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Contract Specialist (NORESCO) The candidate will contract drafting and administration including documenting compliance with contracting procedures, policies and regulations. Negotiate terms and conditions for trade labor subcontracts, consulting agreements, MOUs, and ..
Description Responsibilities Role Description Summary The Director of the National Call Center/evendor channel is responsible and accountable for building, leading and having oversight of the go to market business strategy at ..
... recovery goals and internal audit compliance requirements.New business development to include ... RFP development and response review, carrier negotiations, stewardship report preparation, benchmark ... financial analysis and reporting and..
... areas as marketing support, legal compliance, client service issues, and interaction ... preparation.Summary Plan Descriptions and contract compliance.Analysis of utilization reports, carrier reports, and claims data & ... and..
HealthPlanOne, LLC is growing rapidly in the Tampa area. We continue to recruit for licensed health insurance sales agents and as a result of our growth, we are looking for accomplished ..
HealthPlanOne, which is comprised of www.healthplanone.com and www.medicaresolutions.com, offers individual & family (IFP), Medicare supplement and Medicare Advantage plans from the top national insurance companies. We strive to put the customer ..
Description The Compliance Nurse 2 reviews utilization management ... fraud, waste, and abuse. The Compliance Nurse 2 work assignments are ... appropriate courses of action. The Compliance Nurse 2 will..
Connecticut Market Leader Aon is looking for a Connecticut Market Leader. As part of an industry-leading team, the Market Leader will help empower results for our clients by delivering innovative and ..
Transport Planner needs 3 years of relevant transportation experience, preferably with other CPG or transportation company Transport Planner requires: Strong computer skills (Excel, PowerPoint, Word, Teams) Familiarity with transportation management systems ..
... orders and legislation to identify compliance requirements, business opportunities, and threats. ... an ongoing awareness of and compliance with rules, laws, and agency ... government matters. Help craft necessary..
Mommy Jobs Online (mommyjobsonline.com) is a leading provider of innovative healthcare services including independent medical examinations, peer reviews, bill reviews, Medicare compliance, case management, record retrieval, document management and related services. ..
The Director of HIM for Clinical Reimbursement Services plays a leading role in meeting the challenges presented by the changing regulatory environment to assure the delivery of efficient and effective services ..
Senior Healthcare Claims Manager The candidate leads adjuster recruiting and hiring efforts. Participates in training of various positions within the branch. Leads compliance and best practice reporting. Technical proficiency of the ..
Description The Senior Pre-Authorization Nurse reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. Makes decisions on ..
... for this position include plan compliance, Request for Proposal (RFP) development, ... (RFP) development, response and oversight, carrier negotiations, stewardship report preparation and ... report preparation and delivery, and..
... Expectations: Up to 50% MOTOR CARRIER SAFETY SPECIALIST | NEW ENGLAND ... NEW ENGLAND REGION The Motor Carrier Safety Specialist guides and monitors ... FUNCTIONS AND RESPONSIBILITIES: The Motor..
