- Stanford Health Care (Palo Alto, CA)
- …is a Stanford Health Care job.** **A Brief Overview** Under the direction of the Director , Claims & Litigation Strategy, the Claims Manager is primarily ... This position requires coordination with internal stakeholders and external partners. Assists Director , Claims & Litigation Strategy in other EPL claims… more
- Harbor Health Services, Inc. (Mattapan, MA)
- …MA and cares for more than 580 participants. We are currently seeking a Director of Utilization Management & Quality Programs. Harbor Health offers an excellent, ... Senior Director of Health Plan Operations, the Director of Utilization Management and Quality Programs...finance department. Works with UM RNs and Senior Medical Director to deny claims when appropriate. Attends… 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
- Alameda Health System (Oakland, CA)
- …paid time off plans Role Overview: Alameda Health System is hiring! The Director of Utilization Management holds a critical role encompassing operational ... Their responsibilities span from managing admissions to ensuring clean claims , identifying trends, and optimizing resource utilization. This role supports… more
- Children's Hospital Los Angeles (Los Angeles, CA)
- …risk. Work collaboratively with CHLAMG related to shared risk and claims management . **Minimum Qualifications/Work Experience:** _Required:_ 5+ years' risk ... management , claims , professional liability and/or clinical experience including 2+ years of Director , Risk Management experience. Or, 7+ years' risk … more
- Commonwealth Care Alliance (Boston, MA)
- …in provider relations, contracting, or network operations, including 3-5 years in a director or senior management role. - Experience with value-based payment ... goals. - Familiarity with CRM systems (eg, Salesforce) and provider relationship management tools. - Understanding of claims operations, utilization … more
- Premera Blue Cross (Mountlake Terrace, WA)
- …are seeking an experienced **MD** to join our team as an **Assistant Medical Director (Utilization Management - Oncology)** . The AMD will leverage their ... addition, they will support clinical programs (disease and case management ), as well as the review and adoption of...or network structure. + Use clinical expertise to support claims review decisions, including level of care, pricing and… more
- Basin Electric Power Cooperative (Bismarck, ND)
- Job Title: DIRECTOR /MANAGER, RISK & INSURANCE (DOE) Posting Start Date: 10/3/25 Job Description: **POSITION PURPOSE** This position is open to varying levels of ... This position is responsible to design, establish, and manage the Risk Management (pure risk) program of Basin Electric Power Cooperative (BEPC), its subsidiaries… more
- Tutor Perini (Sylmar, CA)
- …is $200,000-240,000 depending on experience. Tutor Perini Corporation is seeking a ** Director of Finance Operations** for our office in **Sylmar, CA** . **About ... and bridge projects. **_Extraordinary Projects need Exceptional Talent_** **DESCRIPTION** The ** Director of Finance Operations** will report to the **Vice President… more
- Aveanna Healthcare (Madison, WI)
- ** 20% Incentive Plan ** Position Overview The Area Executive Director (AED) is responsible for the administrative, operational, and leadership oversight of a ... branches and operational leadership. Essential Job Functions The Area Executive Director is responsible for directly managing all essential operational and… more
- NORC (Washington, DC)
- **JOB SUMMARY:** NORC at the University of Chicago seeks a Program Area Director for our Applied Health Care Economics team. The incumbent will lead evaluation and ... modeling and other advanced quantitative research methods. The Program Area Director should have familiarity and experience leading Medicare and Medicaid… more
- NetApp (Morrisville, NC)
- …+ Experience working on acquisitions and integration + Strong understanding in Claims Management and settlements + Exceptional communication and stakeholder ... risk management strategy, including property, casualty, workers' compensation, and management liability insurance programs. As a director , you will… more
- Lyric (Newtown Square, PA)
- …consult with and inform Lyric's clients. + Familiarity with affordability, claims operations, payment integrity, utilization management , medical policy and/or ... opportunities at lyric.ai/careers and drive innovation with #YouToThePowerOfAI. The Senior Medical Director is a senior clinical leader who will represent Lyric in… more
- GRAIL (Menlo Park, CA)
- …in a regulated environment. + Deep familiarity with MLR processes and claims governance; experience with vendor management . + Exceptional cross-functional ... please visit grail.com . GRAIL is seeking an Associate Director , Clinical Marketing for the Provider Channel. The Associate...for the Galleri test; translate evidence into clear, balanced claims and messaging frameworks. + Serve as a primary… more
- CSL Behring (King Of Prussia, PA)
- As the Senior Director of Sales Operations, Data & COE you will play a key role with responsibility for leading all aspects of sales force operations across the ... functional areas including Sales, Medical and Marketing. **Data Operations:** Senior Director is a high-level leader responsible for overseeing a function… more
- CSL Behring (King Of Prussia, PA)
- **Job Title:** Associate Director , Strategic Forecasting and Portfolio Analytics **Reporting to:** Director , Strategic Forecasting & Portfolio Analytics ... **Position Description Summary:** . Reporting to the Director of Strategic Forecasting & Portfolio Analytics, you will lead forecasting programs centered around… more
- Alameda Health System (San Leandro, CA)
- Director , Ambulatory Access & Revenue Operations + San...and Referral Center + Full Time - Day + Management + $72.52-$120.88/hr + Req #:42916-31874 + FTE:1 + ... registration, and referral coordination and revenue cycle operations (billing, claims , denials, authorizations, registration related edits, education with clinicians)… more
- JE Dunn Construction Company (Dallas, TX)
- Safety Director , Industrial Manufacturing / Advanced Industries Location: Atlanta, GA, US, 30339Austin, TX, US, 78704Dallas, TX, US, 75254Kansas City, MO, US, 64106 ... alongside our diverse team of industry professionals._ **Role Summary** The Safety Director will provide overall direction and leadership on safety and health… 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
- 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 ... insights that characterize opportunities and risks and translate into clear management recommendations with associated implications for the business. + As a… more
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