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And their mapping to OSS systems is an added advantage. such as E2E OSS & BSS, CRM/CPQ, Product Catalog, Order Management (OM), Service Order Management, Inventory Management, Microservices based Architecture, RPA, Service Fulfillment, Service Assurance, Billing, and Invoicing for B2C / B2B business.
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Must have some practical experience in Gas Chromatography and IRMS (university experience may be sufficient); experience in GC-MS, XRF, XRD, ICP-MS, and/or Pyrolysis are an advantage. Experience with data management, databases and geological data visualization is an advantage.
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Meet or exceed objectives for reserving standards, quality audits, closing ratio, expense controls, Medicare compliance. The auto liability claims department is looking for an experienced Claims Examiner to handle moderate complexity auto claims within our organization.
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Experience working with JVs, and majority/ minority subsidiary partners would be an advantage. What We’re Looking For:15 years of relevant work experienceExcellent understanding of debt capital markets, corporate finance, and ESG.Solid appreciation of Credit Rating Agency business model and broad knowledge of S&P Global and S&P Global Ratings.
$125,900 - $250,300 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Additionally, you can take advantage of yoga classes in our Zen Garden for ultimate tranquility and mindfulness. Proven experience as a Supply Chain Solution Architect with a focus on Anaplan and OTM.
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Warmly greets and engages in friendly conversation with Advantage Care Physicians (ACP) patients and guests Works. Warmly greets and engages in friendly conversation with Advantage Care Physicians (ACP) patients and guests Works.
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In addition, this role leads value-based contracting (VBC) workflows to include evaluation and forecasting of full and partial risk arrangements between NeueHealth affiliated providers and payors from multiple LOBs (Commercial, Medicare Advantage, Medicaid, etc.
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About NYC Health + Hospitals MetroPlusHealth provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc.
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Working knowledge of third party payor reimbursement - Medicare, Medicaid, Managed Care and commercial insurance. Our medical practices serve communities throughout New York City, and our faculty provide comprehensive care at NewYork-Presbyterian Hospital/Weill Cornell Medical Center, NewYork-Presbyterian/Lower Manhattan Hospital, NewYork-Presbyterian Hospital/Brooklyn Methodist Hospital, NewYork-Presbyterian Hospital/Westchester Behavioral Health Center, and NewYork-Presbyterian/Queens.
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Is a leading performance sales and marketing agency specializing in the Medicare Advantage, Medicare Supplemental, and Life and Supplemental Insurance space. with PySpark, Python, SQL, Excel, and data visualization tools (Tableau, Power BI, etc.
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The Financial Planning & Analysis Consultant is a member of the Treasury organization which is a dynamic team of individuals with diverse backgrounds that are focused on maintaining a balance between high and sustainable returns for policyholders, and a strong capital position, while enabling MassMutual to take advantage of growth opportunities; within internal, regulatory, and rating agency constraints.
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Description : JOB SUMMARYThis job will deliver value to the Health Plan and its beneficiaries enrolled in Risk Adjusted government programs such as Medicare Advantage (MA) and/or Affordable Care Act (ACA) using skills including but not limited to Hierarchical Condition Category (HCC) Coding, medical coding, clinical terminology and anatomy/physiology, and Centers for Medicare and Medicaid Services (CMS) coding guidelines.
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Performs duties involving direct patient care as assigned by the RN/LPN Supervisor/MD within the framework of ACP. Participates and supports the care team in direct patient care under the supervision of an RN/LPN Supervisor.
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Employment offers for this position will be contingent upon the results of a background verification and credentialing procedure consisting of: Michigan State Police clearance check, verification of a professional license, Medicaid/Medicare verification, educational background check, and verification of an acceptable work history.
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VHDL/Verilog/C knowledge – Advantage. · Feedback control loop knowledge – Advantage. · C# programming skills - Advantage. At least 5-8 years of experience in Hardware Engineer/Analog/Power Engineer.
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medicare advantage jobs Company: Capital Markets Placement in New York, NY
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