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Qualified candidates will have prior LTSS or Medicare Inpatient Utilization Management experience within a Managed Care setting, LTSS, MLTC MAP, will have a NYS Registered Nurse License , familiar with MCG/Milliman/Interqual Guidlines and a desire to join a great team.
$102,000 - $107,000 a yearFull-timeRemoteExpandApply NowActive JobUpdated 20 days ago - UpvoteDownvoteShare Job
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Data Management: Oversee the collection, processing, and utilization of data for training the chatbot, ensuring sensitivity and compliance with data protection regulations. Minimum of 5 years of experience in cloud infrastructure design and management, with a strong focus on Microsoft Azure.
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The Department of Risk Management at SUNY Downstate Health Sciences University is seeking a full-time Risk Management Coordinator / TH Utilization Review and Quality Assurance Senior Coordinator.
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Lead the strategic implementation and optimization of all marketing systems and platforms with a focus on digital asset management (DAM) systems, ensuring the efficient organization, retrieval, and utilization of the company's vast library of visual assets.
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Collaborate with IT and other relevant stakeholders to evaluate, select, and integrate digital asset management (DAM) systems and other technological solutions that align with the unique needs and objectives of the photo studio.
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It involves the direction and oversight of all office space planning, utilization and management including, without limitation, the management of all associated construction and purchase of furniture and fixtures associated with small, medium, and large-scale office construction projects.
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The Master Data Analyst will work to successfully deliver a quality solution implementation and help develop the ongoing Master Data Management strategy and activities. The Master Data Analyst will need to have a strong system acumen to ensure that we are accurately creating and maintaining all data; in addition to, assisting all data stewards both at headquarters and store level with proper utilization of the system.
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Guides patients in activities including but not limited to arts and crafts, social activities, gardening, woodworking, graphic arts, textiles, group recreation, and the utilization of various tools and equipment.
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AIS is an in-house team that provides asset management, capital solutions and corporate development services to Ares Management's strategic initiatives in insurance, including Ares' new life and annuity platform, Aspida Financial.
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The Deputy Chief Operating Officer (DCOO) is a member of MetroPlusHealth’s Senior Management team and is vital in providing assistance with the oversight, management, and supervision of Operations, in a matrix organizational structure including: PMO, Process Improvement, Provider Network Operations, Call Center, Credentialing, Facilities, Enrollment & Membership, Vendor Management, Customer Success, and Claims.
$260,000 - $287,000 a yearFull-timeExpandApply NowActive JobUpdated 3 months ago - UpvoteDownvoteShare Job
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Customer Success Specialist (Bengali / Hindi / Urdu) Customer Success Specialist (Bengali / Hindi / Urdu)
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Planate is a small business provider of planning, design, infrastructure management, technical consulting, engineering, and construction management services in support of the US Department of Defense (DOD) and its Service (Army, Air Force, Navy, Marine Corps) missions, along with other US federal agencies, all over the world.
$70,000 - $90,000 a yearFull-timeRemoteExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Other competencies: Strong organizational skills with an attention toComputer skills with knowledge of Microsoft Office (Word, PowerPoint and Excel) and expertise with virtual meeting platform(s), e,g., Zoom. Certifications preferred: Certified Energy Manager (CEM), Certified Energy Auditor (CEA), LEED (Leadership in Energy & Environmental Design) or Professional Engineer (PE) or other energy management related credentials.
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The Field Reimbursement Manager will be responsible for the management of defined accounts in Urology and Oncology area, specifically supporting our client's product. The Reimbursement Manager will also work on patient level reimbursement issue resolution, and thus will need access to be knowledge of and have had experience with patient health information (PHI), navigating access issues, and working with payer and NCCN guidelines for product utilization.
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Manage provider credentialing as needed in the pre-sales process. Little Otter's assessments identify a family's unique needs, providing a customized care plan that includes a mix of teletherapy and digital self-management tools.
$110,000 - $130,000 a yearFull-timeExpandApply NowActive JobUpdated 30 days ago
utilization management credentialing jobs Company: Metroplus Health Plan in Brooklyn, NY
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