- WCG Clinical (Raleigh, 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
- Morley (Miami, FL)
- …required)_** Ready to take your creative career to the next level? As a remote Art Director on Morley's award-winning in-house creative team, you'll lead with ... deliverables + **Experience:** + Five years as an Art Director in an agency or in-house creative environment +...Patient advocacy: Free 24/7 help with benefit questions and claims issues + Family, financial and estate guidance (will)… more
- Commonwealth Care Alliance (Boston, MA)
- 011230 CA-Provider Engagement & Performance Position Summary: The Director of Provider Relations leads the strategic vision and operational execution of provider ... network performance, and ensuring compliance with regulatory standards. The Director drives initiatives that enhance operational engagement, member access, provider… more
- Post Holdings Inc. (Lakeville, MN)
- …Quality **Locations:** Lakeville, Minnesota **Position Type:** Regular Full-Time ** Remote Eligible:** Yes **Req ID:** 28791 **Job Description** **Business ... and regulatory excellence? Join our team as the **Associate Director of Pet Food Regulatory Affairs** , where you'll...the future of pet food compliance, labeling, and product claims . This is a high-impact leadership role that blends… 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
- BeOne Medicines (Emeryville, CA)
- **General Description:** The Director , Strategic Evidence, will possess an understanding of US market access priorities, evidence generation, and proficiency in AI ... customers, and / or past direct work experience at claims , EMR / EHR, real world data vendors, IDNs,...projects, and deliver effective results within defined timelines **Travel:** Remote US Based role, with approximately 30% travel. All… more
- CommScope, Inc. (GA)
- …the ANS Global Distribution & Transportation organization, reporting directly to the Director of Global Distribution & Transportation. This role is responsible for ... reports to identify trends and opportunities. + Oversee the global freight claims process and ensure timely resolution. **Freight Claims :** + Investigate… more
- Lundbeck (Deerfield, IL)
- …brain health and transform lives. Join us on our journey of growth! ** Remote /Commuter Opportunity - Open to candidates within the United States** **Summary:** The ... Manager, Field Compliance will support the Director , Field Compliance and Investigations with driving and implementing all elements of the Lundbeck US Compliance… more
- Commonwealth Care Alliance (Boston, MA)
- …satisfaction and member access to care. Reporting to the Senior , Director of Delegation Partnerships., the Senior Provider Relations Account Manager will: + ... + **Operational Excellence:** + Collaborate with cross-functional teams (eg, Claims , Credentialing, Clinical Care Management, Member Services, Provider Services,… more
- Commonwealth Care Alliance (Boston, MA)
- …**Position Summary** The Program Manager, in collaboration with the Sr Director of Delegation Partnerships and Performance, is responsible for advancing provider ... and operational efficiency across the provider network. **Working Conditions** + Remote or hybrid working conditions. Position requires occasional travel in… more
- COOLSOFT (Columbia, SC)
- …Note: * Interview Process: 1 round, virtual * Work Location: Role is 100% remote * Candidate location: Candidate must be a CURRENT SC resident. No relocation or ... risk. The Project Manager will report to the Medicaid IT Services Deputy Director . This is an individual contributor position with no responsibilities for human… more
- Zscaler (San Jose, CA)
- …Incentives** to join our channel and alliances team. Reporting to the Senior Director , Partner Programs, you will own the global partner incentive strategy and ... end-to-end lifecycle of incentive programs - from planning and launch through claims , validation, and payout - ensuring accuracy, compliance, and timely execution.… more
- Humana (Raleigh, NC)
- …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
- Humana (Juneau, AK)
- …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
- Commonwealth Care Alliance (Boston, MA)
- 011250 CCA- Claims **_This position is available to remote employees residing in Massachusetts. Applicants residing in other states will not be considered at this ... time._** **Position Summary:** Reporting to the Director , Claims Operations and Quality Assurance, the Claims Sr. Analyst plays a critical role in ensuring… more
- Zurich NA (Owings Mills, MD)
- …and litigation management skills. This position can be office, hybrid, or fully remote anywhere in the lower 48 states. ** Claims Handling & Investigation:** ... Senior Professional Liability Claims (Attorney), Claims Construction 129572 **Zurich...AM - Owings Mills, AM - Parsippany, AM - Remote Work (US), AM - Rocky Hill, AM -… more
- Commonwealth Care Alliance (Boston, MA)
- …at this time._** **Position Summary:** Working under the direction of the Sr. Director , TPA Management and Claims Compliance, Healthcare Medical Claims ... 011250 CCA- Claims Hiring for One Year Term **_This position is available to remote employees residing in Massachusetts. Applicants residing in other states will… more
- Insight Global (Norcross, GA)
- …repair claims , tire claims and pre-paid maintenance claims . The Claims adjuster will report to the Senior Director of Claims Operations and ... the auto industry. Our customer is looking for Powertrain Claims Adjusters to join their team.. As an adjuster... terminology Great Customer service skills Tech Savvy / Ability to efficiently work in a remote environment Powertrain… more
- Travel + Leisure Co. (Orlando, FL)
- …into exceptional experiences for millions of travelers worldwide. The **Senior Property Claims Analyst** will play a crucial role as part of a high-performing, ... results-oriented Risk Management Team. The Senior Property Claims Analyst will be accountable for all aspects of...is hybrid in office Monday, Tuesday and Wednesday, and remote Thursday and Friday. **How You'll Shine:** + Functions… more
- Marriott (Bethesda, MD)
- …of international claims , document handling, mail routing and check processing. The Claims Support Specialist reports to the Sr. Director , Global Claims ... $33.12 per hour This is a temporary position. The Claims Support Specialist will provide administrative support for ...commuting distance to Bethesda, MD will be considered for Remote positions. Marriott International is the world's largest hotel… more
