Conduct coverage reviews based on individual member plan benefits and national and proprietary coverage review policies, render coverage determinations Document clinical review findings, actions and outcomes in accordance with policies, and regulatory and accreditation requirements Engage with requesting providers as needed in peer to peer discussions Be knowledgeable in

Conduct coverage reviews based on individual member plan benefits and national and proprietary coverage review policies, render coverage determinations Document clinical review findings, actions and outcomes in accordance with policies, and regulatory and accreditation requirements Engage with requesting providers as needed in peer to peer discussions Be knowledgeable in

Assess complaints of alleged misconduct received within the Company Investigate low to medium complex cases of fraud, waste and abuse Detect fraudulent activity by members, providers, employees and other parties against the Company Develop and deploy the most effective and efficient investigative strategy for each investigation Maintain accurate, current and thorough case

The Opportunity Business Development and Project Management leader at a Growth Oriented Energy Company Play a critical role in defining and delivering on the company's electric power market strategy and equipment reliability execution Work closely with skilled leaders and subject matter experts while enjoying executive level visibility Enjoy the entrepreneurial energy of

Industrial Site Fire Chief/EMT plans, organizes, and directs the emergency service operations of a full service Fire/EMS/Rescue emergency response agency. Accountable for the overall support and direction within the area of responsibility. Directs planning, organization, and control of assigned industrial facility in accordance with all company philosophies, strategies, g

EMTs provide an assessment of patients, determine necessary care and deliver emergency services by utilizing appropriate medical techniques and equipment. Document patient information, condition and treatment while maintaining confidentiality and patient rights. Take pride in providing a safe, clean, and well stocked environment for patients. Use appropriate EMT skills to

EMTs assess patients, determine necessary care and deliver emergency services by using appropriate medical techniques and equipment. Document patient information, condition and treatment while maintaining confidentiality and patient rights. Take pride in providing a safe, clean, and well stocked environment for patients. Use appropriate EMT skills to provide care includin

Assess each call situation to determine the best course of action while working with progressive Paramedic protocols. Utilize your Paramedic skills on medical equipment and procedures including defibrillator, EKG monitor, oxygen and suction devices, and intravenous fluids to provide advanced medical care. Communicate with patients and loved ones to provide information and

Sets up and operates manual machines, including but not limited to mills and lathes, to perform machining operations by performing the following duties. Responsibilities Read, process sheets, blueprints, and sketches of part to determine machining to be done, dimensional specifications, set up, and operating requirements. Interpret work instructions. Identify, select and

Job Objective The Compensation Manager plays a critical role in designing, managing, and implementing compensation programs to attract, reward, and retain top talent across Hilcorp. Manages payment processing of compensation programs through the oversight of the payroll function. Essential Job Responsibilities Lead the design and delivery of compensation programs, policies

Primary objective is to consult and support the Asset business units and Information Technology (IT) department to understand the technology needs and challenges, ensure that projects align with best practices and IT strategy in support of the overall business strategy. This person analyzes, reviews and documents requirements of a project throughout its life cycle. Essenti

At Coca Cola Southwest Beverages, we take pride in our ability to consistently bring happiness and refreshments to consumers in their communities. Our Order Replenishment Merchandisers play a pivotal role in ensuring our iconic brands are always available to our customers. If you are interested in merchandising some of the most popular beverages in the world, this role is

Reporting to the VP Global Manufacturing, this is a key leadership role responsible for the overall manufacturing operations of our south region which includes the following chemical sites Diboll, TX; Baytown, TX; Geismar/Luling, LA; Alexandria, LA; Hope, AR; Columbus, GA; Fayetteville, NC; and Morganton, NC. The individual in this role will be accountable for driving rob

Summary Takes food and beverage orders and efficiently delivers items to dining room guests. Essential Duties and Responsibilities Promptly and warmly greet guests in the dining room; takes food and beverages in an efficient manner, following established steps of service. Delivers food promptly and professionally; maintains safe food handling and sanitation standards. Fol

Summary Prepares food in accordance with applicable federal, state and corporate standards, guidelines and regulations with established policies and procedures. Ensures quality food service is provided at all times. Essential Duties and Responsibilities Prepares high quality food items according to standardized recipes and instructions to meet production, delivery and ser