Interviewer jobs in Alaska - 2 jobs

Clinical Reviewer, Occupational Therapy
Evolent 4.6
Interviewer job in Juneau, AK
**Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones. Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business. Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** As an Occupational Therapist, Clinical Reviewer you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in patients lives, in a non-clinical environment. You can enjoy better work- life balance on a team that values collaboration and continuous learning while providing better health outcomes. Collaboration Opportunities: + Routinely interacts with leadership and management staff, Physicians, and and other CR's whenever input is needed or required. Job Summary Functions in a clinical review capacity to evaluate all cases, which do not pass the authorization approval process at first call while promoting a supportive team approach with call center staff. Initial clinical reviewers are supported by Physician clinical review staff (MDs) in the utilization management determination process. Job Description + Reviews charts and analyzes clinical record documentation in order to approve services that meet clinical review criteria. + Conducts ongoing activities which monitor established quality of care standards in the participating provider network and for other clinical staff. + Conducts regular audits, as assigned, to ensure guidelines are applied appropriately. + In states where required, refers all cases that an approval cannot be rendered to the Physician Clinical Reviewer. In States where allowed, will make denial determinations as a specific case warrants. + Converses with medical office staff in order to obtain additional pertinent clinical history/information; notifies of approvals and denials, giving clinical rationale. + Provides optimum customer service through professional/accurate communication while maintaining NCQA and health plans required timeframes. + Documents all communication with medical office staff and/or treating provider. + Practices and maintains the principles of utilization management by adhering to policies and procedures. + Participates in on-going training programs to ensure quality performance in compliance with applicable standards and regulations. **The Experience You'll Need (Required):** + Current, unrestricted state licensure as a Occupational Therapist + A occupational therapist must hold a state license in occupational therapy and hold an occupational therapy degree from an accredited education program and pass the national certification examination. + 5+ years clinical experience is preferred + Strong interpersonal and communication skills. + Strong clinical, communication, and organizational skills + Energetic and curious with a passion for quality and value in health care + Computer Proficiency + Not under current exclusion or sanction by any state or federal health care program, including Medicare or Medicaid, and is not identified as an "excluded person" by the Office of Inspector General of the Department of Health and Human Services or the General Service Administration (GSA), or reprimanded or sanctioned by Medicare. + No history of disciplinary or legal action by a state medical board To ensure a secure hiring process we have implemented several identity verification steps, including submission of a government issued photo ID. We conduct identity verification during interviews, and final interviews may require onsite attendance. All candidates must complete a comprehensive background check, in-person I-9 verification, and may be subject to drug screening prior to employment. The use of artificial intelligence tools during interviews is prohibited and monitored. Misrepresentation will result in immediate disqualification from consideration. **Technical Requirements:** We require that all employees have the following technical capability at their home: High speed internet over 10 Mbps and, specifically for all call center employees, the ability to plug in directly to the home internet router. These at-home technical requirements are subject to change with any scheduled re-opening of our office locations. **Evolent is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status.** **If you need reasonable accommodation to access the information provided on this website, please contact** ************************** **for further assistance.** The expected base salary/wage range for this position is $. This position is also eligible for a bonus component that would be dependent on pre-defined performance factors. As part of our total compensation package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation determinations are based on the skills and experience required for the position and commensurate with experience of selected individuals, which may vary above and below the stated amounts. Don't see the dream job you are looking for? Drop off your contact information and resume and we will reach out to you if we find the perfect fit!
$50k-58k yearly est. 4d ago

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PLAN REVIEWER I - Range 12 / AMEA
Municipality of Anchorage (Ak 4.6
Interviewer job in Anchorage, AK
Open to the general public and any current Municipal employee. This position is represented by the Anchorage Municipal Employee Association (AMEA) and is subject to the provisions of the current agreement between the Municipality of Anchorage and the Union. DEPARTMENT: Development Services HOURS OF WORK: Monday to Friday, 08:00 to 17:00 LOCATION: 4700 Elmore Road Employees who are hired or rehired to any position shall be placed at the entrance pay step, and advancement from the entrance step to the maximum step within a pay grade shall be by successive steps. Remote work schedule opportunities (telecommuting) may be considered after successful completion of probation, at the discretion of management and with the approval of the department head. Not all positions are eligible for remote work (telecommuting) per P&P 40-40. To be considered for employment, applicants must be legally authorized to work and accept employment in the United States. The Municipality of Anchorage is not able to provide any type of sponsorship, including Student Visas and Employment Visas, under any circumstances. Under direction of the Lead Permit Manager, manage building and land use projects from application to Certificate of Occupancy issuance; answer technical code questions; make engineering value judgements; manage retrofit building and fire rehab application approvals; review small project specifications for adherence to submittal requirements; receive, monitor, and resolve customer complaints; coordinate plan reviews and approvals with all appropriate staff; and manage coverage of the ACD telephone system. Perform other duties as assigned.High school diploma, GED, or equivalent, and four (4) years of technical experience in engineering, permitting, plan review, surveying, computer assisted design, drafting, project management or a related field. OR Associate's degree in Urban Planning, Engineering, Drafting, Statistics, Logistics, or similar discipline, and two (2) years of technical experience in engineering, permitting, plan review, surveying, computer assisted design, drafting, project management or a related field. OR Bachelor's degree in Urban Planning, Engineering, Drafting, Statistics, Logistics, or similar discipline, and technical experience in engineering, permitting, plan review, surveying, computer assisted design, drafting, project management or a related field. Must possess and/or obtain: * Satisfactory background check which includes criminal, education, and employment history at time of hire. * Valid State of Alaska Driver's License and satisfactory Driving Record. Preference will be given to Anchorage Municipal Employees Association (AMEA) employees. AMEA employees who are successful in the screening process will be forwarded to the department for consideration prior to any non-AMEA applicants. The Municipality of Anchorage participates in the U.S. Department of Homeland Security E-verify Program. For more information, please go to ****************************** E-Verify is a registered trademark of the U.S. Department of Homeland Security. If selected for hire, the appointment in this position will be conditional based upon a satisfactory Municipal Employment Office conducted Background Check. A Background Check encompasses criminal history, verifying education, and verifying dates of employment. If selected for hire, appointment in this position will be conditional based upon the submission of a current copy of the applicant's Alaska Driver's License, and a current (dated within 30 days from date requested) copy of his/her Department of Motor Vehicle driving record, including a driving record from previous states, if the Alaska Driver's License was first issued within one year prior to application, documenting an acceptable driving history. The processing fee(s) are the responsibility of the selected applicant. For information on acceptable driving history, please refer to the MOA Driving Conviction Guidelines. All required certifications and/or licenses must remain current for the duration of employment. Military Service Interview Preference Veterans who wish to be considered for interview preference, as permitted in Municipal Personnel Rules 3.30.031 D, must attach to the application a copy of their DD Form 214, DD Form 256, NGB Form 22, or a letter from the US Department of Veterans Affairs, recognizing the person as a veteran. The attached documentation must show an honorable discharge or general (under honorable conditions) discharge. The minimum qualifications of the position must be met for preference consideration. Individuals currently serving as a member in good standing in the National Guard or the organized military reserves who wish to be considered for interview preference, as permitted in Municipal Personnel Rules 3.30.031 D, must attach proof of current service to the application. Proof of current service can be shown by submission of a statement of service which, at a minimum, shows the full name, date of birth, Social Security Number, date service began, branch of service, rank, name of command providing the information, and unit of assignment. The statement of service must be on a form or letterhead of the individual's command organization, and shows the name, signature, title, and contact information of the signer providing the statement of service. The minimum qualifications of the position must be met for preference consideration. The Municipality of Anchorage is an Employer of National Service. Please be sure to include any volunteer work with AmeriCorps, Peace Corps, or other national service programs on your application in the work history portion. Application Process Once an applicant clicks on the "Apply" link underneath the header section of a vacancy announcement, they will be directed to the ********************** website to log into their existing account (or to create an account) of their application profile. Applicants will create or review their profile, make any updates necessary, and submit their application from their personal account. NOTE: The GovernmentJobs website and applicant's profile accounts are not administered by the Municipality of Anchorage. For technical assistance or customer service regarding an account profile, applicants may contact the GovernmentJobs customer support line at **************. For general questions regarding Municipal vacancy announcements or the employment process with the Municipality of Anchorage, applicants may contact the Human Resources Department at ************ during regular business hours of Monday through Friday, 8:00 am to 5:00 pm, Alaska Standard Time. The MOA is an EO and AA Employer and complies with Title I of the ADA. For information regarding requests for reasonable accommodations related to employment under the Americans with Disabilities Act, please contact the Municipality of Anchorage ADA Coordinator at ************.
$53k-61k yearly est. 2d ago

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Interviewer jobs in Alaska - 2 jobs

Clinical Reviewer, Occupational Therapy

PLAN REVIEWER I - Range 12 / AMEA

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