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The Senior Utilization Review Specialist collaborates with the healthcare team in the management and resolution of activities that assure the integrity of clinical records for the patient population and HackensackUMC. These include but are not limited to utilization review, hospital reimbursement, clinical compliance, case management, and transitions of care, as outlined in the responsibilities below.
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The Data Steward will perform key business functions, including data updates, data review, and reporting. Employment Type: Contract on W2 (Need US Citizens Or GC Holders Only) Duration: 12+ Months Contract.
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Oversee Batch Record Review and monitor order fulfillment. Directly responsible for all Contract Manufacturing and commercial product operations and equipment. Serves on Action Committees to review and continuously improve the operations.
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Execute the communication, review, validation, disposition, resubmission for chargeback, sales tracing, and direct claims with a focus on prevention. Understanding of chargeback operations, pricing claims management, and/or contract operations.
$20.59 - $25.59ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Job Summary: The Regulatory Affairs Specialist is responsible for all aspects of the labeling process including the creation, development, review and implementation of the Nutrition/Supplement Facts panel and customers’ label for contract formulations.
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Assist in inspection or audit from Board of Health or SK LSI (review of CMC documents, etc.) Review, process and pay CMO invoices via SAP / Ariba systems in support of projects and prepare project specific budget summary table to track and trend of project spending.
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Review and report compliance with state and federal regulations related to 340B contract pharmacy operations. Review and recommend systems and processes which maximize 340B benefit and appropriately track inventory.
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The Associate Director-Contract Operations will lead activities such as membership review, chargebacks, and rebate processing. Lead the Contract Operations team ensuring timely and accurate review and processing of claims.
$180,000 a yearFull-timeExpandApply NowActive JobUpdated 18 days ago - UpvoteDownvoteShare Job
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5 Minute Sit Down, Purposeful Hourly Rounding, Medication Review, Discharge Wrap Up, and MD/RN Unit Collaboration. Engages in formal and informal peer and institutional review processes.
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May be required to participate in technical specifications and contract review for major projects. This individual will be responsible for channel development, driving product specification at the EPC and end user, channel product training, sales forecasting, project execution, sales planning, margin, and other functions as outlined by the Sales Manager.
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Review and approval of all Change Requests, SOPs, MBRs, Protocols, Reports and Deviations that pertain to processing and/or equipment. These include, but are not limited to, the Safety Committee, Technical Steering Committee and New Product Review Committee.
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Partner with Contract Operations, Offer Development and Customer Care functions to support business process continuous improvement activities, identify insights on root cause analysis/error prevention solutions and execute operational enhancements.
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Partner with Chargeback & Sales Trace Account Management Team to accurately track, monitor, and communicate disputed lines for resolution. Minimum of 1 year experience in Commercial Contracting or Chargeback Operations in the medical device or related healthcare industry field.
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This is a travel RN Contract. We are seeking a dedicated Travel RN specializing in Utilization Review to join our team. This role integrates and coordinates various aspects of service delivery, care facilitation, pay or authorizations, service access, discharge and post-discharge activities, and utilization review.
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The firm also represents clients in all aspects of a commercial real estate transactions, including, but not limited to, initial due diligence and title review, contract and lease drafting and negotiation, examining title to property, identifying and resolving title issues and closing.
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contract review jobs in Paterson, NJ
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