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Stationary Engineer (Provisional) Multiple positions - Facilities Management. A valid License for High Pressure Boiler Operating Engineer issued by the New York City Department of Buildings. Under general supervision, is responsible for the operation, maintenance, adjustments, testing and repair of steam power plant, air conditioning, chiller plant, fire protection systems, electro-mechanical building equipment and related auxiliary systems in public buildings; performs related work.
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Participate in job-related committees, such as Substance Abuse, Utilization Management, Safety, and Risk Management. Work with the treatment and management teams in implementing agency policies & procedures, acquaint the agency with community trends, identify gaps in services, as well as work on special projects with committees to better meet the client's needs.
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In this role you will collaborate with our team of pricing, claims, distribution, product management, underwriting and claims experts to sell and deliver consulting and technology solutions to our personal lines insurance clients.
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Technicians maintain detailed records of all work performed, including parts used, labor hours, and diagnostic findings, to facilitate billing, warranty claims, and future reference. With a rich heritage in the automotive industry, we are proud to announce our expansion as we integrate the Genesis franchise into our esteemed family that already includes Mercedes-Benz and Audi. Our journey began with a commitment to delivering the pinnacle of automotive excellence.
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System Liaison with Sedgwick Claims Management Services and the H+H Risk Managers in the absence of the AVP. Participates in Claims Management meetings for the PAC, community care and Gotham cases & assists CLU staff & Outside Council as needed to facilitate the timely delivery of records by the facilities.
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Technical evaluation of pharmaceutical industry data sources including claims, EHR, specialty pharmacy, sales, and customer master data. Leverage analytic tools and platforms in support of data evaluation and management activities, e.g. Tableau, Dataiku, Snowflake, Hadoop, Spark, SQL to evaluate data coverage, quality, interoperability, and fit within Pfizer’s existing data ecosystem.
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Discuss and demonstrate applications of WTW’s technology products to clientsLead, build, and participate in teams to deliver client projectsExecute work on client projects such as best practice reviews and roadmaps, predictive modeling, enhancing decision making and portfolio management, and implementation of externalized rating and underwriting.
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Experience with Managed Care, Utilization Management, Prior Auth, and Benefits Management decision support in the Post-Acute Domain, DME, Home Health, and Wound Care. Experience leading teams directly or leading teams in a matrixed environment.
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Gather evidence and prepare individual claims for student debt relief; LAFLA represents these clients by, among other things, seeking discharges of their federal loans when they have attended fraudulent for-profit schools or when they are disabled, stopping administrative wage garnishment, federal benefit offsets, and income-tax intercepts, and fighting illegal debt collection practices.
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The candidate will be a member of the Portfolio Management (PM) team within SPG, working closely with the SPG deal teams and other internal MUFG support groups to ensure operations, risks, performance and strategic initiatives are controlled, managed and communicated effectively.
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Financial Services Risk Management, Structured Finance - Transactions, Senior Manager: This position could be located in NY (primary), NJ. Our focused model and bold ambition have put us at the center of the events that continue to reshape and redefine our industry, working side by side with a range of clients from our most venerable institutions to dynamic new entrants across Banking and Capital Markets, Wealth and Asset Management and Insurance.
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The Structured Finance group, is a group within FSO that specializes in addressing varying needs of market participants in the securitization marketplace across asset classes, including asset- backed securities (ABS), commercial mortgage- backed securities (CMBS), residential mortgage- backed securities (RMBS) and collateralized loan obligations (CLO.
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Kyndryl’s professional services arm Kyndryl Consult is seeking an experienced Organizational Change Management Consultant to help drive exceptional customer IT outcomes, guide clients through manage services transitions, reduce risk, deliver operational excellence, continuously measure, and achieve transition value while solving their mission critical challenges within the healthcare industry.
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The Dedicated Management Consultant is responsible for supporting Employee Assistance services at customer locations that do not have an Onsite EAP Counselor and provides virtual backup to the Onsite EAP Counselors at domestic sites., The Consultant responds to consultation requests and service inquiries from managers and human resource partners, supports the Drug Free Workplace program, and assists with other EAP initiatives.
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Our history spans over 200 years and today we are a leader in investment banking, consumer and small business banking, commercial banking, financial transaction processing and asset management.
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claims utilization management jobs Company: Metroplus Health Plan in Bronx, NY
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