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Job Description: S top-loss Job Tasks This position is responsible for thorough evaluation of all submitted claims to ensure appropriate reimbursement of Stop Loss claims. Responsibilities: -Analyzing claims to ensure all necessary documentation has been received and criteria are met for reimbursement, including evaluation of appropriate billing, member eligibility, contracts and plan specifications. -Coordinating with various departments to ensure that all cost containment initiatives are executed, and appropriate case management is engaged. -Initiating claim reimbursement to self-funded... more ->
Job Number 24103341 Job Category Rooms & Guest Services Operations Location Dorado Beach a Ritz-Carlton Reserve, 100 Dorado Beach Drive, Dorado, Puerto Rico, United States VIEW ON MAP Schedule Full-Time Located Remotely? N Relocation? N Position Type Management JOB SUMMARY Assists the Front Office Manager in administering front office functions and supervising staff on a daily basis. Front office areas include Bell/Door Staff, Switchboard and Guest Services/Front Desk. Position directs and works with managers and employees to carry out procedures ensuring an efficient check in and check out... more ->
Job Number 24103336 Job Category Food and Beverage & Culinary Location Dorado Beach a Ritz-Carlton Reserve, 100 Dorado Beach Drive, Dorado, Puerto Rico, United States VIEW ON MAP Schedule Full-Time Located Remotely? N Relocation? N Position Type Management JOB SUMMARY Manages the daily pastry operations. Exhibits creative baking and decorating talents by personally performing tasks while leading the staff in preparing quality and consistent pastries for all areas. Works to continually improve guest and employee satisfaction while maintaining the operating budget. Supervises all pastry areas... more ->
Life's not about a job, it's about purpose. Do you love sales? Are you passionate about serving your community? Do you want to make a difference with your work? We're looking for a sales professional to join our dynamic team! We put people first and value integrity and attention to detail in our work. We'll change everything you ever thought about working in the funeral services industry. This isn't your typical job-and we're not your typical company! Our Sales Professionals enjoy Unlimited Income Potential - with a competitive commissioned incentive package Stability - Service Corporation... more ->
Become a part of our caring community and help us put health first The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All work occurs with a context of regulatory compliance, and... more ->
Job Description About Oracle NetSuite Founded in 1998, Oracle NetSuite was the first cloud company - ushering in the new era of cloud computing. NetSuite's mission is to deliver one system, the suite, that gives leaders a complete view into their business. As the leading provider of a full, cloud-based ERP suite, including financials, inventory management, HR, professional services automation, and omnichannel commerce modules, NetSuite gives businesses the visibility, agility, and control needed to grow. As an employee of the first cloud company with a 25-year proven track record, you'd be... more ->
Job Description We are seeking a self-motivated, passionate product manager to join our Workforce Management team. If you excel at cross-functional collaboration, multi-tasking, and have a track record of delivering exception user experiences, join us in revolutionizing how businesses optimize their workforce efficiencies. This is a Hybrid position (on-site work will be required) Location: Pleasanton, CA or Redwood City, CA Define functional requirements and provide design specifications for the products managed Prior experience in workforce management products including Time & Labor, Absence... more ->
37560BR Requisition ID: 37560BR Business Unit: TSU Job Description: Imagine a place committed to offering an unmatched employee experience. Where you work on projects that are meaningful to you. Where you play an active part in shaping your career journey. Where your co-workers are invested in you and your success. Where you are encouraged and supported to do your very best and given the tools and resources to do so. Where it's a priority that the company takes good care of you and your family. Our employees are the heart of our company. As an employer of choice, our goal is to provide a... more ->
Job Description About Oracle ERP, HCM and CX Oracle's outstanding suite of products-including Oracle Cloud Enterprise Resource Management (ERP), Enterprise Performance Management (EPM), and Supply Chain Management (SCM), Customer Experience in Sales and Service (CX), and Human Capital Management (HCM) -provides end-to-end solutions with mobile optimization through cloud deployments. Oracle's ERP Cloud enables companies to streamline their business processes with financials, procurement, and project portfolio/risk management. Our EPM Cloud allows companies of any size to drive predictable... more ->
Indirect Channel Manager - Clinical Applications and Devices. As the Indirect Channel Manager for Clinical Applications and Devices, you will drive business growth by developing and expanding distribution channels for consumables and sensors, working closely with clinical partners, distributors, and internal teams to implement strategic go-to-market initiatives. Your role: Role and Greater Impact: The Indirect Channel Manager will be pivotal in developing and expanding distribution channels for clinical applications and devices, focusing on consumables and sensors. By implementing strategic... more ->
THIS ROLE REQUIRES UP TO 80% OF TRAVEL AS NEEDED. A COMPANY VEHICLE IS PROVIDED (4X4 for this territory specifically). THE CANDIDATE MUST BE CURRENTLY LOCATED IN ONE OF THE FOLLOWING STATES: IDAHO (HIGHLY PREFERRED), WASHINGTON, MONTANA OR OREGON. Job Description Diagnose complex technical issues: Responsible for investigating customer issues that are beyond the capabilities of existing internal and external trained technical resources, leveraging your deep technical expertise to collaborate with diverse stakeholders (Sales, Distributors, Service Contractors, Operations, Product Support,... more ->
Job Description Oracle's mission is to help people see data in new ways, discover insights, and unlock endless possibilities! At Oracle Consulting, we're building the bridge between Oracle's innovative technology and the people who use it to achieve incredible things. Our team focuses on North American based clients. With Oracle's aim to bring a customer-first approach with deep industry insight to deliver positive outcomes to our clients in their transformation to Oracle Cloud technologies. We're growing fast, and we need transformational leaders ready to bring their unique skills, energy,... more ->
Through our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments - creating exceptional outcomes for our clients and the millions of people who count on them. You have an opportunity to personally thrive, make a difference and be part of a culture where individuality is noticed and valued every day. Bilingual Fraud Customer Service Representative ? Onsite Guaynabo, PR $12.10?HR? Opportunity to earn an additional $350 per month. Great Benefits?and Paid Training! Summary: ? As a Bilingual Fraud Customer... more ->
What you will do? ? ? We are looking for a skilled HVAC systems technician who have worked in residential, light commercial and/or heavy commercial markets to join our team to work the most advanced heavy commercial and industrial cutting-edge equipment.? How will you do it? ? ? We provide factory certification through our Service Technical Academy (STA) with milestone recognition and monetary rewards and advancement, increased incentive opportunity for executed pull-through work, top of the line technology, equipment, and uniforms and a #1 focus on employee safety. We will equip you with... more ->