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At MVP Health Care, we're on a mission to create a healthier future for everyone - which requires innovative thinking and continuous improvement. To achieve this, we're looking for a Clinical Investigator to join #TeamMVP. This is the opportunity for you if you have a passion for problem solving and investigations, commitment to compliance and ethical standards and dedication to continuous learning and improvement. What's in it for you: • Growth opportunities to uplevel your career, • A people-centric culture embracing and celebrating diverse perspectives, backgrounds, and experiences within our team, • Competitive compensation and comprehensive benefits focused on well-being, • An opportunity to shape the future of health care by joining a team recognized as a Best Place to Work For in the NY Capital District, one of the Best Companies to Work For in New York, and an Inclusive Workplace. Qualifications you'll bring: • A clinical investigator must have in addition to the above requirements: A duly licensed or authorized medical professional, including but not limited to MD or RN., • New York State Nursing license required (RN preferred). Experience in health insurance fraud investigations preferred., • Obtain CPC and/or COC credential., • Maintain nursing license and coding credentials through continuing education process as required., • Superior judgment skills, verbal and written communication, and presentation skills., • Extremely detail-oriented with excellent organizational and analytical skills., • Ability to utilize various data management tools to help identify potentially fraudulent activity., • Possess knowledge of CPT-4, ICD-9-CM, ICD-10-CM, HCPCS and CPT Assistant coding guidelines as they relate to claim data., • Working knowledge of MS Office (Word, Excel and Outlook), • Curiosity to foster innovation and pave the way for growth, • Humility to play as a team, • Working knowledge of Macess, Facets, CareRadius, Cognos, CMS web sites, and Encoder-Pro. Your key responsibilities: • Conduct clinical reviews of various forms of medical documentation and records obtained from providers and facilities including but not limited to medical charts, patient account records, and member interviews., • Organize and conduct highly complex investigations. Document findings and recommendations throughout the investigative process in a timely and efficient manner according to corporate and departmental SIU policies and procedures., • Act as an SIU liaison and interact with and analyze data in cooperation with Pharmacy, Medical Affairs, Operations, Provider Relations, Credentialing, Customer Care Center, Legal and other corporate personnel., • Assist in investigations conducted by government agencies, law enforcement, and other insurance company SIU staff., • Make recommendations for and conduct clinical re-audits of providers and facilities previously audited by SIU., • Testify in criminal and civil legal case proceedings as necessary and assist outside legal counsel especially concerning issues needing clinical decision making., • Participate in annual Corporate FWA training and training of new SIU personnel., • Keep abreast of Federal and State Anti-Fraud investigation and reporting requirements including HIPAA, CMS, Medicare, Medicaid, and any corporate compliance initiatives or policies., • Minimal travel may be required pertaining to investigations and audits., • Contribute to our humble pursuit of excellence by performing various responsibilities that may arise, reflecting our collective goal of enhancing healthcare delivery and being the difference for the customer. Where you'll be: Virtual; Must reside within Eastern or Central Time Zone #CS Pay Transparency MVP Health Care is committed to providing competitive employee compensation and benefits packages. The base pay range provided for this role reflects our good faith compensation estimate at the time of posting. MVP adheres to pay transparency nondiscrimination principles. Specific employment offers and associated compensation will be extended individually based on several factors, including but not limited to geographic location; relevant experience, education, and training; and the nature of and demand for the role. We do not request current or historical salary information from candidates. MVP's Inclusion Statement At MVP Health Care, we believe creating healthier communities begins with nurturing a healthy workplace. As an organization, we strive to create space for individuals from diverse backgrounds and all walks of life to have a voice and thrive. Our shared curiosity and connectedness make us stronger, and our unique perspectives are catalysts for creativity and collaboration. MVP is an equal opportunity employer and recruits, employs, trains, compensates, and promotes without discrimination based on race, color, creed, national origin, citizenship, ethnicity, ancestry, sex, gender identity, gender expression, religion, age, marital status, personal appearance, sexual orientation, family responsibilities, familial status, physical or mental disability, handicapping condition, medical condition, pregnancy status, predisposing genetic characteristics or information, domestic violence victim status, political affiliation, military or veteran status, Vietnam-era or special disabled Veteran or other legally protected classifications. To support a safe, drug-free workplace, pre-employment criminal background checks and drug testing are part of our hiring process. If you require accommodations during the application process due to a disability, please contact our Talent team at .

Job Description Position Overview: The Restaurant General Manager (RGM) is the executive leader of the restaurant focused on profitability, guest, people and operations. The RGM has overall responsibility for managing the daily operations of a single restaurant. The RGM operates under the direction of the District Manager and directly manages a team of an Assistant Manager, Hourly Shift Coordinators and Team Members (20-45 employees). Summary of Responsibilities: Profitability • Has primary accountability for the restaurant P&L and actively manages towards desired financial outcomes, • Reviews key P&L lines to increase profitability for the restaurant, • Motivates and directs team members to exceed guest expectations with accurate, friendly, and fast service in a clean facility, • Manages the guest experience through operations and timely response to Guest issues, • Problem solves guest feedback systems to determine root-causes and develops action plans to address issues, • Leads the restaurant’s recruitment and selection process to build and retain an effective restaurant team, • On-boards new team members by training and guiding them through the certification process, • Inspires the restaurant team by effectively managing individual and team recognition programs, • Manages restaurant labor using optimal Manager staffing and Team Member scheduling, • Enforces compliance with government regulations, employment laws and BKC policies Qualifications and Skills: • Must be at least eighteen (18) years of age, • Must be proficient with Microsoft Office and e-mail, • High School Diploma or GED required; 2 years of college preferred, • 1-2 years of previous restaurant management experience, • Strong understanding of P&L management & drivers of restaurant profitability, • Ability to prioritize own and others’ work and time to meet deadlines and objectives, • Demonstrated leadership skills, • Demonstrated understanding of guest service principles, • Available to work evenings, weekends and holidays, • Ability to work long and/or irregular shifts as needed for proper functioning of the restaurant This job pays $60,425 annually + bonus. About TIM HORTONS Tim Hortons is one of North America's largest restaurant chains operating in the quick service segment. Founded as a single location in Canada in 1964, Tim Hortons appeals to a broad range of guest tastes, with a menu that includes premium coffee, hot and cold specialty drinks (including lattes, cappuccinos and espresso shots), specialty teas and fruit smoothies, fresh baked goods, grilled Panini and classic sandwiches, wraps, soups, prepared foods and other food products. Tim Hortons has more than 5,400 system wide restaurants located in Canada, the United States and around the world. To learn more about the TIM HORTONS brand, please visit the TIM HORTONS brand website at or follow us on Facebook, Twitter and Instagram. About Restaurant Brands International (RBI) Restaurant Brands International Inc. is one of the world's largest quick service restaurant companies with over $40 billion in annual system-wide sales and over 30,000 restaurants in more than 100 countries. RBI owns four of the world's most prominent and iconic quick service restaurant brands – TIM HORTONS, BURGER KING, POPEYES, and FIREHOUSE SUBS. These independently operated brands have been serving their respective guests, franchisees and communities for decades. Through its Restaurant Brands for Good framework, RBI is improving sustainable outcomes related to its food, the planet, and people and communities. Our organization participates in E-Verify. Click here to learn about E-Verify.