- Elevance Health (Denver, CO)
- **Business Change Director - Claims /Payment Integrity Use-Case Lead** **Location:** This position will work a hybrid model (remote and office). Ideal candidates ... must live within 50 miles of a PulsePoint location. The **Business Change Director - Claims /Payment Integrity Use-Case Lead** is responsible for collaborating… 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
- 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 ... regularly communicate with customers and brokers. They may be dedicated to handle claims for specific accounts....of legal practice experience in the insurance area + Must obtain and maintain required adjuster license(s) + Experience… more
- Mass Markets (Wichita, KS)
- …In this role, you will act as the primary point of contact to our director of claims and the MCI operations and shared services team. Key Responsibilities: ... industry. We are seeking an experienced Insurance Call Center Claims Manager experienced in Property and Casualty and Life...work ethic. To be considered for this role, you must complete a full application on our company careers… more
- GEHA (Lee's Summit, MO)
- …for new digital technologies which position Customer Care and claims for growth, scalability, and increased proficiency. Maintain collaborative partnerships ... Develop and refine core expertise in Customer Care and claims administrative and offline support functions to align with...employees that comply with its principles. Work-at-home requirements + Must have the ability to provide a non-cellular High… more
- Rowan University (Glassboro, NJ)
- Director of Environmental Health and Safety & Fire Safety Services Summary/Position Description: The Division of Facilities, Planning and Operations at Rowan ... vibrant, safe, supportive environment at Rowan's campuses. The Division is dedicated to providing leadership in facilities, campus planning, development and… more
- Sanofi Group (Cambridge, MA)
- **Job Title:** Associate Director , Brand Analytics Rare Blood Disorders **Location:** Cambridge or Bridgewater **_About the job_** We are an innovative global ... company's history. As the next phase of our Play-To-Win strategy, Sanofi must appropriately support this pipeline to materialize our vision of delivering scientific… more
- Children's Aid (NY)
- Assistant Director of Facilities Projects 11/5/24Full TimeNYC All Job ID: 007389 Description: Children's Aid College Prep Charter School (1232 Southern Boulevard) ... $115000 - $120000/Year **Position Summary: ** The Assistant Director of Facilities Projects (ADF) supports the Director of Facilities and Real Estate Operations… more
- University of Washington (Seattle, WA)
- …bring their energy, and creative problem-solving skills to their work and are dedicated to building stronger minds and a healthier world. UW is Committed to ... under RCW 42.30, the Open Public Meetings Act. The Director of Public Records is responsible for providing access...colleagues to evaluate, mitigate, and resolve risks to avoid claims and lawsuits related to public records and/or public… more
- Sanofi Group (Cambridge, MA)
- **Job Title:** Associate Director , Market Research, RSV **Location:** Cambridge or Bridgewater **_About the job_** We are an innovative global healthcare company, ... company's history. As the next phase of our Play-To-Win strategy, Sanofi must appropriately support this pipeline to materialize our vision of delivering scientific… more
- HCA Healthcare (Houston, TX)
- …incentive eligible. **Introduction** Are you ready to manage in a new era as a Director Patient Safety where building a healthier tomorrow is more than a job? Our ... for benefits may vary by location._** Our teams are dedicated to improving human life. Each year about five...an HCA Healthcare facility. Be an impact as a(an) Director Patient Safety where your passion for leading and… more
- Maryland Department of Transportation (Baltimore City County, MD)
- Deputy Director of Procurement (DOT Procurement Manager III) Salary $102,426.00 - $165,372.00 Annually Location Baltimore City Job Type Full Time Job Number ... for determinations with respect to bid protests or contract claims ; + Assure purchasing practices are consistent, open, and...procurements; and + In the absence of the Procurement Director , represent the MDTA to present procurement items for… more
- Mass Markets (Wichita, KS)
- …industry. We are seeking an experienced Insurance Call Center Customer Service Director experienced in Property and Casualty and Life insurance to support complex ... and possess a strong work ethic. To be considered for this role, you must complete a full application on our company careers page, including all screening questions… more
- Humana (Columbus, OH)
- …Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate Medical Director works on problems ... and complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation and decisions about the appropriateness of… more
- City of New York (New York, NY)
- …and clinicians. The Bureau of Equitable Health Services seeks to hire a Director of Healthcare Payment & Financing Initiatives. DUTIES WILL INCLUDE BUT NOT BE ... on Medicaid redesign policy and innovation. Advise and assist OSHSSA Executive Director , Chief Medical Officer and other agency executives on healthcare related… more
- City of New York (New York, NY)
- …of Equitable Health Systems seeks an experienced attorney to sere as Policy and Legal Director of OHSSA. This position will also serve as the inaugural Director ... Value-based care and Alternative Payment Models. - Price transparency, All-Payer Claims Databases, and other employer-led strategies promote high-value care - Civil… more
- Bristol Myers Squibb (Madison, NJ)
- …lives. Read more: careers.bms.com/working-with-us . **Position:** Associate Director , Medical Promotional Review Scientist, Neuropsychiatry **Location:** Princeton ... Pike, NJ or Madison, NJ The Associate Director , Medical Promotional Review Scientist plays a critical role...+ Determine acceptability of data/references used to support promotional claims and provide expert guidance as well as effective… more
- JBS USA (Greeley, CO)
- **Description** ** Director of Case Ready/Value Added-Imports** **Purpose and Scope/General Summary:** **We are looking for a Director to oversee our Case Ready ... elements including inspection/auditing, critical control points, dispute resolution and claims with customers/co-packers/raw material suppliers. + Support sales team… more
- Elevance Health (Columbus, OH)
- **JR130960 Business Change Director (Quality Control Test Architect, PBM systems)** CarelonRx's Business Operations org is looking to hire a PBM Test Program Manager ... years of experience in the PBM domain (Commercial/Medicaid/Medicare) including claims processing, enrollment, and benefit administration. + Experience with pharmacy… more
- Huron Consulting Group (Chicago, IL)
- …meaningful and substantive change. To succeed long-term, healthcare organizations must empower leaders, clinicians, employees, affiliates and communities to build ... reward. True excellence begins at the top with leaders dedicated to producing lasting, positive results. Let's get to...with existing revenue cycle systems to enhance billing, coding, claims processing, and denial management. + Identify and drive… more