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As an important member of our Medicare Advantage team, you will drive the development, implementation, and execution of organizational and operational strategies for claims, provider contracts, and appeals and grievance systems configuration.
$67,400 - $133,400 a yearFull-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Provides assistance and support to other departments, as needed, to obtain crucial or required information from Providers, such as HEDIS, Credentialing, Grievance and Appeals, SIU, etc. Works with Plan Leadership, Provider Performance Value Based Care (PPVBC Team), Quality, VBS reporting team and other staff to manage contract performance and drives the development and implementation of value based contract relationships in support of business strategies.
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Two (2) years full time paid professional experience performing labor relations duties including participation in labor agreement compliance monitoring and enforcement, grievance procedures and resolution.
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Reporting to the Sr Director of Performance Marketing, the ideal candidate will lead strategy, execution, and optimization of paid social campaigns with a primary focus on Facebook and TikTok. As part of the performance marketing team, you will execute an expert level of media buying across Facebook and strategize/execute a scaled growth plan for TikTok. You will also manage various media buying agencies for secondary social platforms and establish best practices to deliver sustainable growth.
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Their areas of focus include patent litigation and appeals, post-grant proceedings, patent prosecution and portfolio counseling, trademark, copyright, advertising, internet, and trade secret counseling and litigation, as well as technology licensing and monetization.
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Facilitate cross-functional collaboration with financial planning and analysis (FP&A), financial reporting, and business lines to support liquidity risk assessment and liquidity buffer sizing associated with internal activities including, capital stress-testing, financial forecasting, contingent funding planning, 2052A regulatory reporting, etc.
$168,500 - $202,900 a yearFull-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Standing up a reporting system in BigQuery from scratch, including data replication, infrastructure setup, dbt model creation, and integration with reporting endpoints. Partner with data analysts on refining the data model used for reporting and analytical purposes.
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The Telemetry/Monitor Technician is responsible for accurate record keeping, observation of monitors and prompt reporting of cardiac rhythm changes. Arrhythmias-maintain strips and reporting changes.
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Will manage a large caseload with a focus on matters before the Immigration Courts, Board of Immigration Appeals and 9th Circuit Court of Appeals. Seeking a Bilingual Immigration Attorney (Spanish and English.
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CA: Data & Reporting Analyst ($2500 signing bonus) page is loaded. The Data & Reporting Analyst will support the department in the areas of data collection, analysis, reporting, and application support.
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Reporting directly to the Sr. Director of Finance (with significant exposure to the company’s Treasurer and also to the CFO), this is an opportunity for a proactive, detail-oriented professional who is looking for high visibility and the chance to be a key member of various aspects of cash forecasting, annual budgeting, strategic planning, and monthly reporting process.
$125,000 - $135,000 a yearFull-timeExpandApply NowActive JobUpdated 10 days ago - UpvoteDownvoteShare Job
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Provides guidance to physicians, members and other stakeholders on the DME/P&O benefit coverage and the grievance/denial/appeal process. PT,OT,Orthotist, Certified Prosthetist. The Durable Medical Equipment/Prosthetics and Orthotics (DME/P&O) Consultant functions as the local resource for DME/P&O efforts and initiatives for multiple medical centers under the guidance of Regional management.
$83,200 - $107,580 a yearFull-timeExpandApply NowActive JobUpdated 10 days ago - UpvoteDownvoteShare Job
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If you are interested, please apply online and send your resume to Jackie Cardenas at jcardenas@mlkch.org POSITION SUMMARY The Telemetry/Monitor Technician is responsible for accurate record keeping, observation of monitors and prompt reporting of cardiac rhythm changes.
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Reporting to the CAE Director, the Associate Director oversees CAE Disability Specialist (DS) team and manages the documentation review and intake process. Reporting to the CAE Director, the Associate Director oversees CAE Disability Specialist (DS) team and manages the documentation review and intake process.
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Reporting directly to the Deputy Athletic Director for External Relations/Chief of Staff, the Senior Associate Athletic Director, Chief Development Officer will be a creative, bold, and innovative development leader with an entrepreneurial spirit who has overseen large teams.
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grievance appeals reporting jobs in Los Angeles, CA
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