Assist in end to end provider claims and help enhance call quality Assist in efforts to enhance ease of use of physician portal and future services enhancements Experience with New Jersey Medicaid service delivery Contribute to design and implementation of programs that build/nurture positive relationships between the health plan, providers, and practice managers Support

The Manager of Clinical Analytics is a managerial position requiring excellent leadership, communication, and data analytics technical skills. The position is a key team member collaborating in a multi disciplinary business environment with colleagues across the enterprise to support clinical performance analytics, development, and reporting that deliver actionable clinic

Establish and implement the HR agenda in support of achieving the business strategy and operating plan. Serve as a member of the business area Management team, supporting the Business in aligning HR programs to support business ambition and targets. Partner with the Product Area leaders and HR Product Area Leads to establish and drive employee engagement actions creating

This role will be responsible for leading and developing a team of claims professionals that will be responsible for Management of claims including the investigation, analysis and evaluation of coverage liability and damages, within best practices Providing technical advice, training and guidance to direct reports and TPA/Contractor adjusters including strategic direction

Lead monthly or quarterly check ins with Network Partners; maintain log of open issues and initiatives for each assigned Network Partner Provide monthly updates on Networks within assigned block of business Maintain Implementation Guide for assigned Networks designed to foster retention and drive growth; update at least quarterly Analyze Network utilization on a quarterly

The US Capital Markets Electronic Communication Surveillance Group ("ECSG") is responsible for conducting surveillance of electronic communications pursuant to FINRA Rule 3110. Members of the ECSG will be expected to provide surveillance coverage to relevant business units in line with industry best practices; provide top tier support to the business lines serviced; mitig

Job Description What is the Opportunity? Provide advisory coverage and conduct ongoing monitoring and surveillance of trading and covered fund activities for compliance with the Volcker Rule (the "Rule") across 140+ desks and 500+ covered fund investments. Provide oversight and management of Volcker Frameworks. What will you do? Provide general advisory support to the bus

The Specialist, Wire Investigations is responsible for conducting complex and sensitive investigations related to wire transfers, fraud, and compliance. The specialist will use various tools and techniques to identify, analyze, and report on suspicious or unusual wire activity, and will collaborate with internal and external partners to mitigate risks and ensure compliance

At Virtua Health, we exist for one reason to better serve you. That means being here for you in all the moments that matter, striving each day to connect you to the care you need. Whether that's wellness and prevention, experienced specialists, life changing care, or something in between we are your partner in health devoted to building a healthier community.If you live o

At Virtua Health, we exist for one reason to better serve you. That means being here for you in all the moments that matter, striving each day to connect you to the care you need. Whether that's wellness and prevention, experienced specialists, life changing care, or something in between we are your partner in health devoted to building a healthier community.If you live o

At Virtua Health, we exist for one reason to better serve you. That means being here for you in all the moments that matter, striving each day to connect you to the care you need. Whether that's wellness and prevention, experienced specialists, life changing care, or something in between we are your partner in health devoted to building a healthier community.If you live o

Assisting with large AML advisory/consulting engagements at large and mid sized financial services companies. Aiding to define and develop technical and data requirements for AML systems. Aiding in the configuration of an AML system. Designing, planning for, and executing data workstreams as part of an AML system implementation. Performing data analysis, data mapping, and

The KPMG Advisory practice is currently our fastest growing practice. We are seeing tremendous client demand, and looking forward we don't anticipate that slowing down. In this ever changing market environment, our professionals must be adaptable and thrive in a collaborative, team driven culture. At KPMG, our people are our number one priority. With a wealth of learning