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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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A broad understanding of third-party risk management, contract management, and procurement processes. Provide vendor risk management policy support, to include: o Writing and updating third-party risk policies and procedures.
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Third-Party Verification: Knowledge of third-party verification processes (risk rankings, AML/KYC review, UBO identification, etc.) The Ethics and Compliance Third-Party Due Diligence ("TPDD") and Monitoring Senior Analyst the "TMSA") will assist the TINA Ethics & Compliance Team regarding the development, implementation, sustainability, monitoring, and advancement of a TPDD Program to evaluate, identify, mitigate, and remedy third-party risks.
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Experience using third party risk management /Governance, Risk and Compliance (GRC) systems. CNB established the Vendor Management Office to support the third party risk management framework.
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In addition, this position will be instrumental in building and maintaining a governance program for supplier performance, collaborating with Enterprise Risk Management and Third-Party Risk Management teams to ensure a comprehensive and disciplined approach to supplier risk and performance management.
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Collaborates with professionals, health plan departments such as Claims and Medical Management, and the third party administrator staff and legal, as necessary, to investigate and facilitate resolution of individual grievances and appeals.
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We 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 regional security teams, third party security vendors, law enforcement, government agencies, and emergency services.
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The Senior Litigation Specialist’s job function includes efficiently and effectively handling advanced-level, primarily litigated, commercial third-party general liability losses in a “paperless” environment.
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MasTec Clean Energy & Infrastructure and our subsidiaries do not work with any third-party recruiters or agencies without a valid signed agreement and partnership with the Corporate Talent Acquisition Team.
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Auto-Owners Insurance, a top-rated insurance carrier, is seeking a motivated underwriting trainee to join our team. This job performs and applies insurance coverage, rules and guidelines to execute the underwriting decision-making process according to Company underwriting philosophy.
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Coordinate marketing and communication efforts with third party stakeholders (i.e. NTTA, TxDOT, NCTCOG etc.) The primary function and goal of the Senior Marketing Specialist will be to own and support our customer communications and engagement strategy, striving to foster trust and loyalty among our customer-base.
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Integration: Design and implement integrations with third-party platforms, such as Genesys, Twilio, Cisco, Avaya, or Five9. Integration: Design and implement integrations with third-party platforms, such as Genesys, Twilio, Cisco, Avaya, or Five9.
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Professional certification such as Certified Public Accountant (CPA), Certified Internal Auditor (CIA), Chartered Financial Analyst (CFA), Certified Risk Manager (CRM), Certified Business Continuity Professional (CBCP), Certified Third-Party Risk Professional (CTPRP) or Accredited Payments Risk Professional (APRP.
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The Director will design and implement the third-party risk management framework while leading a team of professionals to assess, monitor, and mitigate risks associated with vendors, suppliers, and other third parties.
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RecoveryTrek, a drug-free workplace located in Norfolk’s modern downtown office spaces, is a Third-Party Administrator providing online monitoring services to Substance Abuse Treatment programs.
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third party medical insurance commercial jobs Title: specialist billing
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