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Key ResponsibilitiesProviding strategic thought leadership in designing and operationalizing third party risk management programs. The lead also serves as a seasoned thought leader and subject matter expert that has strong technical understanding of third party, risk management, reporting and gap analysis within the risk and/or financial services industries.
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The Senior Analyst/ Consultant, TPRM will support the Third Party Risk Management team fulfill its review, challenge and reporting expectations, as well as operational risk management and control framework requirements.
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Responsible for leading and directing strategic activities associated with negotiating, implementing, and maintaining complex managed care contracts and relationships with third party risk bearing entities (i.e. payers and providers.
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Makes written and/or verbal inquiries to third party payers to verify insurance status and obtain pre-certification. The Pre-Certification Specialist is responsible for processing referrals for services and obtaining needed authorizations from the patient’s payor source.
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Advocate Health Care, in addition to Aurora Health Care in Wisconsin and Atrium Health in the Carolinas, Georgia and Alabama, is now a part of Advocate Health, the third-largest nonprofit, integrated health system in the United States.
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Beyond Finance does not accept unsolicited resumes from individual recruiters or third-party recruiting agencies in response to job positions. No placement fee will be paid to any third party unless such a request has been made by the Beyond HR team.
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We’re proud to have received Vizient's Quality Leadership Award, ranking third among academic medical centers across the country. RUSH includes RUSH University Medical Center, RUSH University, RUSH Copley Medical Center and RUSH Oak Park Hospital, as well as numerous outpatient care facilities.
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NET Developer who is comfortable with both front-end and back-end coding languages, development frameworks, and third-party libraries. IAT Level II Certification (CompTIA Security+ CE, CCNA Security Training, CySA+, GICSP, GSEC) equivalent or higher.
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Experience in population health and value-based care data repositories, third party software tools, and working with payer claims datasets highly preferred. This role will partner with the Contracting team, CIN team and the Clinical teams on evaluating VBC shared savings/risk contracts, incentive programs and distribution, incentive funds flow, calculating and modeling projected financial risk performance (such as risk corridor scenarios, stoploss/reinsurance, feasibility, and scenario analyses.
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The prospective candidate should have a working knowledge of the three lines of defense and ideally experience working closely with second line risk management, model validation and third line internal audit groups.
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You preferably have professional information security certifications: Certified Information Security Manager (CISM), Certified Information Systems Security Professional (CISSP), Certified Information Systems Auditor (CISA), Certified Third Party Risk Professional (CTPRP.
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Experience working with and/or implementing complimentary third party solutions to D365 product including ADC, EDI, WMS, CRM, ECM, and Plant Maintenance desired. Crowe LLP does not accept unsolicited candidates, referrals or resumes from any staffing agency, recruiting service, sourcing entity or any other third-party paid service at any time.
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We're proud to have received Vizient's Quality Leadership Award, ranking third among 99 academic medical centers across the country. The Department of Cardiovascular and Thoracic Surgery at RUSH, seeks a full-time General Thoracic Surgeon to join our faculty at RUSH Copley Medical Center, located in Aurora, Illinois.
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Rush University Medical Center has received Vizient's Quality Leadership Award, ranking third among 99 academic medical centers across the country. Rush University Medical Center has received Vizient's Quality Leadership Award, ranking third among 99 academic medical centers across the country.
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Integrate Intune with other Microsoft 365 services, such as Microsoft Entra ID, Exchange Online, Teams, and SharePoint Online, as well as third-party applications and tools. Advanced knowledge of other Microsoft 365 services, such as Exchange Online, OneDrive for Business, SharePoint Online, Teams, as well as integration with third-party applications and tools.
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third job Title: registered nurse Company: Lancaster General Health in Chicago, IL
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