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Harris-Jones-Staffing-Recruiting-LLC

Harris-Jones-Staffing-Recruiting-LLC jobs

HJ Staffing is a certified WMBE boutique staffing and recruiting firm headquartered in Houston, TX. We specialize in government, public sector, and corporate workforce solutions across Texas, Louisiana, Delaware,...

πŸ‘₯ 1 - 10 employees🏒 Staffing And Recruiting🌍 United States🚩 Founded 2016

3 open roles at Harris-Jones-Staffing-Recruiting-LLC

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Harris-Jones-Staffing-Recruiting-LLC

Sr. QNXT Software Engineer

πŸ•’ 2 days ago
Harris-Jones-Staffing-Recruiting-LLCπŸ‘₯ 1 - 10 employees🏒 Staffing And Recruiting

Designs and supports complex healthcare payer software on QNXT, leading architecture, development, integrations, and technical delivery while improving operational performance and supporting production systems.

QNXTHealthcare Payer SystemsSoftware ArchitectureSoftware Development
Harris-Jones-Staffing-Recruiting-LLC

Medical Director (Utilization Management)

πŸ•’ 26 days ago
Harris-Jones-Staffing-Recruiting-LLCπŸ‘₯ 1 - 10 employees🏒 Staffing And Recruiting

The Medical Director of Utilization Management will evaluate hospital admissions and post-acute services for Medicare Advantage members, ensuring clinical integrity and regulatory compliance.

Clinical ReviewMedical Necessity DeterminationsEvidence-based GuidelinesCMS Regulations
Harris-Jones-Staffing-Recruiting-LLC

Physician Advisor- Peer-to-Peer Medical Reviewer

πŸ“… Sep 28
Harris-Jones-Staffing-Recruiting-LLCπŸ‘₯ 1 - 10 employees🏒 Staffing And Recruiting

Conduct physician-to-physician reviews of authorization requests, assess medical necessity and level of care using clinical and regulatory criteria, and document evidence-based determinations while collaborating with treating providers.

Peer-to-peer Medical ReviewUtilization ManagementMedical Necessity ReviewLevel-of-care Assessment

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