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The Utilization Review Specialist manages daily operations, which include supervising the staff performing benefit enrollments and utilization management activities. The Utilization Review Specialist participates in department development and unit performance improvement.
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Collaborate with HR teams to identify data needs, gather requirements, and ensure data accuracy and integrity across all HR systems, including SAP and SAP SuccessFactors. Strong attention to detail, with a focus on data accuracy, integrity, and confidentiality.
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The Loan Operations Data Integrity Specialist will prepare loan booking sheets on new loans, renewals and modifications to ensure accuracy, consistency and regulatory compliance for all data entered in the loan accounting system.
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Support the development and implementation of the Transmission Pipeline Integrity Management Program (TIMP) data gathering, integration, and quality assurance program. The Pipeline Integrity Engineer will be primarily responsible for providing support through the collection, integration, and QA/QC of pipeline integrity data.
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This position is responsible to the Director of the Health Statistics and Data Science Core at DUSON. WORK PERFORMED Research Operations In collaboration with the Duke Office of Scientific Integrity, serves as an expert resource to study teams on design, implementation and adherence to data management plans, design of case report forms, developing data entry guidelines and standards and overseeing data quality control processes.
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Serve as a leader within the QC group and as a knowledge resource (data review, electronic review, data integrity, GDP) within the company. QC Testing data review of products, raw materials, stability lots.
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Collaborate with the Behavioral Team under the supervision of a BCBA/BCaBA/Behavior Specialist III/Coordinator of Behavioral Services to provide staff trainings, collect data for functional behavior assessments, develop behavior support plans, write reports, integrate data collection systems, and conduct treatment integrity checks.
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Participate in the Admission, Review, and Dismissal (ARD) Committee regarding interpretation of assessment data, appropriate placement, and goal setting for students with the presence of fine motor deficits, dysregulation, sensory issues, and/or behavioral deficits, in accordance with IDEA Public Schools Policies and Procedures, Texas Education Agency (TEA) guidelines, and Licensing Boards.
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Review of pipeline integrity inspection reports, including assisting other pipeline integrity technicians with reporting. Our work is critical to the integrity and safety of industrial firms, including petroleum refinery, pipeline, power generation, pulp & paper, mining, pharmaceutical, aerospace and automotive industries.
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As a part of day-to-day activities, the revenue integrity specialist will serve as the operational and clinical liaison between Pharmacy, Finance, Revenue Integrity, Compliance, and clinical specialties to support and optimize medication billing compliance and financial performance in our hospital and professional based billing systems.
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Up-to-date knowledge of ICD-10 mandate and the impact of code set transition, including potential impact on data quality for prospective payments, utilization, and reimbursement. CERTIFICATION & LICENSURE: Certified Clinical Documentation Specialist (CCDS) or Certified Documentation Improvement Practitioner (CDIP)Certified Coding Specialist (CCS) or Certified Professional Coder (CPC)SKILLS AND KNOWLEDGE:Knowledge of Pathophysiology and Disease Processes sufficient to pass the clinical pre-employment test at a rate of 85% or better is required for new hires.
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In addition to the responsibilities above, the Clinical Research Coordinator B will assist the regulatory specialist in preparing for all local and Central Institutional Review Board (IRB) documentation through the IRB, including submissions, continuing reviews, amendments, modifications, and adverse event reporting.
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The PRN Clinical Documentation Specialist (CDS) performs concurrent review of the medical record to promote the integrity of the clinical documentation, via analysis of clinical indicators and associated diagnostic terms that translate into ICD-10 /Working MS-DRG codes and reimbursable data to reflect the Severity of Illness (SOI), Risk of Mortality (ROM), and medical necessity that supports the level of care provided to all patients.
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DPS Group is seeking a qualified Senior Quality Assurance Operations professional to perform batch disposition, batch record review, deviation, CAPA and change control support at the Boston, MA client site.
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Constant improvements of SI models using data from lab measurements and/or modelling tool/methodology updates Substrate and board layout SI guidelines creation, review and post layout SI extractions Simulation automation, data gathering, analysis and visualization using JMP, MATLAB or similar tools Correlate simulations with lab measurements using high end PNAs, AWGs, Real Time Oscilloscopes and other typical SI test methodologies.
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integrity data specialist review jobs Title: quality specialist Company: Global Channel Management Inc
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