- AIG (Jersey City, NJ)
- Claims Complex Director - Healthcare Professional...is an exciting time to join us - across our operations , we are thinking in new and innovative ways to ... (HPL) Join us as a Claims Complex Director to take on key responsibilities within a world-class...an impact + This position will ensure high quality claims handling within the Healthcare Professional Liability… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …our Healthsource blog: https://healthsource.premera.com . We are seeking an experienced and dynamic ** Claims Operations Director ** to join our team and ... role in enhancing the quality and efficiency of our claims processes. In this capacity, you will lead a...strategic direction, business planning, and overall leadership for Premera's healthcare payer operations across various customer segments… more
- Banner Health (Phoenix, AZ)
- … Claims Mgmt **Work Shift:** Day **Job Category:** Legal The **Executive Director , Claims & Litigation Counsel** will provide strategic and operational ... with healthcare risk management, quality management, in house liability claims management (including litigation and claims reserves) and litigation**… more
- Commonwealth Care Alliance (Boston, MA)
- …Summary:** Working under the direction of the Sr. Director , TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be ... responsible for developing prospective claims auditing and clinical coding and reimbursement edits and...on financial ability and forecasting for small to large Operations Management + Collaborate system and data configuration into… more
- Genesis Healthcare (Charleston, WV)
- Revolutionize Healthcare with AlignMed Partners! We're seeking a dynamic Director of Physician Operations to join our growing team. Are you a seasoned ... healthcare leader with a passion for travel? Join us,...contracted physicians, medical directors, contracted APPS, specialty consultants, medical director agreements with Operators/Centers. + Identifies, develops, implements and… more
- Chesapeake Regional Healthcare (Chesapeake, VA)
- …+ Investigate patient complaints, potential adverse events, and reported medical malpractice claims in collaboration with peers in operations , quality, and ... Summary The Risk Director assesses, plans, implements, and directs the Risk...event. + Design, implement, and maintain organizational systems for claims management and occurrence reporting with the goal of… more
- HCA Healthcare (Fort Lauderdale, FL)
- …HCA Healthcare colleagues invested over 156,000 hours impacting our communities. As a Director of Revenue with HCA Healthcare , you can be a manager in an ... as the central point of contact for revenue cycle operations in the PHY Division for our Parallon business...the community. We are seeking distinguished applicants for our Director of Revenue opening. Help HCA Healthcare … more
- Sharp HealthCare (San Diego, CA)
- …and employer business practices. **What You Will Do** This Senior Medical Director position provides critical management and oversight for Sharp Health Plan's (SHP) ... practice of medicine. + 5 years' experience as an HMO Health Plan Medical Director . + California Physicians and Surgeons License - Medical Board of CA -REQUIRED… more
- CommonSpirit Health (Houston, TX)
- …TX office and will travel regionally in the south region. The Region Director Risk Management and Loss Prevention is responsible for orchestrating the successful ... activities within a designated Region in collaboration with Claim Operations , Regional leadership, and market/local risk management professionals. Within an… more
- Huron Consulting Group (Chicago, IL)
- …you'll help our clients evolve and adapt to the rapidly changing healthcare environment and optimize existing business operations , improve clinical outcomes, ... and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling… more
- Molina Healthcare (NY)
- …and claims configuration in a managed care environment; system operations , work flow processes and internal controls; NCQA provider data requirements. To ... and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system… more
- UNC Health Care (Morrisville, NC)
- …with excellent communication and interpersonal skills to become the department's first Director of Operations . This position will work closely with department ... tools and information to users of legal, risk management, and audit services. The Director of Operations will report directly to the Chief Legal Officer and… more
- Ascendis Pharma (Princeton, NJ)
- …and develop their skills. Ascendis Pharma is looking to hire an experienced Director , Contract Operations to join our team. Responsibilities will include ... tactical, demonstrating strong leadership, project management, and communication skills. As the Director , Contracting Operations , you will oversee all aspects of… more
- LogixHealth (Bedford, MA)
- Location: On-Site in Bedford, MA This Role: As a Director of EDI at LogixHealth, you will work with internal teams to provide cutting edge solutions that will ... directly improve the healthcare industry. Specifically, this position manages employees who handle...oversee and monitor all functions of the EDI team operations + Initialize new client EDI set up process… more
- Providence (Burbank, CA)
- …wide range of settings + Must possess skills and understanding of hospital clinical healthcare operations and quality data management + Quality and Safety + ... **Description** **THE ROLE** Under the direction of Executive Director of Quality provides day to day operational...programs designed to reduce incidence and magnitude of damage claims made against the hospital and to maintain regulatory… more
- Option Care Health (Morris Plains, NJ)
- …hiring, developing, and retaining a diverse workforce. **Job Description Summary:** The Director , Operations is responsible for delivering safe, efficient and ... operations and nursing. Ensures error proofing for pick, pack and ship operations . + Partners with Regional Director , Sales to drive market development and… more
- Molina Healthcare (NE)
- …deliver effective customer service for all service needs including benefits, claims , billing inquiries, service requests, suggestions and complaints. Directly and ... and agents. * Strong leader, ability to develop teams focused on delivering great healthcare service to a population that has often been underserved. * Directs and… more
- Healthfirst (FL)
- …guidelines that impact Contact Center Operations , Enrollment and Billing and Claims operations for Medicaid, Medicare, and Commercial lines of business (ie ... **Duties/Responsibilities:** + Design and execute the operations internal audit strategy to assess financial, operational, and compliance risks + Lead a team… more
- CVS Health (Frankfort, KY)
- …make health care more personal, convenient and affordable. **Position Summary:** **The Lead Director , Operations (hiring for two positions)** plays a key role by ... and claims data. **Preferred Qualifications** + Experience as a healthcare clinical consultant is highly desirable. + Specific experience within value-based… more
- Olympus Corporation of the Americas (Center Valley, PA)
- …other than @Olympus.com, it is likely not legitimate._ **Job Description** The Director Scientific Communications, Global Operations plays a central role in ... with regulatory requirements. **Job Duties** + Leads the Scientific Communication Operations team. + Develop, drive, and maintain the process and technology… more