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We are seeking a talented Grievance & Appeals Specialist who will be responsible for responding to written/verbal grievances, complaints, appeals, and disputes submitted by members and providers in accordance with NCQA, CMS, State, and other regulations.
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At least 2 - 3 years financial reporting or public accounting experience (IFRS and / or US GAAP) Prior SEC reporting or public company financial reporting experience. Technical knowledge of U.S. GAAP and IFRS accounting and reporting requirements.
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Senior Grievance and Appeals Specialist. Knowledge of Medicare/Medicaid Grievance and appeals process. Handle inbound calls related to grievances, bills, appeals and access related issues.
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Want someone with publicly held, global company experience as company is PE backed and eventually looking to go through an event so want someone with public company reporting knowledge who can eventually have oversight of SEC reporting.
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Lead strategic initiatives to drive common & concurrent use of gold source reports" by 1st & 2nd line, and deliver faster time to insights through well designed CRO/SCO/Risk Director/Risk Manager/Risk Analyst persona based reporting/UX as new reporting infrastructure/oversight platforms are adopted.
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Description Summary : The Immigration Legal Services Program (ILSP) Staff Attorney is one of several attorneys in the Division's legal program reporting to Supervising Attorneys and the NYC Legal Programs Managing Attorney.
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Meets performance measurement goals for Grievance and Appeals Resolution Services. Evaluates case details, proposes recommendations, or makes decisions as applicable; ensures organization decision is implemented according to the Grievance and Appeals policies and case resolution.
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Using the Firm's proprietary, globally accessible technology platform, the business provides a full range of fund administration services, including NAV accounting and financial reporting; tax reporting, transfer agency and investor services; middle and back-office support; and integrated portfolio analytics.
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Reporting tools SQL Server Reporting Services (SSRS), Power BI Additional Databases: Azure SQL Database, SQL Server Analysis Service (SSAS), EDW, EDL DevOps, Azure Blob, Azure Data Lake, Synapse, AWS, S3, GCP, Azure Functions.
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Handing WC appeals to the Circuit Court through the SC Supreme Court. Handing WC appeals to the Circuit Court through the SC Supreme Court. Workers’ Compensation Litigation Associate Attorney for a personal injury law firm.
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Banking experience in credit, capital markets, asset liability management, financial reporting, regulatory reporting, or operational risk areas. Prior experience with control evaluation within model risk, operational risk, compliance risk, financial reporting, regulatory reporting, or internal audit is ideal.
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The IOI team provides low-income New Yorkers with free comprehensive immigration services ranging from removal defense to both affirmative and defensive asylum to other matters before U.S. Citizenship and Immigration Services (USCIS), the Executive Office for Immigration Review (EOIR) and the Board of Immigration Appeals (BIA.
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Liaise with SEC reporting, Corporate Accounting, Regulatory Reporting, Product Control, Tax, Technical Accounting, Treasury, and Cash Management in order to ensure proper accounting; Legal Entity Controller is an integral member of the finance team, reporting directly to the Financial Controller, and participating in the accounting and finance processes and controls over internal and external financial reporting, regulatory reporting, operations, and product control.
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Design, develop and manage Lenox Cloud based (AZURE) in-house data warehouse, reporting and dashboard platforms, integrations, and interfaces between D365, legacy Lenox data and 3rd party vendor software systems.
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Produce compliance documentation when requested (certifications, AWARDS Reporting, RealPage, and Breaking Ground Portal) Reporting to the Vice President, Government Contract Compliance and Data Strategy, the Director, Quality Assurance and Improvement supports the organization by conducting compliance audits to assist making assessments for process improvements, contract scoring, and compliance.
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grievance appeals reporting jobs in New York, NY
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