use time efficiently.</div></li><li><div>
Must be able to maintain confidentiality.</div></li></ul>
<div><div>MES Solutions is a premier provider of independent medical examination and peer review services to the insurance, corporate, legal, and government sectors. Members of our credentialed medical panel conduct physical examinations or medical record reviews, delivering reports that assist clients in the resolution of automotive, disability, liability, and workers' compensation claims. MES has been providing services nationally since 1978 in accordance with the industry's highest standards of operating excellence and regulatory compliance.</div></div>
<div><div>Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, pregnancy, genetic information, disability, status as a protected veteran, or any other protected category under applicable federal, state, and local laws.</div></div><div><div>
Equal Opportunity Employer - Minorities/Females/Disabled/Veterans</div></div><div><div>
MES offers a fast-paced team atmosphere with competitive benefits (medical, vision, dental), paid time off, and 401k.</div></div></div>

Clinical Quality Assurance Coordinator

<div>
 
 Looking for a freelance opportunity where you can make an impact on technology from the comfort of your home? If you are dynamic, tech-savvy, and always online to learn more, this part-time flexible project is the perfect fit for you!
 
 
 
 
 
 
 A Day in the Life of a Personalized Internet Assessor:
 
 
 
 
 
 <ul>
 <li>
 In this role, you&rsquo;ll be analyzing and providing feedback on texts, pages, images, and other types of information for top search engines, using an online tool
 </li>
 <li>
 Through reviewing and rating search results for relevance and quality, you&rsquo;ll be helping to improve the overall user experience for millions of search engine users, including yourself.
 </li>
 </ul>
 
 
 
 
 
 Join our team today and start putting your skills to work for one of the world's leading search engines.
 
 
 
 
 
 
 The estimated hourly earnings for this role are 14 USD per hour.
 
 
 
 
 
 
 TELUS Digital AI Community
 
 
 
 
 
 
 Our global AI Community is a vibrant network of 1 million+ contributors from diverse backgrounds who help our customers collect, enhance, train, translate, and localize content to build better AI models. Become part of our growing community and make an impact supporting the machine learning models of some of the world&rsquo;s largest brands.
 
 
 
 
 
 
 Qualification path
 
 
 
 
 
 
 No previous professional experience is required to apply to this role, however, working on this project will require you to pass the basic requirements and go through a standard assessment process. This is a part-time long-term project and your work will be subject to our standard quality assurance checks during the term of this agreement.
 
 
 
 
 
 
 Basic Requirements
 
 
 
 
 
 <ul>
 <li>
 Working as a freelancer with excellent communication skills in English
 </li>
 <li>
 Being a resident in the United States for the last 3 consecutive years and having familiarity with current and historical business, media, sport, news, social media, and cultural affairs in the US.
 </li>
 <li>
 Active use of Gmail and other forms of social media and experience in the use of web browsers to navigate and interact with a variety of content
 </li>
 <li>
 Daily access to a broadband internet connection, a smartphone (Android 5.0, iOS 14 or higher), and a personal computer to work on.
 </li>
 </ul>
 
 
 
 
 
 
 
 
 Assessment
 
 
 
 
 
 
 In order to be hired into the program, you&rsquo;ll take a language assessment and an open book qualification exam that will determine your suitability for the position and complete ID verification. Don&rsquo;t worry, our team will provide you with guidelines and learning materials before your exam. You will be required to complete the exam in a specific timeframe but at your convenience!
 
 
 
 
 
 
 
 
 
 Equal Opportunity
 
 
 
 
 
 
 All qualified applicants will receive consideration for a contractual relationship without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. At TELUS Digital AI, we are proud to offer equal opportunities and are committed to creating a diverse and inclusive community. All aspects of selection are based on applicants&rsquo; qualifications, merits, competence, and performance without regard to any characteristic related to diversity.
 
 
 
 
 
 
 Interested to apply? Click the link below to register
 
 
 
 
 
 
 
 
 https://www.telusinternational.ai/cmp/contributor/jobs/available/128325?utm_source=Craigslist&amp;utm_medium=Ads&amp;utm_campaign=SHTArlyn_AMERICAS_Paid+Site_Craigslist_Ads_128325
 
 
 
 
 
 
</div>

Content Reviewer - US

TEEMA

<div>Claims Reviewer Opportunity
Join a dynamic team where your expertise in claims review can make a real difference! We're looking for a detail-oriented Claims Reviewer who can apply clinical and coding knowledge to ensure accurate claims processing. If you have a strong foundation in medical claims and are passionate about quality, we want to hear from you!
Position Highlights<ul><li>
Role: Conduct retrospective review of medical, surgical, and behavioral health claims.</li><li>
Focus: Evaluate claims for medical necessity, appropriateness, and adherence to program benefits.</li><li>
Collaboration: Work closely with medical directors, providers, peer reviewers, and various internal teams.</li></ul>
Key Responsibilities<ul><li>
Review and validate claims using established criteria and processing guidelines.</li><li>
Prepare cases for payment or further review.</li><li>
Identify opportunities for process improvement and flag quality or fraud concerns.</li><li>
Support peers and clinical/non-clinical staff with claims and coding inquiries.</li></ul>
What You Bring<ul><li>
Required:<ul><li>
High School Diploma or GED.</li><li>
2+ years of experience in medical claims review.</li><li>
Familiarity with medical claims processing and terminology.</li></ul></li><li>
Preferred:<ul><li>
Coding experience.</li><li>
Knowledge of behavioral health claims.</li></ul></li></ul>
Skills for Success<ul><li>
Strong technical skills in claims tools (e.g., CDST, Supercoder).</li><li>
Organizational and team-building abilities.</li><li>
Resilience in a fast-paced, high-intensity environment.</li><li>
Effective communication and problem-solving.</li></ul>
Additional Requirements<ul><li>
Must pass background, credit, and drug screening.</li><li>
Adherence to federal THC policies (medical card required if applicable).</li></ul>
Eligible Locations 
The position is remote, but you can only reside in the following states: AK, AR, AZ, CO, DC, FL, HI, IA, ID, IL, KS, LA, MD, MN, MO, MT, NC, ND, NE, NM, NV, OK, OR, SC, SD, TN, TX, UT, VA, WA, WI, WY.
Ready to bring your claims expertise to a rewarding role? Apply today to be part of our team!
#Workwolf #BCDC_Consulting</div>

Claims Reviewer

Search 6430+ Compliance reviewer jobs near you this June. New roles added regularly across leading industries. Apply today.

6430 compliance reviewer jobs Near Me

Content Reviewer - US | WFH

COMPLIANCE INVESTIGATOR 1 - UNDERFILL

Compliance Inspector - West Texas

Clinical Quality Assurance Coordinator

Content Reviewer - US

Claims Reviewer

Content Reviewer - US