- CenterLight Health System (NY)
- …+ Manage, in collaboration with the Director , functions related to claim processing, including monitoring of pending claims , appeals, recoupments, pricing, ... Payment Integrity supports the Senior Vice President and the Director in the day-to-day operations of the Claims...Relations, Care Delivery, and Business Development to ensure accurate claim outcomes and accurate and actionable insight for key… more
- State of Minnesota (St. Paul, MN)
- … Claims Adjudication Manager** **Job Class: State Program Administrator, Director ** **Agency: Department of Employment and Economic Development** + **Job ID** ... : Paid Family & Medical Leave + **Work Shift/Work Hours ** : Day Shift, 8am to 4:30pm + **Days...deliver this new benefit to Minnesotans. **Position Purpose:** The Claims Adjudication Manager provides leadership, direction, and oversight for… more
- Mass Markets (Wichita, KS)
- …trusted partner in the industry. We are seeking an experienced Insurance Call Center Claims Director experienced in Property and Casualty and Life insurance to ... will o versee, monitor, and manage production to ensure accurate and timely claims processing. This is a senior-level position requiring experience in the P&C… more
- City of New York (New York, NY)
- …Executive Director . - Perform other special projects at the request of the Executive Director . Hours : 9:00 am - 5:00 pm Work Location: 375 Pearl Street, NY, ... needs trust cases by calculating and asserting the Medicaid claim . - Analyze the final accounting and lodging objections,...bi-weekly analysis report. Provide these updates to the Executive Director and Director respectively. - Ensure the… more
- Humana (Columbus, OH)
- …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
- MTA (New York, NY)
- …This includes, but is not limited to, the effective and efficient management of claim information input into the Claims database system and accurate and timely ... follow-up to ensure payments are timely made. + Assist Claim adjuster and Claims secretaries as necessary,...tasks and functions at the direction of Asst. and/or Director - Claims & Investigations. + Tendering of … more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …examiners and claim adjusters in responding to insured commercial property claims * Review and determination of complex coverage issues * Maintains reports on ... Property Claims Manager (State Risk Adjuster 6) Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4717187)...required college training on the basis of 30 semester hours for one year of experience. NOTE: This substitution… more
- Topgolf (Dallas, TX)
- **Job Responsibilities** + Manages workers' compensation and general liability (guest) claims from inception to resolution; indirectly supervising the assigned 3rd ... party administrator, partnering with the broker claims consultant, and oversight of outside counsel. Manages large...material exposures or recoveries are properly accounted for. Supports Director of Risk Management with reporting and analysis for… more
- City of New York (New York, NY)
- …Within AO, exists Office of Revenue that houses SNAP-CR. They establish SNAP claims for the agency according to the Federal SNAP guidelines to recover inaccurate ... supervise staff (PAAII, PAAI, Eligibility Specialist II) involved in Claims processing. - Monitor and distribute cases in the...all staff under direct supervision. - Represent the Executive Director and/or Division Director (in their absence)… more
- USAA (San Antonio, TX)
- …part of what makes us so special! **The Opportunity** As a dedicated Claims Litigation Manager Senior, you will be responsible for managing complex litigation ... colleagues with less experience. + Applies advanced knowledge of claims litigation processes. + Proactively manages litigation and acts...and policies. + May serve as assistant to the Director of Litigation Operations and assigned to work on… more
- Providence (Burbank, CA)
- …as hospital representative. + Interacts with legal counsel and insurance claims representatives. Collaborates to determine event causation, claim worth, ... **Description** **THE ROLE** Under the direction of Executive Director of Quality provides day to day operational...programs designed to reduce incidence and magnitude of damage claims made against the hospital and to maintain regulatory… more
- Travelers Insurance Company (Rancho Cordova, CA)
- …Imagine loving what you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided for this position is ... Services provides industry-first resources designed to detect and deter fraudulent claims . Using some of the most comprehensive technology available, we have… more
- Commonwealth of Pennsylvania (PA)
- Director of Farm Viability and Natural Resource Division (Conservation Program Manager) Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/4727556) ... Apply Director of Farm Viability and Natural Resource Division (Conservation...Schedule and Additional Information: + Full-time employment + Work hours are 8:00 AM to 4:00 PM, Monday -… more
- Charles T. Sitrin Health Care Center (New Hartford, NY)
- …Tue Aug 27 2024 Job Description: DEPARTMENT: Accounting POSITION: Medical Biller SUPERVISOR: Director of Finance HOURS : Full-time, regular hours HOURLY RATE: ... with experience. Duties: Responsible for all outpatient billings including corrected claims and re-billing as necessary. Responsible for all outpatient claims… more
- USAA (Charlotte, NC)
- …standards. Makes recommendations for severity ratings to Senior Audit Manager (SAM)/ Director . May communicate with regulators. + Utilizes and provides guidance to ... paid time off program with paid holidays plus 16 paid volunteer hours , and various wellness programs. Additionally, our career path planning and continuing… more
- City of New York (New York, NY)
- …projects using complex SQL algorithms and EDW data, analyzing data to identify claims that can be reclaimed for higher federal and state reimbursement rates, ... preparing claim adjustments to maximize federal and state funding, providing...providing technical support, financial analysis, data retrieval and financial claims support to DSS and other City agencies, responsible… more
- Sharp HealthCare (San Diego, CA)
- …California Physicians and Surgeons License - Medical Board of CA; Doctor of Medicine (MD) ** Hours ** **:** **Shift Start Time:** 8 AM **Shift End Time:** 5 PM **AWS ... Hours Requirement:** 8/40 - 8 Hour Shift **Additional Shift...business practices. **What You Will Do** This Senior Medical Director position provides critical management and oversight for Sharp… more
- Montana State University (Bozeman, MT)
- …Title Program Mgr Working Title Diversity & Inclusion Student Commons Managing Director Brief Position Overview The Diversity & Inclusion Student Commons ( DISC ... The DISC is a unit of the Office of Diversity and Inclusion. The Managing Director reports to the Senior Diversity and Inclusion Officer. The Managing Director … more
- Veterans Affairs, Veterans Health Administration (Houston, TX)
- …Medical Center (MEDVAMC) located in Houston, Texas, is recruiting a fulltime Director for Cardiac Anesthesia. MEDVAMC is a large multi-specialty facility affiliated ... care including transesophageal echocardiography for Non-Cardiac Anesthesia Procedures. As Director of Cardiac Anesthesia, the incumbent will be responsible for… more
- Primary Health Care (Des Moines, IA)
- As a Revenue Cycle Director , you will serve as the primary lead for PHC's billing and collections processes to increase cash flow and reduce patient accounts ... receivable. The Revenue Cycle Director works collaboratively with the Patient Services ...issues that cause denials, slow payment, or non-payment of claims . + Ensures compliance with established goals for billing,… more