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Knowledge of managed care principles and practices with an emphasis in Grievance and Appeals and/or Utilization Management. Knowledge of Milliman/MCG guidelines or other nationally accredited utilization review criteria or standards.
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Lead preparation of EIRs/EAs/EISs and associated management plans in compliance with CEQA and NEPA. Contribute to preparing impact assessment deliverables, serving in roles ranging from lead technical expert to quality review.
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W2 Job ID#: 133885 Job Summary: Be part of a growing and dynamic international Risk team supporting the company's international business, focusing on performing end-to-end Risk and AML Operations tasks, including KYC/KYB (on-boarding), sanctions and PEP screening, transaction monitoring investigations, enhanced due diligence, prohibited and restricted goods review, etc.
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We seek outstanding candidates with teaching experience in the following: industry experience in entrepreneurship, drug discovery and development, cell and molecular biology, genetics, biochemistry, microbiology, laboratory instruction, biotechnology finance, regulatory affairs, clinical trials, project management, or manufacturing.
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We are looking for an Engineering Program Management Intern to join our team in one of today’s most exciting technologies. Bloom Energy is an equal opportunity employer and makes employment decisions on the basis of merit.
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With Utilization Management, Support Services, ED, and other hospital departments, manages bed control by ensuring appropriate policies and procedures, effective communication channels, rapid response to EPRP for bed, and timely dispute resolution.
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Pursuant to the Jeanne Clery Disclosure of Campus Security Policy and Campus Crime Statistics Act (Clery Act) and CSU systemwide policy, the faculty coach member in this position is subject to ongoing review for designation as a Campus Security Authority (CSA.
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The Arcadis Team is looking to add a Program Scheduler & Data Management Strategist professional to their Team. The ideal candidate would be very comfortable analysing large volume of data for one of Arcadis's key technology clients, but will also have deep knowledge working with program schedules for our fast moving data center construction program.
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The work is focused on developing research concepts and prototype software that provides autonomous Air Traffic Management (ATM) services to all types of airspace users that will enable safe integration of autonomous vehicles into the National Airspace System.
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San Jose Behavioral Health currently has an opportunity for a Utilization Review Specialist Per Diem, at our new 133 bed Acute Psychiatric Hospital, located in South San Jose, CA. The Utilization Review Specialist coordinates and assesses the inpatient census for appropriate alternate health care service needs.
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A minimum of 15 years of management experience, working in Front End wafer Fab management positions and has had at least 10 years of experience in a Front End Factory or has experience in management of Front End managing engineers, maintenance, equipment engineering, process engineering and operators.
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Responsible for day-to-day oversite of outsourced Lease Administration provider activities, including review, quality control, and process improvement of:Monthly Accounts Payable Variance reporting Monthly Accounts Receivable Variance reporting Lease Abstractions Self-audit program Desktop and Full-scope Audit Program Database Migration.
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Prepare regulatory submissions, and ensure Institutional Review Board renewals are completed. Responsibilities include patient enrollment and follow up, and data and regulatory management.
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Sempervirens accomplishes its mission through innovation and work done in deep partnership with California Native American Tribes; California State Parks, the Bureau of Land Management, and other government agencies; Resource Conservation Districts; non-profit organizations; scientific researchers; the timber industry and other private landowners.
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Working with Engineering teams and SRE's to develop, implement and improve Incident Management and Problem Management. Conducting technical analysis of incidents, performing root cause investigation and review with Engineering teams.
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review utilization management jobs Title: sales representative in Cupertino, CA
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