- AIG (Atlanta, GA)
- …agencies. The individual must have significant experience with Workers' Compensation as a Claims Manager/ Director (managing a team of Claims Professionals ... to include onsite competency evaluations as needed. + Partner with Contracts Director / Claims Legal to address any/all State Regulatory/Compliance issues. + Serve… more
- Texas Health Resources (Arlington, TX)
- **Program Director , Compliance Operations and Project Management - Hybrid** This role is hybrid, remote and in office at Texas Health Resources Corporate Offices ... here! **What you'll do** The successful candidate for **Program Director for Compliance Operations and Project Management**...error or noncompliance such as billing, coding, Stark laws, fraud & abuse laws, false claims , or… more
- American Express (Sandy, UT)
- …the company's ability to mitigate risks by supporting detailed investigations into fraud and offenses targeting American Express products, services, and systems. The ... with business partners, law enforcement, and government agencies on global fraud prevention initiatives and identifying worldwide threats that could impact the… more
- University of Washington (Seattle, WA)
- …of Bioengineering (https://bioe.uw.edu/) is looking for an outstanding leader as its Director . UW Bioengineering is a vibrant community driving advances in health ... reports to the Department Chair and Associate Dean of Administration and Operations and serves as the business manager/senior administrative and managerial support… more
- City of New York (New York, NY)
- …for (1) Administrative Staff Analyst NM III to function as an Executive Director , Data Analytics & Verification who will: - Oversee the management, administration, ... data analytics, data reporting, database hosting and systems used for fraud investigation, revenue collection activities and tracking. Ensure business continuity for… more
- Bausch Health (Bridgewater, NJ)
- …Commercial Data Science and Analytics will exist to help the Commercial Operations , Marketing and Sales organizations achieve their vision by unlocking value from ... data quicker and more effectively. The Director , Data Science will lead the execution of this...on key datasets (ie, external data sources such as claims , affiliations, etc. and internal data sources such as… more
- RELX INC (Norwalk, CT)
- Director of Data Content and Strategy About the business: LexisNexis Risk Solutions is the essential partner in the assessment of risk. Within our Healthcare ... vertical, our solutions focus on transforming operations and improving health outcomes across the healthcare industry....and experienced professional to join our team as the Director of Data Content and Strategy. This critical role… more
- USAA (San Antonio, TX)
- …OCC Heightened Standards, BSA/AML, REG E, UDAAP/UDAP. **What sets you apart:** + 5+ years of fraud or claims management + Deep knowledge of Reg E, Reg Z and ... continental US with occasional business travel. **The Opportunity** As a dedicated Director , Dispute Transformation, you will be responsible for overseeing a team of… more
- Bausch + Lomb (Bridgewater, NJ)
- …eye health in the future. We are seeking a highly skilled and experienced ** Director of Benefits** to lead our employee benefits program. Reporting directly to the ... Vice President, Total Rewards and HR Operations , the successful candidate will be responsible for developing,...+ Oversee the administration of US benefits programs, including claims resolution, billing, and reconciliation. + Develop and manage… more
- HomeSafe Alliance (Columbus, OH)
- …adherence with GHC pricing requirements and report actual performance monthly to the Director of International Operations (DIOps) + Verify and assess accuracy of ... risks of not meeting RDDs as directed by the Director of International Operations , for all shipments...Operations , for all shipments that may create inconvenience claims for HomeSafe. Formats and data requirements to be… more
- Environmental Protection Agency (Washington, DC)
- …of the EPA to promote economy, efficiency, and to prevent and detect fraud , waste and abuse. We strive to provide solutions to problems that ultimately ... referred to as "assignments," under the direction of the director . The incumbent supports development and accomplishment of OI...assess the effectiveness, efficiency, and economy of programs and operations of the EPA and the Chemical Safety and… more
- Army National Guard Units (Colchester, VT)
- …administration, payments and financing, intellectual property, government furnished property, fraud and ethical considerations, changes, disputes and claims , ... which employees feel comfortable making such disclosures. Plans and Directs Operations . Provides senior level operational contracting support advice and assistance.… more
- City of New York (New York, NY)
- …BOOKEEPER CIVIL SERVICE TITLE The Office of Child Support Services, Fiscal Operations which handles all fiscal related activities is responsible for ensuring that ... for ensuring the fiscal integrity of OCSE by preventing fraud throughout the collection and disbursement process. It prepares...for accuracy and completeness. Responsible for the examination of claims and vouchers as well as all valid … more
- Baptist Memorial (Covington, TN)
- …available for each particular BSP patient scenario + Responsible for daily billing operations , such as submission of claims (electronic and paper), patient ... assistance for their prescriptions. The individual in this position supports the BSP Director , BSP Pharmacy Staff and Clinical Pharmacists to ensure that all duties… more