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Direct supervision of medical management and claims processing regulatory metrics and monitoring. The Director of Business Process Monitoring provides leadership, direction and oversight of the corporate cross-functional medical management and claims business process monitoring teams.
$150,000 - $160,000 a yearFull-timeExpandApply NowActive JobUpdated 27 days ago - UpvoteDownvoteShare Job
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Coordinating the Foundling’s response to any claim for unemployment benefits, in consultation with the VP-HR, HR Directors, HR Generalists, or Senior Generalist or HR Coordinator, or others; monitoring the Foundling’s results in connection with unemployment claims; managing the Foundling’s relationship with outside consultant for unemployment services.
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Ethics & Compliance teams provide coordinated advice and assistance on independence, conflicts, regulatory and risk management issues, as well as dealing with claims, and any queries regarding the organization’s ethics.
Full-timeExpandApply NowActive JobUpdated 19 days ago - UpvoteDownvoteShare Job
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Establish CI/CD processes, test frameworks, infrastructure-as-code tools, and monitoring/alerting (Git, Terraform, Azure DevOps / GitHub Actions / Jenkins, Azure Monitor / Datadog). LogixHealth was founded in the 1990s by physicians to service their own practices and has grown to become the nation’s leading provider of unsurpassed software-enabled revenue cycle management services, offering a complete range of solutions, including coding and claims management and the latest business intelligence reporting dashboards for clients in 40 states.
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Reports to the Assistant General Counsel, Legal Operations - Commercial and will be primarily responsible for providing counsel specific to the company's pharmaceutical regulatory needs, including sales and marketing, scientific exchange and other medical activities, monitoring, co-promotions, and FDA standards for a variety of pipeline and in-line assets.
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The Associate Senior Counsel, Legal Operations - Commercial reports to the Assistant General Counsel, Legal Operations - Commercial and will be primarily responsible for providing counsel specific to the company's pharmaceutical regulatory needs, including sales and marketing, scientific exchange and other medical activities, monitoring, co-promotions, and FDA standards for a variety of pipeline and in-line assets.
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Depending on the order of magnitude, all schedules shall include tasking timelines for Budget, Scope, Safety, Environmental / SWPPP, Cultural and Biological monitoring activities and both acknowledged and anticipated risks and their potential effects on the project.
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The Road Supervisor is responsible for monitoring driver performance, investigates accidents and administers compliance forms, reporting and related activities. Experience dealing with collision and injury claims a plus.
Full-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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Primarily responsible for the administration of benefits including but not limited to health, prescription, dental, flexible spending, life insurance, pension and retirement benefits, ACA, COBRA, employee tuition program, leave of absence, ADA, wellness benefits, unemployment claims and workers' compensation.
Part-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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Responsible for facilitating communication and influencing outcomes across underwriting, claims, actuarial, analytics, product development, operations, et al. Responsible from project initiation phase to completion; responsible for establishing key metrics, monitoring execution, and reporting on results.
$110,000 - $200,000Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Adheres to the agency’s corporate compliance program, including the code of business conduct, the NYS and Federal False Claims Acts, whistleblower protections and mandatory reporting. Provides supervision, direction and training to all staff members in program development, implementation, monitoring and person center planning.
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Manage submission and tracking of workers compensation claims to drive claims to efficient resolution. OUTCOME: Hazardous Waste Management Monitoring, Disposal and Reporting. OUTCOME: Track and Manage Workers Compensation Claims.
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Oversee Medicaid claims, Tricare and Coverage Gap processing operations with Third Party vendor and coordination of quarterly cash flow monitoring with Treasury. Ensure approval workflow of Medicaid, Tricare and Coverage Gap claims follows approval matrix and completes within payment due date cycle.
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Performs benefits administration to include: employee enrollment/changes, short/long term disability claims, retirement distributions, reconciliation of invoices, & monitoring cost/trends.
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Assist with the daily administration of the Risk Financing team, including board process coordination, budget preparation, monitoring insurance payments, RFP coordination, technology, and other special projects as assigned by the General Manager, Risk Financing.
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monitoring claims jobs in Newark, NJ
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