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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. Minimum three years progressive professional experience in health care, including a minimum of two years in a grievance and appeals or related area such as medical or utilization management required.
$93,000 a yearPart-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Routinely engage with frontline employees and escalate or investigate concerns while partnering with Area HR Manager and appropriate site leader. BlueTriton Brands, Inc. (“BlueTriton”) is a water and beverage company in North America that produces and distributes a portfolio of brands of spring water, purified water, and other beverages, which include Poland Spring®, Deer Park®, Ozarka®, Ice Mountain®, Zephyrhills®, Arrowhead®, Origin™, Saratoga®, AC+ION®, Pure Life®, B’EAU®, and Splash Refresher.
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Utilize insider threat tools and cyber logging across several platforms to investigate insider threats and escalate to appropriate stakeholders including the Insider Threat Investigations team (Tier 2), the Office of Corporate Investigations, and Legal as appropriate.
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Capital One is looking for an Insider Threat Analyst to join the Cyber Insider Threat and Technical Investigations program. As an Insider Threat Analyst, you will perform monitoring, analysis, and investigation of anomalous behavior using a wide variety of security tools across multiple environments to identify, mitigate, and escalate potential insider threats.
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Plano 3 (31063), United States of America, Plano, Texas Senior Sailpoint Engineer (Remote Eligible) Capital One is looking for an Insider Threat Analyst to join the Cyber Insider Threat and Technical Investigations program.
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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.
$29.5 an hourFull-timeExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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Work with a team of prosecutors, investigators to investigate the use of cryptocurrency to fund and facilitate criminal activity. The Kings County District Attorney’s Office (KCDA) is one of the largest prosecutor’s offices in the country.
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As a Forensic Electrical Engineer, you will investigate problems in the built environment and provide evidence-based solutions founded on rigorous science and physics. Interest in renewable energy systems including; photovoltaic arrays, wind turbines, and hydroelectric generator is highly desirable.
$94,500 a yearFull-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Investigate potentially suspicious activity arising from Transaction Monitoring Alert escalations, branch or business unit escalations, information sharing compliance programs (e.g., USA PATRIOT Act sections 314(a) and 314(b.
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An ideal candidate will leverage their prior experience in sales and trading, strategist, market risk, product controllers, legal, or audit to investigate whether activities and practices are in compliance with policies and regulations and the firm’s compliance control infrastructure.
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Manages system-wide initiatives to identify, investigate, and capture revenue opportunities in specialty billing areas such as Behavioral Health, Pharmacy, Collaborative Care, Integrated Behavioral Health, Radiation Oncology, Radiology, Women’s Health.
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In collaboration with President and CEO, Office Manager, and real estate brokers, investigate and implement options for office space when current lease expires in March 2026. In collaboration with the President and CEO, liaise with the outsourced Chief Investment Officer and the Board of Directors’ Investment Committee.
$300,000 a yearFull-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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This role serves as the primary contact for prestigious large luminary key opinion leader account, hospital and health systems as they investigate the acquisition of Siemens Healthcare products and services.
$187,000 a yearFull-timeExpandApply NowActive JobUpdated 10 days ago - UpvoteDownvoteShare Job
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Given that the newly selected Venus missions will not launch for almost 8 years it provides time to investigate data sets from previous NASA missions to Venus to better inform these upcoming missions.
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investigate job in Manhattan, NY
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