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Reviews the medical/surgical treatment plan with third party payors to obtain authorization for pre certification, admission and continued stay. Obtains pre-certification from third party payors as required.
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This position is also responsible for verifying patient insurance, confirming benefits eligibility, performing pre-authorization, pre-certification, and/or notification as required by third party providers.
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This position is responsible for administration of company-wide liability claims (Auto Lia, Gen Lia), including overseeing coordination of internal staff of claims analysts, third-party administrators (TPAs), and legal counsel (in-house and outside counsel) involved in liability claim resolution.
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Manage team to build SOWs, handle budgets, negotiate costs efficiently with third-party vendors, build PRs, POs and track spend, and effectively communicate to the executive level, partners and stakeholders.
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Anticipate, initiate, and establish a discharge plan for patients with post-acute care needs, collaborating with the physician, nurse, and other health care providers, the patient, their family/primary caregiver(s), third-party payers, and employer following established clinical guidelines, standards, and pathways.
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Interface with Third Party Risk Management group where appropriate. The MTA IT Cybersecurity organization, is responsible for identifying, developing, implementing, and integrating cybersecurity-related processes internal and third-party supplier organizations to reduce the operational risks, reputational risks and financial risks.
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Under the direction of the Claims Team Leader, the Senior Claims Specialist will manage all aspects of third-party liability claims, analyze coverage, investigate facts of third-party claims, secure evidence, address subrogation/recovery/tenders, and settle claims at the best outcome within established claim best practices guidelines and client instructions.
$137,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Integration of SAP-modules with different third-party applications (upload interfaces/ IDoc/ BI tools). 10-15 years SAP FICO experience in Accounts Payable, Accounts Receivable, General Ledger, Asset Accounting, Bank Management, Inter-company Accounting, Cost.
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QA Manager serves as SQF Practitioner, maintains, and implements Policies and Procedures in accordance with SQF code. We produce high-quality and consistent products, which include yogurt (Dahi or Indian, Greek and traditional), smoothies / yogurt drinks, sour cream, and dips from single serve options to food service side.
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Knowledge of HRIS and payroll architecture, including data flow and system integration points between SAP SuccessFactors, S/4 HANA, and other third-party systems. Serve as the Lead Architect for all SAP SuccessFactors modules, including Employee Central (EC), Recruiting, Onboarding, Performance Management (PM), Goal Management (GM), Compensation, Succession Planning, Learning Management System (LMS), Employee Central Service Center (ECSC), SAP Workzone, and Workforce Analytics.
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Third Party Perks (Including discounts on Pet Insurance, Rental Cars, Movie and Concert Tickets, Theme Park and Attractions & so much more) Manages group yielding efforts with support from General Manager and Revenue Manager.
$95,000 a yearFull-timeExpandApply NowActive JobUpdated 12 days ago - UpvoteDownvoteShare Job
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Lead the implementation of SAP IBP solutions, including configuration, customization, and integration with other SAP modules (e.g., SAP S/4HANA, SAP ERP) and third-party systems. Strong knowledge of SAP IBP modules and functionalities, including Demand Planning, Supply Planning, Inventory Optimization, and Sales and Operations Planning (S&OP.
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We can conduct, supervise, or coordinate Disney enterprise assistance and support by providing operational capabilities, technical expertise, and policy or procedural recommendations in the performance of crucial services along with The Walt Disney Company Global Security internal partners and The Walt Disney Company regional security teams, third party security vendors, law enforcement, government agencies and emergency services.
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Information security, reporting, third party risk, risk assessment, security policy, cissp, cism, cisa, cyber security, risk management, nist, hipaa, Security controls. information security,reporting,third party risk,risk assessment,security policy.
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Background Screening Michigan Medicine conducts background screening, fingerprinting and pre-employment drug testing on job candidates upon acceptance of a contingent job offer and may use a third party administrator to conduct background screenings.
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service delivery manager third party jobs Title: fleet manager
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