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Participates in the development and implementation of the behavioral health sections of the Quality Management (QM)/Utilization Management (UM) Plan. Oversees the administration of all BH QM/UM and performance improvement activities, encompassing grievances and appeals, and contributes to various other subcommittees such as Compliance and Pharmacy.
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A Master's degree from an accredited college or university in Business Administration, Engineering, Health Care Specialization, Physical or Social Sciences or a related discipline and five (5) years progressively responsible administrative, managerial and/or consultative experience; or.
$100,000 - $150,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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In this role, the Benefits Coordinator, in conjunction with the Benefits Manager and benefits team, will assist with plan compliance, daily benefits administration, benefit payroll processing and consult with plan consultants, service providers, and plan participants who have questions regarding the plans.
Starting at $3 - $60,000 a year depends on education, experienceFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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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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Completes all responsibilities according to established protocols, policies and standard practices in the areas of customer service, quality assurance and regulatory compliance programs such as HIPAA (Health Information Portability & Accountability Act), OSHA (Occupational Safety & Health Act) and CLIA (Clinical Laboratory Improvement Administration), Department of Health (DOH), and PPFA Elements of Performance (EOPs.
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Initiates and orders selected therapeutic and diagnostic procedures, consultations and laboratory examination, prescribes medication regimens, interprets findings and alters plan of care according to accepted standards of care and practice guidelinesEducates and counsels in the areas of health promotion, maintenance, disease prevention, and management of acute/chronic illnesses.
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The Clinical Pharmacist will work as part of a close knit team to provide individualized health promotion and disease prevention, including administration of immunizations, diabetes and smoking cessations programs, as well as other Subject Matter Expertise (SME) programs as developed by AHF, with appropriate collaborative drug therapy management authority.
$120,000 a yearExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Plus paid vacation, holidays, sick time, parental leave, marriage leave, and recharge leave; medical, tele-health, dental and vision benefits; 401(k) plan; flexible spending accounts (FSAs); commuter program; life and disability insurance; Maven (a support system for new parents); Carrot (fertility benefits); UrbanSitter (caregiver referral network); Employee Assistance Program; and pet insurance.
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Other benefits for eligible employees may include: equity, participation in the employee stock purchase program, flexible paid time off, 20 weeks fully-paid gender-neutral parental leave, fertility and adoption assistance, 401(k) plan, mental health counseling, access to transgender-inclusive health insurance coverage, and health benefits offerings.
$90,000 - $176,000Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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The position will maintain and update the stock plan administration platform, prepare reports and provide analyses and work on moderate to complex projects. Viant is looking for an experienced Stock Plan Administrator who will be responsible for the company's equity incentive programs which includes non-qualified stock options and restricted stock units.
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Coordinate the daily administration of all well-being programs and benefits, including health insurance, disability insurance, and other voluntary benefits. The Benefits Coordinator will work closely with the Benefits Manager and benefits team to coordinate and drive the development and execution of the Firm's Health and Welfare Benefits programs.
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We're a recognized Elite Agency award winner and a leading property and casualty broker, benefits consultant, wealth manager, and retirement plan advisor. This is a full-time position, working with the Benefits Administration and Claims Advocacy teams and reporting directly to the AVP, Benefit Administration.
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5 - 7 years’ relevant experience / financial services (e.g., retirement plan administration, retirement committee secretary / consulting, and financial health / wellness program development.
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Using available utilization data, works with other Nurse Managers and DON to developing staffing plan and schedules for units to maintain appropriate staffing levels and staffing mix; communicates staffing plan to Nurse Supervisor; ensures adequate staff coverage by reviewing vacation and holiday schedules; approves overtime as necessary and authorizes coverage for absent staff.
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From our hospitals, rehab centers and occupational health teams to our long-term care centers and at-home care capabilities, our complete spectrum of services will allow you to apply your skills in multiple settings while building your career, all within New Jersey's premier healthcare system.
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health plan administration jobs in Ridgefield Park, NJ
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