- RWJBarnabas Health (Toms River, NJ)
- …to respond to Peer Review and/or grievances as well as legal and unemployment claims . + Serves as consultant /mediator for management and staff on issues related ... residents in New Jersey-whether that be enhancing the coordination for treating complex health conditions or improving community health through local programs and… more
- Defense Health Agency (Portsmouth, VA)
- …for federal civilian healthcare providers as they are covered by the Federal Tort Claims Act (28 USC | 1346(b)) while acting within the scope of their employment. ... standard of care techniques and use of equipment to complex cases. + Performs procedures such as renal biopsies,...etc. + Serves as the subject matter expert and consultant , with regards to the specialized field of the… more
- HUB International (Metairie, LA)
- …community support and involvement through HUB Gives** **SUMMARY:** Assists the Benefit Consultant (BC) in the day-to-day needs of preparing quotes and presentations ... are complete and match client demographics. + Prepares, interprets, and analyzes complex reports containing financial and utilization data for client meetings on a… more
- KPH Healthcare Services, Inc. (Eau Claire, WI)
- …+ Oversees the initial submission, resubmission and collection of all third party claims + Manages and balances the pharmacy inventory to ensure maximum turns while ... stay reviews, delivery at discharge, and other clinical functions to support consultant pharmacists and maintain compliance at customer locations. + Assists in… more
- UPMC (Pittsburgh, PA)
- …conditions and procedures that may have contributed to the risk and liability claims . + Be familiar with the operations and business needs of the System's ... Improvement Initiatives within the UPMC Health System. + Act as a resource/ consultant for staff and affiliates for questions and concerns regarding professional… more
- City of New York (New York, NY)
- …and findings for accuracy and serve as a subject expert and technical consultant to provider agencies. Communicate with provider agencies and colleagues in a timely, ... an electronic case management and claiming system, to ensure claims for payment are supported and compliant Create reports,...completeness and correctness of work. Ability to learn a complex service program and to interpret Federal, State and… more
- Brunswick (Mettawa, IL)
- …directory synchronization, federation, and Zero Trust-ready identity infrastructure, including complex coexistence between **AD, Azure AD, and Okta** , while ... . Resolve deep protocol-level issues for seamless identity assertions and claims transformation. + **Hybrid Identity Architecture** : Design solutions for hybrid… more
- Robert Half Legal (Los Angeles, CA)
- …Needed for Advisor Appointed by Bankruptcy Courts to Handle Corporate Restructuring ( Claims & Noticing Agent) Corporate Restructuring (Remote, PST Hours) A highly ... provider of legal administrative services is seeking a Corporate Restructuring Consultant (Permanent Hire) to join its dynamic corporate restructuring team. This… more
- State of Nevada (NV)
- …generated reports in order to identify abuse and potential fraud and to ensure claims were paid properly by the fiscal agent. Explain proper billing procedures to ... is the dedicated clinical reviewer for eligibility determinations for the Behaviorally Complex Care Program in Nursing Facilities and participates in the Fair… more
- WSP USA (Sacramento, CA)
- …the Central Valley. The Structures Representative provides technical leadership for complex construction management projects or programs, serving as a Structures ... Engineer role. A Structures Representative is a local agency employee (or a consultant hired by a local agency) who performs quality assurance over the contractor's… more
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