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Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and outpatient services and equipment, within their scope.
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Educates patients regarding Advance Directives, Medicare D prescription coverage, MH, Joint Commission, and Illinois Department of Public Health grievance process as appropriate. Identifies/reviews services requiring pre-authorization/pre-certification by Medicare, Medicaid, Commercial, and Managed Care payers, to ensure provider eligibility requirements are met prior to receiving service.
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One of the positions will support Stacy Serad , working across Commercial Provider, UM Intake, Claims, Enrollment and Billing, and Grievance and Appeals. One of the positions will support Hollie McKitrick , working across all CXO supported lines of business (Commercial, Government, Member, Provider, Claims, Enrollment and Billing, and Grievance and Appeals.
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Experience in mathematics (statistics, linear algebra, differential calculus); data visualization (Tableau, Power BI, Qlikview); programming (SQL, Python, R, Java); data analysis (feature engineering, data wrangling, EDA) and machine learning (classification, regression, reinforcement learning, deep learning, clustering, dimensionality reduction.
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You will be evaluated based on your resume, supporting documents and the CBP Officer Entrance Examination. U.S. Customs and Border Protection (CBP) offers those interested in a career in law enforcement an exceptional opportunity to work with an elite team of highly trained professionals whose camaraderie, pride, and purpose are hallmarks of their daily mission protecting America.
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We sell the latest AI technologies from Nvidia, Supermicro, Dell, HP, Microsoft, Google, Cisco, Lenovo, Apple, VMWare, Adobe, APC, IBM, Nutanix, EMC, Pure Storage, Samsung, Intel, Eaton, and all the hottest AI and Green Data Center, Virtualization, Energy Conservation, Cloud, Storage, Security, Wireless, SD Wan, Video, Identification, solar, and battery technologies.
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As the Sales Manager, you will be responsible for networking, and building our solids separation industrial dewatering business development initiatives for municipal wastewater treatment plants, chemical manufacturing, pulp and paper and refining.
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5+ years of experience in data analysis and data mining and visualization tools such as Python, R, SQL, Tableau, or similar. Stay abreast of the latest trends, developments, and best practices in process excellence and mining, and incorporate them into the enterprise strategy and operations.
$131,500 - $303,200 a yearFull-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Oracle's outstanding suite of products-including Oracle Cloud Enterprise Resource Management (ERP), Enterprise Performance Management (EPM), and Supply Chain Management (SCM), Customer Experience in Sales and Service (CX), and Human Capital Management (HCM) -provides end-to-end solutions with mobile optimization through cloud deployments.
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Paid time off benefits include PTO, parental leave, family care leave, bereavement, jury duty, and voting. - Other benefits include short-term and long-term disability, company discounts, Military Leave Pay, adoption and surrogacy expense reimbursement, and more.
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The operations team focuses on forecasting, driving alignment with factory production and delivering efficiency tools and our marketing capability drives demand and localized marketing in locations around the globe.
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Information Technology also conducts incident response, threat management, vulnerability scanning, virus management and intrusion detection and completes risk assessments. Experience working within regulatory standards and requirements such as SOX, HIPAA, GDPR, HITRUST preferred.
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Snap-on Inc. is more than the premier global tool and equipment manufacturer; we are a leading global innovator, manufacturer and marketer of complex equipment and systems solutions.
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Works with National Geospatial Agency and Air Traffic Control on validating and obtaining information for Airfield Approach Plates for all airfields. + Responsible for design, layout of South Pole Skiway, Williams Field Skiways and Phoenix Runway, including the publication of as-built airfield drawings for us by facilities, NPP, FA, operations and Airfield Manager.
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The Auto Body Technician works in alignment with all team members in achieving the repair facilities KPIs and is committed to being a dedicated Brand Ambassador of The Boyd Group at all times. The Auto Body Technician's primary responsibility and accountability includes providing an exceptional and successful customer experience through the meticulous assessment and quality repair of each customer's vehicle to restore it back to pre-accident condition.
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appeals and grievance jobs in Springfield, IL
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