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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.
$93,000 a yearPart-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Incident Documentation: Generate entries into Transcom’s T-Rex platform, Everbridge/PA Alerts, U.O.C. Notifications, Daily Monitoring Reports, Incident Tracking Forms, and update real-time third-party mapping apps (e.g., Waze, TomTom) based on incident severity.
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Coordinate cross-functional/third-party teams (i.e., architectural, electrical engineering, structural engineering, expeditors, etc.) Our international client is offering an opportunity to join them in their growth as a Business Development Manager at their EPC firm focused on commercial solar projects.
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5+ years of experience in Supply Chain, TPRM (third-party risk management), GRC (government, risk, compliance), Finance, or Cybersecurity sales. Third Party Risk Management is a critical topic given globalization and Interos has a unique 18-month window to exponentially grow its federal account market share.
$150,000 a yearFull-timeExpandApply NowActive JobUpdated 8 days ago - UpvoteDownvoteShare Job
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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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As a member of Risk Technology, you will help our clients assess, design/architect, and implement technology solutions to optimize their risk and compliance programs across risk disciplines (e.g., integrated risk management, enterprise risk management, IT risk management, cyber risk management, third party risk management, internal controls, compliance, internal audit.
$108,700 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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External reviewers include New York State (Fair Hearings), Centers for Medicare and Medicaid Services (CMS), Independent Review Entities and Quality Improvement Organizations. Investigates and reviews routine and complex situations and underlying issues, analyzes and solves problems, focusing primarily on issues of medical necessity, quality of care, long term services and supports, etc Consults with the member, family, providers and health plan departments as necessary.
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Brighton Health Plan Solutions partners with self-insured employers, Taft-Hartley Trusts, health systems, providers as well as other TPAs, and enables them to solve the problems facing today's healthcare with our flexible and cutting-edge third-party administration services.
$85,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Build & manage integrations with third party APIs (Snap, Twilio, etc) As an early senior engineer on our team, you’ll have the opportunity to be an integral part of our product growth story.
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API Integration: Create and consume RESTful APIs and integrate third-party services as needed. Code Quality: Write clean, maintainable, and efficient code, and adhere to coding standards and best practices.
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The Senior Audit Manager will lead a team of auditors to assess the design and operating effectiveness of internal controls, adherence to regulatory reporting requirements and Bank policies, and the effectiveness of operations of the Risk Management functions (e.g., Enterprise Risk, Model Risk, Operational Risk, Data Office, Market Risk, and Third Party Risk.
$189,738 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Monitors and ensures timely completion and implementation of remediation activities resulting from all required security risk assessments and tests, whether performed by our client or third-party assessors, including but not limited to HIPAA Security Risk Assessments and Business Continuity, Incident Response and Disaster Recovery plan testing.
$170,000 a yearFull-timeExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
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Primary responsibilities will involve strategic legal advice, and negotiation and documentation of third-party vendor contracts, working with the vendor risk assessment processes and teams, as well as the various business units, including but not limited to, Information Technology, Information Security, Operations, Procurement, Third-Party Risk, Human Resources, Capital Markets, Nikko (broker dealer), and Corporate Services.
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Third-party Risk Management: Stay abreast of the latest security, privacy, and regulatory concerns, ensuring a proactive approach to third-party risk management. Advise the organization on security and privacy provisions within agreements or contracts, responding to changes requested by third parties to ensure compliance and data protection.
$90,633Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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In this role, the successful candidate As part of the Pharmacy Business & Analytics (PBA) team, this position monitors and manages Third Party Administrator (TPA) split-billing software reports to ensure regulatory compliance and optimization of 340B Program revenue.
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third party jobs Title: quality manager staff engineer in Astoria, NY
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