- Banner Health (Phoenix, AZ)
- …Mgmt **Work Shift:** Day **Job Category:** Legal The **Executive Director , Claims & Litigation Counsel** will provide strategic and operational leadership to ... with healthcare risk management, quality management, in house liability claims management (including litigation and claims reserves) and litigation**… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …Healthsource blog: https://healthsource.premera.com . We are seeking an experienced and dynamic ** Claims Operations Director ** to join our team and oversee our ... Lives** Our purpose, to improve customers' lives by making healthcare work better, is far from ordinary. And so...processes. In this capacity, you will lead a strong claims team, drive strategic initiatives and vendor… more
- Zelis (NJ)
- Position Overview: The Director of Out of Network Claims Negotiations is responsible for overseeing the daily operations of the Out of Network Negotiation ... within the OON Negotiations department. + Identify and implement strategic initiatives to drive savings and revenue with a...historical equivalent experience. + 10+ years of experience in claims processing. + 5+ years of experience managing a… more
- Elevance Health (Denver, CO)
- **Business Change Director - Claims /Payment Integrity Use-Case Lead** **Location:** This position will work a hybrid model (remote and office). Ideal candidates ... live within 50 miles of a PulsePoint location. The **Business Change Director - Claims /Payment Integrity Use-Case Lead** is responsible for collaborating with… more
- Prime Healthcare (Farmers Branch, TX)
- …With Us! (https://careers-primehealthcare.icims.com/jobs/170543/corporate- director %2c-pfs-outsourcing-%26- strategic ... protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC\_KnowYourRights\_screen\_reader\_10\_20.pdf Responsibilities The Corporate Director PFS Outsourcing and Strategic Initiatives is… more
- CommonSpirit Health (Houston, TX)
- …risk-related subject matter expert. + Ensures that risk management activities for claims are completed including timely claim identification and reporting, ... TX office and will travel regionally in the south region. The Region Director Risk Management and Loss Prevention is responsible for orchestrating the successful… more
- Prime Healthcare (Farmers Branch, TX)
- … will lead improvement efforts through execution of business objectives and strategic initiatives. The Director will provide issue resolution, develop and ... systems as a minimum. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/170551/corporate- director %2c-billing-optimization/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityPrime Healthcare Management Inc… more
- Chesapeake Regional Healthcare (Chesapeake, VA)
- Summary The Risk Director assesses, plans, implements, and directs the Risk Management activities of the organization. The Risk Director works collaboratively ... opportunities to prevent harms. This will include operational, clinical, strategic (or reputational), financial, workforce, legal and regulatory, technology… more
- Sharp HealthCare (San Diego, CA)
- …and employer business practices. **What You Will Do** This Senior Medical Director position provides critical management and oversight for Sharp Health Plan's (SHP) ... on the Health Services Management team and the other strategic and operational leadership, projects and meetings throughout the...5 years' experience as an HMO Health Plan Medical Director . + California Physicians and Surgeons License - Medical… more
- Providence (Burbank, CA)
- …as hospital representative. + Interacts with legal counsel and insurance claims representatives. Collaborates to determine event causation, claim worth, ... strategic plans and initiatives + Knowledge of national healthcare trends, multi-disciplinary professional practice models, information systems, quality… more
- City of New York (New York, NY)
- … Director of OHSSA. This position will also serve as the inaugural Director of Healthcare Accountability, leading strategy and implementation for Local Law ... Yorkers. CHECW sits under the Agency's Chief Medical Officer. The BEHS is the healthcare systems bureau of DOHMH. Our mission is to apply policy, evidence, and… more
- Ankura (Chicago, IL)
- …execution, business and operating model design, and acquisition and merger support. Healthcare Performance Improvement Director Responsibilities As a director ... tools and methodologies to drive business development and project delivery Healthcare Performance Improvement Director Requirements: Bring meaningful experience… more
- Prime Healthcare (Ontario, CA)
- …(https://careers-primehealthcare.icims.com/jobs/172723/corporate- director -of-clinical-utilization-management/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) ... Healthcareis an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 45 hospitals and has more than 300 outpatient locations… more
- Crawford & Company (FL)
- …by client, internal required service levels by product and profitability of assigned claim teams through maximum cost containment. The Director will help drive ... disability and absence management services for a set of claim teams, which may include one or more of...are in place as well as support the company's strategic business goals. Responsibilities + Facilitates the implementation, continuous… more
- The Cigna Group (Bloomfield, CT)
- …in over $4B of revenue annually with earnings of approximately $1B. The senior director of Stop Loss will be responsible for protecting and growing this business ... through driving our high-cost claim strategy, maximizing Cigna's ability to assess risk, and...in the market. + Analyze market dynamics and develop strategic responses that address key stakeholder needs while balancing… more
- GE Vernova (NC)
- …EHS Plan. Ensures best compliance with specification at lowest final cost. + Claim Management: define the strategy for managing claims and directs actions ... HVDC Solutions. In this context, Grid Solutions is looking for a Project Director who will be responsible for project on-time delivery, profit & loss accountability,… more
- Ascension Health (Tulsa, OK)
- …teams and managing budgets. + Adaptability to change within a dynamic healthcare environment. **Skills Required:** + Strategic Marketing Leadership: Demonstrated ... you are a strategic marketing leader with a strong understanding of healthcare dynamics, a knack for collaboration, and a passion for driving growth, we invite… more
- Sanofi Group (Cambridge, MA)
- **Job Title:** **Associate Director , Market Research, Rare Blood Disorders** **Location:** Cambridge or Bridgewater **_About the job_** We are an innovative global ... healthcare company, committed to transforming the lives of people...turning the impossible into possible for millions of people. ** Strategic Context:** Currently, Sanofi has the most robust pipeline… more
- University of Rochester (Rochester, NY)
- …the health and well-being of University of Rochester students and staff, the Director provides leadership in the areas of strategic management, operations ... GENERAL PURPOSE: The Director , University Health Services Admin & Finance serves...of a combined budget of over $25 million. **RESPONSIBILITIES:** ** Strategic Management for UHS Clinical & Health Promotion Programs**… more
- Sanofi Group (Cambridge, MA)
- **Job Title:** Associate Director , Brand Analytics Rare Blood Disorders **Location:** Cambridge or Bridgewater **_About the job_** We are an innovative global ... healthcare company, committed to transforming the lives of people...turning the impossible into reality for millions of people. ** Strategic Context:** Currently, Sanofi has the most robust pipeline… more