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Collaborates with professionals, health plan departments such as Claims and Medical Management, and the third party administrator staff and legal, as necessary, to investigate and facilitate resolution of individual grievances and appeals.
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The company provides blockchain transaction monitoring and intelligence solutions for web3 companies, digital asset service providers, financial institutions, law enforcement and government agencies to detect, investigate and prevent illicit use of cryptocurrencies.
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Responsibilities Associate Attorneys perform a range of work, in partnership with senior attorneys and professional staff, to investigate, develop, and prosecute administrative appeals and litigation including: factual investigation, legal research, case development, record review, client engagement and development, expert evidence and witness development, motions practice and brief writing, oral advocacy, and appellate advocacy.
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Investigate and review adverse media pertaining to financial crimes, AML/BSA issues, bribery/corruption, OFAC sanctions issues and assess materiality of findings based on a strong understanding of AML/BSA regulatory framework.
$160,000 a yearFull-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Resolves grievances, appeals and external reviews for one of the following VNS Health Plans product lines – Managed Long Term Care (MLTC), Medicare Advantage (MA), or Select Health. Minimum three years progressive professional experience in health care, including a minimum of two years in a grievance and appeals or related area such as medical or utilization management required.
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There are innumerable opportunities for the successful candidate to partner with clinicians and researchers across MSK to investigate new strategies for efficient screening, surveillance, early detection and risk mitigation to reduce the harms of cancer and its treatment.
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Conduct Root Cause Analysis (RCA) to identify, investigate, and resolve quality issues, and implement Corrective and Preventive Actions (CAPA) to prevent recurrence. Strong knowledge of statistical process control (SPC), Root Cause Analysis (RCA), and Corrective and Preventive Actions (CAPA.
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Other duties assigned by management, including supporting other BSA Department areas as needs arise (e.g., Investigate alerted transactions for AML/Sanctions risks and provide guidance on SAR filings as needed.
$100,000 a yearFull-timeExpandApply NowActive JobUpdated 24 days ago - UpvoteDownvoteShare Job
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Coordinate & investigate deliveries and quantity issues with vendors, field staff, document control, accounts payable and executive staff. The positions responsibilities will include, but not be limited to:Assist the Expense Budget Director in monitoring the Divisions programs, OTPS and PS budgets as well as expenditures.
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Perform neutron scattering experiments to investigate the structural and dynamic properties of quantum materials. To apply, please submit a cover letter detailing your background and interest in the position, along with a CV that includes a list of publications and contact information for references, to Prof. Junjie Yang (Email: jyang@njit.edu.
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Investigate claims, manage litigation, conduct settlement negotiations, and formulate reserves. Robert Half is partnering with a prestigious national law firm seeking an experienced Insurance Litigation Attorney to join its in-house claims management team as a Claims Analyst.
$200,000 a yearFull-timeExpandApply NowActive JobUpdated 24 days ago - UpvoteDownvoteShare Job
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Monitor CCTV and investigate and/or report any unusual activity. Investigate and document reported crimes, accidents involving Hertz employees and/or equipment, and other incidents as necessary.
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Investigate internal theft using a variety of resources, including exception-based reporting, in partnership with District Loss Prevention Managers. Working with the District Loss Prevention Manager, you will partner with store leadership in the development and execution of Store Shrink Plans.
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Dr. Gamze Gursoy's research group develops computational and experimental tools to address many different questions in genomics such as 1) can we develop multimodal statistical inference tools integrating genetics and her data to better investigate disease mechanism.
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Research and investigate new effective ways of delivering security architecture-as-code, building automation into the existing security review process workflow and developer kits and pipelines.
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investigate job in Hoboken, NJ
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The summer had economists from around the globe embroiled in a debate about a possible recession coming in the next few years (or months). As of October 2022, the U.S. Labor Department data put the current inflation rate at 7.7%. The recent layoffs in the tech industry are just the first of what is soon to be a string of cutbacks by companies looking to save costs. For recruiters, this means freezes in hiring and fewer openings. It will also include the uphill task of finding the best candidates for them from the coming influx of recently laid-off job seekers. Now is probably a good time to brace for tough times in the next few years in the talent acquisition industry. To survive and thrive recruiting in a recession, here are some hard truths you will need to accept.
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