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Manage third-party relationships that support the risk adjustment function. 6 years’ leadership / management experience; 4 years’ experience in medical record review, case management, utilization management, managed care, Home Health, QA Review, HEDIS review; 4 years’ experience with healthcare payment and coding methodologies (i.e., ICD-10, CPT, DRG and HCC coding.
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As the third largest institution of higher education in Colorado and the only institution with an open access mission, MSU Denver is a model university for today's college students. The School of Hospitality at Metropolitan State University of Denver (MSU Denver) invites applications for temporary, part-time affiliate faculty teaching positions.
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Come join CCRM Fertility, a global pioneer in fertility treatment, research, science, specializing in IVF, fertility testing, egg freezing, preimplantation genetic testing, third party reproduction and egg donation.
$19 - $22 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Familiarity with U.S. credit, debit and payment system laws, consumer reporting and fair lending laws, and third party risk management considerations. Familiarity with U.S. credit, debit and payment system laws, consumer reporting and fair lending laws, and third party risk management considerations.
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The Identity & Access Management (IAM) team works within Global Information Services (GIS) and in close participation with all other LOB teams as well as second and third line of defense partners.
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Now Hiring Party HostsParty Hosts get the fun in high gear making every event the best it can be. They prepare the party area by setting up tables, taking orders, attending to guests and making sure the birthday child has a blast.
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Program, configure and support ancillary NCR products such as NBO, BSL, ATO, CFC, CMC, AK, and RAL, as well as third party applications such as Paytronix for loyalty, catering and third-party digital applications, e.g. DoorDash or Uber EatsProvide on-call early morning/evening/weekend after-hours technical support to restaurant locations.
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CorLife is a full spectrum health care services provider and benefits coordinator serving injured workers, workers' compensation carriers, nurse case managers, third party administrators, and self-insured employers.
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Modern's goal is to build the third largest national FBO network in the United States. The Company has been rapidly growing through bolt-on FBO acquisitions and has significant additional committed capital from Apollo Management and Tiger Infrastructure Partners (its sponsors) to continue to grow the business through future acquisitions, capacity expansion at its existing locations and development of selective greenfield FBOs in the United States and the Caribbean.
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The team is skilled in all phases of risk and resilience, from understanding global regulatory requirements and leading practices to designing and implementing right-sized capabilities throughout the business, technology/ cybersecurity, and third-party risk management lifecycles.
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Identifies when variances occur in anticipated plan of care, tracks for process improvement, and refers to CMO or PA or Third Party Reviewer for peer review as needed. Applies medically necessary validation and may enlist physician advisor and/or Third Party Reviewer.
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Your opportunity Monitor services standards provided to and by Third Party Administrators in relation to: Transfer Agency Services Middle Office and Custody Services Fund Administration - NAV production, Financial Reporting and Fund Tax Services Performance Measurement and Client Reporting Information Technology Maintain the TPA Due Diligence framework, including but not limited to Maintain a suitable TPA Meeting Matrix, representing JHI where appropriate.
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Record evaluations, daily treatment notes, weekly progress notes, recertification documentation, per Speech and Language Pathologist in the Board State Practice Act and governmental and third party payer requirements.
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Establish and maintain strong partnership with other Global Information Security (GIS) functions, Core Technology Infrastructure (CTI), Cyber Security Technology (CST), Third Party management, Global Compliance and Operations Risk (CGOR), internal audit, and regulatory agencies.
$136,400 a yearFull-timeExpandApply NowActive JobUpdated 13 days ago - UpvoteDownvoteShare Job
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Works with third party payers to satisfy utilization review requests and obtain approval of stays. Interfaces closely with Social Worker, Homecare Coordinator, Ambulatory Care Case Manager, Disease Manager, and Utilization Reviewer to ensure seamless and timely delivery of services and avoid unnecessary delays in discharge.
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third party jobs Company: Larson Maddox in Englewood, CO
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