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Lead meetings and collaborate with cross-functional colleagues across multiple departments such as IT, Operations, Managed Care Contractors, Revenue Integrity, Admitting and Patient Financial Services to ensure reimbursement and payer trends are identified and resolved.
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Clayton Members Club is managed by Aparium Hotel Group which was founded in 2011 by Chicago hospitality executive and entrepreneur Mario Tricoci and Michael Kitchen. The Guest Services Ambassador role is not a front desk receptionist hiding behind a desk, generating paperwork, and swiping credit cards.
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The Deputy Director position involves multidimensional engagement with internal and external stakeholders, including MassHealth members, advocates, providers and payers, as well as other state and federal entities such as the Centers for Medicare and Medicaid Services, State Auditor’s Office, and Office of Inspector General.
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They help customers of all sizes solve the intricacies of shipping goods globally by providing comprehensive international ocean and air freight forwarding, surface transportation and distribution, customs brokerage, trade and customs advisory services, and advanced e-commerce and trade facilitation solutions.
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We are a diverse network of organizations and offer a large variety of locations, services, and specialties to match your career aspirations. Texas General Medical Radiologic Technologist License (Vendor Managed) or New Mexico Medical Imaging & Radiation Therapy Program - New Mexico Environment Department upon hire.
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Contribute and support to the Senior Service Delivery Manager to ensure Support Activities and Resourcing are managed within contracted Support Budget and contribute to the account P&L. Build and manage appropriate working relationships with VML partners involved in the delivery of services to the client using the appropriate Supplier Relationship Management methods.
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FluidOne supports the needs of 2500 customers, including 200 channel resellers, with services covering connectivity, SD-WAN, cyber security, IT managed services, mobile, IoT, UCaaS and CCaaS. Addressing the needs of SME, mid-market and Enterprise, FluidOne consults with its customers to design solutions that complement their in-house IT structures.
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In-depth experience with Managed Accounts, Corporate Actions, Securities Lending, Collateral Management, Proxy Voting, Class Actions, Trading & Trade Settlement, Global Markets & Foreign Exchange, GIPS and Investment Performance, Investment Compliance, Risk Management, Vendor Management, Project Leadership, and Product Ownership.
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CHC is Pennsylvania's Medical Assistance managed care program that includes physical health benefits and long term services and supports (LTSS). We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.
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With long-standing roots as a managed care organization (MCO), we provide long-term care services to eligible elders and individuals with physical and intellectual or developmental disabilities.
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MetroPlus Health provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc.
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Partners with internal UR staff and external Behavioral Health Providers to ensure appropriate and consistent utilization of plan benefits, out of network services, and clinical guidelines within scope of license.
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VNS Health is seeking a Registered Nurse (RN) Clinic Utilization Review for a nursing job in Manhattan, New York. Job Description & Requirements Specialty: Utilization Review Discipline: RN Start Date: 09/23/2024 Duration: Ongoing Employment Type: Staff Resolves grievances, appeals and external reviews for one of the following VNS Health Plans product lines – Managed Long Term Care (MLTC), Medicare Advantage (MA), or Select Health.
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Job Description & Requirements Specialty: Utilization Review Discipline: RN Start Date: 09/23/2024 Duration: Ongoing Employment Type: Staff Resolves grievances, appeals and external reviews for one of the following VNS Health Plans product lines – Managed Long Term Care (MLTC), Medicare Advantage (MA), or Select Health.
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Serve as a trusted partner to the VP of Managed Services, providing valuable analytical and qualitative insights. ▶ Design and pitch new products, services, and other initiatives to a leadership team consisting of serial entrepreneurs and seasoned executives and backed by a board of directors consisting of industry veterans of energy, finance, and government.
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managed services jobs Title: network engineer Company: Centene Corporation
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