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Utilization Review Specialist
3 weeks ago
NavitsPartners New York, United StatesPosition: Utilization Review Specialist · Location: Brooklyn, NY 11235 · Duration: 13 weeks of contract (extendable) · Shift: 08 hrs/ day & 40 hrs./week ( 8:30 AM-4:30 PM) · Hourly pay: $65/hourly · Education: · Foreign Medical Graduate (FMG) · Bachelor's Degree · Skills: EMR · D ...
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claims review specialist
1 week ago
City of New York New York, United States Full timeYOU MUST BE PERMANENT IN THE ELIGIBILITY SPECIALIST CIVIL SERVICE TITLTE OR IF YOU ARE HIRED PROVISIONALLY IN THE ELIGIBILITY SPECIALIST TITLE YOU MUST TAKE AND PASS THE ELIGIBILITY SPECIALIST CIVIL SERVICE EXAM WHEN IT BECOMES AVAILABLE TO BE ELIGIBLE FOR CONTINUED EMPLOYMENT. · ...
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Document Review Specialist
2 weeks ago
Lenmar Consulting New York, United StatesTitle: Document Review Specialist · Location: NYC · Remote/Hybrid/Onsite: Hybrid · Position Type: Contract, possible temp-to-perm · Duration: 12+ months · Rate: $ $25.00/hr · Job ID: MOR2JP · Client: Morgan Stanley · Client facing position within Brokerage's Institutio ...
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Document Review Specialist
2 weeks ago
US Tech Solutions New York, United States: Client facing position within Brokerages Institutional Equity Division (IED) for a documentation specialist, responsible for handling all relationship level trading agreements, including, but not limited to equity derivatives, prime brokerage, stock loan, confidentiality, liste ...
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Institutional Review Board Specialist
1 week ago
NYU Langone Health New York, United States Full time/RegularWe have an exciting opportunity to join our team as a Institutional Review Board Specialist. · Reporting to the Senior Scientific Manager Full Board (SSM) of the IRB, the Specialist is responsible for the efficient pre-review of full board modification and continuation submission ...
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Institutional Review Board Specialist
2 weeks ago
NYU Langone Health New York, United StatesNYU Grossman School of Medicine is one of the nation's top-ranked medical schools. For 175 years, NYU Grossman School of Medicine has trained thousands of physicians and scientists who have helped to shape the course of medical history and enrich the lives of countless people. An ...
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Institutional Review Board Specialist
2 weeks ago
NYU Langone Health New York, United States**NYU Grossman School of Medicine** is one of the nation's top-ranked medical schools. For 175 years, NYU Grossman School of Medicine has trained thousands of physicians and scientists who have helped to shape the course of medical history and enrich the lives of countless people ...
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Rewards Review Engagement Specialist
1 week ago
Doctors Without Borders | Médecins Sans Frontières New York, United States**Role Overview** · The Rewards Review aims to develop a new rewards framework for the whole MSF global workforce, enabling us to better meet operational needs. MSF's executive leadership (the Full ExCom) agreed on changes to create a rewards system that provides more equity, tra ...
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TGA Site Manager"
3 weeks ago
SilverLinx Hudson, United StatesJoin our team at Hudson GA-tec Building and Plant Technology GmbH, a subsidiary of the Sodexo Group. We are one of the leading providers of technical building equipment and offer technical facility management services. With over 1200 employees and multiple locations throughout Ge ...
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Environmental Scientist
3 weeks ago
TSR Consulting Services, Inc. Newark, United StatesLong term contract -Newark NJ · Environment Scientist · A large Utility Company is looking for Environment Scientist. A degree in geology, environmental science or related engineering discipline and a minimum of 3 to 5 years' experience with investigation and remediation of conta ...
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Contracts Specialist
4 days ago
Insight Global New York, United StatesTitle: IT Contracts Specialist · Salary: $110K · Location: New York, NY (1 Park Ave) – 2x/week onsite (Wed/Thurs) · Duration: Perm · Must-Haves: · 5+ years of experience as a Contracts Specialist/Paralegal · Experience drafting large corporate documents (software licensing, profe ...
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HR Document Specialist
3 weeks ago
Tandym Group New York, United StatesA New York City healthcare organization is looking to fill an immediate need with the addition of a new HR Documentation Specialist to their growing team. The HR Documentation Specialist will catalog documents so they can be accessed when needed, while ensuring only the appropria ...
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senior crpu specialist
1 week ago
City of New York New York, United States Full timeYOU MUST BE PERMANENT IN THE JOB OPPORTUNITY SPECIALIST TITLE FOR AT · LEAST ONE YEAR. THIS IS A PROVISIONAL APPOINTMENT, WHEN A TEST · BECOMES AVAILABLE IN THE ASSOCIATE JOB OPPORTUNITY · SPECIALIST (AJOS) TITLE, YOU MUST TAKE AND PASS THE EXAM TO · REMAIN IN THE AJOS TITLE. ...
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Insurance /Risk Specialist
4 days ago
Clark Davis Associates New York, United StatesInsurance /Risk Management Specialist position for a well-known co. in NYC. 1+ yrs. experience handling in-house and exterior claims , review COI, evaluate risks, and interact with carriers. Bachelors degree required. · ...
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Behavior Intervention Specialist
5 days ago
Tandym Group New York, United StatesA health services network in New York City is currently seeking a new Behavior Intervention Specialist to join their team in Brooklyn. In this role, the Behavior Intervention Specialist will be responsible for providing oversight of psychiatric medications and providing written r ...
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Investor Relations Associate
6 days ago
ELCO Consulting New York, United StatesCOMPANY DESCRIPTION: · Our client is a multi-billion dollar private credit investment management firm. · JOB DESCRIPTION: · Our client seeks a product specialist/senior associate to join the team and focus on the firm's direct lending products. · Responsibilities include: · Suppo ...
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Administrative Assistant 2
2 weeks ago
Attorney General, Office of the New York, United States Full timeMinimum Qualifications For Permanent Appointment: Reachable on the Department of Civil Service Eligible list for Administrative Assistant 2 (formerly Secretary 2) OR permanent or contingent permanent status as an Administrative Assistant 2 OR eligible to transfer. · For Provision ...
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Payroll Specialist
4 days ago
Tandym Group New York, United StatesA healthcare network in New York City is looking to fill an immediate need at one of their Brooklyn facilities with the addition of a new Payroll Specialist. · About the Opportunity: · Start Date: ASAP · Department: Finance · Schedule: Monday to Friday · Hours: 9am to 5pm (35 hou ...
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Senior Billing Specialist
1 week ago
Kay Search Group New York, United StatesPosition: Senior Billing Specialist (Global Law Firm) · Company: AM 100 Law (Hybrid) · Comp Package: Base to $120K, Paid Overtime, Tuition Reimbursement, Full Benefits, Bonus, 401K+, etc. · Responsibilities for Senior Billing Specialist (Global Law Firm): · Perform client billing ...
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Document Coordinator
3 days ago
Planet Pharma New York, United StatesSummary: Provides support to the process for creating, reviewing, approving, distributing, controlling and maintaining documentation to ensure effective and efficient application of GMP. · Documentation within this process includes, but is not limited to, manufacturing and packag ...
Quality Enhancement Review Specialist - New York, United States - Kinsley Power Systems
Description
CP Unlimited is a broad based multi-service organization providing services and programs for people with developmental disabilities.In the NYC metropolitan area, the agency operates an extensive community based living program, day habilitation programs, and community habilitation services.
CP Unlimited focuses on giving people the personal, social, and vocational supports needed to live in their communities.Care coordination is provided to assist persons with disabilities and their families in gaining access to service and support appropriate to their needs.
CP Unlimited is currently seeking a full timeQuality Enhancement Review Specialist
to complete internal audit reviews within CP Unlimited programs, analyze the findings and provide recommendations for improvement.
Specific job requirements for the Quality Enhancement Review Specialist include:
Completes electronic internal quality reviews of agency systems and billing compliance.
Analyzes information gathered through the reviews and develops reports that identify recommendations to address areas of concern and disseminates to management.
Provides technical assistance and support to CP Unlimited staff in developing corrective actions for identified issues, as necessary, to ensure regulatory compliance.
Works collaboratively with management and program staff throughout CP Unlimited on the development of strategies, systems, policies/procedures, as appropriate to correct identified issues.
Assists with administrative tasks including but not limited to: photocopying, scanning, filing, preparing and sending both hard copy and electronic internal quality review data correspondence.
Participates in specialized workshops, projects, meetings, and trainings.
Participates in standing committees, meetings, as assigned.
To qualify for the Quality Enhancement Review Specialist position you must possess the follow requirements:
BA/BS in related human services field.
Strong experience in prioritizing and managing data.
Minimum 3 years' experience in developmental disabilities and /or regulatory compliance.
Thorough knowledge of City, State and Federal regulations governing the operation of intermediate care facilities, individual residential alternatives, day habilitation programs, supported employment.
Ability to work in multiple locations throughout the metropolitan area.
Able to work flexible hours and/or days as necessary.
Proficient in Microsoft office applications.
CP Unlimited values and supports its employees by offering them a comprehensive benefits package which includes medical, dental, vision and life insurance and a generous paid time off package.
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