Utilization Management Representative III
4 weeks ago
Utilization Management Representative III Location: Remote - the ideal candidate lives within 50 miles of a Pulse Point location. The Utilization Management Representative III is responsible for coordinating cases for precertification and prior authorization review. How you will make an impact: Responsible for providing technical guidance to UM Reps who handle correspondence and assist callers with issues concerning contract and benefit eligibility for requested continuing pre-certification and prior authorization of inpatient and outpatient services outside of initial authorized set. Assisting management by identifying areas of improvement and expressing a willingness to take on new projects as assigned. Handling escalated and unresolved calls from less experienced team members. Ensuring UM Reps are directed to the appropriate resources to resolve issues. Ability to understand and explain specific workflow, processes, departmental priorities and guidelines. May assist in new hire training to act as eventual proxy for Ops Expert. Exemplifies behaviors embodied in the 5 Core Values. Minimum Requirements: Requires a HS diploma or GED and a minimum of 3 years of experience in customer service experience in healthcare related setting; or any combination of education and experience which would provide an equivalent background. Medical terminology training required. Preferred Skills, Capabilities and Experiences: Certain contracts require a Master's degree. For URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills. For candidates working in person or remotely in the below locations, the salary* range for this specific position is $20.54 to $36.97 Locations: California; Colorado; Nevada; New York; Washington State In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the company. The company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws . The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.
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Associate Project Manager I-iii
2 days ago
Brooklyn, United States Metropolitan Transportation Authority Full time**Description** **JOB INFORMATION** Job Req # 7523 Title: Associate Project Manager I-III First Date of Posting: 05/29/2024 Last Date of Filing: 06/19/2024 Authority NYCTA Department: Subways Division/Unit: MOW Engineering Reports to: Director, Inspection and Emergency Response Work Location: 130 Livingston Street, Brooklyn Hours of Work: 8:00 AM -...
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Maintenance Technician III
5 days ago
Brooklyn, New York, United States C&W Services Full timeJob TitleMaintenance Technician IIIJob Description SummaryJob DescriptionMaintenance Technician III C&W Services is the industry leader in Integrated Maintenance Solutions providing service to more than 600 companies worldwide and a sister company of Cushman & Wakefield.C&W Services offers:Weekly PayComprehensive Benefits that start on your first...
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Collection Representative
2 days ago
Brooklyn, United States Prutech Solutions Full timeRole: Collection Representative Location: 29 Gallatin Pl, Brooklyn, NY 11201 Duration: 5+ Years In a Call Center environment, the collections representative is responsible for collecting unpaid Notices of Violations. Responsibilities: Collection calls with diligent follow-up skills Notifying customers of delinquent status and utilizing established...
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Collection Representative
2 days ago
Brooklyn, United States PruTech Solutions Inc Full timeRole: Collection Representative Location: 29 Gallatin Pl, Brooklyn, NY 11201 Duration: 5+ Years In a Call Center environment, the collections representative is responsible for collecting unpaid Notices of Violations. Responsibilities: Collection calls with diligent follow-up skills Notifying customers of delinquent status and utilizing established...
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Field Service Technician III
1 month ago
Brooklyn Park, United States Qualus Services Full timeField Service Technician III Job Locations US-MN-Brooklyn Park ID 2024-2073 Category Field Services Position Type Regular Full Time Remote: No Position Overview The Field Service Technician III is responsible for the testing, maintenance and repair of low and medium voltage circuit breakers, transformers, switchgear, motor...
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Field Service Technician III
1 month ago
Brooklyn Park, Minnesota, United States Qualus Services Full timeField Service Technician IIIJob LocationsUS-MN-Brooklyn ParkID CategoryField ServicesPosition TypeRegular Full TimeRemote:NoPosition OverviewThe Field Service Technician III is responsible for the testing, maintenance and repair of low and medium voltage circuit breakers, transformers, switchgear, motor control and other electrical apparatus in the shop and...
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Clinical Nutrition Manager III
2 weeks ago
Brooklyn, New York, United States Sodexo Full timeUnit Description: Grow your career and develop a team that shares your desire to make a difference. Sodexo is seeking a Registered Dietitian for a Clinical Nutrition Manager position at Woodhull Hospital Center in Brooklyn, NY. This 364-bed hospital provides essential medical care to residents of North Brooklyn as part of the New York City Health + Hospitals...
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Call Center Representative
5 days ago
Brooklyn, United States NYC SCHOOL BUS UMBRELLA SERVICES Full timeJob DetailsLevelEntryJob LocationBrooklyn, Norman - Brooklyn, NYPosition TypeFull TimeEducation LevelHigh School/GEDSalary Range$19.00 - $19.00 HourlyTravel PercentageNoneJob ShiftDayJob CategoryCustomer ServiceDescriptionUnder the supervision of the Customer Service Manager, the Call Center Representative is primarily responsible for inbound and outbound...
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Customer Service Representative
2 days ago
Brooklyn, United States AJ Madison Full time** Customer Service Representative** * Customer Service * Brooklyn, United States ** Customer Service Representative** ** Job description** The Customer Service Representative is responsible for providing effective customer service for all internal and external customers by using excellent, in-depth knowledge of company products and programs as well as...
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| Cook III
5 days ago
Brooklyn, United States The Jewish Board Full time1954A | Cook III in Brooklyn at The Jewish Board Location * **Location:** **Experience:** Not Specified **Job Description** Make a bigger difference **PURPOSE:** The Mishkon Division provides supports and services in a healthy and safe environment for individuals with intellectual/ developmental disabilities living in residential programs and in community...
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Customer Service Representative
2 days ago
Brooklyn, United States prutech solutions Full time**Role: Collection Representative** **Duration: 5 + 7 Years Long Term Contract** **Location: Brooklyn NY 11201** Interview: 3 Rounds of Interview (2nd Round of interview In-person Interview) In a Call Center environment, the collections representative is responsible for collecting on unpaid TAB Notices of Violations. **Responsibilities**: - Collection...
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Collection Representative
3 days ago
Brooklyn, NY, United States PruTech Solutions Inc Full timeRole: Collection Representative Location: 29 Gallatin Pl, Brooklyn, NY 11201 Duration: 5+ Years In a Call Center environment, the collections representative is responsible for collecting unpaid Notices of Violations. Responsibilities: Collection calls with diligent follow-up skills Notifying customers of delinquent status and utilizing established solutions...
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Merchant Services Sales Representative
1 week ago
Brooklyn, United States Captain Capital Group LLC Full timeAre you ready to embark on a rewarding journey in the world of finance? Captain Capital Group is seeking dynamic individuals to join our team as Merchant Services Sales Representatives. As a merchant cash advance broker, we are committed to empowering small to medium-sized businesses by facilitating the funding they need to thrive and prosper. **About...
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Property Manager
1 week ago
Brooklyn, United States HL Property Management LLC Full time**Benefits**: - 401(k) - 401(k) matching - Dental insurance - Health insurance - Paid time off WHO WE ARE We are HL Property Management, HL General Constructions and HL Dynasty Real Estate. We are looking for Experienced Property Manager that can lead the Property Management Department to better and advanced than now. We are looking for individual that...
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Clinical Nutrition Manager III
3 weeks ago
Brooklyn, United States Sodexo Full timeUnit Description: Grow your career and develop a team that shares your desire to make a difference. Sodexo is seeking a Registered Dietitian for a Clinical Nutrition Manager position at Woodhull Hospital Center in Brooklyn, NY. This 364-bed hospital provides essential medical care to residents of North Brooklyn as part of the New York City Health +...
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Maintenance Technician III
4 days ago
Brooklyn Park, Minnesota, United States Genesis10 Full timeNew Journey, a Genesis10 company, is actively seeking a Maintenance Technician III resource for a Direct Hire position with our client.This position is responsible for Electrical and Mechanical tasks on automated packaging and distribution equipment utilizing working knowledge to troubleshoot and repair Control Circuits, Electrical Distribution Systems, and...
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Maintenance Technician III
5 days ago
Brooklyn Park, Minnesota, United States Genesis10 Full timeNew Journey, a Genesis10 company, is actively seeking a Maintenance Technician III resource for a Direct Hire position with our client.This position is responsible for Electrical and Mechanical tasks on automated packaging and distribution equipment utilizing working knowledge to troubleshoot and repair Control Circuits, Electrical Distribution Systems, and...
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Clinical Nutrition Manager III
4 weeks ago
Brooklyn, United States Sodexo Full timeUnit Description: Grow your career and develop a team that shares your desire to make a difference. Sodexo is seeking a Registered Dietitian for a Clinical Nutrition Manager position at Woodhull Hospital Center in Brooklyn, NY. This 364-bed hospital provides essential medical care to residents of North Brooklyn as part of the New York City Health +...
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Clinical Nutrition Manager III
4 weeks ago
BROOKLYN, United States Sodexo Full timeUnit Description: Grow your career and develop a team that shares your desire to make a difference. Sodexo is seeking a Registered Dietitian for a Clinical Nutrition Manager position at Woodhull Hospital Center in Brooklyn, NY. This 364-bed hospital provides essential medical care to residents of North Brooklyn as part of the New York City Health +...
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Brand Marketing Manager
2 weeks ago
Brooklyn, United States Reiff Management Solutions Full timeIf you are eager to learn and would like to join a company that you could grow with, Reiff Management Solutions has a marketing and brand management position that may just fulfill your career goals. We are currently looking for individuals that would like to have superior individualized training in the field of brand management. Our entry level Brand...