- Hiscox (New York, NY)
- Director , Portfolio AnalyticsJob Type: PermanentBuild a brilliant future with HiscoxAs the Director of Portfolio Analytics, you will lead a high impact team ... leveraging 3rd party data to assess risk quality and pricing adequacy for potential underwriting intervention.Work collaboratively within the Hiscox network… more
- Merck & Co. (Rahway, NJ)
- …in the execution of IT internal audit engagements to assess the adequacy of internal controls. This includes performing walkthroughs and testing information ... to audit to the relevant requirements.Under the direction of the Audit Director and the Auditor-in-Charge ("AIC"), the Specialist will:Participate in the execution… more
- Elevance Health (Nashville, TN)
- … network build with demonstrated success in implementing recruiting plans and network adequacy experience strongly preferred. + Commercial line of business ... **Provider Network Management Director ** **Location:** This position will work a hybrid model (remote and office). Must reside within 50 miles/1 hour commute of… more
- Lilly (Pleasant Prairie, WI)
- …area strategies to increase the value of Lilly products. The Senior Director , Quality Assurance, is primarily responsible for overseeing the execution of the ... provide quality support for achieving key business objectives. The Quality Senior Director is responsible for the productivity, tracked through metrics, and the… more
- Cedars-Sinai (Los Angeles, CA)
- …, and collaborating with Network Contracting to ensure clear pathways and network adequacy for referral to outside mental health resources. The MH Medical ... the mental health needs of patients cared for across the Medical Network . The Medical Director oversees the full spectrum of the Collaborative Care model that… more
- ADM (Decatur, IL)
- **89125BR** **Job Title:** Director Electrical Systems NA **Department/Function:** Engineering **Job Description:** ** Director of Electrical Systems, NA - ... This is an exempt-level position. ADM is seeking a Director of Electrical Systems to oversee the strategy, condition...for our Electrical Infrastructure and Co-generation plants across our network of plants in North America. The ideal candidate… more
- UPMC (Moosic, PA)
- …significant responsibility for quality management and utilization management and for assuring the adequacy of the provider network for the clinical needs of ... have an exciting opportunity for a full-time Senior Medical Director to join our leadership team with UPMC Community...relationship between Community Care and the providers in its network . + Reviews proposed service denials and supervises care… more
- Point32Health (FL)
- …individual will also provide support for regulatory requests around access and network adequacy . **Key** **Responsibilities/Duties** **- what you will be doing** ... click here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** Working with the Director , Network & Provider Analytics and other...lead analysts in measuring the impact of contracts on network adequacy and access. + Recruit, train,… more
- Mount Sinai Health System (New York, NY)
- …of the professional network are met. + Assures managed care provider network adequacy through retention of existing providers and recruitment of new ... **Job Description** ** Director - FPA Contract Support - Mount Sinai Health...School of Medicine at Mount Sinai (ISMMS) and the Network Practices. + Develop and maintain excellent relationships with… more
- Air National Guard Units (St. Paul, MN)
- …apply Responsibilities Major Duties: This is not an all-inclusive list A DIRECTOR OF INSPECTIONS, GS-1801-12, 1. Plans, organizes, resources, and directs the ... of internal and external inspections, audits, evaluations. Oversees the preparation and adequacy of wing inspection team (WIT) members tasked to assist with… more
- CareFirst (Baltimore, MD)
- …state of oral health care delivery. Leads provider network management team to secure network adequacy and respond to client and member needs. + Serves as a ... few days per week.** **PURPOSE:** Responsible for clinical and provider network management for dental organization. Directs daily departmental activities that… more
- Centene Corporation (Jackson, MS)
- …perspective on workplace flexibility. **Position Purpose:** Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement ... of performance improvement initiatives for capitated providers. + Assists Chief Medical Director in planning and establishing goals and policies to improve quality… more
- Office of the Director of National Intelligence (Mclean, VA)
- Summary The Office of the Director of National Intelligence (ODNI) Directorate for Mission Integration (MI) creates a consistent and holistic view of intelligence ... from collection to analysis and serves as the Director of National Intelligence's (DNI) principal advisor on all aspects of intelligence. MI integrates mission… more
- Centene Corporation (Austin, TX)
- …perspective on workplace flexibility. **Position Purpose:** Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement ... of performance improvement initiatives for capitated providers. + Assists Chief Medical Director in planning and establishing goals and policies to improve quality… more
- Glenmark Pharmaceuticals Inc., USA (Monroe, NC)
- Associate Director , Data Integrity Officer Department: Quality Plant Head Location: Monroe, NC START YOUR APPLICATION ... markets APIs to regulated and semi-regulated countries. The Associate Director - Data Integrity Officer (-DIO-) is responsible for...site Quality Leadership Team and the Global Corporate DI Network and will implement DI practices and procedures to… more
- ARAMARK (Philadelphia, PA)
- **Job Description** Aramark Healthcare+ is seeking candidates for a Patient Services Director position to oversee the patient food service activities at Jefferson ... highly complex healthcare facility. ? Create and manage a network of thought leaders to support nutrition issues and...Manage and control resources and materials to ensure quality, adequacy of supply, and cost control within budgetary guidelines.… more
- Molina Healthcare (Owensboro, KY)
- …implement standardized provider contracts and contracting strategies. + Monitors and reports network adequacy for Medicare and Medicaid services. + In ... locations on which to concentrate resources for purposes of establishing a sufficient network of Participating Providers to serve the health care needs of members… more
- CVS Health (Princeton, NJ)
- …+ Provide provider education and develop and deliver provider training + Ensure network adequacy and appointment access, including development of network ... Health Network . The Behavioral Health Senior Manager of Network Relations will report to the Executive Director of Network Management and will work in… more
- Northrop Grumman (Colorado Springs, CO)
- …Launch and Missile Defense Systems has an exciting career opportunity for a Principal Engineer Network - Network DevOps Engineer III (24-282) to join our team of ... missile defense system capabilities. The candidate will serve as the Network and Enterprise Services (NES) DevOps Engineer responsible for developing, implementing,… more
- Health First (Rockledge, FL)
- …as accreditation status for organizational providers. 9. Conduct reviews of provider network adequacy for quality improvement evaluation, the National Committee ... *POSITION SUMMARY* The Provider Network Credentialing Specialist is responsible for coordinating, monitoring...and Finance as well as reports for the Medical Director , Credentialing Committee and the Board of Trustees. 3.… more
