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Collaborate with other organizational departments responsible for functional aspects of the HIV Special Needs Plan, including, but not limited to Integrated Care Management, Behavioral Health, Managed Long-Term Care, Utilization Management, Quality Management, Credentialing, Regulatory Affairs, Compliance, Corporate Affairs, Provider Network Operations, Medicare Services, Information Systems, Finance, Claims, and Member Services and Eligibility.
$157,236 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Vendor Management: Identify, evaluate, and manage relationships with top-tier analytics vendors to enhance our analytical capabilities. Extensive hands-on experience working with large datasets using tools like AWS SageMaker, Python, R, and SQL. Strong knowledge of various pharmaceutical data sources, including patient claims data from IQVIA/SHA, sales force activity data, physician prescription data, and real-world evidence data such as MarketScan and Optum claims.
$215,000 a yearFull-timeExpandApply NowActive JobUpdated 15 days ago - UpvoteDownvoteShare Job
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This position manages a team of technical support personnel for BIM / CAD / Engineering and Construction Management based software applications and servers, and a separate group of project support personnel who work directly with internal and client staff to ensure superior design technology support and services.
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The ideal candidate will leverage expertise in high-level complex SaaS sales in supply chain risk, vendor risk management, and/or third-party risk management. Familiarity with Supply Chain Risk Management, Governance, Risk & Compliance, and Third-Party Risk Management.
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Has prior experience with vendor products in Collateral Management such as Transcend. Strong Domain Knowledge in Securities Lending Collateral Management OTC markets BFSI domain. Domain knowledge – Has a good understanding of end to end Collateral Management Life Cycle.
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Primary duties of the Trash Collector include: - Operating garbage trucks - Collecting and dumping trash receptacles - Following route assignments as directed Waste Management offers an excellent benefits package that includes medical, dental, vision, life, 401(k) savings and more.
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Submit your application now to become a Trash Collector with Waste Management! Waste Management is currently accepting applications for a Trash Collector! Submit your application now to become a Trash Collector with Waste Management.
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Vendor knowledge: Cisco Meraki, Juniper (Mist), Huawei, Fortinet, and/or Aruba. You'll have the opportunity to work with industry-leading vendors like Cisco Meraki, Juniper, Huawei, Fortinet, and Aruba, and develop your expertise in cutting-edge networking technologies.
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You will utilize a wide range of skills and work across major functional areas such as category management, pricing, inventory management, operations, marketing, and finance to drive the performance of strategic vendor partners at Amazon.
$141,100 a yearFull-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Collaborates with workers' compensation patients, employers, providers, and claims adjusters to coordinate medical and disability services for timely return to work. Brighton Health Plan Solutions (BHPS) provides Utilization Review/Medical and Case Management services for Group Health and Workers' Compensation and other Casualty clients.
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Manage Social Security Disability (SSD) cases, assisting clients with the application and appeals processes, ensuring that claims are properly supported by documentation. Time management skills, ensuring that all tasks related to Workers’ Compensation and SSD cases are completed efficiently.
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8 or more years of experience as a claim professional and/or claims management with a high degree of specialized and technical competence in the handling of professional and general liability claims with emphasis on hands-on file and litigation management.
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Ensures ongoing compliance and maintenance of the NYC Health+ Hospitals policies and procedures with national standards and other applicable external regulatory requirements, guidelines and accreditation authorities, as well as safety and quality management standards.
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10+ years of experience in information technology, information security, and/or operational risk management, (Includes operations, operational risk management, compliance, audit, and third-party risk management within technology and/or information security), or a combination thereof, or other highly regulated environment.
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JOB SUMMARY: As our Asset Management Analyst – Multifamily, you will be expected to oversee, a select number of assets under the direction of the AVP, Asset Management and provide analytical and administrative support for a variety of asset management functions across the company’s real estate investment portfolio.
$100,000 a yearExpandApply NowActive JobUpdated Today
claims vendor management jobs Company: Metroplus Health Plan in Newark, NJ
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