- MetroPlus (New York, NY)
- …to enable New Yorkers to live their healthiest life. Position Overview: The Director of Claims Quality has responsibility for the creation, delivery, and ... towards set benchmarks while promoting a continuous improvement culture. Furthermore, the Director of Claims Quality is responsible for the management/oversight… more
- Society Insurance Company (Fond Du Lac, WI)
- …how you can make a difference with a career at Society. Society Insurance is seeking a Director of Claims to lead our auto and general liability claims team. ... claims severity, customer service, policyholder retention, and company profitability. The Director of Claims will set a positive cultural environment where… more
- MetroPlus (New York, NY)
- …providers to enable New Yorkers to live their healthiest life. Position Overview The Claims Compliance Remediation Analyst will support the Director of Claims ... reducing both medical and administrative expenses. Job Description Support the Director of Claims Support to ensure claims rules, guidelines, documents,… more
- Creative Financial Staffing (White Plains, NY)
- …NetSuite accounting system Gather documentation and prepare submissions for grant reimbursement claims Assist the Director of Finance with ad-hoc projects and ... analyses as needed Maintain organized records and files for audits and compliance purposes What we are looking for in a Staff Accountant: Bachelor's degree in Accounting, Finance or related field Minimum of 3 years of accounting experience, preferably in a… more
- RE Garrison Trucking Inc (Cullman, AL)
- Director of Accounting OperationsJob Summary:Responsible for the oversight of RE Garrison's general ledger and accounting operations located at the company's ... headquarters in Cullman, Alabama. The Director of Accounting Operations will assume ownership of assigned duties and task within the general accounting group,… more
- Intrepid Credit Union (Helena, MT)
- …including Asset Liability Management (ALM) Committee financial reports, Board of Director 's financial reports, subsidiary ledger balancing reports, Federal Home Loan ... Bank (FHLB) Collateral reports, NCUA 5300 quarterly reports, and other regulatory reports as required.The Controller for Intrepid Credit Union is responsible for ensuring that all our records are properly accounted for, displaying integrity and consistency.… more
- HSAG (Phoenix, AZ)
- …a leadership position healthcare analytics and data science as an Associate Director , Program Evaluations in HSAG's Data Science & Advanced Analytics (DSAA) ... division.DESCRIPTIONThe Associate Director , Program Evaluations plays a critical role in assessing the impact and effectiveness of Medicaid programs. The successful… more
- MetroPlus (New York, NY)
- …enable New Yorkers to live their healthiest life. Position Overview The Director of Provider Contract Configuration is responsible for evaluating operation processes ... MetroPlusHealth Core Applications. Will work with Provider Contracting, Credentialing, Claims Operations, Utilization Management, and Network Management to setup… more
- Creative Financial Staffing (San Antonio, TX)
- Finance and Contracting Assistant Director We are seeking a meticulous and strategic Finance and Contracting Assistant Director to join our client's dynamic ... grants, donations, and fee-for-service income. Finance and Contracting Assistant Director Responsibilities: Negotiate and manage contracts with partner organizations,… more
- Creative Financial Staffing (New Hyde Park, NY)
- …with third party insurance, commercial insurance MCO and Medicaid Research denied claims Working with Billing Director on ad hoc projects Experience ... Preferred for the Billing Specialist: 2+ years of medical billing experience preferred Customer service friendly attitude Experience with ICD 9/10 coding a plus #INAPR2024 more
- Option Care Health (Grand Rapids, MI)
- …developing, and retaining a diverse workforce. Job Description Summary:The Senior Director , Operations is responsible for delivering safe, efficient and effective ... Ensures error proofing for pick, pack and ship operations.Partners with Regional Director , Sales to drive market development and execute market based sales… more
- MetroPlus (New York, NY)
- …Overview Reporting to the Vice President of Provider Network Operations, the Director of Provider Data Integrity and Program Management is responsible for ensuring ... department to execute action plans. In collaboration with Analytics, Quality Management, Claims and others, execute on the development and management of Provider KPI… more
- Midwest Clinical Resource in Southwest Wisconsin (Wisconsin Dells, WI)
- …correct problems identified* Performance Planning and Review Guide (PPRG)* With Director of Operations, establishes annual goals and objectives* Annually develops ... Care Coordinator* Reviews lost days to ensure center safety programs and claims management are effective* Ensures center's compliance with all safety requirements… more
- Historic Tours of America (Key West, FL)
- …measures and conduct safety inspections.Being first contact to initiate worker compensation claims and filing claims with Risk Management and insurance ... evaluations and accident investigations to General Manager and National Safety Director and making recommendations from findings to improve safety.Maintaining an… more
- Prestige Staffing (Knoxville, TN)
- …Review patient accounts for resolution- check status with insurance company for billed claims that have not processed & determine what may be needed in order ... between insurance company and the patient to resolve issues holding up claims processing, such as: incorrect demographic information or coordination of benefits.… more
- Northeast Georgia Health System, Inc (Winder, GA)
- …develops a good working rapport with students, parents, coaches, athletic director , school administration, and physicians. The athletic trainer works independently ... Athletic trainer is responsible to fill initial insurance injury claims to school accidental policy. The AT is to...athletic trainer is responsible for working with the Athletic Director to manage a budget for ATR operations and… more
- Concorde Career Colleges, Inc. (Memphis, TN)
- …professionalism, conduct, attendance and other topics as necessaryProactively inform Program Director of any student attendance, academic, or behavioral concerns for ... needed, ensuring and monitoring student participationRefer students to the Program Director and/or Academic Dean if additional advising is necessaryRefer students… more
- Ducommun Incorporated (Gardena, CA)
- …customer General Conditions. Coordinate review of terms and conditions with DCO Director of Contracts as necessary.Prepare negotiation plan and lead the negotiation ... track program compliance to purchase order requirements.Prepare assertions and claims to customer in accordance to contract parameters.Operational Management:Responsible… more
- Lennar Mortgage (Fresno, CA)
- …Homeowner Celebrations, on an as needed basis in other communities as directed by Director of Customer Care. - Schedule and supervise trade partner repairs in homes ... to home owner. - Schedule TLC inspections with homeowners, assess routine warranty claims and follow through to completion of service requests when needed. - Provide… more
- MetroPlus (New York, NY)
- …outreach efforts, assist in PCP selection, conduct new member orientations, claims review inquiries, handle provider and utilization management inquiries, etc. Under ... accurately to all customer inquiries related to eligibility, benefits/ services, claims and authorizations. Classify and record all customer encounters clearly and… more
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