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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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Resolves grievances, appeals and external reviews for one of the following VNS Health Plans product lines – Managed Long Term Care (MLTC), Medicare Advantage (MA), or Select Health. VNS Health is seeking a Registered Nurse (RN) Clinic Utilization Review for a nursing job in Manhattan, New York.
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Investigate and resolve compliance-related issues, and escalate issues to the Chief Compliance Officer when necessary. Assist with any ad-hoc projects as assigned by the CCO Minimum Qualifications: 10+ years of experience in BSA/AML/KYC/OFAC, generalist in financial crimes BSA/AML experience Well-organized, analytical, and critical thinking skills Excellent verbal and written communication and interpersonal skills.
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Financial Intelligence Analysts in the IMMC will assist Assistant District Attorneys (ADAs) in MECB to generate, investigate, and prosecute criminal cases, while also conducting research and analysis focused on specific geographical or topical areas relevant to the bureaus work.
$61,804 - $65,567Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Her thesis work, BeMySatellite allowed her to further investigate collaborative satellite image making in the context of an Earth flyby for the NASA's Juno Mission at Jet Propulsion Laboratory.
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The company provides blockchain transaction monitoring and intelligence solutions for web3 companies, digital asset service providers, financial institutions, law enforcement and government agencies to detect, investigate and prevent illicit use of cryptocurrencies.
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The Department of Investigation's Office of the Inspector General for the New York City Police Department ("Office" or "OIG-NYPD") is authorized to investigate, review, study, audit and make recommendations relating to the operations, policies, programs and practices of NYPD, with the goal of enhancing the effectiveness of NYPD, increasing public safety, protecting civil liberties and civil rights, and increasing the public's confidence in the police force.
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Robot Navigation Issues: Investigate and resolve instances where robots are unable to navigate properly within the designated area or encounter obstacles. We have raised $800M+ in funding to date from leading investors including Softbank Vision Funds, DST, Blackstone, Tiger Global, Lightspeed Ventures, Goodwater Capital, XVC and iFly. The opportunity now is to join a rocketship as we prepare for the next stage of growth, and an eventual public listing.
$63,000 - $80,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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As a Special Agent, you will combine your accounting skills with law enforcement skills to investigate financial crimes. Use your criminal investigative and financial experience or your bachelor’s degree or higher with accounting and related coursework to qualify for an entry-level IRS Criminal Investigator (Special Agent) employment opportunity.
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Click this site’s APPLY link to access the official Criminal Investigator (Special Agent) Job Opportunity Announcement (JOA). Special Agents are known for their financial investigative expertise in areas such as tax fraud, public corruption, cybercrimes, narcotics, terrorism, and much more.
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Possess excellent technical knowledge of HVAC systems, and good technical knowledge of other MEP building systems, with an ability to investigate and provide effective solutions to technical challenges.
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There are innumerable opportunities for the successful candidate to partner with clinicians and researchers across MSK to investigate new strategies for efficient screening, surveillance, early detection and risk mitigation to reduce the harms of cancer and its treatment.
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Issue Investigation and Resolution: Investigate and resolve compliance-related issues and escalate issues to the CCO when necessary. Relevant professional certifications, such as Certified Anti-Money Laundering Specialist (CAMS) or Certified Regulatory Compliance Manager (CRCM), are a plus.
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Investigate internal theft using a variety of resources, including exception-based reporting, in partnership with District Loss Prevention Managers. Working with the District Loss Prevention Manager, you will partner with store leadership in the development and execution of Store Shrink Plans.
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Diligently investigate payment messages escalated from Regulatory Filtering Operations to US Sanctions Compliance for potential sanctions, AML, or policy violations. Past experience in AML or Sanctions Compliance and operations in a Global Financial Institution, Transaction Monitoring/Transaction Filtering, Name List Screening, etc.
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investigate job in Ridgefield Park, NJ
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