- Usaa (Phoenix, AZ)
- …special and impactful. The Opportunity Accountable for auto, property and/or other claims teams to deliver operational business results at scale. Responsible for ... multiple operational areas. Sets operational goals and measures to achieve overall claims targets. Designs and implements claims strategies supporting enterprise… more
- Stanford Health Care (Palo Alto, CA)
- …Health Care job.** **A Brief Overview** Investigates, manages and resolves reported claims and adverse events defined by Risk Management. Requires coordination with ... staff, and analysis of liability and case value. Manages claims information in internal database. Assists Sr. Manager- Claims...to work effectively both as a team player and leader . + Knowledge of computer systems and software used… more
- Stanford Health Care (Palo Alto, CA)
- …Health Care job.** **A Brief Overview** Under the direction of the Director, Claims & Litigation Strategy, the Claims Manager oversees the workers' compensation ... Stanford Health Care Tri-Valley, and Stanford Children's Health. The Claims Manager acts as the primary liaison with the...to work effectively both as a team player and leader . + Knowledge of computer systems and software used… more
- Stanford Health Care (Palo Alto, CA)
- …Health Care job.** **A Brief Overview** Under the direction of the Director, Claims & Litigation Strategy, the Claims Manager is primarily responsible for ... handling Employment Practices Liability (EPL) claims for Stanford Health Care, Stanford Health Care Tri-Valley,...to work effectively both as a team player and leader . + Ability to utilize computer systems and software,… more
- Usaa (Tampa, FL)
- …assistance is not available for this position. These positions will support Claims Litigations. What you'll do: Develop and implement strategic customer specific ... influence appropriate roadmap(s). Apply expert knowledge of the business and lead the alignment and development of business deliverable processes and capabilities… more
- Abt Global Inc. (Rockville, MD)
- …embrace rewarding and meaningful work? Now's your chance. **The Opportunity** As the Research Project Lead , you will serve as a key leader on a large CMS ... policy implications of findings. **Data Integration & Analysis** + Lead analyses using Medicare claims data (FISS,...& Analysis** + Lead analyses using Medicare claims data (FISS, MCS, VMS, CWF), provider enrollment data… more
- CSL Behring (King Of Prussia, PA)
- …randomized clinical trials that make use of electronic health records, insurance claims databases, and/or registries in support of key messages + Evaluate ... **About CSL Behring** CSL Behring is a global biotherapeutics leader driven by our promise to save lives. Focused...products can address unmet medical needs and help patients lead full lives. CSL Behring operates one of the… more
- Lyric (Newtown Square, PA)
- …care for payers, providers, and patients. Lyric, formerly ClaimsXten, is a market leader with 35 years of pre-pay editing expertise, dedicated teams, and top ... leadership skills to guide their team in delivering superior claims edits. The Senior Manager will meet regularly with...subject matter expert on CPT, HCPCS, ICD10CM coding and claims edit logic (including NCCI, LCDs, State Medicaid, MUEs,… more
- Commonwealth Care Alliance (Boston, MA)
- …complex issues with a focus on long-term satisfaction and retention. - Lead ongoing communication efforts, working closely with Provider Communications Manager, to ... compliance with CMS, state Medicaid agency, and NCQA standards. - Lead initiatives to streamline provider operations, reduce administrative burden, and improve… more
- Caris Life Sciences (Irving, TX)
- …The Accounts Receivable Associate is responsible for reviewing outstanding denied claims with Medicare, Medicaid and Commercial insurance companies. This role ... Review insurance denials and take appropriate action. + Check claims status via phone or poral. + Submit Medical...Ensure procedures and processes are in place that will lead to delivery of quality results and continually reassess… more
- CommScope, Inc. (GA)
- …needs. **Key Responsibilities:** **Strategic Sourcing & Transportation Operations:** + Lead end-to-end sourcing initiatives including RFI, RFQ, and RFP processes; ... reports to identify trends and opportunities. + Oversee the global freight claims process and ensure timely resolution. **Freight Claims :** + Investigate… more
- Towne Park (Atlanta, GA)
- …the ability to positively move the metrics for forecasting, productivity, claims , customer service, and turnover + Manages scheduling, overtime for associates ... have been adequately trained in safety and loss prevention procedures + Ensures claims are reported timely and accurately and cooperates with the Risk Management… more
- Warner Music Group (New York, NY)
- …including, without limitation, tracking audit notifications, reviewing and analyzing the claims contained in the audit reports we receive, making recommendations to ... internal label clients regarding how to respond to those claims , facilitating settlement negotiations between the party auditing and...made accurately and promptly. **Here you'll get to:** + Lead all aspects of the tracking of audit notice… more
- Post Holdings Inc. (Lakeville, MN)
- …our team as the **Associate Director of Pet Food Regulatory Affairs** , where you'll lead a talented team and shape the future of pet food compliance, labeling, and ... product claims . This is a high-impact leadership role that blends...oversight with hands-on regulatory expertise. **What You'll Do** + ** Lead and inspire** a team of regulatory professionals, driving… more
- Lyric (Newtown Square, PA)
- …care for payers, providers, and patients. Lyric, formerly ClaimsXten, is a market leader with 35 years of pre-pay editing expertise, dedicated teams, and top ... innovation with #YouToThePowerOfAI. The Senior Medical Director is a senior clinical leader who will represent Lyric in strategic engagements with payer clients.… more
- CSL Behring (King Of Prussia, PA)
- The Associate Director of Business Analytics US I&A is data and analytics leader in support CSL's brand teams with strategic insight through quantitative analytics ... guide the Business Team to proactively plan, design and lead initiatives for in-line and launch products. Contribute to...are most important success factors. Responsibilities + As a leader in business analytics team proactively plan, manage and… more
- CSL Behring (King Of Prussia, PA)
- …CSL Behring's US portfolio of products and sales teams. This role will lead efforts including sales force sizing and organizational design, sales customer targeting, ... on the Strategic Analytics & Pricing leadership team. **Sales Incentives:** Lead a cross functional team (including analytics, sales and marketing leadership)… more
- SanDisk (Milpitas, CA)
- …and Marketing teams. This work will involve product and feature ideation, claims and concept development, and product superiority modeling. We are seeking a ... proactive, collaborative leader with cross-functional insights experience and an ability to...partnerships across the organization. ESSENTIAL DUTIES AND RESPONSIBILITIES: + Lead the development and execution of consumer learning plans… more
- Bayer (Whippany, NJ)
- …expected to be a thought partner and advisor to the Market Access Strategy Lead and to challenge, guide, and support US Pharma stakeholders to clear, data-driven, ... Market Access, Patient Services, and Mission related decisions. This leader will also be a member of the Business...and recommendations in combination with the Market Access Strategy Lead and cross-functional partners such as Brand Insights &… more
- BMS CAT (Wood Dale, IL)
- …performing individuals who work together to maintain BMS CAT as an industry leader . **Role Overview** Lead BMS?CAT's strategic growth in the insurance vertical ... Founded in 1948, BMS CAT has a long-standing reputation as a leader in the restoration industry. From initial clean-up to complete rebuilds, BMS CAT is there every… more
