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Providing consultancy on data collection and investigations will be a key aspect of the role and as such you will carry out full forensic analysis from collection through to analysis and reporting using tools such as EnCase, FTK, XWays, Axiom, Cellebrite or NUIX. The role will also include providing technical advice to Sales and Business Development Staff.
$60,000 - $90,000Full-timeRemoteExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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The Bureau of Medicaid Program Integrity (MPI) does this specifically through audits and investigations of healthcare providers, including managed care plans, suspected of engaging in fraudulent or abusive behavior, as well as overpayment recoveries, administrative sanctions, and the referral of suspected fraud or other criminal violations for law enforcement investigation.
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Experience in Medicare Advantage Plan, managed care or government contractor (e.g.: ZPIC, UPIC, RAC, MAC, etc.) Position Purpose: The Clinical Reviewer will be responsible for conducting clinical reviews of medical records during the course of fraud investigations, special investigations, claims reviews and / or other program integrity initiatives such as requests for information in support of proactive data analysis efforts.
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We offer fixed services, mobility services, carrier services and managed services to customers in Bermuda, the Cayman Islands, Guyana and the US Virgin Islands. Have a working knowledge of incident investigation and analysis tools.
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This position is responsible and accountable for achieving sales quota through profiling, targeting, needs analysis, and closing on targeted account customers consisting of Health Care Professional (Endocrinologists, CDE’s), key diabetes institutions, and managed care organizations.
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Participates in strategic planning and the analysis for their assigned territory in conjunction with the business plan. Initiates and coordinates contract negotiations with facilities, insurance companies and managed care facilities.
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Contribute to the delivery of a CFO managed service operation, supporting operations across finance areas such as Procure to Pay, Order to Cash, Record to Report, and Financial Planning and Analysis.
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Conduct Medicare, VA, and Medicaid payment policy research and analysis, develop strategic recommendations. Broad knowledge of Medicare, managed care, third party payers, and Medicaid required; knowledge of Medicare rulemaking process, Durable Medical Equipment benefit category preferred.
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Managed Services Business Program Analyst is principally responsible for change management, process improvement, data analytics, and project management. Prior experience in data analysis and analytics using Tableau, Power BI or other similar data analytics tools.
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We provide a broad range of CFO managed services ranging from Procure to Pay, Order to Cash, Record to Report, Financial Planning and Analysis. Deloitte brings world-class operational know-how, advanced analytics, and industry-specific hybrid solutions experience to our clients; specializing in but not limited to: Procure to Pay, Order to Cash, Record to Report and Financial Planning and Analysis.
$131,175 - $218,625 a yearFull-timeExpandApply NowActive JobUpdated 9 days ago - UpvoteDownvoteShare Job
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Performs data collection and analysis, in compliance with company requirements, to verify and reconcile currency/coin balances and reporting. The Brinks Company (NYSE:BCO) is a leading global provider of cash and valuables management, digital retail solutions, and ATM managed services.
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As a Senior Oncology Sales Consultant, the incumbent will be recognized and respected as a regional team leader with additional responsibilities and strategic projects, such as regional point for business planning, support in the development of peers (i.e., Mentor projects), special assignments around training (i.e., reimbursement marketplace, managed care strategies, customer development, selling skills, territory analysis and management, regional point for regional analysis etc.
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Supports the Project Controls Manager with financial analysis, forecasting, budgets, and cost savings opportunities. This position serves as Cost Manager on projects managed out of the Corporate Office.
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Basic Malware Analysis – Analyze malware through dynamic methods (executing programs in a controlled sandbox) and basic static methods of common plaintext files (PowerShell scripts, HTML files, etc.
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Certified Safety Professional (CSP) or Construction Manager in Safety (CMIS) designation is highly desirable. A minimum of 8 years of proven experience in construction safety, with a strong emphasis on telecommunications.
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managed analysis jobs in Coral Gables, FL
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