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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.
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Third Party Risk Management Lifecycle & Implementation of TPRM Second Line Review. Assist with RACA quarterly review in the expertise of third party risk management. Work with other SMEs under the third party risk management framework to ensure the third party risk management activities are efficient.
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These services include Construction Management, Program Management, Owners Representation, Resident Engineering, Inspection, Preconstruction Consulting, Change Order Review, Value Engineering, Administration Assistance, Document Control and Staff Augmentation.
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Work directly with the staff, Funds’ claim review vendors, and act as liaison with Care Management, Provider Relations, Eligibility, Clinical Compliance, Liens, QNXT Production Support, and IT, to resolve outstanding issues.
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The Department of Homeless Services is recruiting for one Administrative Community Relations Specialist NM-II to function as the Director of Packet Review and Processing who will:-Be responsible for overseeing the day-to-day work operations of the HPD referral team.
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The Financial Planning & Analysis Manager will report to the KBS CFO. The employee will work in New York City where Kroll headquarters and the majority of KBS and KSA management teams are located.
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Assist with preparation of required tax filings and government reporting (local, state, federal), including preparing schedules and/or draft filings for review by management. Account reconciliations - Prepare or coordinate account balance and activities reconciliations (e.g., cash accounts, receivables, grant billing by program and contract, revenue recognition) by segment, and then submit the reconciliations for review and approval.
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The Associate Director, Senior Quantitative Analyst is a critical member of the model validation team within the Model Risk Management (MRM) Responsibilities range in activities including risk governance and reporting, model inventory, model validation and model performance oversight.
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Review and oversight of quarterly fund closes based on data received from the Third Party Administrator (TPA), which includes review of related support for all balance sheet and income statement accounts.
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Review end-to-end vendor management process. In this newly created position, you will s upport the Third-Party Risk Management (TPRM) team of the Risk Management department in the execution and delivery of the TPRM and vendor management program, in accordance with UNFCU’s methodology.
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Visit Practices and Departments to observe standard operational flow and meet with providers and practice teams in the practice setting to review process and identify potential gaps. Assumes the responsibilities of Revenue Integrity ensuring facility RCPP are compliant to review and completes WQs and charge capture.
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1-2+ years of experience in Third Party Risk Management, Vendor Management, or experience in Governance, Risk Management and Compliance (GRC) We are looking for a Third-Party Risk Management Specialist who is early in their career and can leverage interpersonal and communication skills in concert with deep security and technology expertise to enable business opportunity through efficient and accurate reporting of the state of Security and Privacy in the organization.
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Primary duties of the Trash Collector include: - Operating garbage trucks - Collecting and dumping trash receptacles - Following route assignments as directed Waste Management offers an excellent benefits package that includes medical, dental, vision, life, 401(k) savings and more.
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Clinical Case Coordinator will participate in clinical supervision, case review, staff meetings, and in-service trainings to develop clinical, motivational interviewing, trauma-informed, supervision, case management, and self-care competence.
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As a member of the Risk & Regulatory Advisory team, you will advise financial institutions on a broad range of credit risk management topics including organization and governance; credit process optimization; risk rating model design, build and implementation; credit regulatory assessments; and Current Expected Credit Losses (CECL) process and tools.
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review management jobs Title: medical Company: Meet in New York, NY
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