- Merck & Co. (Rahway, NJ)
- Job Description Sr. Director - Rapid Innovation Engineering OverviewThe Sr. Director of Rapid Innovation Engineering is a senior technical leader responsible for ... adoption, guide enterprise integration, and communicate with executive stakeholders. The director of the Rapid Innovation Engineering team will help shape the… more
- Commonwealth Care Alliance (Boston, MA)
- 011230 CA-Provider Engagement & Performance Position Summary: The Director of Provider Relations leads the strategic vision and operational execution of provider ... role is responsible for cultivating high-impact relationships with key healthcare providers, optimizing network performance, and ensuring compliance with regulatory… more
- Lyric (Newtown Square, PA)
- Lyric is an AI-first, platform-based healthcare technology company, committed to simplifying the business of care by preventing inaccurate payments and reducing ... overall waste in the healthcare ecosystem, enabling more efficient use of resources to...lyric.ai/careers and drive innovation with #YouToThePowerOfAI. The Senior Medical Director is a senior clinical leader who will represent… more
- NORC (Washington, DC)
- …makers can trust. **RESPONSIBILITIES:** + Serving as program area and project director with significant responsibilities on complex scientific and/or technical ... preferred) with demonstrated experience leading analyses with large administrative healthcare datasets (Medicare, Medicaid, and All-Payer Claims Databases)… 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
- Abt Global Inc. (Rockville, MD)
- …Opportunity** As a Project Director you will lead and manage a large and complex project with a focus on healthcare data analysis and federal program policy. ... delivery of all project outputs. + Lead the design and oversight of complex data analysis initiatives, ensuring methodological rigor and actionable insights. + Serve… more
- BeOne Medicines (San Mateo, CA)
- …Understand the current and emerging AI and machine learning techniques to analyze complex datasets related to market access, healthcare economics, and patient ... **General Description:** The Director , Strategic Evidence, will possess an understanding of...customers, and / or past direct work experience at claims , EMR / EHR, real world data vendors, IDNs,… more
- BroadPath Healthcare Solutions (Tucson, AZ)
- …Hearings and gathers all required information for proper representation + Addresses complex issues with a proactive approach and delivers timely solutions while ... and manages real-time escalations as needed + Works collaboratively with Claims , Eligibility, Provider Relations, Business Operations and other Health Plan teams… more
- Lundbeck (Deerfield, IL)
- …Do you want to join a team where the mission is meaningful, the challenges are complex , and you can directly see the results of your hard work? Lundbeck is a global ... United States** **Summary:** The Manager, Field Compliance will support the Director , Field Compliance and Investigations with driving and implementing all elements… more
- Children's Hospital Los Angeles (Los Angeles, CA)
- …years of experience in healthcare , including familiarity with hospital systems, healthcare data sets ( claims , EHR, clinical data, structured and unstructured ... half a million times each year. From primary to complex critical care, more than 350 programs and services...Analyst III, under the direction and supervision of the Director of Analytics, will play a hands-on role in… more
- Children's Hospital Los Angeles (Los Angeles, CA)
- …experience in healthcare , including familiarity with hospital systems, diverse healthcare data sets ( claims , EHR, clinical data, structured and unstructured ... half a million times each year. From primary to complex critical care, more than 350 programs and services...Analyst II, under the direction and supervision of the Director of Analytics, will play a hands-on role in… more
- Terumo Medical Corporation (Chicago, IL)
- …Terumo personnel to ensure the success of the project. + Collaborate with Director , Care Pathways and Chief Architect to explore and integrate new changes to ... (QA), and by ensuring all promotional messaging (ie, branding strategies, product claims , etc.) and materials (ie literature) discussed or presented to customers are… more
- AIG (Jersey City, NJ)
- Claims Complex Director - Healthcare Professional Liability (HPL) Join us as a Claims Complex Director to take on key responsibilities within ... an impact + This position will ensure high quality claims handling within the Healthcare Professional Liability...+ 7+ years of medical malpractice / professional liability complex claims and/or complex litigation… more
- Humana (Raleigh, NC)
- …understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to ... of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations… more
- Humana (Juneau, AK)
- …understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to ... of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations… more
- UNC Health Care (Chapel Hill, NC)
- …health and well-being of the unique communities we serve. **Summary** : Reporting to the Director of Claims & Litigation, the Claims and Litigation Manager ... and the monitoring of incidents that develop into claims against healthcare providers and staff of...claims information in the internal database. Assists the Director in other projects related to claims … more
- HCA Healthcare (Denver, CO)
- …while giving to the community. We are seeking distinguished applicants for our Director Risk Management opening. Help HCA Healthcare create healthier tomorrows ... is hired below midpoint of the range. **Introduction** Last year alone, HCA Healthcare colleagues invested over 156,000 hours impacting our communities. As a(an) … more
- Henry Ford Health System (Detroit, MI)
- …costs and management of System reputation Will work under the guidance of Senior Claims Managers, Senior Claims Consultant, Director of Insurance, and Vice ... professional and general liability, workers compensation and employers liability claims review, investigation, management and disposition, including financial mitigation… more
- Prime Healthcare (Farmers Branch, TX)
- …trends and identify opportunities for process improvement and reimbursement optimization. Complex Claims Management:identifies, trends, and owns portfolios of ... Outsourcing program across Revenue Cycle Management for all Prime Healthcare . The Corporate Director is responsible for...complex claims , including Third party claims , TDRG, Zero… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …Proven experience in managing complex risk management programs in an integrated complex healthcare setting + Strong knowledge of healthcare laws, ... **Overview** **Be inspired. Be rewarded. Belong. At Emory Healthcare .** At Emory Healthcare we fuel...more **Work Location:** Atlanta, GA **Description** + The Corporate Director of Risk Management plays a critical role in… more
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