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The Physician Reviewer manages Utilization Management cases and coordinates care for patients across specified territories. They are also responsible for advising other reviewers and participating in process and quality improvement initiatives.
The Physician Reviewer manages Utilization Management cases and coordinates care for patients across specified territories. Responsibilities include attending health plan calls, advising other reviewers, and participating in process and quality improvement initiatives.
The Physician Reviewer manages Utilization Management cases and coordinates care for patients across assigned territories. The role involves advising other reviewers and participating in process and quality improvement for Delegated Utilization Management.
The Physician Reviewer manages Utilization Management cases and coordinates care for patients across specified territories. The role involves advising other reviewers, attending health plan calls, and participating in process and quality improvement initiatives.
The Physician Reviewer manages Utilization Management cases and coordinates care for patients across assigned territories. Responsibilities include advising other reviewers, attending health plan calls, and participating in process and quality improvement initiatives.
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Manages the strategic direction of hospital billing coding to ensure accuracy, timeliness, and maximum reimbursement. Oversees staff development, budget preparation, and compliance with HIPAA and Joint Commission standards.
The role involves entering and maintaining accurate provider credentialing data and verifying applications, licenses, and certifications. The clerk will also audit provider records and coordinate with specialists to ensure regulatory compliance.
Manage the end-to-end credentialing and re-credentialing process for healthcare providers, including primary source verification of licenses and certifications. Coordinate with medical staff and health plan partners to ensure timely approvals and ongoing compliance.
The role involves monitoring regulatory and legislative developments within the Texas energy market to evaluate business impacts and ensure compliance. It also provides regulatory guidance to internal teams and supports wholesale market activities related to ERCOT.
The specialist is responsible for driving the growth of handheld laser welding technology by training distributor partners and executing sales strategies. They will conduct product demonstrations and develop ROI-based presentations to convert end-user business in the mid-south US territory.
The Director of Contract Sales develops and executes sales and innovation strategies for assigned contract accounts to promote product innovation and industry leadership. This role focuses on strengthening customer relationships across multiple touchpoints and managing the commercialization process for new items.
Develop and execute the Contract Sales and Innovation Strategy to promote product innovation and industry leadership for assigned accounts. Manage diverse customer touchpoints and lead cross-functional efforts to drive growth, e-commerce penetration, and flawless commercialization.
Lead and manage multi-disciplinary teams to prepare environmental reports and permit applications for public and private clients. Responsible for ensuring compliance with federal, state, and local regulations while supporting business development and mentoring junior staff.
Perform complex medical record and claim reviews to make coverage determinations based on Medicare policies and payment rules. Document findings, compile analysis reports for CMS, and ensure accuracy standards are met for the Recovery Auditor Validation Contract.
The role focuses on driving sales growth and developing new business opportunities within the data center market, specifically for power and renewable energy solutions. Key duties include building relationships with decision-makers, executing strategic sales plans, and negotiating complex contracts.
The role provides administrative support for the management of contracts, including preparing, tracking, and maintaining contractual documents. It involves monitoring renewal timelines and serving as a support partner for internal and external stakeholders.
Coordinate legal proceedings and manage attorney calendars to ensure smooth case progression. Communicate with courts, opposing counsel, and clients to schedule depositions, mediations, and hearings.
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Gather and analyze client requirements to implement integrated pension administration solutions for public sector clients. Collaborate with cross-functional teams to design workflows, define testing criteria, and ensure successful system implementation.
The Business Development Specialist engages healthcare professionals via telephone to promote client products and maximize selling potential. They are responsible for managing targeted account lists, achieving quarterly KPIs, and collaborating with field-based sales teams.
The role involves coordinating clinical monitoring and site management processes to ensure trial compliance with protocols and ICH-GCP guidelines. Key duties include conducting remote or on-site visits, performing data verification, and managing relationships with investigational sites.
Lead engagement with strategic semiconductor customers to drive revenue and growth for a portfolio exceeding $100M in annual business. Manage a team of strategic account managers and build executive-level relationships to facilitate the adoption of Thermo Fisher solutions.
The Referral Counselor manages a high volume of calls and emails to triage legal issues and direct clients to appropriate lawyers and resources. Additional duties include providing basic legal information, recruiting lawyers, and conducting light research for legal webpages.
Identify and develop new business opportunities within the Energy & Power markets, specifically focusing on EVCI, BESS, and renewables. The role involves delivering technical presentations, collaborating with global stakeholders, and aligning U.S. operations with German headquarters.
The role focuses on coordinating virtual interviews and managing candidate communications to ensure a seamless experience from application to onboarding. It also involves maintaining data integrity within the Lever ATS and supporting recruiting operations and hiring managers.
Manage the full-cycle recruitment process for corporate, technical, and professional roles from requisition to onboarding. Partner with hiring managers to develop recruiting strategies and ensure a high-quality candidate experience.
The Account Manager is responsible for developing new business opportunities and managing existing client relationships to drive revenue growth within the dental industry. They will also coordinate pre-sales, training, and technical support for digital equipment while maintaining accurate records in the CRM.
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Oversee all business functions related to Deposit and Treasury Management Operations, including onboarding, wires, ACH, and core system processing. Partner with senior leadership to ensure operational efficiency, risk management, and support for bank growth.
Lead the clinical integrity of utilization management by conducting medical necessity reviews for inpatient and post-acute care for Commercial and Medicare Advantage members. Collaborate with care management teams and providers to ensure cost-effective, compliant, and evidence-based care determinations.
Manage customer relationships to increase the utilization of GHX Managed Services and ensure high customer satisfaction and retention. Lead the implementation of solutions for new customers and coordinate with cross-functional teams to resolve technical issues and meet KPIs.
The Recruiting Coordinator manages the candidate lifecycle by scheduling interviews and tracking progression through the Applicant Tracking System. They partner with recruiters and hiring managers to ensure a professional candidate experience and efficient pre-employment processing.
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