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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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Good working knowledge of security risk management, security governance framework and compliance (IT Security Audit / log review), technical vulnerability management (vulnerability assessment, penetration testing), application security, security technologies (system hardening, IDS/IPS, firewall), security incident response and security assessment.
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Under the direction of the Manager/In-Charge Technologist and Medical Director the nuclear medicine technologist will perform a variety of technical procedures that require a high degree of independent judgement and initiative in the utilization of radionuclides for the diagnosis and the therapy of disease in humans.
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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 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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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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Office : Knowledge Management Attorney Title : Knowledge Management Attorney Location : Palo Alto Job Summary Gibson Dunn is a leading global law firm, advising clients on significant transactions and disputes.
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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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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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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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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 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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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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The Conflicts Attorney will be responsible for assisting with the review, identification and resolution of any potential conflicts issues with respect to clients, matters, as well as new hires.
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review utilization management jobs Title: sales representative in Sunnyvale, CA
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