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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.
$93,000 a yearPart-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Issue Investigation and Resolution: Investigate and resolve compliance-related issues and escalate issues to the CCO when necessary. Relevant professional certifications, such as Certified Anti-Money Laundering Specialist (CAMS) or Certified Regulatory Compliance Manager (CRCM), are a plus.
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In addition, you will help deliver customer trials and solutions, working to investigate, collaborate, deploy and support on-site customer use cases, documenting and demonstrating to our customers their return on investment and a realization of the value of T-Mobile’s 5G ANS solutions portfolio.
$253,500 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Promptly investigate all outpatient denials pertaining to diagnosis and procedure coding. Your team is bigger than your department: Hackensack Meridian Pascack Valley Medical Center is a -bed, full-service, acute-care community hospital with a new emergency department, a state-of-the-art maternity center, a women's imaging center, and an ICU. We believe healthcare is a team sport and every player has something to contribute.
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Medication Management: Administer medications and treatments as prescribed by the PCP. Customer Service: Investigate and resolve customer issues and grievances promptly. Certifications: Phlebotomy/Venipuncture, IV Therapy, EKG Interpretation, Basic Life Support certified.
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Investigate a variety of complaints and criminal activity; including but not limited to frauds, larceny, public corruption, narcotics, gang-related crimes, elder and child abuse, organized crime, racketeering and provide pre-trial support and accurately report findings.
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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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Responsibilities: Investigate issues within broadcast playout systems and their integration points to find the root cause of problems or systemic issues. For LA County and City Residents Only: NBCUniversal will consider for employmentqualified applicants with criminal histories, or arrest or conviction records, in a mannerconsistent with relevant legal requirements, including the City of Los Angeles' Fair ChanceInitiative For Hiring Ordinance, the Los Angeles' County Fair Chance Ordinance for Employers, and the California Fair Chance Act, where applicable.
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Conference with Domestic Violence Bureau (DVB) management and senior Assistant District Attorneys (ADAs) to prioritize cases, investigate charges and determine additional evidence. Conduct training for NYPD and Victim Services Providers along with DVB management/senior ADAs.
Full-timeExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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Managing activities related to trading between different regions and Investigate optimal shipping options and coordinate with vendors - Shipping documentation handling and revising, Custom clearance compatible with state, federal and international regulations, Various payment processes (merchandise, freight, duty, etc.
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Investigate & report security breaches, incidents, and other alarming behavior Maintains the organization’s stability and reputation by complying with legal requirements. Security Officer Qualifications and SkillsMust be able to stand for up to 8 hoursStrong verbal and written communication skillsCan always stay alertAbility to work in high pedestrian traffic environmentsEducation and Experience RequirementsHigh School Diploma or equivalent requiredSecurity experience preferredActive NY Security LicenseDrivers License preferred Please apply to the posting and our USI Recruitment Team will reach out to set up a Virtual Interview.
$16 an hourPart-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Responsibilities of the Endocrinologist: Analyze, examine, and investigate patients and their medical histories for signs and symptoms of hormonal imbalances. Responsibilities of the Endocrinologist: Analyze, examine, and investigate patients and their medical histories for signs and symptoms of hormonal imbalances.
$275,000 a yearFull-timeExpandApply NowActive JobUpdated 10 days ago - UpvoteDownvoteShare Job
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Routinely engage with frontline employees and escalate or investigate concerns while partnering with Area HR Manager and appropriate site leader. BlueTriton Brands, Inc. (“BlueTriton”) is a water and beverage company in North America that produces and distributes a portfolio of brands of spring water, purified water, and other beverages, which include Poland Spring®, Deer Park®, Ozarka®, Ice Mountain®, Zephyrhills®, Arrowhead®, Origin™, Saratoga®, AC+ION®, Pure Life®, B’EAU®, and Splash Refresher.
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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.
$29.5 an hourFull-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Excellent technical knowledge of electrical systems, including and good technical knowledge of other MEP building systems, with an ability to investigate and provide effective solutions to technical challenges.
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investigate job in Leonia, NJ
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