Jobs Listing

Support providers and reviewers with prior authorization requests for post-acute care services. Includes manually entering authorization requests into Care Management systems, following rules and algorithms embedded in the care management system to administratively approve prior authorization requests. May work with providers to secure discharge plans, Notice of Non-Medical Coverage, Durable medical equipment, and other home supports required for discharge planning. May support scheduling physician to physician calls. Will support appeal processes for CMS designated Quality Improvement Organization appeals including logging all appeal activities. High School Graduate or GED equivalent required. Two (2) years of college preferred. Two (2) years experience....

Support providers and reviewers with prior authorization requests for post-acute care services. Includes manually entering authorization requests into Care Management systems, following rules and algorithms embedded in the care management system to administratively approve prior authorization requests. May work with providers to secure discharge plans, Notice of Non-Medical Coverage, Durable medical equipment, and other home supports required for discharge planning. May support scheduling physician to physician calls. Will support appeal processes for CMS designated Quality Improvement Organization appeals including logging all appeal activities. High School Graduate or GED equivalent required. Two (2) years of college preferred. Two (2) years experience....

Support providers and reviewers with prior authorization requests for post-acute care services. Includes manually entering authorization requests into Care Management systems, following rules and algorithms embedded in the care management system to administratively approve prior authorization requests. May work with providers to secure discharge plans, Notice of Non-Medical Coverage, Durable medical equipment, and other home supports required for discharge planning. May support scheduling physician to physician calls. Will support appeal processes for CMS designated Quality Improvement Organization appeals including logging all appeal activities. High School Graduate or GED equivalent required. Two (2) years of college preferred. Two (2) years experience....

Our Mission At Palo Alto Networks® everything starts and ends with our mission: Being the cybersecurity partner of choice, protecting our digital way of life. Our vision is a world where each day is safer and more secure than the one before. We are a company built on the foundation of challenging and disrupting the way things are done, and we're looking for innovators who are as committed to shaping the future of cybersecurity as we are. Our Approach to Work We lead with flexibility and choice in all of our people programs. We have disrupted the traditional view that....

Privacy Manager Confidentiality & Privacy (C&P) is seeking an experienced Privacy Manager with a passion for identifying and mitigating privacy risks, and experience with operationalizing privacy strategic priorities across a large organization. This role will primarily support the operational processes of the Privacy Program, as well as key strategic priorities of C&P. We need a strong contributor who will drive the execution of multiple projects, while partnering with multiple business functions as well as legal and compliance teams to ensure adherence to privacy policies and privacy legal requirements. Key responsibilities of this position include privacy operations support, privacy compliance activities....

Description At Citizens, tailored advice, personalized experiences, and innovative ideas, products, and solutions, are central to helping clients navigate changing circumstances. In this role, you'll deepen relationships with your clients by collaborating with peers across banking, lending and investing, helping them with short- and long-term financial goals. Our mission is to help clients, colleagues and communities reach their potential. We do this through our distinguished client-centric culture, having a mindset of continuous improvement and always enhancing our excellent capabilities. Citizens is the bank that stands and grows with its clients. As part of the Core Banking Division, Citizens Private Client....

At EY, you'll have the chance to build a career as unique as you are, with the global scale, support, inclusive culture and technology to become the best version of you. And we're counting on your unique voice and perspective to help EY become even better, too. Join us and build an exceptional experience for yourself, and a better working world for all. Location: Akron, Atlanta, Birmingham, Boca Raton, Charleston, Charlotte, Chicago, Cincinnati, Cleveland, Detroit, Grand Rapids, Columbus/Grand Rapids, Greenville, Indianapolis, Jacksonville, Kansas City, Louisville, Memphis, Miami, Milwaukee, Minneapolis, Nashville, Orlando, Pittsburgh, Raleigh, St. Louis, Tallahassee, Tampa, Toledo Business is....

Private Duty Nurse LPN Job Ref: 192731 Location: Detroit, MI 48214 Category: LPN/LVN Line of Business: PDS Pay Rate: $25.00 - $31.00 per hour ApplyRefer a FriendBack Find yourself here.Aveanna is compassion and passion rolled into one inspired purpose. It's anything you want to find and everything you're looking for. It's a place where caring is more personal, because it happens right in the comfort of home. Come see what's waiting for you when you come to Aveanna. Caring In Action LPN Responsibilities Include: Execution of physician's prescribed plan of care and compliant documentation of care in system of record....

Industry/Sector: Not Applicable Time Type: Full time Travel Requirements: Up to 20% A career within PwC Private will provide the opportunity to help private companies with a range of business advisory needs such as audit, tax compliance, and planning to help improve their operational efficiency and to free up time that can be spent focusing on business strategy. You'll have the opportunity to experience the entire business life cycle of a private company from inception to growth, maturity and transition. Our team helps our clients design and implement personal and customised service plans that are unique to privately owned entities....

Industry/Sector: Not Applicable Time Type: Full time Travel Requirements: Up to 20% A career within PwC Private will provide the opportunity to help private companies with a range of business advisory needs such as audit, tax compliance, and planning to help improve their operational efficiency and to free up time that can be spent focusing on business strategy. You'll have the opportunity to experience the entire business life cycle of a private company from inception to growth, maturity and transition. Our team helps our clients design and implement personal and customised service plans that are unique to privately owned entities....

Delivering an exceptional infusion experience, everywhere. Delivering on our unyielding commitment, always. Naven Health is a nationwide home infusion nursing network and clinical platform focused on delivering specialized, truly exceptional infusion care. With over 1,600 team members, including over 1,500 nurses, we are a company aligned to the values of the nurses at our center - to provide an exceptional infusion experience, everywhere. Naven Health delivers home infusion services for a broad range of specialized therapies, as well as clinical trial services and special programs for pharmaceutical manufacturers. Joining the Naven Health team means being a part of a dynamic....

PRN Injury Prevention Specialist/Certified Athletic Trainer - Detroit, MI Job ID 286435 Location US-MI-Detroit Experience (Years) 1 Category Therapy - Certified Athletic Trainer Street Address 2602 Worldgateway Place Company NovaCare Rehabilitation Position Type Per DiemOverview NovaCare Rehabilitation is seeking a PRN Certified Athletic Trainer/Injury Prevention Specialist in Detroit, MI!This is a PRN position for a certified athletic trainer for an industrial setting. We are expanding our staffing that partners with an international employer at the DTW airport for Injury Prevention services.Compensation: Commensurate with experience, starting at $30/hrSchedule: PRNBenefit: Industry-leading continuing education opportunities FREE for ATC's Responsibilities On-site coverage for industrial....

Position Purpose: The Pro Sales Manager (PSM) is responsible for leading a team of Outside Sales Representatives to drive outside sales and profitability growth through Managed Accounts for a market. They will have direct accountability to manage portfolios of professional customers, build pipelines for targeted customers, and ensure leads are converted to incremental sales. They will coach a sales team utilizing salesforce.com and customer visits to strengthen the sales performance and skillsets of their teams. Additionally, they will drive training of new and existing processes with their team by utilizing partnerships with the multiple business units that impact Pro. Key....

The pay range per hour is $19.62 - $35.29 Pay is based on several factors which vary based on position. These include labor markets and in some instances may include education, work experience and certifications. In addition to your pay, Target cares about and invests in you as a team member, so that you can take care of yourself and your family. Target offers eligible team members and their dependents comprehensive health benefits and programs, which may include medical, vision, dental, life insurance and more, to help you and your family take care of your whole selves.?Other benefits for eligible....

ImplementationProcurement Associate - McKinsey ImplementationJob ID: 87937Who You'll Work WithYou'll be working with McKinsey Implementation, a rapidly growing capability for our firm, in one of our offices in North America. As a member of MI, you'll work closely with our client project teams, providing end-to-end support to ensure the clients are able to deliver and sustain the full benefits of McKinsey's recommended change in their business.What You'll Do Procurement is a rapidly growing service line that helps organizations unlock growth through product and cost transformations, with an emphasis on sustainability, customer experience, and the latest digital and analytical solutions. You....

Procurement Manager Job ID 172553 Posted 01-Jul-2024 Service line GWS Segment Role type Full-time Areas of Interest Purchasing/Procurement Location(s) Atlanta - Georgia - United States of America, Charlotte - North Carolina - United States of America, Chicago - Illinois - United States of America, Dallas - Texas - United States of America, Detroit - Michigan - United States of America, Green Bay - Wisconsin - United States of America, Indianapolis - Indiana - United States of America, Lake Saint Louis - Missouri - United States of America, Omaha - Nebraska - United States of America, Philadelphia - Pennsylvania - United....

We Are: Accenture is a leading global professional services company that helps the world's leading businesses, governments and other organizations build their digital core, optimize their operations, accelerate revenue growth and enhance citizen services-creating tangible value at speed and scale. We are a talent and innovation led company with 742,000 people serving clients in more than 120 countries. Technology is at the core of change today, and we are one of the world's leaders in helping drive that change, with strong ecosystem relationships. We combine our strength in technology with unmatched industry experience, functional expertise and global delivery capability. We....

Engagement Description Responsible for developing contract negotiations strategies and performing contract negotiations for services and IT software. Prepare contractual provisions and administer contract proposals. Negotiate commercial contracts with vendors. Issue purchase orders to vendors. Focus on continuous improvement in vendor and client relations. Evaluate requests and requirements, identify risks, develop negotiation strategies, facilitate, and negotiate contracts with vendors, and issue purchase orders. Top 3 Required Skills/Experience - Develop negotiation strategies, conduct negotiations, and manage master contracts. Negotiate Statement of Work (SOW), Amendments, Master Service Contracts and Supplier Paper. Negotiate regulatory and compliance related contractual agreements (BAAs, government services, etc.). 5....

POSITION TITLE: Procurement Specialist JOB TYPE: Full-time SALARY RANGE: $65,000 - $75,000 FLSA CLASS: Exempt LOCATION: Onsite [with possible hybrid schedule upon mutual agreement] PARKING: Secured Onsite [Free] SHIFT: M-F Days JOB DUTIES: Vendor outreach and solicitation activities, which can include, but are not limited to, W9 management, entering vendor contact information, seeking SBE firms, attending vendor fairs, etc. Record keeping and scanning of Purchase Orders, vendor contracts, and insurance certificates. Collect data, which can include, but is not limited to, invoices, order history, etc., to be used in RFP solicitations. Create and update commonly used forms (i.e., pre-bid and....

Job DescriptionAssists the Team Leader in all aspects of daily operations including profitability, expense control, buying, merchandising, labor, regulatory compliance and special projects as assigned. Leads and develops Team Members. All Whole Foods Market Retail jobs require ensuring a positive company image by providing courteous, friendly, and efficient service to customers and Team Members at all times. All positions must be performed in accordance with team and store Standard Operating Procedures. Further, Team Members must be prepared and able to perform the duties inherent in other Team Member job descriptions. All positions must strive to support WFM core values and....