Do you have an eye for detail and a passion for risk assessment? Join us as a Senior Reviewer, Loss Control Surveyor, where you'll play a vital role in helping businesses stay safe and compliant! Come Join ReSource Pro! Your Role... ReSource Pro is looking for an experienced Senior Reviewer, Loss Control Surveyor to join ReSource Pro's team of auditors and surveyors. The Senior Reviewer, Loss Control Surveyor will play a critical role in ensuring the accuracy and integrity of Loss Control Surveys submitted by the surveyor team. This role acts as a final checkpoint for survey quality, provides structured feedback for improvement, and mentors surveyors on best practices and technical standards. This position supports the overall development and performance of the surveyor workforce while maintaining alignment with client-specific and internal quality standards. We hire the best because our service is only as good as the people delivering it. We’re committed to hiring individuals who engage in our amazing culture and embrace our Core Values: Commitment to Community, Teamwork, Passion for Excellence, Service-Centric, and Best Self. All remote positions are based in the United States, and candidates must reside within the U.S. to be eligible for consideration. In this role you will... - Conduct in-depth reviews of submitted Loss Control Surveys across multiple coverage lines (e.g., Workers' Compensation, General Liability, Property).​​​​​​ - Evaluate reports against internal RSP standards and client-specific guidelines to ensure completeness, consistency, and technical accuracy. - Provide clear, concise feedback on needed corrections and document required changes thoroughly. - Use tools such as CoreLogic to validate replacement costs and AUSUM or Loss Control 360 for report processing. - Complete an average of 10–20 survey reviews daily, depending on report complexity. - Escalate significant quality report concerns or recurring trends to the Senior Practice Director. - Serve as a mentor and resource for 5–15 surveyors, offering onboarding, process guidance, and professional development support. - Train on systems (e.g., Loss Control 360, AUSUM), internal standards, client expectations, and reporting best practices. - Monitor quality trends and provide coaching to improve individual and team performance. - Communicate respectfully and constructively with contractors regarding report deficiencies and expectations. - Maintain records of mentoring interactions and progress; inform leadership of any performance risks What you need to be successful... - High School Diploma or equivalent - Minimum 3 years of experience as a Loss Control Surveyor - Prior experience in QA or peer review of technical reports preferred - 1–2 years of experience mentoring or coaching peers/team members - Experience with mobile data collection systems or report platforms (CoreLogic, Loss Control 360, AUSUM) - Strong written and verbal communication - Highly organized, detail-oriented, self-motivated - Ability to work independently and exercise sound judgment - Comfortable providing feedback and coaching others Your Compensation... Our salary ranges are based on paying competitively for our size and industry, and are one part of the total compensation package that also includes annual bonus eligibility, benefits, and other opportunities at ReSource Pro. Individual pay decisions are based on a number of factors, including qualifications for the role, experience level, skillset, geography, and balancing internal equity relative to other ReSource Pro employees. This is a remote position and the salary range for most locations for this role is $46,518 - $78,967 annually. The salary range may vary based on the specific geographic location in which the candidate resides.Your Benefits & Perks... - 100% paid employee health insurance available on Day 1 - Eligible for all medical, dental, and vision benefits on Day 1 - Remote positions are Internet stipend-eligible - 401k with employer match, vested on Day 1 - HSA/FSA available - Long Term and short-term disability employer-provided - Generous PTO plan with paid holidays + floating holidays - Development and growth opportunities - Comprehensive wellness program and prioritization of employee health Your Interview Process... To be considered for this position, please submit your application. If you meet the qualifications for the role, a member of our Talent Acquisition team will be in touch to schedule an interview via Zoom. The standard interview process includes: - Behavioral Interview with Talent Acquisition - Online talent assessment - Hiring Manager Interview *Additional interview steps may be added depending on the position or if further evaluation is needed. Disclosure: Candidates are evaluated at each step of the process. As a result, not every candidate will complete all steps in the process. About ReSource Pro: Focused exclusively on the insurance industry, ReSource Pro is the trusted partner insurance organizations rely on to optimize performance, streamline operations and process engineering, and drive growth. Serving 2,000+ carriers, brokers, wholesalers, and MGAs, ReSource Pro is a recognized market leader in insurance workflow optimization, data and technology services, and strategic operating model transformation. Maintaining a 96%+ client retention rate for over a decade, ReSource Pro is the only firm serving the insurance industry to have earned a spot on the Inc. 5000 list 16 times—placing it among the top 0.02% of repeat honorees across all sectors in the Inc. list’s 40+ year history. Equal Employment Opportunity Policy ReSource Pro provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

#LI-HW1 #LI-Remote Myers and Stauffer LC is a certified public accounting and health and human services consulting firm, specializing in audit, accounting, data management and consulting services to government-sponsored health care programs (primarily state Medicaid agencies, and the federal Center for Medicare & Medicaid Services). We have 45+ years of experience assisting our government clients with complex health care reimbursement and provider compliance issues, operate 21 offices and have over 900 associates nationwide. At Myers and Stauffer, you will have a career that is rewarding while also supporting our state and federal government health and human service clients that focus on those in need. We are committed to providing our employees with professional growth and development opportunities, a diverse, dynamic, challenging work environment, and a strong and visionary leadership team. Our firm takes pride in the welcoming and collaborative culture we have throughout our offices. We are always willing to discuss potential flexibility that an employee may need to better suit their work-life wellbeing. What We Offer: - Health, Dental, and Vision insurance along with other competitive employee benefits for eligible associates - Vacation time, sick time, and paid holidays - Paid Parental Leave and available support resources - 401K with company matching for eligible employees - Tuition reimbursement, referral bonuses, paid volunteer community service time, mentor program, and a variety of other employee programs and perks - A combination of technical and leadership development training at each career milestone - Up to six counseling sessions per year for eligible employees through our Employee Assistance Program We understand that changing or learning a new industry can discourage strong candidates from applying. Please do not hesitate to apply, as you may be the right fit for this position or another position we have open.

Role Description Our client is seeking an experienced Nurse Reviewer to perform medical record and claims review for Medicare, Medicaid, and/or other claims data in order to ensure that proper guidelines have been followed and assesses for potential overpayment, fraud, waste, and abuse with regards to Medicare, Medicaid, and/or other claims. Essential Duties and Responsibilities include some or all of the following: - Reviews beneficiary, provider, and/or pharmacy cases for potential overpayment, fraud, waste, and abuse. - Completes desk review or field audits to meet applicable contract requirements and to identify evidence of potential overpayment or fraud. - Consults with benefit integrity investigation experts and pharmacists for advice and clarification. - Completes case summaries and provides results to investigators to support the investigative process. - Provides case specific or plan specific data entry and reporting. - Participates in internal and external focus groups, as required. - Participates in provider onsite visits and beneficiary interviews, as required, for field audits/investigations. - Testifies at various legal proceedings, as necessary. - Provides job-specific orientation and training, as needed. Helps develop training content, resources, and programs specific to job functions. Qualifications - Minimum Bachelor's Degree preferred, RN license required. - 2 - 4 years of experience in medical claims review required; 5 - 7 years preferred. - ICD-9 coding and CPT coding knowledge strongly preferred. Requirements - Current, active and non-restricted RN licensure required. - Coding certification preferred. Company Description Established in 2010, @Orchard LLC, also known as Talent Orchard, has an exceptional reputation, providing staffing solutions to time-sensitive, talent scarcity issues to deliver better talent management ROI. Our specialty lies in the critical area of program talent acquisition and resource management, not in one narrow skillset, but across many areas of technical and functional delivery. To learn more about our other exciting opportunities, visit our Jobs Page at www.atOrchard.com .

Company Overview Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem-solving; and to take ownership of your work every day. Acentra Health offers you unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes – making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector. Job Summary and Responsibilities Acentra Health is looking for a Clinical Reviewer - Substance Use - LPCC, LMFT, LICSW - PRN (Remote U.S.) to join our growing team. Job Summary: - The purpose of this position is to utilize clinical expertise to review medical records against appropriate criteria in conjunction with contractual requirements, critical thinking, and decision-making skills to determine medical appropriateness. Responsibilities: Job Summary: - The purpose of this position is to utilize clinical expertise to review medical records against appropriate criteria in conjunction with contractual requirements, critical thinking, and decision-making skills to determine medical appropriateness. Responsibilities: - Review and interpret patient records against American Society of Addiction Medicine (ASAM) criteria to determine medical necessity and appropriateness of care. - Responsible for attending training and scheduled meetings and for maintenance and use of current/updated information for review. - Assures accuracy and timeliness of all applicable review type cases within contract requirements. - Assesses, evaluates, and addresses daily workload and queues; adjusts work schedules daily to meet the workload demands of the department. - In collaboration with Supervisor, responsible for the quality monitoring activities including identifying areas of improvement and plan implementation of improvement areas. - Maintains current knowledge base related to review processes and clinical practices related to the review processes. - Functions as providers’ liaison and contact/resource person for provider customer service issues and problem resolution. - Fosters positive and professional relationships and act as liaison with internal and external customers to ensure effective working relationships and team building to facilitate the review process. - Attends training and scheduled meetings and for maintenance and use of current/updated information for review. - Foster positive and professional relationships and act as liaison with internal and external customers to ensure effective working relationships and team building to facilitate the review process. - Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules. The above list of responsibilities is not intended to be all-inclusive and may be expanded to include other education- and experience-related duties that management may deem necessary from time to time. ** This is a PRN (as needed) role working during the week Monday through Friday in the time zone where the selected candidate resides. ** Qualifications Required Qualifications/Experience: - The selected candidate must hold an active, unrestricted license in the state of Minnesota in one of the following areas: - LPCC, issued by the Minnesota Board of Behavioral Health and Therapy (BBHT) - LMFT, issued by the Minnesota Board of Marriage and Family Therapy (BMFT) - LICSW, issued by the Minnesota Board of Social Work (BOSW) - 3+ years of experience providing direct clinical work as a mental health professional across diverse clinical settings. - 1+ years of Utilization Review (UR) OR Utilization Management (UM) OR Prior Authorization. - In-depth understanding of ASAM criteria and its practical application in clinical environments. - Familiarity with medical records structure, terminology, and disease processes. - Strong clinical assessment capabilities paired with excellent critical thinking. - Proficient in medical record abstraction. - Regardless of work schedule, all new hires must attend a Monday orientation. If Monday is a Company‑observed holiday, orientation will be held on Tuesday instead. Preferred Qualifications/Experience: - Proficiency in Microsoft Office 365 applications, including Word, Excel, Outlook and Teams. - Excellent written and verbal communication skills. - Demonstrated ability to manage deadlines, prioritize tasks, and thrive in a fast-paced environment. - Highly organized with meticulous attention to detail. #LI-SD1 Why us? We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes. We do this through our people. You will have meaningful work that genuinely improves people's lives across the country. We are a company that cares about our employees, and we give you the tools and encouragement you need to achieve the finest work of your career. Thank You! We know your time is valuable and we thank you for applying for this position. Due to the high volume of applicants, only those who are chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in Acentra Health and invite you to apply to future openings that may be of interest. Best of luck in your search! ~ The Acentra Health Talent Acquisition Team Visit us at Acentra Health Benefits - PRN This position includes access to select Acentra Health benefits and programs, such as participation in the Acentra Health 401(k) Plan with company match, access to wellness and employee discount programs, and Employee Assistance Program (EAP) resources. EEO AA M/F/Vet/Disability Acentra Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, national origin, disability, status as a protected veteran or any other status protected by applicable Federal, State or Local law. Experience in Lieu of Degree For non-clinical roles, or when not required by the contract specifically, the Company acknowledges that practical, hands-on experience can provide skills and competencies equivalent to formal education. As such, in cases where a Bachelor's degree may be required, the Company will accept a minimum of six (6) years of directly relevant professional experience in lieu of a degree. In instances where the candidate has an Associate's degree, the Company will accept a minimum of three (3) years of directly relevant professional experience in lieu of the Bachelor's degree. Compensation The pay range for this position is listed below. “Based on our compensation philosophy, an applicant’s position placement in the pay range will depend on various considerations, such as years of applicable experience and skill level.” Pay Range USD $28.37 - USD $39.19 /Hr.