location_0_addressRegionName

location_0_addressCountryName

OFFSITE

UNKNOWN

jobPosting hiringOrganization as json hashed.

ADAPTED_NOW

Unclassified Occupations

Required Licenses and Certificates: Active, unrestricted LPN/LVN Licensure from the United States and in the state of hired, OR, active compact multi-state unrestricted LPN license as defined by the Nurse Licensure Compact (NLC) . Summary: Performs medical reviews using established criteria sets and/or performs utilization management of professional, inpatient or outpatient, facility benefits or services, and appeals.

KBSkills

ACTIVE

Job Title: Medical Reviewer I Location: Columbia, SC, 29229 (1-2 weeks onsite training then remote) Duration: 3 months assignment with possible extensions Shift: M - F, 8:30am-5pm. Note: Looking for an LPN with a minimum of 2 years of clinical experience. Summary: Performs medical reviews using established criteria sets and/or performs utilization management of professional, inpatient or outpatient, facility benefits or services, and appeals. Documents decisions using indicated protocol sets or clinical guidelines. Provides support and review of medical claims and utilization practices. Responsibilities: <ul><li> </li><li> 80% May provide any of the following in support of medical claims review and utilization review practices: Performs medical claim reviews and makes a reasonable charge payment determination. Monitors process's timeliness in accordance with contractor standards. Performs authorization process, ensuring coverage for appropriate medical services within benefit and medical necessity guidelines. Utilizes allocated resources to back up review determination. Reviews interdepartmental requests and medical information in a timely/effective manner in order to complete utilization process. May conduct/perform high dollar forecasting research and formulate overall patient health summaries with future health prognosis and projected medical costs. Performs screenings/assessments and determines risk via telephone. Reviews/determines eligibility, level of benefits, and medical necessity of services and/or reasonableness and necessity of services. Provides education to members and their families/caregivers. Reviews first level appeal and ensures utilization or claim review provides thorough documentation of each determination and basis for each. Conducts research necessary to make thorough/accurate basis for each determination made. </li><li> 10% Educates internal/external staff regarding medical reviews, medical terminology, coverage determinations, coding procedures, etc. in accordance with contractor guidelines. Responds accurately and timely with appropriate documentation to members and providers on all rendered determinations. </li><li> 10% Participates in quality control activities in support of the corporate and team-based objectives. Participates in all required training. Required Education: Graduate of an Accredited School of Licensed Practical Nursing or Licensed Vocational Nursing. Required Experience: 2 years clinical experience. Required Licenses and Certificates: Active, unrestricted LPN/LVN Licensure from the United States and in the state of hired, OR, active compact multi-state unrestricted LPN license as defined by the Nurse Licensure Compact (NLC) Languages: English </li></ul>

Spectraforce is a leading global services firm that provides a portfolio of Consulting, Staffing and Outsourcing services & solutions to a broad range of clients and industries worldwide. We are headquartered in Raleigh, NC, USA and have offshore global delivery centers at Pune, Chandigarh, and Hyderabad, India. At Spectraforce we have a Philosophy - a Philosophy that excellence is derived through dedicated, focused and innovative work. We also believe that knowledge comes through sharing and growth comes to every organization where people use knowledge in team work. A progressive culture and a world of possibilities is what you see with us.

Spectraforce Technologies

Medical Reviewer I

Clinical Medicine

Clinical Practices/Protocols

Code Coverage

Documentation

English Language

Forecasting

Healthcare

Licensed Practical Nurse/Licensed Vocational Nurse

Medical Coding

Medical Office Administration

Medical Records

Medical Terminology

Medical Treatment

Member Orientation

Nursing Credentials

Outpatient Care

Patient Care

Quality Control

Research Skills

Resource Management

Risk

Time Management

Training/Teaching

Utilization Management

RealJobs

Scientist

Ability to perform work in a lab or office setting, remain standing for long periods while conducting tests, work around strong smells, and wear personal protective equipment while handling samples (e.g., lab coat, safety glasses and gloves; all PPE provided by Pace ). Maintain detailed and organized documentation on all laboratory work What you'll bring Bachelor's degree in Chemistry/ Biochemistry or a closely related field, or an equivalent combination of education, training and experience .

About UsPace Analytical Services Pace makes the world a safer, healthier place. Committed to advancing the science of businesses, industries, consulting firms, government agencies, and others, Pace offers local-level service backed by a national laboratory network. Through in-lab and emergency onsite services, Pace ensures our air, water, soil, and more are safe. Job Description Scientist 1 Make an impact. Build a career. At Pace , everything we do is built upon an unwavering commitment to making the world a safer, healthier place. We continually work to develop innovative practices that drive sustainability and empower our partners with accurate, quality data at every critical moment and milestone. That's why we need you your curiosity, your talents, and your drive to help us advance this important work, and your career. Find your place at Pace Join us as a Scientist I, where you'll put your love of science to work performing and overseeing projects within the wet chemistry department of our environmental testing laboratory. What you'll do <ul><li> Facilitate and support the analysis, administration and oversight of air, water and soil samples using standard chemistry/ biochemistry policies, programs, and practices </li><li> Clean, maintain and calibrate instruments </li><li> Maintain detailed and organized documentation on all laboratory work What you'll bring <ul><li> Bachelor's degree in Chemistry/ Biochemistry or a closely related field, or an equivalent combination of education, training and experience </li><li> Ability to perform work in a lab or office setting, remain standing for long periods while conducting tests, work around strong smells, and wear personal protective equipment while handling samples (e.g., lab coat, safety glasses and gloves; all PPE provided by Pace ). What we promise <ul><li> Comprehensive benefit program, including medical, vision and dental insurance, 401(k) matching and tuition reimbursement </li><li> Opportunities to build a rewarding career </li><li> An inclusive culture that stands for integrity, innovation and growth Additional Information Benefits 80 hrs of paid vacation per year, 7 paid holidays per year, 2 floating holidays per year (prorated based on start date), 40 hrs paid sick time per year, paid bereavement leave (days based on relation to the employee), 8 hrs paid volunteer time per year, parental leave, medical, dental, vision, voluntary short-term disability, long-term disability, life insurance, voluntary supplemental life insurance, traditional 401k and ROTH 401k with a company match, HSA, FSA, employee referral bonus, employee assistance program, tuition reimbursement program, employee recognition program, voluntary ID theft coverage, voluntary legal coverage, voluntary accident insurance, voluntary hospital indemnity insurance, and voluntary critical illness insurance. Equal Opportunity Employer Pace provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, creed, color, religion, genetics, protected veteran status, national origin, sex, age, disability, marital status, sexual orientation, gender identity or expression, citizenship, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. Work Schedule Tuesday through Saturday, 3:00 PM to 12:00 AM</li></ul></li></ul></li></ul>

Three divisions. Two countries. 1800 employees. Twenty-eight environmental labs. Two Life Sciences labs. Twenty-four service centers. Hundreds of certifications. 38 years of industry experience. Financial stability. Dynamic thought leadership and strategic management planning with one shared vision: work together to protect our environment and improve our health.
 
Pace began on a much smaller scale in 1978, serving Minneapolis and the surrounding areas with founder and CEO Steve Vanderboom at the helm. A commitment to safety and high ethical standards, respect for both clients and employees, and a drive for excellence inspired us as we expanded - and these values are at the core of everything we do today. Still under Vanderboom's directorship, we are proud to be industry leaders, offering an unparalleled range of services delivered by the most experienced scientific professionals. No matter the scope of work or special requirements, we have the people, knowledge and technology to tackle them. Partnering with us, clients are guaranteed to experience the Pace Analytical difference.
 
Pace Analytical Services, LLC. provides analytical services including environmental testing and sampling. Laboratories utilize EPA, ASTM Standard Methods, NIOSH and other accepted test procedures and methods in accordance with both federal and state regulations. Pace also provides specialty analytical support for air toxics, aquatic toxicity, bioassay, biota, dioxin/furans, low-level mercury, radiochemistry, vapor intrusion, environmental forensics, industrial hygiene, etc. 
 
Pace Analytical Life Sciences provides analytical testing services to the pharmaceutical/medical device industries. Services include chemical and microbiology, method development/validation, physical testing, raw material testing, stability testing and storage, and product release testing. Pace operates two FDA-registered, DEA-registered (Class I - V), cGMP-compliant facilities: one located in Oakdale, MN and the other located in San German, PR. The Oakdale, MN facility is ISO/IEC 17025:2005 accredited.
 
Pace Analytical Lab Ops Division provides professional scientific staffing - to accommodate full outsourcing or augmentation of staff at a client's on-site location - to various industries as well as research and development organizations. The ISO 9001:2008 certified Lab Ops Division also provides instrumentation sales, repair and qualification services, product and materials testing support and regulatory compliance services.

Pace Analytical Services

Scientist 1

Analysis Skills

Biochemistry

Chemistry

Consulting

Emergency Services

Genetics

Government

Laboratory

On Site Support

Organizational Skills

Project Tracking

Sample/Specimen Processing

State Laws and Regulations

Sustainability

Test Lab

Water Sampling

Comprised of NOSC operations, operations support, cybersecurity, network engineering, and command support functions, the AFCENT NOSC plans, engineers, installs, integrates, operates and maintains, protects and manages enterprise-wide network and systems architecture, infrastructure and services; and provides enterprise-level oversight to its subordinate and supported communications support activities. Complete accreditation documents for AFCENT as outlined by DISA Risk Management Framework (RMF), Cybersecurity Service Provider (CSSP), USCENTCOM, and Authorizing Official (AO) guidance to include documenting systems architecture and physical network layout in writing and graphical presentations.

Salary

YEAR

Type of Requisition:PipelineClearance Level Must Currently Possess:Top Secret/SCIClearance Level Must Be Able to Obtain:Top Secret/SCIPublic Trust/Other Required:NoneJob Family:Information SecurityJob Qualifications:Skills:Cybersecurity, Information Security, Information Technology (IT)Certifications:NoneExperience:7 + years of related experienceUS Citizenship Required:YesJob Description:Seize your opportunity to make a personal impact as a Cyber Assurance / ISSM Information Security Manager supporting the U.S. Air Force Central Command's Network Operations and Security Center (AFCENT NOSC). GDIT is your place to make meaningful contributions to challenging projects and grow a rewarding career. At GDIT, people are our differentiator. You will help ensure today is safe and tomorrow is smarter. This position is contingent upon successful contract award to GDITThe U.S. Air Force Central Command's Network Operations and Security Center (AFCENT NOSC) executes the full-spectrum of information technology (IT) services management and operations for AFCENT networks 24 hour-a-day, 7 day-a-week (24/7), and is tasked by USCENTCOM to provide information assurance (IA) boundary intrusion detection and intrusion prevention for USCENTCOM components. Comprised of NOSC operations, operations support, cybersecurity, network engineering, and command support functions, the AFCENT NOSC plans, engineers, installs, integrates, operates and maintains, protects and manages enterprise-wide network and systems architecture, infrastructure and services; and provides enterprise-level oversight to its subordinate and supported communications support activities. In support of steady state, contingency and emergency operations, the AFCENT NOSC also deploys personnel to locations in the USCENTCOM Area of Responsibility (AOR) to install, integrate, upgrade/update, patch and sustain its supported enterprise networks, systems and services. AFCENT/A6 has contracted NOSC IT support services in order to more effectively and efficiently execute its mission in within a constantly changing technological, geopolitical and military environment.HOW A CYBER ASSURANCE / ISSM INFORMATION SECURITY MANAGER WILL MAKE AN IMPACT<ul><li>Provide technical advice to the USAFCENT Authorizing Official (AO), and oversee and direct related cybersecurity policies, research, governance, risk management and compliance activities. The contractor shall:</li><li>Research, analyze, document and write systems security accreditation and certification requirement packages in accordance with applicable Air Force regulations and</li><li>Analyze, evaluate, and recommend the application of Air Force systems accreditation and certification procedures in relation to existing and planned AFCENT network architecture at Shaw AFB and supported bases</li><li>Research, Process, approve Firewall and Bluecoat Exception Request for implementation</li><li>Process request for removable storage, such as write to CD, USB for US and FNs</li><li>Complete accreditation documents for AFCENT as outlined by DISA Risk Management Framework (RMF), Cybersecurity Service Provider (CSSP), USCENTCOM, and Authorizing Official (AO) guidance to include documenting systems architecture and physical network layout in writing and graphical presentations</li><li>Maintain Enterprise Products List (EPL) and Accreditation Library for all approved products and systems and evaluate service level agreements.</li><li>Assist with the completion of all accreditation documents for AFCENT Cross Domain Solutions as outlined IAW DoD and USCENTCOM regulations</li><li>Research, analyze, and document AFCENT information assurance and cybersecurity polices IAW DISA, USCENTCOM, and USAF regulations and guidance; and assist in interpreting local policies.</li><li>Track, document, and report all security related events, including, but not limited to, Discharge of Classified Information and Cross Domain Violations IAW USCENTCOM/AFCENT policy</li><li>Coordinate and track Information Assurance Vulnerabilities Alerts (IAVA); review and report AFCENT compliance to USCENTCOM; and develop and implement associated Plans, Objectives, Actions and Milestones (POA&Ms), as required</li></ul>WHAT YOU’LL NEED TO SUCCEED: ● Education: BS degree in a related field● Required Experience: 7 or more years' relevant experience and demonstratedunderstanding of:<ul><li>Risk Management Framework;</li><li>National Institute of Technology and Standards (NIST) Cyber Framework;</li><li>DoD and Service-level Instructions / Directives / Policies; and</li><li>Cyber Security Regulations / Best Practices.</li></ul>● Required Technical Skills: Firewall Experience● Security Clearance Level: TS/SCI ● Required Skills and Abilities: DCWF KSAT Category: 722 ● Location: Shaw AFB, SC● US Citizenship Required GDIT IS YOUR PLACE: ● Full-flex work week to own your priorities at work and at home ● 401K with company match ● Comprehensive health and wellness packages ● Internal mobility team dedicated to helping you own your career ● Professional growth opportunities including paid education and certifications ● Cutting-edge technology you can learn from ● Rest and recharge with paid vacation and holidaysThe likely salary range for this position is $120,702 - $163,302. This is not, however, a guarantee of compensation or salary. Rather, salary will be set based on experience, geographic location and possibly contractual requirements and could fall outside of this range.Scheduled Weekly Hours:40Travel Required:10-25%Telecommuting Options:OnsiteWork Location:USA SC ShawAdditional Work Locations:Total Rewards at GDIT:Our benefits package for all US-based employees includes a variety of medical plan options, some with Health Savings Accounts, dental plan options, a vision plan, and a 401(k) plan offering the ability to contribute both pre and post-tax dollars up to the IRS annual limits and receive a company match. To encourage work/life balance, GDIT offers employees full flex work weeks where possible and a variety of paid time off plans, including vacation, sick and personal time, holidays, paid parental, military, bereavement and jury duty leave. To ensure our employees are able to protect their income, other offerings such as short and long-term disability benefits, life, accidental death and dismemberment, personal accident, critical illness and business travel and accident insurance are provided or available. We regularly review our Total Rewards package to ensure our offerings are competitive and reflect what our employees have told us they value most.We are GDIT. A global technology and professional services company that delivers consulting, technology and mission services to every major agency across the U.S. government, defense and intelligence community. Our 30,000 experts extract the power of technology to create immediate value and deliver solutions at the edge of innovation. We operate across 30 countries worldwide, offering leading capabilities in digital modernization, AI/ML, Cloud, Cyber and application development. Together with our clients, we strive to create a safer, smarter world by harnessing the power of deep expertise and advanced technology.We connect people with the most impactful client missions, creating an unparalleled work experience that allows them to see their impact every day. We create opportunities for our people to lead and learn simultaneously. From securing our nation’s most sensitive systems, to enabling digital transformation and cloud adoption, our people are the ones who make change real.GDIT is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status, or any other protected class.

General Dynamics Information Technology solves our customers’ challenges through future-focused technology and services, ingenuity and deep mission-knowledge. Partnering with government, defense, the intelligence community, industry leaders and cutting-edge technology companies, we deliver solutions that make a difference – helping our customers to advance mission performance, transform operations and discover opportunities to build a better future.

 Headquartered in Fairfax, Va., with major offices worldwide, General Dynamics IT and General Dynamics Mission Systems form the Information Systems and Technology (IS&T) business group of General Dynamics. IS&T and the Aerospace, Combat Systems and Marine Systems groups form General Dynamics Corp.

General Dynamics Information Technology

Cyber Assurance/ISSM

salaryMin

salaryMax

payPeriod

currency

Accidental Death and Dismemberment (AD&D)

Air Force

Artificial Intelligence (AI)

Best Practices

CENTCOM - Central Command

Cloud Computing

Computer Security

Contract Requirements

Cross-Domain Solutions (CDS)

Customer Support/Service

Defense Information Systems Agency (DISA)

Defense Intelligence

Firewalls

Graphical Presentations

Health Plan

IT Service Management (ITSM)

Information/Data Security (InfoSec)

Insurance

Intelligence Community

Internet Security

Intrusion Detection and Prevention (IDP)

Leading Edge Technology

Military

Network Architecture/Engineering

Network Operations Center

Network Security

Network Support

Network Systems

Operational Support

Operations Security (OPSEC)

Professional Services

Regulations

Risk Management

Risk Management Framework (RMF)

Security Clearance

Security Monitoring

Sensitive Compartmented Information (SCI)

Service Level Agreement (SLA)

Software Development

Software Patches

System Architecture

Systems Analysis

Technical Delivery

Technical Support

Top Secret Clearance

U.S. National Institute of Standards and Technology (NIST)

United States Air Force (USAF)

United States Citizen

United States Department of Defense (DoD)

Web Application Framework

Willing to Travel

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