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Must have hands-on RWD/RWE experience with CMS data, large-scale administrative claims data sources (e.g., MarketScan, Optum, Medicare LDS SAF, Komodo claims), and EHR. Conduct queries to claims, EHR, and/or other real-world data sources.
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What Youll DoWe have an exciting opportunity for a Senior Litigation Specialist, EPL to join our team, responsibilities include: Claims Management:Oversee a caseload of 75 files, primarily litigated EPL and Professional Liability claims.
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Michigan: Upon hiring, you are required to furnish evidence of X-ray training certification. Georgia: CPR Certification, Expanded Functions Dental Assistant (EFDA) certification, and proof of formal training to expose X-rays.
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The MedTech Epidemiology and Real-World Data Science team is an industry leader in using real world evidence for medical devices and technologies. Our goal is to apply real-world evidence (RWE) as a tool to efficiently address the needs of J&J's MedTech sector and to benefit patients.
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Must have run and managed RWE and RWD programs in large pharma companies Must have managed a team of 10 people Knowledge of medical affair, scientific affairs and HEOR are preferable Excellent communication and collaboration skills Detailed Job description: Lead the coordination and execution of RWE projects including RWE analytics to address medical gaps within Global Integrated Evidence Generation Plans (IEGPs.
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The ED Technician assures safety in practice and is inclusive of the principles of evidence based practice by maintaining a realization of own individual level of knowledge and experience and assumes responsibility for his/her own professional advancement.
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Claims QA – Liaise with the Global Claims QA Lead to ensure alignment of TPA audit plans on an annual basis and support the facilitation of each audit. Quarterly Relationship with our ‘strategic’ TPAs along with the Global Claims Vendor Lead. Claims QA - Liaise with Global Claims QA Lead to agree annual audit regime for TPAs. Risk/ Compliance – As it relates to Sanctions, Financial crime and Conduct risk.
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Perform comprehensive inpatient DRG validation reviews to determine accuracy of the DRG billed, based on industry standard coding guidelines and the clinical evidence supplied by the provider in the form of medical records such as physician notes, lab tests, images (x-rays etc.
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Examine equipment for possible warranty claims throughout warranty period. Process all claims and coordinate repairs. Minimum Requirements Candidate should have a minimum of 5 years of experience in Supermarket Refrigeration, HVAC & ElectricalM.E. or E.E. Preferred· Exceptional computer skills: Proficient in Lotus Notes, MS Word, Excel, and PowerPoint and Project.
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Contributes to expense management by timely and accurately resolving claims, selecting and actively overseeing appropriate resources, and delivering high quality service. JOB DESCRIPTION :Essential Duties & Responsibilities:Performs a combination of duties in accordance with departmental guidelines:Manages an inventory of low to mid complexity and exposure Private D&O and EPL claims by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits.
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We are seeking a Senior Civil Engineer with broad expertise in land development and/or site/civil/heavy construction project management to perform investigations and analyses, prepare reports, and provide expert testimony where technical knowledge, skill, experience, training and/or education are needed to help resolve civil litigation and insurance claims.
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Are you ready to embark on a dynamic and in-demand career as an Independent Insurance Claims Adjuster? As a Licensed Claims Adjuster, you'll play a crucial role in helping individuals and businesses recover from unforeseen disasters and rebuild their lives.
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Practice evidence-based medicine while engaging in ongoing quality improvement, outcomes research and clinical research to improve patient care. Recruitment/Posting Title Assistant Professor, Head & Neck Surgical Oncology Department RWJ-Otolaryngology Salary Annual Salary Posting Summary You will be a faculty member in the Division of Head and Neck Surgical Oncology and Microvascular Reconstruction in the Department of Otolaryngology - Head and Neck Surgery and serve as an Associate Member of the Rutgers Cancer Institute of New Jersey, an NCI-designated Comprehensive Cancer Center in the Head and Neck Oncology Program.
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The SIU Supervisor will oversee the operation of a unit of SIU Investigators with varying levels of experience who handle investigations on suspect claim and underwriting matters.
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A Registered Nurse at Hackensack Meridian Health involves the delivery of nursing practices according to the most up-to-date evidence-based research, nursing policies, and standards of care, to provide and ensure safe and excellent delivery of individualized patient care.
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evidence claims jobs Company: Genesis Research in Edison, NJ
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