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The Clinical Appeals Specialist is responsible for adhering to a member/provider appeal and grievance process that meets state, federal, accreditation and other regulatory requirements. Using knowledge of clinical nursing and medical practices, the Clinical Appeals Specialist will review medical necessity requests, render determinations about appropriateness of care, and expedite cases within established criteria and contract requirements.
$80,000 a yearExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Complies with all laws, regulations, and policies that govern the conduct of BMS. Required Qualifications & Experience- Advanced scientific degree and/or preferred 5+ years of pharmaceutical or biotechnology experience as healthcare sales / MSL / HCP / nurse.
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Based in Portland, Oregon, Fred Meyer merged with The Kroger Company in 1998. As part of the Kroger family of companies, we take pride in bringing diverse teams with a passion for food and people together with one common purpose: To Feed the Human Spirit.
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Demonstrates ability to contribute on large engagements within a professional services firm or large enterprise, either as a consultant, auditor, or business process specialist; A career with the Tech team in our Digital Assurance and Transparency practice will provide you with the opportunity to assist clients with business transformations leveraging large scale digital solutions such as SAP, Oracle, OneStream, Workday, Identity and Access Management tools and other business applications.
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Commercial and Residential Management Group is looking for a Maintenance Technician I who can perform the daily upkeep and cleanliness of the buildings, landscaping, amenities, parking lot, and trash areas at the 248-unit apartment community of Timberridge and Somerset Place.
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Job Title: Writing Support Specialist. Aids in coordinating scheduling, coverage, and duties of Center, Peer Tutoring, and Tutoring on Demand (TOD) platform for Writing Center representation. Performs related duties as assigned, to include coverage of duties assigned to the Writing Center Coordinator and Assistant in their absence.
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Keep the Customer Service/Dispatch Manager and sales department informed of problems or concerns throughout the day that may require their knowledge or attention. Over a century later, Callanan Industries, Inc. continues to be a leading supplier of paving materials and construction services, providing a complete range of high quality aggregates, asphalt paving, and ready mix concrete products to state, federal, municipal, commercial, and private customers with operations throughout New York State.
$27 an hourFull-timeExpandApply NowActive JobUpdated 17 days ago - UpvoteDownvoteShare Job
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Minimum 5 times a week; 2 hours for each session;Sales & E-commerce: You will be sales-oriented, use innovative tactics, and have excellent product knowledge to make sales on TikTok Shop via Livestream.
$800 a month (commission)ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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The Recreation Specialist will implement and facilitate the recreation program but not limited to sports, leisure, cultural, and therapeutic based activities. As a Recreation Specialist at Berkshire, you will be responsible for implementing and facilitating recreational programs and activities.
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The Project Operations Specialist will play a pivotal role in supporting the Deputy General Counsel within the Office of General Counsel, Legal Affairs. Health Research, Inc. (HRI) contributes to the health and well-being of the people of New York State by complementing and enabling the strategic public health goals of the New York State Department of Health (DOH), Roswell Park Comprehensive Cancer Center (RPCCC), and other health-related entities.
$73,128 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Work with a team that will mainstream the process for our customers and keep effective communication among BDC, sales, and management. Lia Auto Group is seeking Internet Sales/Business Development Center Agent(s) to join our team.
$40,000 - $65,000 a yearInternExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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The Education Specialist achieves this goal through the roles of educator, performance consultant, and leader in collaboration with members of the Hospital, the Center, and the community. The Education Specialist is responsible for leading in the design and development of systems that support staff involvement in practice, research, education.
$118,053 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Certified Coding Specialist (CCS), Certified Procedural Coder (CPC), Registered Health Information Technologist (RHIT), or Registered Health Information Administrator (RHIA) is required. The Coding Specialist II analyzes physician/provider documentation contained in health records (electronic, paper or hybrid) to determine the principal diagnosis, secondary diagnoses, principal procedure and secondary procedures.
$34.79 an hourFull-timeRemoteExpandApply NowActive JobUpdated 18 days ago - UpvoteDownvoteShare Job
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QUALIFICATIONS: Bachelor’s Degree in Mechanical Engineering preferred or equivalent experience 5+ years technical sales experience VRF experience preferred High degree of knowledge of local HVAC commercial sales channel, engineers, and contractors.
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Current Certified Fraud Examiner, Certified Fraud Specialist, Certified Public Accountant, Certified Internal Auditor, or Certified Inspector General Investigator designation. Current Certified Fraud Examiner, Certified Fraud Specialist, Certified Public Accountant, Certified Internal Auditor, or Certified Inspector General Investigator designation.
$80,073 a yearFull-timeExpandApply NowActive JobUpdated Today
sales specialist jobs Title: specialist Company: Kroger in Albany, Phenix-city, Alabama
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