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Job Description MISSION STATEMENT Are you ready to give back to the community while pursuing your passion? For over 50 years, Acacia Network and its affiliates have been committed to improving the quality-of-life and wellbeing of underserved communities in New York City and beyond. We are one of the leading human services organizations in New York City and the largest Hispanic-led nonprofit in the State, serving over 150,000 individuals every year. Our programs serve individuals at every age and developmental level, from the very young through our daycare programs to mature adults through our older adults centers. Our extensive array of community-based services are fully integrated, bilingual and culturally competent. POSITION OVERVIEW The Utilization Manager is responsible for the day-to-day functions of collaborative communication with external case managers at referring provider facilities and/or managed care organizations (MCO) for data collection, interpretation, and certification/recertification from third party payers at pre-admission through discharge, ongoing medical necessity reviews and interdisciplinary team support with respect to MCO requisites. In addition, this position is responsible for having a thorough understanding of patient treatment plans through participative discussions with the care plan (interdisciplinary) team, identifying and referring requests for services to the Medical Director when guidelines are not met and reviewing residential services requiring MCO approval. KEY ESSENTIAL FUNCTIONS • Obtaining the required pre-authorization/certification of specified services from the MCO and communicating end of benefit status and/or reimbursement changes to Finance and others as deemed necessary., • Conducting ongoing medical necessity reviews, which may be pre-service, concurrent and/or retrospective in nature, by evaluating clinical data and submitting appropriate documentation to update the patient/resident’s status to the MCO as scheduled., • Acting as a liaison between the residential program and the MCO to better facilitate the reimbursement process., • Referring MCO denials and non-covered medical services to the directors for appeal determination and next steps, • Conduct medical record reviews of all managed care patients within the first 24 to 72 hours (if admitted on a Friday after 5:00pm) then weekly as required to promote desired clinical and financial outcomes by, but not limited to:, • Meeting with all managed care residents/patients to better assist in the selection of appropriate provider resources and identification of quality and cost-effective services throughout the continuum of care., • Acting as a resource to the interdisciplinary team regarding MCO requirements for admission, continued stay and discharge planning., • Providing early identification of covered care and ensuring that claims are approved when the requirements are met., • Collaborate with clinicians to identify discharge needs and coordinates with Social Services in the creation and implementation of a discharge/transfer plan., • Coordinates post-discharge follow-up care with selected patients and community providers., • Maintains strong leadership skills to perform the multiple functions and a wide variety of tasks requiring independent judgment, ingenuity, and initiative., • Interacts with executives, directors, key members of the residential team, physicians, and their staff, third party payers, state and federal agencies, auditors, and vendors., • Maintains a high degree of computer proficiency with MS Word and MS Excel which is critical for the analysis conducted using this technology., • Maintains all information in a manner such as to assure strict confidentiality and compliance with HIPPAA., • Maintains full knowledge and understanding of state and federal regulations as they pertain to resident assessment requirements., • Minimum of 2 years of case management and/or utilization review experience, • Associate degree required; bachelor's Degree preferred., • Strong problem-solving and advanced analytical skills necessary to read, understand, interpret, and analyze statistical data., • Excellent oral, written, organizational and interpersonal communication skills., • Ability to communicate effectively with senior leadership as well as other clinical/nonclinical directors, managers, staff, consultants and MCOs. Acacia Network provides a comprehensive and competitive benefits package to our employees. In addition to a competitive salary, our benefits include medical, dental, and vision coverage. We also offer generous paid time off, including vacation days and paid holidays, to support a healthy work-life balance. We prioritize the well-being of our employees both professionally and personally. As an Equal Opportunity Employer, we encourage individuals from all backgrounds to apply.

Job Description Vestwell is the financial technology company powering the new savings economy. The New York City-based fintech platform redefines how people save for the critical aspects of life across retirement, education, and healthcare savings needs. Today, Vestwell enables over 350,000 businesses and nearly 1.5 Million active savers, with over $30 billion in assets saved across all 50 United States. Vestwell offers a range of products, including workplace-delivered retirement plans, employer-offered student loan repayment benefits, and various savings accounts for education, emergencies, and individuals with disabilities. Vestwell's platform serves a diverse clientele, including financial advisers, employers, third-party administrators, financial institutions, payroll providers, government agencies, and individual savers. To learn more, visit vestwell.com Who Are We Looking For? At Vestwell, we know that the key to growth is a high-performing sales team. That's why we're seeking a qualified sales development representative (SDR) to find and screen potential customers who could benefit from our range of financial wellness products and services. As the first line of communication with a prospect, the ideal SDR has a strong understanding of the sales methodology and excels at: * Engaging new clients through high volume calls and call cadences * Driving qualification, urgency and intent * Creating effective sales meetings for sales closers that optimize prospect conversion Vestwell SDRs should be a quick learner who has strong communication skills and an ability to showcase our offerings in a compelling way. SDRs are generally in this role between 6-9 months. After month 9, successful SDRs are eligible for promotion into full cycle, closing roles. What Will You Be Doing? • Represent the company's products and services & deliver Vestwell's value proposition to new prospects, including both financial advisors and business owners., • Qualify prospects, build intent & generate new meetings for sales through outbound calling., • Manage and maintain a pipeline of interested prospects and engage sales leaders in next steps., • Own your personal growth and development as a Vestwell sales representative by learning the financial services industry, Vestwell's range of financial wellness solutions, and the mechanics of a modern sales process., • Ability to utilize Salesforce & Salesloft to manage lead lists., • Understanding the Vestwell partnerships., • Understanding the products and services Vestwell offers., • Master talk tracks and ability to qualify prospects., • Identify the needs of prospects, and suggest appropriate products or services., • Set up meetings for prospects with field sales representatives., • Report to sales manager with weekly, monthly, and quarterly results. Requirements The Necessities • 1 or more years of experience in sales, with a track record of exceeding lead targets., • Strong communication skills via phone and email., • Proven, creative problem-solving approach and strong analytical skills., • Displays self-motivation for sales coaching and development., • Bachelor's degree (or equivalent) or at least five years of relevant work experience., • Experience as a sales development representative, with a track record of achieving & exceeding sales quotas., • Proficiency with Salesforce, Salesloft, or other CRM software., • Financial services &/or small business sales experience. This role will be based in the New York City office, and will be part of Vestwell's hybrid in-office operation. The expected base salary range for this position is a minimum of $55K - $60K, plus performance based variable. Please note that salary bands are based on NY and other similar metro areas and may differ based on where the role is ultimately hired. OUR BENEFITS We're an innovative, high-growth company, with lots of exciting milestones ahead. We value health and wellness at Vestwell and in addition to a dedicated Employee Wellbeing Committee, we offer competitive health coverage and generous vacation offering. We have adopted a hybrid office policy, but all employees are welcome at our bright, comfortable office with many workspace options in our Midtown Manhattan, Austin, King of Prussia, and Phoenix offices, so everyone has a setting that is the most productive for them. Oh, and naturally we have a great 401(k) plan! OUR PROCESS It starts the same for every candidate: getting to know the team members through 1-2 conversations about Vestwell, your experience, and your interests. Next steps can vary by role, but the usual next steps are a skill or experience screen (e.g. a coding interview for an Engineer, a portfolio review for a Designer, deeper experience call for other roles) which leads to a virtual or in-person interview panel after that if the screens go well. Before making an offer, our interview process concludes with a references check stage for your recruiter to meet with a current or former supervisor and peer. We prioritize transparency and lack of surprise throughout the process. For your awareness you will only receive correspondence from any other domain not ending in Vestwell.com is not our Recruitment team. Vestwell's Privacy Policy. Attention California residents: In the course of conducting our business and complying with federal, state, and local government regulations governing such matters as employment, tax, insurance, etc., we must collect Personal Information from you. Should you accept employment with Vestwell you may view our California Privacy Rights Act here: Vestwell's California Privacy Rights Policy.

Furthermore, they do not establish a contract for employment and are subject to change at the discretion of One Brooklyn Health (OBH). Educates staff, other health care professionals and third party payers on the benefits and functional outcomes of intervention. Participates in provision of in-servi

Demonstrate technical knowledge and skill in utility-scale solar construction and BESS construction. Onsite owner's representative monitoring of utility-scale solar construction completed by 3rd party EPC Contractors. Ability to lead and complete physically rigorous site inspections before and durin

Our subsidiaries include PSA, PCGS, Beckett, SGC, and Card Ladder. We're looking for a Customer Relations Specialist I to join our PSA Customer Relations team. Professional Sports Authenticator (PSA) is the largest and most trusted third-party trading card authentication and grading company in the w

This role will be comfortable accompanying Sales to speak with external customers daily, pitch new products to new-to-Samsung stakeholders, and educate the market on new Samsung offerings. Position Summary Samsung Ads is an advanced advertising platform that leverages Samsung's massive first-party

Our platform offers two core products: Merge Unified, which enables businesses to add hundreds of integrations to their products with a single API, and Merge Agent Handler, which empowers AI agents with secure access to thousands of third-party tools.

To all recruitment agencies: Bayer does not accept unsolicited third party resumes. Bayer is an Equal Opportunity Employer/Disabled/Veterans. Bayer is committed to providing access and reasonable accommodations in its application process for individuals with disabilities and encourages applicants wi

GEODIS specializes in unlocking business value in a complex world, ensuring seamless movement of goods worldwide.As a global third-party logistics provider (3PL), we power A Better Way to Deliver for the world's top brands and manufacturers.Fuel your career with GEODIS and discover endless growth op

Helps to prepare for physical inventory and supports the physical inventory day activities, including but not limited to preparing sales floor, stockroom, and pharmacy for inventory and auditing the third party team on the day of inventory. Assists in the maintenance of inventory records, including

Related to: Freight, Freight Brokerage, Freight Delivery, Transportation Logistics, Logistics, Transportation, Transportation Brokerage, Trucking, Trucking Brokerage, Truckload Brokerage, Supply Chain, Supply Chain Solutions, 3PL, Third Party Logistics, Shipping, Non-Asset, Non-Asset Brokerage, OTR,

Design and implement scalable and resilient solutions on Amazon Connect via infrastructure as code, contribute to large-scale projects, including system upgrades, platform migrations, and feature implementations. Integrate Amazon Connect with third-party CRMs, ticketing systems, and workforce manage

Compile all information indicated as the Contractor responsibility in the Engineering, Procurement, Construction (EPC) Compliance Matrix * Coordinate with third-party Environmental and Agricultural Monitor(s) and ensure implementation of their recommendations * Maintain site SWPPP compliance includi

Responsibilities: Prepare, package, and label meals, entrees, salads, party trays, rotisserie chicken, ribs, sushi, sliced meats and cheeses; Assemble take-and-bake pizzas.

Patient Financial Services Billing Specialist. Performs various billing, collection and third party reimbursement functions. Prior third party insurance billing experience, required.

Founded in 1869, we are a leading global investment banking, securities and investment management firm.

Research and analyze client equity holdings and transaction history through SEC filings and third-party datasets. Benefits Goldman Sachs is committed to providing our people with valuable and competitive benefits and wellness offerings, as it is a core part of providing a strong overall employee exp

As a Strategist on the Partnerships team at Nexxen, you'll be at the forefront of our data strategy and audience recommendation efforts, helping shape how Nexxen leverages our proprietary and third-party data to drive business growth.

Analyzing issuers via financial modeling, accounting review, capital structure review, covenant analysis, assessment of management quality, assessment of third-party research, ESG research and assessment and interacting with management and sell-side analysts, among others. A career with Goldman Sach

The Brand Ambassador's role is to engage with current and potential customers in local market to bring our brand and story to life through in-store demos, field marketing events and guerrilla marketing. The Brand Ambassador shares passion for the brand and our Company's history while educating and i

Delivers exceptional customer service through personal contact with customers.Interacts with and assists customers.Answers the telephone and rings on register.Handles Personalization Studio orders.Assists in receivi Sales, City, Associate, Seasonal.

Senior Accountant - Melville, NY. We are seeking a Senior Accountant to join our Minneapolis office team. Work closely with senior staff on litigation cases, first party property, business valuations.

Bank of America believes both in the importance of working together and offering flexibility to our employees. At Bank of America, we are guided by a common purpose to help make financial lives better through the power of every connection. US - NY - New York - ONE BRYANT PARK - BANK OF AMERICA TOWER

Blue Owl is seeking a detail-oriented and collaborative Product Marketing Operations Manager to lead our team of offshore resources. In addition, this leader will support Blue Owl's relationships with third-party distribution platforms in North America, streamlining communications and processes rela

Third Party Risk is a global, first line team within the Markets Operational Risk & Control group at Client and is responsible for developing, implementing firmwide policies and procedures to manage third party risk. Third-Party Risk Management Senior Analyst (MRA Remediation Support).

Maintain SLA framework by ensuring that ensure that SLAs are drafted and executed in line with regulatory requirements and Third-Party Risk Management Framework for affiliate's including but not limited to respective onboarding in BNP Paribas TPRM (Third Party Risk Management) tools with respect to

Analyst, Fulfillment Operations. The Analyst, Fulfillment Operations position will be based out of Peloton's NYC Headquarters. This position will support sales order fulfillment, order management, and final mile network optimization with our 3rd Party Logistics providers to ensure members have a fla

If you need to report a concern or have questions regarding Take-Two's equal opportunity commitment, please contact Careers@take2games. Take-Two Interactive Software, Inc. Please be aware that Take-Two does not conduct job interviews or make job offers over third-party messaging apps such as Telegra

Collaborate with other risk related functions review and requirements, such as Third Party Risk Management, IT Risk Management, Information Security and RCSA for instance as a BCM subject matter expert. The position will lead the coordination of Business Impact Analysis (BIA), Risk Assessment (RA),

As part of FRM, we contribute to OpenAI's overall financial risk posture by supporting audit readiness, third-party risk considerations, and ongoing process improvements across the finance ecosystem. Revenue Manager, Financial Risk Management. You'll engage with Product, GTM, Revenue Operations, Fin

If you are ready to advance your career in Risk & Compliance as a TPRM Contractor, we encourage you to apply today!. Third-Party Risk Management Contractor. A successful TPRM Contractor should have:.

Ares is currently seeking a highly motivated, detail-oriented team player to join as an Associate within our Corporate Strategy Group. The group strategically deploys Ares' balance sheet capital, as well as third-party capital, in accretive opportunities that enhance our current capabilities and/or

To determine eligibility for a work persona, ServiceNow may confirm the distance between your primary residence and the closest ServiceNow office using a third-party service. All employment is contingent upon ServiceNow obtaining any export license or other approval that may be required by relevant

The Third Party Risk Management AVP supports the Third Party Risk Management Team in the development and execution of the Bank's Enterprise Third Party Risk Management Program to measure, monitor, assess and report on the control of third party risk throughout the enterprise. Become proficient in th

Analyzing issuers via financial modeling, accounting review, capital structure review, covenant analysis, assessment of management quality, assessment of third-party research, ESG research and assessment and interacting with management and sell-side analysts, among others. The Research Analyst will

Reporting to the Director, Lab and Medical Sourcing, the Senior Category Manager is responsible for the sourcing, review, negotiation, and administration of goods and services to meet the University's business needs through third-party agreements.

Supports the VP of Revenue Cycle Operations and Optimization in managing aspects of revenue cycle optimization, including maintaining relationship and monitoring of third-party billing organization and EPIC hosting organization, identifying and implementing revenue optimization strategies, regulator

Performs various billing, collection and third party reimbursement functions.Enters charges, payments, and adjustments into department computer system and/or posts to manual records.Reviews batches to ensure accuracy.Verifies patient demographics, third-party coverage, codes, allowances, etc.Prepare

M&D Capital is a leading third-party Medical Billing and Revenue Cycle Management company serving clients across the United States.

Description As part of the Platform Sponsorship Program, this role plays a key part of the smooth running of day-to-day risk oversight functions for sponsored entities, including upfront onboarding of new opportunities, due diligence, ongoing monitoring and annual onsite reviews. The individual will be part of the Enterprise Payments 1st Line of Defense risk team and will ensure appropriate governance, oversight and risk management policies and procedures are implemented and followed. Reporting directly to the Senior Segment Risk Manager, you will join a group of dedicated professionals focused on creating the best in class client experience, product offerings and streamlined delivery of products, services and features. The scope of clients includes direct merchants (small businesses as well as large mid-market clients) as well as sponsored clients like independent sales organizations (ISOs)/payment facilitators (PFs). As a leader, you will have deep knowledge of the sponsorship acquiring and issuing models and associated products and services. You will participate in strategy development and go to market meetings, partner with key stakeholders across the 2nd line of risk teams and manage client interactions during the governance process. * Perform upfront due diligence reviews, including credit, FCG and risk policy review and approval * Determine lessons learned from onboarding a variety of clients to continue to enhance and streamline the end-to-end client experience * On a day-to-day basis, collaborate and partner with various risk partners and stakeholders across HNAB, including the 2nd LOD Risk, Enterprise Fraud, InfoSec, Third Party Relationship Management and 3rd LOD to effectively manage risk. * Support the Platform Sponsorship Program on activities to identify, measure, monitor, manage and report operational related risks (fraud, infosec/ cyber, model, third party) * Accountable in assisting the Segment and serve as a subject matter expert by advising and guiding operational risk initiatives, developing and monitoring KRI's/ KPI's, working with the segment to proactively self-identify operational risks and issues * Support risk identification, measurement and mitigation for new product and services leveraging best practices * Strong process orientation and problem-solving skills with an emphasis on risk management * Bachelors Degree or equivalent work experience * 5 years of merchant acquiring experience working at a sponsor bank or managing the sponsor bank relationship with clients * 5 years of Operational risk management and payments experience * Understanding of Visa, Mastercard, American Express and Discover rules and regulations * Experience with card brand bank sponsorship on site audit processes * Demonstrated ability to build and manage new policies, procedures and teams * Experience working directly with sponsor banks in the merchant acquiring business * Expertise in merchant acquiring credit and risk management and creating and managing merchant acquiring credit and risk policies * Knowledge of merchant boarding systems and processes and risk systems * Sponsor bank experience * Holds self and others accountable for meeting commitments by setting and clearly communicating expectations and roles and responsibilities relative to operational risk within Enterprise Payments * Superior organization, project management and analytical skills and attention to detail * High-level of commitment to quality work product and organizational ethics, integrity and compliance * Strong interpersonal skills and the ability to effectively communicate, both written and verbal * Ability to deal with ambiguity, multi-task and work effectively in a fast-paced environment * Demonstrated decision making and problem-solving skills to build shared agenda and drive results through collaboration * Ability to build a team, appropriately delegate and meet deadlines with minimal supervision * Proficiency in MS Office Suite Exempt Status: (Yes = not eligible for overtime pay) (No = eligible for overtime pay) Yes Office Our Approach to Office Workplace Type Certain positions outside our branch network may be eligible for a flexible work arrangement. We're combining the best of both worlds: in-office and work from home. Our approach enables our teams to deepen connections, maintain a strong community, and do their best work. Remote roles will also have the opportunity to come together in our offices for moments that matter. Specific work arrangements will be provided by the hiring team. $70,000 - $140,000 Annual Salary The compensation range represents the low and high end of the base compensation range for this position. Actual compensation will vary and may be above or below the range based on various factors including but not limited to location, experience, and performance. Colleagues in this position are also eligible to participate in an applicable incentive compensation plan. In addition, Huntington provides a variety of benefits to colleagues, including health insurance coverage, wellness program, life and disability insurance, retirement savings plan, paid leave programs, paid holidays and paid time off (PTO). Huntington is an Equal Opportunity Employer. Tobacco-Free Hiring Practice: Visit Huntington's Career Web Site for more details. Note to Agency Recruiters: Huntington will not pay a fee for any placement resulting from the receipt of an unsolicited resume. All unsolicited resumes sent to any Huntington colleagues, directly or indirectly, will be considered Huntington property. Recruiting agencies must have a valid, written and fully executed Master Service Agreement and Statement of Work for consideration.

Experience with billing software such as Aderant Expert and timekeeping tools like iTimeKeep. Familiarity with electronic billing systems and third-party invoicing platforms. Comfortable working with attorneys and administrative staff to support billing and collections.

MBS, Unilever's Marketing and Business Services Procurement team, is responsible for Unilever's sourcing and supplier strategy and execution for all third party spend across Marketing, Business Services, and IT, supporting the business requirements of Brands, Business Units, Business Groups, and fun

You will lead our daily third-party risk due diligence efforts, collaborating with departments like Technology, and Legal to address risks across a range of domains. We are looking for a Third-Party Risk Sourcing Manager to join our Strategic Sourcing team, reporting directly to the Executive Direct

All legitimate job opportunities from The New York Times will be accessible through The New York Times careers site. If you see a fake or fraudulent job posting, or if you suspect you have received a fraudulent offer, you can report it to The New York Times at NYTapplicants@nytimes. This is done by

Enterprise Account Executive - Light Industrial. Proven experience with light industrial enterprises, specifically those in supply chain, warehousing, distribution, or third-party logistics (3PL).

Senior Manager, Application Experience Transformation. Lead AI Enabled Innovation: Integrate intelligent automation and AI driven capabilities, including data pre fill and decision support, through responsible third-party partnerships that enhance speed, accuracy, and customer experience. Demonstrat

WHAT DO YOU BRING TO THE PARTY? - Do you possess prior retail management experience? - Can you lead a team in a dynamic and fast-paced environment? - Are you obsessed with ensuring that your customers are beyond satisfied? - Are you adaptable and able to manage change daily through your team? - Do y

Proven experience as an event manager with a strong trade show portfolio of working on third-party events. At DXC Technology, we believe strong connections and community are key to our success. DXC Technology Company (DXC) is an Equal Opportunity employer.