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Promote and provide recommendations on Engagement / Statement of Work (SOW) in alignment to the IT Vendor Management Strategy levers such as consolidation, and co-terming, or transformation to out-come based models, with supporting analysis.
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Litigation management of Cyber and Technology Errors and Omissions (E&O) liability claims including: retention of counsel, strategy planning and analysis that may include alternate dispute resolution, direct negotiations and/or trial management.
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The individual will work in concert with the operational risk management team, including the vendor risk management and business continuity management teams, to ensure close coordination, integration, transparency and awareness of information risks across all risk management programs.
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5+ years of experience in prior vendor management roles, driving agent performance, informing the business of issues, communicating to QA/Eng issues. 5+ years experience in Call Center Management/BPO Management with extensive knowledge working with outsourced vendors.
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Demonstrated experience with large animal in vivo surgical research and CRO vendor management is required. The Manager of Preclinical Research will serve as a key scientific contributor, subject matter expert (SME) and Manager in the execution of my clients’ Preclinical Research Operations, including but not limited to in-vivo study design (Safety and Efficacy/Functionality evaluations), Preclinical Research Management, Vendor Management, and Preclinical Regulatory Strategy.
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The Sr Manager, GCP Quality Assurance coordinates GCP Compliance activities with Clinical Operations, Regulatory Affairs, Clinical Supply & Logistics, Sample Management and Pharmacovigilance as well as varied vendors supporting Clinical Studies.
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The Strategic Finance - OneStream, Associate Director for Apollo Global Management will be responsible for assisting in the administration of the finance corporate performance management tool, business process mapping and improvements, as well as creating automated reporting solutions using vendor tools and automated data flows.
$121,500 - $175,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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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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7+ years of experience in mortgage operations including loan administration, loan asset management, loss mitigation, mortgage servicing or mortgage banking. Progressive experience and significant exposure to all default areas of loan servicing including Collections, Loss Mitigation, Foreclosure, Bankruptcy, REO, Claims and Default Compliance.
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Ensure effective implementation operational risk and third-party / vendor risk management. We are looking for a Third-Party / Vendor Risk Management (VRM) Specialist for a global financial services company in NYC.
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Understanding of provider network operations, including data management, credentialing, contract management, and claims processing. As a member of the Network Development leadership team, the Manager of Network Operations will participate in the successful implementation of provider data management tools at Texicare.
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Working knowledge of health care EMR or claims systems (Epic/Clarity, eCW, Facets, QNXT, Amisys, etc.) Experience working in healthcare provider analytics related to revenue modeling, managed care contracting, population management, case management, clinical or financial decision support required.
$86,000 - $165,000 a yearFull-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Performance Monitoring: measure the effectiveness of fraud detection algorithms and claims management solutions, and iterate on product improvements based on data-driven insights. Product Strategy: execute a strategic roadmap for healthcare payment integrity, fraud detection, and waste management, aligning with organizational goals and market needs.
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Collaborate with other organizational departments responsible for functional aspects of the HIV Special Needs Plan, including, but not limited to Integrated Care Management, Behavioral Health, Managed Long-Term Care, Utilization Management, Quality Management, Credentialing, Regulatory Affairs, Compliance, Corporate Affairs, Provider Network Operations, Medicare Services, Information Systems, Finance, Claims, and Member Services and Eligibility.
$150,000 - $157,236 a yearFull-timeExpandApply NowActive JobUpdated 3 months ago - UpvoteDownvoteShare Job
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Reinsurance Claims Analyst. Our client is seeking an accomplished claims professional to technically manage an assigned workload of global Property and Casualty multi-line reinsurance claims, ensuring all claims are handled in accordance with regulatory guidelines, while applying Company and Best Practices.
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claims vendor management jobs Company: Metroplus Health Plan in New York, NY
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