- Harbor Health Services, Inc. (Mattapan, MA)
- …request of utilization or finance department. Works with UM RNs and Senior Medical Director to deny claims when appropriate. Attends IDT meetings on routine ... and cares for more than 580 participants. We are currently seeking a Director of Utilization Management & Quality Programs. Harbor Health offers an excellent,… more
- Eisai, Inc (Nutley, NJ)
- …If this is your profile, we want to hear from you. The Global Associate Director , will lead projects and contribute to the payer evidence strategy for key products ... the Neurology or Oncology portfolio under the direction of the GV&A Executive Director and in collaboration with other GV&A and cross functional team members. This… more
- CMA CGM (America) LLC (Norfolk, VA)
- ID: 568492 Location: Norfolk Va, US Director , FMC Compliance Led by Rodolphe Saade, the CMA CGM Group, a global leader in shipping and logistics, serves more than ... Compliance and a key member of the US Governance Team, the FMC Compliance Director is a strategic leader responsible for leading US FMC compliance in partnership… more
- Formation Bio (New York, NY)
- …to manage multiple law firms / global patent portfolios Experience drafting claims and prosecuting patents (with experience litigating / disputing patents as a ... bonus) Strong understanding of regulatory exclusivities and competitive intelligence Ability to operate independently from day one while building strong internal relationships What Sets You Apart: Experience with Chinese or JPAC pharmaceutical partnerships and… more
- Alameda Health System (Oakland, CA)
- …time off plans Role Overview: Alameda Health System is hiring! The Director of Utilization Management holds a critical role encompassing operational oversight, ... Their responsibilities span from managing admissions to ensuring clean claims , identifying trends, and optimizing resource utilization. This role supports… more
- Buckeye Community Health Plan (Thornville, OH)
- …perspective on workplace flexibility. Position Purpose: Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and ... of performance improvement initiatives for capitated providers. Assists Chief Medical Director in planning and establishing goals and policies to improve quality… more
- Novo Nordisk Inc. (Plainsboro, NJ)
- …Are you ready to maximize your potential with us? The Position Assist Director of Institutional Contracts in managing the development and implementation of 340B as ... and implementation of new and existing regulations. Relationships Reports to the Director of Federal and Institutional Contracts. Also works closely and supports… more
- Eisai, Inc (Cincinnati, OH)
- …internal cross functional partners including but not limited to Associate Director Regional Marketing, Oncology Field Reimbursement Managers, and other specialty ... (eg, PhRMA Code; Federal Food, Drug, Cosmetic Act; Anti-Kickback Statute; False Claims Act, OIG/DOJ Guidance; Foreign Corrupt Practices Act; and federal and state… more
- AIG (Atlanta, GA)
- Complex Claims Director - AL/GL Field Claims -Lexington and AIG Programs Join us as a Claims Complex Director to take on key responsibilities within a ... specialized risk management and loss control benefits, and dedicated claims handling services. The Complex Director within...and dedicated claims handling services. The Complex Director within the Lexington and AIG Programs team is… more
- AIG (Atlanta, GA)
- …are reimagining the way we help customers to manage risk. Join us as a Complex Claims Director , TPA Oversight to play your part in that transformation. It's an ... with empathy and efficiency. How you will create an impact As Complex Claims Director - TPA Oversight, you will analyze and process bodily injury and third-party… more
- AIG (Jersey City, NJ)
- Senior Complex Claims Director - Casualty Coverage and Mass Tort At AIG, we are reimagining the way we help customers to manage risk. Join us as a Casualty ... Coverage and Mass Tort Senior Complex Director to play your part in that transformation. You'll...that transformation. You'll work with some of the best claims and underwriting minds in the industry addressing challenging… more
- AIG (Atlanta, GA)
- …are reimagining the way we help customers to manage risk. Join us as a Complex Claims Director - Aviation to play your part in that transformation. It's an ... impact This position requires the adjustment of complex aircraft damage claims . The Complex Director will function as a key account contact for multiple programs… more
- AIG (Scottsdale, AZ)
- …help customers to manage risk. Join us as a Auto and General Liability Complex Claims Director (Senior Adjuster) to play your part in that transformation. It's ... and efficiency. How you will create an impact As a Complex Claims Director you will responsible for investigating, evaluating, and negotiating nationwide general… more
- AIG (New York, NY)
- Join us as a Complex Claims Director - Cyber, Media, & Technology to grow your experience in Claims . Make your mark in Claims Our Claims teams are the ... with empathy and efficiency. How you will create an impact As a Complex Claims Director , you will be responsible for handling all aspects of complex first party… more
- AIG (Atlanta, GA)
- Complex Claims Director - AL/GL Field Claims -Lexington and AIG Programs Who we are American International Group, Inc. (AIG) is a leading global insurance ... specialized risk management and loss control benefits, and dedicated claims handling services. About the role What you need...the role What you need to know: The Complex Director within the Lexington and AIG Programs team is… more
- AIG (New York, NY)
- …are reimagining the way we help customers to manage risk. Join us as a Complex Claims Director to play your part in that transformation. It's an opportunity to ... a valued member of the team. Make your mark in Excess Casualty Claims Our Claims teams are the proven problem solvers of choice for clients, delivering… more
- AIG (Atlanta, GA)
- Join us as a Complex Claims Director to grow your experience in Claims . Make your mark in Claims Our Claims teams are the proven problem solvers of ... showcasing our service differentiation to create an unparalleled global claims handling experience. Through a robust stakeholder feedback loop...in handling some of the largest and most complex claims in the industry? Your deep technical claims… 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 a ... world-class claims function. Make your mark in Claims Our Claims teams are the proven problem solvers of choice for clients, delivering consistent technical… more
- Ryder System (Cheyenne, WY)
- …clicking here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **Summary** The Director Claims directs activities within the General and ... third-party provider relationships (including consultants, legal counsel, insurers, and external claims administrators). The Director manages and oversees the… more
- Sedgwick (Baton Rouge, LA)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Director - Claims (MUST BE LOCAL TO BATON ROUGE, LA) Are you looking ... best brands? + Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver innovative customer-facing… more
