- Centene Corporation (Richmond, VA)
- …claim authorization functions, ensuring seamless coordination between authorization processes, claims reconciliation, and provider case resolution. This role focuses ... accuracy, and driving efficiency to support timely and compliant claims outcomes. + Leads utilization management team on performance,...plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay… more
- Humana (Raleigh, NC)
- …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to complex clinical… more
- Humana (Juneau, AK)
- …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to complex clinical… more
- GuideOne Insurance (Lincoln, NE)
- As a Commercial Casualty Claims Adjuster, you will serve as a real partner to our members by processing claims accurately and efficiently so they can resume ... + This position handles Commercial General Liability, Commercial Trucking, Director 's & Officer Liability, Employment Practices Liability, Commercial Auto injuries,… more
- Commonwealth Care Alliance (Boston, MA)
- …at this time._** **Position Summary:** Working under the direction of the Sr. Director , TPA Management and Claims Compliance, Healthcare Medical Claims ... 011250 CCA- Claims Hiring for One Year Term **_This position is available to remote employees residing in Massachusetts. Applicants residing in other states will… more
- Zurich NA (New York, NY)
- AVP, Claims General Liability 126572 Zurich is currently seeking an AVP to direct and oversee the operations of our Claims General Liability leadership team. ... dynamic leader to guide and support a high-performing team of Managers and Claims Professionals within our General Liability Specialty Team. In this pivotal role,… more
- Travel + Leisure Co. (Orlando, FL)
- …into exceptional experiences for millions of travelers worldwide. The **Senior Property Claims Analyst** will play a crucial role as part of a high-performing, ... results-oriented Risk Management Team. The Senior Property Claims Analyst will be accountable for all aspects of...is hybrid in office Monday, Tuesday and Wednesday, and remote Thursday and Friday. **How You'll Shine:** + Functions… more
- Danaher Corporation (New York, NY)
- …Business System (https://www.danaher.com/how-we-work/danaher-business-system) which makes everything possible. The Director of Generative AI leads the strategy and ... governed multi-modal datasets (text, tabular, device logs, lab results, EHR/ claims ), develop and validate production-grade RAG, fine-tuned LLMs, and task-specific… more
- Aegon Asset Management (Cedar Rapids, IA)
- …and law enforcement. + Work closely with department manager, legal counsel, medical director , claims assistants, and other departments to gather information for ... + Ability to multi-task and adapt to change Preferred Qualifications + Claims experience Working Conditions + Office/Hybrid/ Remote (Call Center) Environment… more
- Marriott (Bethesda, MD)
- …of international claims , document handling, mail routing and check processing. The Claims Support Specialist reports to the Sr. Director , Global Claims ... $33.12 per hour This is a temporary position. The Claims Support Specialist will provide administrative support for ...commuting distance to Bethesda, MD will be considered for Remote positions. Marriott International is the world's largest hotel… more
- Centene Corporation (Indianapolis, IN)
- …benefits including a fresh perspective on workplace flexibility. **We're Hiring: Remote Medical Directors** Centene Corporation is a leading provider of ... + Actively practices medicine **Position Purpose:** Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and… more
- WCG Clinical (Cary, NC)
- Data Analytics & Insights (DAI) Product Solutions, Associate Director ( Remote ) **General Information** **Location:** Cary, NC, Remote **Organization:** ... and geographic location. **JOB SUMMARY:** The DAI Product Solutions Associate Director is a key leader responsible for advancing business-critical initiatives across… more
- Morley (Houston, TX)
- …required) Ready to take your creative career to the next level? As a remote Art Director on Morley's award-winning in-house creative team, you'll lead with ... deliverables + Experience: + Five years as an Art Director in an agency or in-house creative environment +...or Maya + Automotive experience + Experiential design background Remote Work Requirements + Texas resident + High-speed internet… more
- Centene Corporation (Jefferson City, MO)
- …perspective on workplace flexibility. **Position Purpose:** Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement ... of performance improvement initiatives for capitated providers. + Assists Chief Medical Director in planning and establishing goals and policies to improve quality… more
- Mount Sinai Health System (New York, NY)
- …** Director Pre Appeals Management-HSO Appeals Management -Corporate 42nd Street-Full-Time-Days - Remote ** The Director , Pre Appeals Management is a strategic ... coordination of care to improve patient outcomes while controlling costs. The Director collaborates closely with medical staff, vendors, case management, and payers… more
- Danaher Corporation (New York, NY)
- …System (https://www.danaher.com/how-we-work/danaher-business-system) which makes everything possible. The Senior Director of Data & AI is responsible for the ... of the Chief Innovation Office and will be fully remote . In this role, you will have the opportunity...and data visualization. + Proven experience with RWE/RWD (EHR, claims , registries, labs/device telemetry) to inform clinical, regulatory, and… more
- Sedgwick (Helena, MT)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance Managed Care Client Service Director ( REMOTE ) Are you looking for an opportunity to join a ... for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The… more
- Two95 International Inc. (Atlanta, GA)
- Job Title: Director , Health Plan Analytics Job type : Remote Work Type : 6+ Months Contract with extension Rate : $Market /Hour Requirements Position Summary: As ... the Director of Analytics, you will lead a team of...including but not limited to enrollment, finance, call center, claims , Case Management and Utilization Management * 5+ years… more
- Zurich NA (Schaumburg, IL)
- Claims IT Development - Subject Matter Expert (SME) 122364 Zurich North America is looking for a Claims IT Development - Subject Matter Expert (SME) to work in ... product development area Preferred Qualifications: + P&C - Commercial Insurance, Claims system experience desired + Practical experience in defining and implementing… more
- Seek Now (KY)
- …broadening its impact across diverse property sectors. Job Description: As a Director of Strategic Accounts, you will manage key account relationships and identify ... Strong understanding of the P&C insurance industry, including carrier operations, claims processes, and vendor management dynamics. + Experience working with… more