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Metric Search are assisting a nationwide geotechnical contractor who are looking to add a seasoned Project Manager to their team who has experience within the geotechnical design-build contracting industry.
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Develops and implements care management programs, including utilization review, intake and discharge planning, and managed care contracting/authorizations or negotiation. Develops and implements care management programs, including utilization review, intake and discharge planning, and managed care contracting/authorizations or negotiation.
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Job Title: K-12 ESL Teacher Position Summary: The position provides English as a Second Language instruction to English language learners in kindergarten through 12th grade, enrolled in contracting school districts in and near Allegheny County.
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What You'll Do:Responsible for development of the project scope and fee quotation and assists in the preparation of technical proposals and contracts in accordance with HNTB's Sophisticated Contracting Approach (SCA.
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In this role, you will be supporting our contracting activities by providing expertise in contract review, evaluation and negotiation. Experience in commercial and government contracting is a strong preference.
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Managing all elements of the contracting process from target identification and initial contact right through to pricing, contract agreement, allocation management and ongoing account management.
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Including payer negotiation, authorization, clinical documentation initiatives in coding/DM assigned CMI. Denial management opportunities, resource management; awareness of the many reimbursement strategies of the various payers is key to department/organizational success.
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Advanced pricing and technical knowledge, and/or experience in international contracting, joint venture formation, strategic partnering, or other highly complex contractual arrangements. Must have experience with standard concepts, practices, and procedures relating to commercial and government contracting.
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3 years in professional billing, facility Patient Financial Services, HIM, Internal Audit, Professional/Facility Reimbursement or Provider Contracting. Certified Fraud Examiner (CFE) Audits consist of contract, commissions, surveillance, workers’ compensation and IME. In addition, this position will complete Office of Foreign Asset Control (OFAC) to ensure payments are not issued to unauthorized parties.
Full-timeExpandUpdated 11 days ago - UpvoteDownvoteShare Job
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Strategic Leadership: Guide our financial strategy with an eye toward sustainable growth, employing your expertise in revenue cycle management, payer contracting, grants management, and strategic fundraising.
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For nearly two decades, Wexford Health has consistently delivered proven staffing expertise and a full range of medical, behavioral health, pharmacy, utilization management, provider contracting, claims processing, and quality management services.
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Comply with Federal and State laws such as HIPAA, regulations such as OSHA, and PBM contracting requirements such as FWA and CMS.Distribution: Develop and maintain positive and productive service relationships during medication distribution process.
$17.04Full-timeExpandUpdated 12 days ago - UpvoteDownvoteShare Job
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Strong knowledge and experience with Government contracting practices, including hands-on experience with FAR/DFARS, contract negotiations, and related laws and regulations. Strong knowledge and experience with Government contracting practices, including hands-on experience with FAR/DFARS, contract negotiations, and related laws and regulations.
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Familiarity with key managed care functions including EAP, provider contracting, benefit design, medical management as well as knowledge of business functions and impact on financials (underwriting, sales, product development, network management) is also strongly preferred.
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Take point on legal contracting with Distributor channel of business in conjunction with Palace Entertainment Legal counsel. Palace Entertainment owns and operates some of the country's largest and most prestigious venues including: National Historic Landmark, Kennywood Park, America's Oldest Amusement Park, Lake Compounce, the world's first ever Cartoon Network Hotel, Best Family Theme Park Dutch Wonderland and a variety of other family-friendly parks and campgrounds throughout the United States.
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contracting job in Greensburg, PA
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