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Handle a small number of complex cases involving issues such as criminal history, immigration law violations, current or previous removal proceedings, appeals, etc. Manage the reporting process for Performance and Quality Improvement.
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Maintains compliance with all OSHA, Faith Technologies, and customer-specific safety requirements along with immediately identifying, correcting, and/or reporting any unsafe acts, conditions, or incidents in a timely manner.
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One (1) year of proven clinical laboratory experience in diagnostic review and reporting, molecular assay design, validation, and implementation compliant with CLIA and CAP guidelines. Or, ABMGG board certified/eligible for certification in Clinical Cytogenetics and Genomics.
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Preferred: Experience in SEC Financial Reporting and Financial Statement consolidation. Preferred: Experience with programs such as Workiva, FCCS, Essbase, and Power BI. Tulsa is known as the Mother of "The Mother Road" - Route 66, and boasts impressive art deco architecture, the #1 city park in the U.S. (The Gathering Place) and is a great venue for live music.
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The role utilizes data platforms and produces reports related to healthcare administrative data (including but not limited to healthcare eligibility and claims data) as well as clinical data relevant to population health management initiatives and value-based contract performance such as data elements necessary for traditional Healthcare Effectiveness Data and Information Set (HEDIS) quality measure reporting and data related to care coordination interventions.
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3+ years’ experience with Business intelligence tools and techniques (Data Security, Data Integration, Reporting, Data Mining, Data Visualizations, Dashboarding, ETL, drilldowns). 2+ years’ experience developing reports using an enterprise reporting tool such as Business Objects, Power BI, Tableau, SQL Server Reporting Services, Oracle Reports.
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In this vital role, reporting the Director, Strategic Sourcing, you willlead a newly formed Indirect Procurement organization that with directleadership over several Sourcing and Purchasing Professionals.
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And have prior accounting management experience with a strong emphasis in financial reporting and be proficient with Excel and QuickBooks Online. Client services range from performing monthly general accounting (A/P, A/R, payroll), financial statement preparations and analysis, cost accounting, inventory management, project based financial planning & analysis (budgeting, rolling forecasts), to CFO advisory services.
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Hai esperienza nella progettazione e realizzazione di reportistica gestionale e hai predisposizione all’uso di strumenti digitali avanzati di analisi tecnico economica e di reporting; Hai esperienza nella progettazione e realizzazione di reportistica gestionale e hai predisposizione all’uso di strumenti digitali avanzati di analisi tecnico economica e di reporting.
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Reporting directly to the Deputy Commissioner of Human Resources and Facilities Management (HRFM), the Chief of Staff will serve as the main executive support through coordination, collaboration, metrics and reporting analytics throughout the division and agencywide as well as external agency like Office of Management and Budget, Office of Labor Relations, Office of Payroll Administration, and Department of Citywide Administrative Services.
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Responsibilities include assisting in the annual mapping, risk assessment and scoping process, developing materiality thresholds, assisting management in evaluating the design of controls, providing reporting of the status of the annual assessment, monitoring the S-Ox database to ensure deficiencies are updated on a timely basis, and coordinating the completion of the audit work of the Internal Audit and assisting in project administration and reporting.
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The Chief Financial Officer must have strong business acumen in order to work collaboratively and effectively with home office departments, such as Compliance, Home Office Accounting/Financial Reporting, Information Systems, Internal Audit, Legal, Treasury and other departments that provide support services to the facility.
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Knowledge of reimbursement principles including pharmacy and medical benefit/buy & bill benefit design, coding, billing, prior authorization, and appeals processes. All responsibilities of the Associate Director will be carried out with strict adherence to the JJIM Credo and HCC Guidelines, in line with the FRM Rules of Engagement.
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Delegated authority as the Department Chief Medical Officer (CMO) delegateto reside over expedited client appeals, approve out of state services,non-emergent medical transportation, Early and Periodic Screening Diagnosticand Treatment (EPSDT) exception determinations as well as other clinicaldeterminations as needed.
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Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and outpatient services and equipment, within their scope. May also engage in grievance and appeals reviews.
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grievance appeals reporting jobs in Tulsa, OK
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