- NTT America, Inc. (Plano, TX)
- …inclusive, adaptable, and forward-thinking organization, apply now. We are currently seeking a Delivery Senior Manager to join our team. NTT DATA is seeking to ... hire a Medicare Appeals Clinical Leader to lead service delivery engagements and...written recommendations and interpretations of records. Prepare reports for senior management on appeal trends and compliance status. Requirements:… more
- NTT America, Inc. (Plano, TX)
- …inclusive, adaptable, and forward-thinking organization, apply now. We are currently seeking a Delivery Senior Manager to join our team. NTT DATA is seeking to ... hire a **Medicare Appeals Clinical Leader** to lead service delivery engagements and...recommendations and interpretations of records. + Prepare reports for senior management on appeal trends and compliance status. **Requirements:**… more
- CVS Health (Hartford, CT)
- …for leading the MHK product development and configuration for the Grievance & Appeals (G&A) Department. This role contributes to the product vision and translate it ... are signed by the Value Stream Lead and Product Manager . + Communicate business requirements with DDAT in order...with the ability to establish working relationships across the senior management team, business units, as well as with… more
- The Cigna Group (St. Louis, MO)
- …oversees State and Federal pharmacy reimbursement legislation and pharmacy appeals . Oversee business regulatory compliance projects and process enhancements. Monitor ... pertaining to State and Federal pricing, client specialty pricing, and pharmacy appeals . Responsible for providing Ad Hoc training, support and financial analysis of… more
- Banner Health (AZ)
- …a difference in our customer's lives. The Patient Financial Services (PFS) Billing Manager will manage open accounts. In addition, this person will be tasked with, ... trending issues, preparing issues lists, monitoring denials/ appeals and attending 1:1 conference calls with payers as...at or below the target level. This position must project a positive and professional image to third party… more
- Clark County, NV (Las Vegas, NV)
- …Services Contract Compliance & Management Team and report to the Administrative Services Manager . Grants Unit: Senior Management Analysts assigned to the Grants ... & Management Team and report to the Administrative Services Manager . Fiscal Unit: Senior Management Analysts assigned...(2) years. Experience in a public agency setting and project or programmatic lead experience is desirable. All qualifying… more
- Clark County, NV (Las Vegas, NV)
- SENIOR ECONOMIC DEVELOPMENT SPECIALIST Print (https://www.governmentjobs.com/careers/clarkcounty/jobs/newprint/5114781) Apply SENIOR ECONOMIC DEVELOPMENT ... Las Vegas, NV Job Type PERMANENT Job Number 30254 Department Commission & Manager Division ECONOMIC DEV Opening Date 12/02/2025 Closing Date 1/6/2026 5:01 PM Pacific… more
- Clark County, NV (Las Vegas, NV)
- …professional experience acting as a team leader, functional/technical specialist, or project manager for complex projects affecting many users, departments, ... SENIOR ENTERPRISE SYSTEMS ANALYST Print (https://www.governmentjobs.com/careers/clarkcounty/jobs/newprint/4931637) Apply SENIOR ENTERPRISE SYSTEMS ANALYST… more
- City and County of San Francisco (San Francisco, CA)
- …us on Facebook, Instagram, YouTube, LinkedIn, Bluesky and Threads. People Technology Program Manager The People Technology Program Manager plays a vital role in ... and strategically aligned with business needs. The People Technology Program Manager provides oversight of system design, development, administration, and security;… more
- Guthrie (Sayre, PA)
- Summary The Denial, Appeal, and Audit Manager is responsible for the oversight and management of all payer denials, appeals , and audit processes within the ... of claim denials, effective appeal strategies, and proactive audit response. The manager leads a team of specialists, coordinates with internal departments, and… more
- City and County of San Francisco (San Francisco, CA)
- …a key strategic leader, the Chief Information Security Officer (CISO) (0933 Manager V) will be responsible for developing and executing a comprehensive information ... with organizational goals. The CISO serves as a trusted advisor to senior leadership, providing expert guidance on risk management, security investments, and policy… more
- Sponsors for Educational Opportunity (SEO) (New York, NY)
- … Associate, Events & Development Operations Department: Development Report to: Senior Manager , Development Operations Compensation: $30.82 - $36.30/Hour FLSA: ... also help implement additional donor stewardship and cultivation activities. Reporting to Senior Manager , Development Operations, the Senior Associate will… more
- OhioHealth (Columbus, OH)
- …* This positon supports the Director of Revenue and Reimbursement and Manager of Reimbursement with many special analysis throughout the year associated with ... cycle, charge analysis, regulatory and financial reporting. * The Senior Reimbursement Consultant will be a subject matter expert...be able to delegate direct reports assigned to the project or process while staying connected to both the… more
- Tufts Medicine (Boston, MA)
- …communities healthy, and bring research breakthroughs to life. **Job Overview** The Senior Employee & Labor Relations Specialist serves as a trusted subject matter ... knowledge of healthcare-specific regulations (eg, HIPAA, Joint Commission standards). The senior specialist plays a critical role in shaping a fair, respectful,… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- … Manager / Compliance Consultant, Risk Specialist, Exception Review Specialists and Project Manager . This position is eligible for our Resident, Mobile, ... principles of fair and equitable review. + Work collaboratively with the CPR Project Manager to schedule and confirm date/time/location of hearing and… more
- Draper (Cambridge, MA)
- …leadership to identify schedule slips and mitigate risks. The Program Planner/Scheduler, Senior will also act as the Earned Value Management System (EVMS) and ... using scheduling software such as Open Plan or MS Project , incorporating all dependencies, to track the execution of...thorough cost and schedule integration. + Works with risk manager to incorporate realized risks in IMS and provide… more
- EAC Network (Garden City, NY)
- …Category Human Service Description Join Our Team as a Grants and Development Manager ! Are you passionate about supporting diverse populations and making a real ... Long Island and NYC, is looking for a dedicated full time Grants and Development Manager to join the Development team here at EAC Network. + Salary: $75,000 to… more
- Amentum (Washington, DC)
- …work location. **Reporting Relationships** + Reports to the Claim Review Support Team Project Manager HIRING HOURLY RANGE: $31.69 (Hourly rate to be determined ... Title: Claim Review Assessor Position Description** **AMENTUM Job Title: Senior Paralegal** **MEGA V Labor Category: Paralegal/Legal Assistant II** **General**… more
- State of Massachusetts (Boston, MA)
- …appropriate to inform the Division's various audiences. The Director of Pharmacy Benefit Manager Oversight is a senior management level position that reports to ... to serve our citizens. *_About the Role:_* The Director of Pharmacy Benefit Manager Oversight operating within the Health Care Access Bureau is authorized, pursuant… more
- NextEra Energy (Juno Beach, FL)
- …our innovative, world-class team today! **Position Specific Description** We are seeking a Senior Tax Planning Manager , Tax Controversy to become a member of ... **Sr Tax Planning Manager ** **Date:** Dec 2, 2025 **Location(s):** Juno Beach,...SMEs and communicate tax positions to tax authorities and senior tax leadership + Self-motivated with excellent project… more
