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Coordinate with Compliance/Regulatory on DOH/DFS complaints and audit results, ensuring timely resolution. MetroPlus Health provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc.
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Job responsibilities include, but are not limited to: The Department of Citywide Administrative Services (DCAS) seeks to hire an Agency Attorney Level 2 to work in Office of the General Counsel's general area of personnel and civil service law.
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The Credentialing Coordinator is responsible for maintaining the confidentiality of all Medical Staff related information, organizing and preparing for committee meetings, and ensuring compliance with the Medical Staff Bylaws, accrediting and regulatory agencies (i.e., Joint Commission, Centers for Medicare & Medicaid Services, NCQA) in regard to credentialing while developing and maintaining a working knowledge of the statutes and laws.
$55,000 - $65,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Streetwork Project is an innovative outreach-counseling program for homeless youth in Harlem, which utilizes a harm reduction approach providing comprehensive services to adolescents and young adults impacted by homelessness and involved in street activities (gangs, violence, drug use/sale and survival sex.
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Seaward Services is seeking a Assistant Engineer for our operation. Requirements & Qualifications: Valid Merchant Mariners Credential (MMC) Minimum DD-4000 endorsement Valid U.S. Passport Valid USCG Medical Certificate QMED Endorsement Valid TWIC Card Ability to pass a physical exam Ability to pass a written exam Salary: $500 / day full time About Us: City Experiences' passion is to provide amazing experiences on land and water.
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We are looking to hire a Registered Nurse to support our Claims Review-Behavioral Health functions of both inpatient and outpatient services! Medical Claims Reviewer RN - Behavioral Health (REMOTE.
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This is a financial services company that specializes in consumer borrowing, debt settlement, and collections. Litigation management focus, overseeing outside counsel: managing summons, complaints, and discovery.
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A career in our Financial Analytics and Derivatives practice, within Deals Transaction Services, will provide you the opportunity to help organisations realise the potential of mergers, acquisitions and divestitures and capital markets.
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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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Directly manage IT Sourcing engagements of varying spend, risk, and complexity levels on the IT Sourcing (Americas) Team, managing engagements in one or more of the following categories: Software Licensing/Maintenance, Software as a Service, Hosted Platforms/Services, Market Data software and hosted platforms, Telecom/Networks, Data Center, Hardware, Desktop, and related IT Outsourcing and Managed Services.
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Business Unit: Financial and Valuation Advisory Industry: TAS - Transaction Advisory Services Houlihan Lokey, Inc. (NYSE:HLI) is a global investment bank with expertise in mergers and acquisitions, capital markets, financial restructuring, and financial and valuation advisory.
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We are a network of 11 hospitals, trauma centers, neighborhood health centers, nursing homes, post-acute care centers, and correctional health services. In-jail services include medical, nursing, mental health, substance use treatment, social work, dental and vision care, discharge planning, and reentry support.
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Over the years we have expanded our staffing and recruiting capabilities to include therapy services, nursing services, and all allied services. If you would like the personal service that comes with a staff of recruiters that have an average tenure with the company between 5 and 15 years, and the knowledge of our client services representatives with similar experience, there is no need to look any further.
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NYC Health + Hospitals/Correctional Health Services is one of the nation’s leading correctional health care systems in quality of and innovations to care, and access from pre-arraignment through compassionate release.
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Diverse Legal Portfolios: get exposure to civil law, including legal assistance (estate planning, family law, tax matters); tort claims (represent interests of the U.S. in tort issues such as Federal Tort Claims Act/Military Claims Act); labor law (arbitration and equal opportunity); and contract law (legal review of multi-billion dollar contracts of military technologies and supplies.
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claims complaints services jobs in Newark, NJ
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