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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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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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Our Biomechanical Engineering Experts apply scientific and engineering principles of bioengineering and biomechanics to investigate incidents involving claimed injuries/fatalities due to an event.
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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 Today - 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. VNS Health is seeking a Registered Nurse (RN) Clinic Utilization Review for a nursing job in Manhattan, New York.
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ADAs in CAS investigate and prosecute felonies and misdemeanors involving child abuse and sex crimes, including child homicides. Assistants consult with medical and scientific experts on topics that include forensic evidence collection and medical exams, the psychology of child sexual abuse, abusive head trauma (shaken baby syndrome), burns, DNA, and other topics.
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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.
$450,000 a yearExpandApply NowActive JobUpdated 1 month ago - 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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Data Protection: Manage HD’s Global Data Protection Framework and partner with Information Security to investigate and remediate data incidents, file breach notifications, and engage with regulators as needed.
$242,000 a yearFull-timeExpandApply NowActive JobUpdated Yesterday - 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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Use formulation experience and scientific literature to develop, justify, and/or investigate formulation and processing techniques. Perform hands-on laboratory research activities including imaging and characterization, including but not limited to SEM, spectrophotometers, DSC, FTIR, GC, HPLC, TGA, and ICP.
$75,000 a yearFull-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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As a , you will investigate that idea by immersing yourself in market data, leveraging tools in mathematics, statistics, and programming. Overview We’re looking for accomplished researchers who are interested in growing their career in the field of quantitative finance.
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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.
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Collect and analyze data, investigate outbreaks, observe practices, participate in patient rounds, perform education, and design and lead interventions to improve infection control. A New York City-based health services organization is looking to add a new Infection Preventionist to their growing EPIC-Training Department.
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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 9 days ago
investigate job in Little Ferry, NJ
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