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Actively engages in the identification, selection and direction of appropriate internal and/or external resources for specific activities required to effectively evaluate claims, such as Subrogation, Risk Control, nurse consultants, and fire or fraud investigators, and other experts.
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Work cross-functionally with diverse teams, including Investments IT, Treasury, Risk Management, ALM, Middle Office, Accounting and Portfolio Management. A key part of the role is communication with various groups including IT, treasury, risk management, middle office, and accounting.
Full-timeExpandApply NowActive JobUpdated 9 days ago - UpvoteDownvoteShare Job
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This opportunity entails being responsible for providing technical support for multiple project controls functions including but not limited to; scheduling, estimating, cost control, risk management, document control and project management information systems.
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The Associate Scientific Director provides medical and scientific strategic and operational input into core medical affairs activities such as: health-care professional and provider interactions (HCP’s, Patients and Payers); generation of clinical and scientific data (enhancing therapeutic benefit and value); educational initiatives (medical education, data, guidelines, and value proposition); safeguarding patient safety (risk minimization activities and safety surveillance activities.
Full-timeExpandApply NowActive JobUpdated 15 days ago - UpvoteDownvoteShare Job
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Interested in being considered for this Hybrid Stop-Loss & Utilization Risk (Registered Nurse) position? Healthcare Support is currently interviewing for a Stop-Loss & Utilization Risk (Registered Nurse) positionwith a top-rated managed care organization in the state of New Jersey.
$102,795 a yearFull-timeExpandApply NowActive JobUpdated 17 days ago - UpvoteDownvoteShare Job
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HCC Risk Adjustment Coders will be involved with activities of code abstraction for the following programs; including but not limited to, Commercial Risk Adjustment, Medicare Advantage Risk Adjustment, Commercial IVA (Initial Validation Audit), and Medicare RADV (Risk Adjustment Data Validation.
ExpandApply NowActive JobUpdated 13 days ago - UpvoteDownvoteShare Job
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Collaborate with various functional areas across the organization, including underwriting, claims, risk control, actuarial, legal, marketing, and regulatory compliance in creating products.
$180,000 a yearFull-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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HCC Risk Adjustment Coders are required to maintain minimum 95% accuracy on coding quality audits. As a Subject Matter Expert, this person will support risk adjustment coding initiatives to identify opportunities to enhance and grow business.
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You will assess the risk for various commercial insurance lines of business that can include Property, General Liability, Workers Compensation, Auto/Fleet, Products Liability, Inland Marine and Builders Risk.
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Make repairs and perform preventative maintenance to company, industry standards and to building codes – seek the help of the Maintenance Supervisor, Regional Maintenance Manager, or Director of Project and Risk Management, or the Vice President for Capital Planning, Procurement and Energy Management before proceeding with unfamiliar measures – contact them before contacting vendors for the non-routine repair or replacement issues.
$20 - $23 an hourExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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Health Management: management of non-occupational health risks and rising business costs (e.g., absence management, travel health, risk factors impacting chronic disease, etc.) Supports sites across the region to achieve compliance with Mars standards and local legislative requirements relating to occupational health, medical surveillance, injury management, absence management, population health management, and wellbeing.
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Accountability, Accountability, Action Planning, Active Learning, Active Listening, Bias, Business, Coaching, Computer Literacy, Conflict Resolutions, Creativity, Critical Thinking, Data Analysis Management, Data Collection Management, Design Thinking, Empathy, Follow-Through, Growth Mindset, Intellectual Curiosity, Law, Legal Consulting, Legal Practices, Legal Risk, Legal Support, Long Term Planning {+ 5 more.
$291,000 a yearFull-timeExpandApply NowActive JobUpdated 13 days ago - UpvoteDownvoteShare Job
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Compliance program experience in area of Anti-bribery/Anti-corruption (ABAC), specifically in performing risk assessments and recommending best practices for mitigating risks. Third-party (vendor) compliance screening, including reviewing screening results from screening tool and assessing risk level.
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Conduct regular compliance-related risk assessments and develop and implement action plans. Identify areas of company risk and make proposals for and lead implementation of mitigation strategies.
$65.96 an hourExpandApply NowActive JobUpdated 12 days ago - UpvoteDownvoteShare Job
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Provide leadership training on a variety of topics such as academic success, service learning, leadership development, chapter operations, self-governance, health, safety, risk management and recruitment/retention.
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risk job Title: compliance manager in Livingston, NJ
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