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UTILIZATION MANAGEMENT NURSE, SENIOR
Perform clinical claim reviews and first claim level determination approvals for members using FEP evidenced based guidelines, policies and nationally recognized clinal criteria Conducts clinical review of claims for medical neces...
| Company | Blue Shield Of California |
|---|---|
| Address | Rancho Cordova, CA |
| Category | Human Resources |
| Salary | $87,230 - $130,900 a year |
| Job type | Full-time |
| Date Posted | 4 days ago See detail |
Utilization Management Nurse, Senior
Blue Shield Of California
Rancho Cordova, CA
$87,230 - $130,900 a year
Perform clinical claim reviews and first claim level determination approvals for members using FEP evidenced based guidelines, policies and nationally recognized clinal criteria Conducts clinical review of claims for medical neces...
4 days ago seen See more...
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Manager III, Facilities, Fulfillment Technologies & Robotics
Amazon.com Services Llc - A57
North Reading, MA
8+ years of facilities management, office management, corporate administrative services, or hospitality management experience. Bachelor's degree, or 4+ years of Amazon experience. Ensures all facilities are operated and maintained...
4 days ago seen See more...
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Personal Lines Senior Territory Manager
Liberty Mutual
North Dakota, United States
$91,800 - $152,300 a year
Owns and manages assigned territory driving profitable growth to achieve financial and operational targets. Leads assigned geographical territory and agency management processes (e.g. Agency prospecting, business planning, engagem...
4 days ago seen See more...
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Lab Asset Management Program (LAMP) Senior Manager
Amgen
Cambridge, MA
Service delivery and performance of Provider at six sites, oversight of approximately 22,000 assets and administration of a large budget.. Asset footprint includes 2,300 production-based assets at Manufacturing facilities which co...
5 days ago seen See more...
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Senior Project Manager
Ziprecruiter
Tulsa, OK
Job Title: Senior Project ManagerLocation: ReadingType: PermanentSalary: 80,000 - 85,000 + PackageAn opportunity to join a rapidly growing Main Contractor with a peerless industry reputation!Over the last 4 years, our client has...
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Senior Project Manager
Garney Construction
Suffolk, VA
Required Visa Status:CitizenGCUS CitizenStudent VisaH1BCPTOPTH4 Spouse of H1BGC Green CardEmployment Type:Full TimePart TimePermanentIndependent - 1099Contract W2C2H IndependentC2H W2Contract Corp 2 CorpContract to Hire Corp...
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Tax Senior Consultant, Legal Managed Services
Deloitte
New York, NY
Review, abstract, draft, redline, negotiate a broad range of commercial contractual agreements, including but not limited to: NDAs, MSAs, SOWs, licensing agreements, Software as a Service Agreements, distributions agreements, data...
5 days ago seen See more...
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Senior Project Manager - Civil Engineering
Matrix Design Group Inc
Denver, CO
Undergraduate or graduate degree in Civil Engineering Colorado Professional Engineering (PE) licensure or ability to obtain CO PE within one year Minimum of ten (10) years of progressive experience with an emphasis in civil design...
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Senior Manager, Community (LA)
Lululemon
Santa Monica, CA
$134,100 - $176,000 a year
Create and execute strategy for localized community and marketing programs within LA. Drive Store Community excellence across the LA store portfolio. Leverage Ambassador collective in activations to increase awareness and engageme...
2 weeks ago seen See more...
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M&A Tax Senior Manager
Autodesk
Oregon, United States
$126,800 - $205,150 a year
Assist with tax due diligence for US and foreign acquisitions and investments Advise on the tax implications of various deal structures, financing alternatives and integration strategies Review transaction documents and recommend...
2 weeks ago seen See more...
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CMC Senior Manager
G&L Healthcare
Remote
From $85 an hour
Participate in the development of the CMC regulatory strategy for post-approval small molecule product submissions, including global supplements/variations and responses to health authority queries. Prepare and review CMC submissi...
2 weeks ago seen
Maintenance/Facilities Manager
Rutland County Parent Child Center
Rutland, VT
From $20 an hour
Employee assistance program. Employee discount. Flexible schedule. Paid time off. Monday to Friday. On call. In-person....
2 weeks ago seen See more...
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Senior Manager, Enterprise Customer Success
Muck Rack
United States
Attract, hire, onboard, coach, and retain top Customer Success Managers while implementing performance management strategies to ensure your team consistently attains and exceeds quota. Assess, forecast and mitigate any risk of ch...
2 weeks ago seen
Senior Case Manager
Good Landing Recovery
Dacula, GA
Excellent verbal and written communication skills Excellent organizational skills and attention to detail Familiarity with EMR software (Kipu, BestNotes, etc.) Flexible Schedule Problem-solving skills Team-collaborative Excellent...
5 days ago seen See more...
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Senior Engineering Manager, C++ (2624)
Shield Ai
Washington, DC
10+ years of hands-on experience designing and developing production quality software systems. 2+ years of people management experience with teams of 4 or more people. 5+ years of experience in C++11 or later in a production envir...
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Senior Project Manager - Mission Critical
Layton Construction Company Llc
Phoenix, AZ
Bachelors degree in civil engineering, construction management or related field, or the equivalent education and experience. Minimum of eight years project management experience in Mission Critical construction projects. Has expe...
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Senior FX Channels Manager
Us Bank National Association
San Francisco, CA
Oversee strategy and development of a portfolio of FX capabilities, including responsibility for outcomes and providing leadership of teams. Lead the development of cross-functional initiatives in support of business objectives. P...
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Facilities Maintenance Manager
Central Transport
Warren, MI
$90,000 - $130,000 a year
A Bachelors degree is preferred but not required. Facilities Maintenance experience and technical knowledge. An ability to multitask and coordinate multiple projects at once. Excellent written and verbal communication skills. Wel...
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Senior Director - Product Management
Coforma
United States
Partner with company leaders to build and execute a product discipline strategy. Collaborate with stakeholders and work with all cross-functional teams including Engineering, Design, Project Management, and Account Management to e...
6 days ago seen
Senior Manager, R&D Information Systems
Biospace
California, United States
As part of the Quality Information Systems team, create and lead a Reporting Center of Excellence to build, test, deploy and maintain Vault and ComplianceWire reports and dashboards.. Establish a network of Vault reporting Subject...
2 weeks ago seen See more...
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Senior Manager, Category Management
Gxo Logistics
United States
Lead category and commercial strategy; ensure strategy incorporates GXOs long-range plans and aligns with Procurement Governance Committee approvals. Develop and execute analysis supporting strategic and tactical category plans....
2 weeks ago seen
Senior Manager, Legal Operations (E-Billing)
Biospace
California, United States
This position will report to the Associate Director of Legal Operations. Manage processes and policies governing outside counsel usage and spend. Manage law firm matter budget review process. Build-out the Legal Department's inter...
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Senior Manager, Regulatory Affairs Project Management and Strategic Planning
Biospace
Remote
You will lead cross functional project submission working groups (SWG) to deliver successful submissions/filings and outcomes with Health Authorities (HA) for early to late phase development programs by providing effective Project...
2 weeks ago seen
Senior Manager, Public Policy, International Government and Regulatory Affairs (IGRA)- Hybrid
Biospace
Rockville, MD
We are committed to creating an inclusive environment in all aspects of our workan environment where every employee feels fully empowered and valued irrespective of, but not limited to, race, ethnicity, physical and mental abiliti...
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Global Procurement - Senior Category Manager (Digital Technology)
United Airlines
Chicago, IL
Collaborate with technology leaders to drive the digital transformation of United Airlines Research and analyze market trends and potential suppliers and develop detailed sourcing strategy and plans Proactively engage, consult, an...
6 days ago seen See more...
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Paint Senior Project Manager: $120K
Gpac Talent Network
Austin, TX
Promote company services to General Contractors and property managers. Bid commercial/light industrial painting projects exceeding $500K. Provide leadership to project teams. Be a hands-on and reliable leader. 10 years as a Commer...
6 days ago seen See more...
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Paint Senior Project Manager: $120K
Gpac Talent Network
Pittsburgh, PA
Promote company services to General Contractors and property managers. Bid commercial/light industrial painting projects exceeding $500K. Provide leadership to project teams. Be a hands-on and reliable leader. 10 years as a Commer...
6 days ago seen See more...
- View all - jobs in Pittsburgh, PA
Drywall Senior Project Manager: $135K
Gpac Talent Network
Providence, RI
On-Screen Takeoff/QuickBid Proficiency (OnCenter Software) And/Or Plexxis Software, or equivalent. 10 Years Experience in Commercial Drywall Construction as a Project Manager OR Estimator. Solid background in diverse commercial pr...
6 days ago seen See more...
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Drywall Senior Project Manager: $135K
Gpac Talent Network
Warwick, RI
On-Screen Takeoff/QuickBid Proficiency (OnCenter Software) And/Or Plexxis Software, or equivalent. 10 Years Experience in Commercial Drywall Construction as a Project Manager OR Estimator. Solid background in diverse commercial pr...
6 days ago seen See more...
- View all - jobs in Warwick, RI
Paint Senior Project Manager: $135K
Gpac Talent Network
Providence, RI
Promote company services to General Contractors and property managers. Bid commercial/light industrial painting projects exceeding $500K. Provide leadership to project teams. Be a hands-on and reliable leader. 10 years as a Commer...
6 days ago seen See more...
- View all - jobs in Providence, RI
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