- Merck & Co. (North Wales, PA)
- Job DescriptionRole SummaryThe Regional Medical Scientific Director is a credentialed (ie, PhD, PharmD, DNP, MD) therapeutic and disease expert who engages in ... questions about Company products. The work of an Regional Medical Scientific Director is aligned to: Scientific Exchange, Research, Scientific Congress Support, and… more
- Merck & Co. (Rahway, NJ)
- Job DescriptionThe Associate Director Data Science will be responsible for developing and communicating data-driven and actionable insights that drive greater ... analyze data leveraging advanced analytical/statistical techniques from disparate databases/sources ( claims data/EMR Data and other sources) to drive optimization… more
- Merck & Co. (Rahway, NJ)
- …collaboration to further differentiate our portfolio.The Oncology Regional Medical Scientific Director , RMSD, is a credentialed (ie, MD, PhD, or PharmD) therapeutic ... external medical and scientific community. Scientific exchange does not include promotional claims about any drug, vaccine or biologic product. RMSDs provide to… more
- AIG (Atlanta, GA)
- …we are reimagining the way we help customers to manage risk. Join us as a Complex Claim Director - AL/GL Field Claims to play your part in that ... member of the team. Make your mark in Casualty Claims Our Claims teams are the proven...+ Effectively strategize and budget the litigation of each claim through discussions with counsel, vendors and insureds. Establish… more
- Sharp HealthCare (San Diego, CA)
- …clinical practice of medicine. + 5 years' experience as an HMO Health Plan Medical Director . + California Physicians and Surgeons License - Medical Board of CA ... **Shift End Time** Doctor of Osteopathic Medicine (DO); California Physicians and Surgeons License - Medical Board of CA; Doctor of Medicine (MD) **Hours** **:**… more
- AIG (Parsippany, NJ)
- …practices, and the ever-evolving legal and regulatory environment. About the role Complex Claim Director -Western World The Complex Claims Director ... highest levels of stewardship to drive total cost of claim improvement and consistent outcomes. AIG manages claims...pretrial and post-trial + New York and/or Texas adjuster license strongly preferred + Motivated individuals who are interested… more
- MTA (New York, NY)
- …Claim Agents and Senior Claim Agent staff in absence of Asst. Director & Director - Claims & Investigations, attend management meetings, participate in ... 657 DEPT/DIV : Legal and Compliance SUPERVISOR : Assistant Director Claims & Investigations LOCATION : 2...claim /lawsuit. + Prepare correspondence and memoranda relating to claims , such as case summaries, Requests for Authority, letters,… 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
- CVS Health (Austin, TX)
- …have a Texas License without encumbrances or willing to obtain a Texas License . In the Medical Director role you will provide oversight for medical policy ... timely and consistent responses to members and providers. As a Medical Director you will focus primarily on overseeing utilization review / quality assurance… more
- GuideOne Insurance (Dallas, TX)
- …experience is preferred + Bachelor's degree preferred + New York, Florida or Texas claims handling license preferred + Willingness to obtain state licensing or ... As a Commercial Casualty Claims Adjuster, you will serve as a real...you. Accountabilities: + This position handles Commercial General Liability, Director 's & Officer Liability, Employment Practices Liability, Commercial Auto… more
- Commonwealth Care Alliance (Boston, MA)
- 011250 CCA- Claims **Position Summary:** Working under the direction of the Sr. Director , TPA Management and Claims Compliance, Healthcare Medical Claims ... claims management, coding rules and guidelines, and evaluating/analyzing claim outcome results for accurate industry standard coding logic and policies… more
- Zurich NA (Addison, TX)
- …public company Director 's and Officer's (D&O), Fiduciary and transactional risk claims of moderate to high value and complexity. The ideal candidate will have ... rights and coverage denial letters + Notify Underwriter of claim issues + Draft case summary reports in connection...insurance area + Must obtain and maintain required adjuster license (s) + Experience in insurance claims and… more
- Primo Brands (Tampa, FL)
- …$140-$160K +20% Location: Tampa, Florida Responsibilities The Sr Manager of Claims is a collaborative, cross-functional position, and reports directly to the ... Director of Risk Management. This role is responsible for...Management. This role is responsible for leading our enterprise-wide claims management efforts and risk mitigation initiatives, providing strategic… more
- Devereux Advanced Behavioral Health (Kennesaw, GA)
- …and behavioral health challenges. Under the direction of the People Operations Director , you will perform tasks to support the effective and efficient delivery ... Office Applications and database management. + Experience processing worker's compensation claims , FMLA, and other leave of absence cases. + Excellent communication… more
- American Water (Delran, NJ)
- …value that drives everything we do at American Water. The *Health and Safety Director * is a statewide role that will be responsible for administering programs and ... initiatives throughout New Jersey. With a strong field presence, the Director will oversee job observations, safety audits, incident investigations and other… more
- Guardian Life (Plano, TX)
- The **Texas State Dental Director ** will be responsible for ensuring that professional DHMO activities in the State of Texas are compliant with applicable state ... report any quality-of-care issues. In addition, the State Dental Director will be expected to lend support to the...patient, and the regulators. You will Review Specialty Referrals, Claims & Appeals + Review & ensure that determination… more
- Molina Healthcare (Richmond, VA)
- …Health Plan Operations as liaison for MHI Operations, including: Claims , Configuration Information Management, Provider Data Management, Credentialing, Enrollment, ... and Contact Center Operations. * Oversees Claims Operations and Configuration Information Management and works collaboratively with Corporate business owners to… more
- Veterans Affairs, Veterans Health Administration (Amarillo, TX)
- …System, Amarillo, Texas is seeking a Home Base Primary Care (HBPC Medical Director -Physician) within the Geriatric and Extended Care (GEC) Service. The HBPC Medical ... Director will provide clinical care within the GEC service...was completed. Licensure and Registration: Current, full and unrestricted license to practice medicine or surgery in a State,… more
- The Cigna Group (Bloomfield, CT)
- Job Title: Cigna Supplemental Benefits (CSB) Medical Director **Job Summary:** Cigna Supplemental Benefits (CSB) provides peace-of-mind and financial security for ... lives of the individuals we serve. The CSB Medical Director will work closely with CSB's National Medical ...not limited to, Underwriting, Legal, Marketing, Operations, Product, and Claims . + Has clinical responsibility for helping to ensure… more
- Montana State University (Bozeman, MT)
- …Casey Fox at ### or ###@msubobcats.com Classification Title Program Mgr Working Title Director of Equipment Operations Brief Position Overview The Director of ... Facility in a safe, secure, and effective manner. The Director of Athletic Equipment Operations is under the general...eligible to obtain a valid State of Montana Driver's license and have an acceptable driving record (less than… more
