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The Grievance and Appeals Quality Assurance Program Manager is responsible for performing retrospective and concurrent internal quality review of grievances and appeals to ensure they are categorized and processed in accordance with state and federal regulatory requirements and SCFHP policies and procedures as set forth for each line of business, including conducting review and root-cause analysis of grievance and appeal data to identify and report trends to internal and external stakeholders.
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Who We Are: Common Hardware Group (CHG) Power is a central team that supports power design across various products, such as Cisco 8000 Series Routers, Catalyst 9000 switches, IoT, and many others.
$214,100 a yearFull-timeExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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SAS certification and work experience in Spotfire, Tableau, PowerBI, and Windows batch script are preferred. Provide robust technical SAS programming expertise to support data management, including developing, validating, implementing, and maintaining data review listings, metrics, dashboards, and reconciliation reports for all studies.
$60 an hourExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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The Senior Cost Engineer - CSA will review subcontractor and vendor change order requests to validate if the costs are fair, reasonable and in line with contract requirements. We are seeking candidates to work in Sunnyvale, CA on a large semi-conductor tool manufacturing facility project.
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Review and evaluate all medical correspondence, provider reports, & treatment plan history. EK Health is now hiring for a Telephonic Nurse Case Manager (RN) for our Case Management Team! Experience in Home Health Care, Occupational Health considered a plus.
$90,000 a yearFull-timeRemoteExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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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 member in this position will subject to ongoing review for designation as a Campus Security Authority (CSA.
$9,854 a monthTemporaryExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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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.
$3,527 a monthFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Experience: Solid experience in a lab environment, specifically within the electronics manufacturing industry, with a strong emphasis on troubleshooting and problem-solving using schematics and PCB design review tools like PADS Viewer.
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The Principal Construction Inspector (PCI) responsibilities include: supervising an inspection team (both City and consultant inspectors); perform inspections of either electrical, mechanical, or civil work when project inspectors are off site; review permits, plans and specifications for constructability and budgetary purposes and for conformance to City requirements.
$152,617.92 a yearFull-timeExpandApply NowActive JobUpdated 8 days ago - UpvoteDownvoteShare Job
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Mammography Tech job responsibilities include, but are not limited to: Mammography Techs operate the mammography equipment, positioning patients correctly for the imaging procedure Review patient images and ensure that all images are of sufficient quality for diagnostic purposes Take appropriate action to resolve image quality issues, including repositioning patient and repeating procedure Perform breast ultrasound and other breast-imaging procedures BENEFITS OF BEING GIFTED.
$2,781 a weekFull-timeExpandApply NowActive JobUpdated 8 days ago - UpvoteDownvoteShare Job
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Campus Security Authority - In accordance with the Jeanne Clery Disclosure of Campus Security Policy and Campus Crime Statistics Act (Clery Act) and CSU systemwide policy, this position is subject to ongoing review for designation as a Campus Security Authority.
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Participates in utilization review as it pertains to prior authorization, concurrent review, and post-service requests, as well as appeals and grievance decisions and correspondence; Utilizes policies, established guidelines (e.g., Medi-Cal, Milliman Care Guidelines, Apollo) to perform authorization and concurrent review to determine medical necessity and appropriateness of services.
Full-timeExpandApply NowActive JobUpdated 15 days ago - UpvoteDownvoteShare Job
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Good PCB design experience on high-speed signals routing guideline and review, power copper routing and review, design for EMI/ESD protection. OTSI works with 100+ enterprise customers, of which many are Fortune ranked, OTSI focuses on industry segments such as Banking, Financial Services & Insurance, Healthcare & Life Sciences, Energy & Utilities, Communications & Media Entertainment, Engineering & Telecom, Retail & Consumer Services, Hi-tech, Manufacturing, Engineering, transport logistics, Government, Defence & PSUs.
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OTSI works with 100+ enterprise customers, of which many are Fortune ranked, OTSI focuses on industry segments such as Banking, Financial Services & Insurance, Healthcare & Life Sciences, Energy & Utilities, Communications & Media Entertainment, Engineering & Telecom, Retail & Consumer Services, Hi-tech, Manufacturing, Engineering, transport logistics, Government, Defense & PSUs.
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Oversees and administers efforts to ensure compliance with requirements as related to CEQA/EIR and other land use regulatory authorities are met for all projects, including those which may be pursued independently by campus auxiliaries.
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