- Molina Healthcare (Columbus, OH)
- …operational standards. Confers with customers to define and resolve **Knowledge/Skills/Abilities** Lead Molina's Payment Integrity Data Analytics operations team ... mine big data , improve models, and ensure data uniformity and accuracy. + Lead strategic...are of secondary importance to the position's purpose. + Claims Adjudication accuracy including configuration in QNXT (ie … more
- L'Oreal USA (El Segundo, CA)
- …/ Job Search (https://careers.loreal.com/en\_US/jobs/SearchJobs) / 196058 AVP - Global Medical Scientific & Communications (skinbetter ... Back El Segundo, CA Medical Full - Time 07-Jan-2025 AVP , Global Medical Scientific & Communications - Skinbetter Science...future of beauty by harnessing the power of technology, data , and science to tackle global challenges while staying… more
- The Hartford (Columbus, OH)
- AVP Data Science - GD05AE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working ... and implementation-focused understanding of the latest AI technologies, use cases, data engineering practices, and the ability to lead cross-functional… more
- AON (New York, NY)
- …and robust claims handling capabilities. Skills and experience that will lead to success. + 6+ years of years in brokering and/or underwriting experience ... skills to improve broking results for clients. + Use data , own experience, others' perspectives, and a clear methodology...claims handling capabilities. Skills and experience that will lead to success. + 6+ years of years in… more
- Nuvance Health (Danbury, CT)
- …optimize patient outcomes. * *Denials Management & Appeals:* * *Root Cause Analysis:* Lead a specialized team to thoroughly investigate claims denied for medical ... This leader empowers denials/appeals specialists to meticulously investigate denied claims , prepare comprehensive appeals, and collaborate with clinical staff to… more
- Tarleton State University (Stephenville, TX)
- …unit and the university. + Reviews all formal solicitation protests and contract claims , and advises the AVP for Financial Operations/Assistant CFO on ... other special circumstances. Position Summary Under the direction of the AVP for Financial Operations/Assistant CFO, the Director, Procurement Services and Contract… more
- The Hartford (Hartford, CT)
- AVP Product Management - EM05AE We're determined to...keen eye on compliance and ethics. + Unlock Automation: Lead our approach to harness data effectively, ... role, you will partner across the organization with Business, Operations, Data Science, Execution, Information Technology, Chief Underwriting Office and our Chief… more
- Virtua Health (Marlton, NJ)
- …efforts at the system level, working collaboratively with colleagues to lead initiatives that impact multiple hospitals, services lines, and departments. Position ... proactive risk assessments. Coordinates with Quality & Safety, General Counsel, Claims & Insurance, Compliance. Acts as liaison, in collaboration with divisional… more
- Option Care Health (Salt Lake City, UT)
- …and revenue cycle teams in order to insure success of clean claims payment. Manage external implementations and foster ongoing relationships with assigned accounts ... agreements are current in order to facilitate clean claim billing. Initiate and lead meetings with health plans and corporate teams, including Managed Markets and… more