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The UMQM Nurse shall also participate in Utilization Management related activities with the Appeals and Grievance Department as well as the Compliance Department to assure that the quality compliance is being met for NCQA, state and federal regulatory requirements.
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Similar Jobs (5) Managing Consultant, Environmental Engineer (Senior Level) locations 4 Locations time type Full time posted on Posted 29 Days Ago Managing Consultant, Environmental Regulatory Specialist (Senior Level) locations 25 Locations time type Full time posted on Posted 2 Days Ago Managing Technical Consultant, Archaeologist (Senior Level) locations 3 Locations time type Full time posted on Posted 3 Days Ago.
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Configuration, testing, and debugging code related to Workflows, Templates, Components, Content Fragments, and utilization of capabilities in the Salesforce Marketing Management across multiple communication channels such as Email, Mail, SMS, MMS, PUSH, In-App Notifications.
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The OAC I will gain knowledge related to United Network of Organization Sharing (UNOS) regulations, donor evaluation and management, authorization, and organ allocation for transplant and research/education.
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Provide technical advisory services related to relief programs for disaster recovery including: program design and management for all recovery efforts, and ensuring regulatory and process compliance in order to maximize funding and expedite rebuilding, and ensuring program integrity.
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Facilitate content management for regulatory systems (Specright, Optiva, Genesis, Smart Label), ensuring accurate information and process are maintained in the systems. The Own Brands Technical Services team has an opening for a Regulatory Affairs Associate.
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Works with the Landmark Health Medical Director, Director of Health Services, Corporate Director of Health Services, and UM staff in the development and/or implementation of medical management policy, clinical protocols, utilization management guidelines, and quality management programs.
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Ensures compliance with regulatory environmental, health and safety requirements, such as PSM, RMP, SWPPP, etc. Support incident case management activities as necessary or directed. Support management's efforts to ensure compliance with Safety Program expectations by identifying and informing management of compliance issues, safety risks, and improvement opportunities through the completion of daily, weekly and monthly audits and inspections.
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Patrolling, identifying, and prescribing required tree pruning and tree/brush removal work needed to facilitate completion of electric compliance tags such as 540 tags to meet all regulatory requirements and/or to PG&E Vegetation Management standards and procedures.
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Work closely with the head of Asset Management on planning and implementing solutions for capital transaction/repositions including limited partner buyouts, debt restructuring, renovation planning, and refinancing.
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Board Certified Behavior Analyst (BCBA) (strongly preferred), Licensed Clinical Psychologist, MFT, MSW, with current licensure in good standing with regulatory board and strong background in ABA.
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For the health and safety of our team members and residents, Oakmont Management Group may require team members to vaccinate, participate in daily screening, surveillance testing, and to wear face coverings and other personal protective equipment (PPE) to prevent the spread of the COVID-19 or other communicable diseases, per regulatory guidelines.
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S2S provides planning, permitting, project management, compliance monitoring, stormwater, and site restoration services that result in the successful, timely, on-budget completion of a project while meeting regulatory requirements and preserving the surrounding ecosystem.
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Serve as the technical lead and core team member on projects and interact with global clinical, manufacturing, production, quality, regulatory, project management, legal, claims and strategy and marketing personnel.
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The work location is flexible between San Ramon, CA, Houston, TX or D.C.The Strategic Issues & Litigation Group is responsible for the oversight, evaluation, and management of complex, high-stakes litigation and investigations (including the company’s climate change litigation docket), management of retained counsel, and other functions.
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utilization management regulatory jobs in San Ramon, CA
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