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The Utilization Review Specialist provides appropriate client information to third party payers regarding the medical necessity of treatment in a timely manner. Keeps abreast of changes to, and monitors compliance with, State and Federal laws and regulations in areas of insurance/ third party payers.
Full-timeRemoteExpandApply NowActive JobUpdated 27 days ago - UpvoteDownvoteShare Job
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3+ years of experience designing or building Cyber Risk Management, Third-Party Risk Management (TPRM), Supply Chain Risk Management (SCRM), or GRC Programs. Cyber Strategy and Risk Advisory Specialist.
$220,000 a yearFull-timeExpandApply NowActive JobUpdated 10 days ago - UpvoteDownvoteShare Job
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Deputy Chief of Party ( DCOP) / Communications Director. Senior Communications Specialist. The ACE program primarily focuses on providing support and services to DAI’s clients within the U.S. Agency for International Development (USAID)’s Bureau for Resilience, Environment and Food Security (REFS) - The Center for Climate Positive Development (CCPD); The Center for Energy, Infrastructure, and Cities (CEIC); and The Center for Natural Environment (CNE.
$120,000 a yearPart-timeExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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Experience with integration using Oracle SOA, OIC interfacing between Oracle Cloud or ERP and 3rd party systems. 7+ years' experience with interfacing between Oracle Cloud or ERP and 3rd party systems.
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Under the direction of the Director of Revenue Integrity, the Revenue Integrity Coding Billing Specialist provides revenue cycle support services through efficient review and timely resolution of assigned Medicare and third party payer accounts that are subject to pre-bill claim edits, hospital billing scrubber bill hold edits, and claim denials.
$85,900 a yearFull-timeRemoteExpandApply NowActive JobUpdated 23 days ago - UpvoteDownvoteShare Job
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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.
Full-timeExpandApply NowActive JobUpdated 16 days ago - UpvoteDownvoteShare Job
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Experience in overseeing risk management programs, including cyber risk assessments, exception processes, and third-party risk assessments. The Compliance Assurance Specialist will be a key member of the Governance, Risk, & Compliance (GRC) team, responsible for numerous compliance initiatives with a specific focus on leading and continuously improving the issues management program.
$176,400 a yearFull-timeExpandApply NowActive JobUpdated 28 days ago - UpvoteDownvoteShare Job
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Learn more about this role Identity & Access Management (IAM) Information Security Controls Specialist. The Identity & Access Management (IAM) Info Security Controls Specialist will analyze, strengthen, and secure the company's IAM systems and overall security posture for Service Accounts Governance.
Full-timeExpandApply NowActive JobUpdated 9 days ago - UpvoteDownvoteShare Job
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Be prepared to provide detailed updates to leadership on the status of all major actions in your portfolio (waiver requests, congressional notifications, third party transfers, diversion requests, etc.
ExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Any third-party recruiting agreements for Legence and its affiliate companies may only be executed by Legence Holdings LLC’s CHRO or Director of Talent Acquisition, without exception. We will not be responsible for any fees under any third-party recruiting agreement not executed by said authority.
Full-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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The Recovery Specialist is responsible for recovering the cost of benefits paid or establishing a credit on future potential benefits on workers' compensation claims in cases where the accident was caused by a negligent third party.
$91,000 a yearFull-timeExpandApply NowActive JobUpdated 28 days ago - UpvoteDownvoteShare Job
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ABS and Affiliated Companies (ABS) will not pay a fee to any third-party agency without a valid ABS Master Service Agreement (MSA) authorized and signed by Human Resources. The Intelligence Collection Specialist is responsible for requirements development, analysis, coordination, production, and dissemination of intelligence and intelligence products to support the NRMC's ability to anticipate areas of risk to global supply chains and to further analysis.
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You will perform regular equipment maintenance functions, and coordinate for machine maintenance with third-party hardware service providers. Specialist to work on a contract basis in Washington, DC. We ask that you are a.
ExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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Experience liaising with third party HR systems and vendors such as: ADP; background check companies; Affirmative Action Plan administrators; and a diversity outreach management system. Innovative Defense Technologies (IDT), provider of automated software testing, data analysis, and cybersecurity solutions for complex, mission-critical systems in the US Department of Defense (DOD), is seeking a Sr. Talent Acquisition Specialist.
ExpandApply NowActive JobUpdated 28 days ago - UpvoteDownvoteShare Job
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Our client, an rated Insurance Carrier, is seeking to add a Workers' Compensation Claims TPA Oversight Specialist This person would be responsible for promptly evaluating and reviewing New Jersey and Pennsylvania Workers’ Compensation claims handled by Third Party Administrators (TPA) for adherence to company’s best claim practices.
$105,000 a yearFull-timeRemoteExpandApply NowActive JobUpdated 1 month ago
party job Title: specialist in Washington, DC
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