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Provides oversight for medical necessity reviews, denials management, and utilization management supporting all areas of the organization. The CM/HEM is responsible for the development, implementation, and evaluation of systems and processes related to health equity and case management, inclusive of utilization management.
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As an Auto Claims Examiner, you will be responsible for accurately assessing and processing auto insurance claims. - Review and analyze auto insurance claims to determine coverage, liability, and the extent of damage.
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Develop technology solution for a rules based inventory management process based on internal and market inputs, such as asset utilization and derivative market inputs. Functional product knowledge of crypto, prime brokerage, equities, swaps, forwards, options, stock lending, repo, futures, and derivative lifecycle management.
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The Field Reimbursement Manager will be responsible for the management of defined accounts in Urology and Oncology area, specifically supporting our client's product. The Reimbursement Manager will also work on patient level reimbursement issue resolution, and thus will need access to be knowledge of and have had experience with patient health information (PHI), navigating access issues, and working with payer and NCCN guidelines for product utilization.
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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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Demonstrated knowledge of SAP/OPUS, claims, supply chains, Customs & Border Patrol (CBP) and compliance/FMC/PGA s. · Associates’ Degree in Business or Supply Chain Management or related field required.
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Records and Archives Management (RAM), within the Bureau of Business Information Technology, oversees the agency records management program in compliance with citywide policies and in coordination with the NYC Department of Records and Information Services.
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Job DetailsThe Director of Risk Management and Regulatory Affairs (Patient Safety Officer/Privacy Officer) serves as an accessible resource to the hospital and community on risk management and regulatory issues.
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Category: Utilization Review and Case Management. Train member on relevant chronic diseases, preventive care, medication management (medication reconciliation and/or adherence), home safety, etc.
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Experience as the commissioning team leader for MEP/FP building systems and project management experience preferred. We are proud to be home to leading technical experts in water, environment, infrastructure, resource management, energy, and international development.
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Drive client calling/farming activities to defend, maintain, replenish, and grow utilization for existing Trade Finance credit facilities and flow opportunities. Provide feedback to management regarding client needs, trends, and market intelligence.
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Management Solutions is a national award-winning management consulting firm that specializes in clean energy program management, organizational maturity assessment, environmental services, and project strategy and implementation.
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Find even more open roles in Ethical Hacking, Pen Testing, Security Engineering, Threat Research, Vulnerability Management, Cryptography, Digital Forensics and Cyber Security in general - ordered by popularity of job title or skills, toolset and products used - below.
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Non-Dari/Pashto-speaking candidates with experience in case management and/or refugee resettlement services will be considered. Commonpoint Queens seeks a Preferred Communities Afghan Case Manager (CM) to provide intensive case management services to recently arrived Afghan refugees, humanitarian parolees and Special Immigrant Visa holders (SIVs) through the Preferred Communities (PC) Program.
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Planate is a small business provider of planning, design, infrastructure management, technical consulting, engineering, and construction management services in support of the US Department of Defense (DOD) and its Service (Army, Air Force, Navy, Marine Corps) missions, along with other US federal agencies, all over the world.
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claims utilization management jobs Company: Metroplus Health Plan in Springfield Gardens, NY
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