- VNS Health (Manhattan, NY)
- …Quality Improvement Organizations.Collaborates with professionals, health plan departments such as Claims and Medical Management , and the third party ... care as well as contractual requirements.Investigates and reviews routine and complex situations and underlying issues, analyzes and solves problems, focusing… more
- AIG (New York, NY)
- …with empathy and efficiency. How you will create an impact As a Complex Claims Director for Management Liability, you will have the unique opportunity to ... You will be responsible for handling all aspects of complex directors & officers claims , including securities...all aspects of complex directors & officers claims , including securities class actions, high exposure employment practices… more
- AIG (Jersey City, NJ)
- …customers to manage risk. Make your mark in Casualty Claims Join us as a Complex Claims Director to play your part in that transformation. You'll work ... an Ally, Do What's Right. About the role The Claims Complex Director will ensure...to succeed * 7+ years of complex claims experience * Experience with litigation management … more
- AIG (Parsippany, NJ)
- …regulatory environment. About the role Complex Claim Director -Western World The Complex Claims Director will handle and analyze general liability ... we're looking for: + 10+ years of General Liability claims experience + Experience with complex and...negotiation skills + Advanced experience and capabilities in litigation claims management , including ADR and mediation processes,… more
- AIG (New York, NY)
- …+ Minimum of 10 years of experience handling complex insurance claims , litigation or other related experience; management liability experience highly ... How you will create an impact: As a Senior Complex Director , you are respected for your...negotiation skills + Advanced experience and capabilities in litigation claims management including ADR and mediation process… more
- The Cigna Group (Morris Plains, NJ)
- …creating better ways for the organization to be successful in a highly complex environment and continue to drive digital first applications and strategies. + ... to getting work done. + **Manages Complexity** - Makes sense of complex and sometimes contradictory information to effectively solve problems. + **Manages… more
- Zurich NA (Parsippany, NJ)
- Sr. Claims Coverage Counsel or AVP, Claims Coverage Counsel 114069 We are looking to add an experienced Coverage Attorney to our Claims Legal Department in ... The ideal person for this role will, under technical direction, manage complex coverage/extra contractual litigation of the highest degree of legal complexity and… more
- NJ Transit (Newark, NJ)
- … Claims is responsible for supporting the Senior Director , Contracts & Claims in the negotiation of complex contracts, claims , and related ... are required to implement capital projects. Roles and Responsibilities : + Negotiates complex contracts, claims , and related documentation on behalf of NJ… more
- NJ Transit (Newark, NJ)
- …possible. PRINCIPAL ACCOUNTABILITIES: + Assists the Senior Director , Contracts and Claims with the negotiation of complex contracts required to implement ... Contracts & Claims Administrator Capital Programs Job Description: Move forward...CP&P projects. + Monitors the collaboration with the Risk Management , Procurement, Real Estate, Environmental and legal liaisons within… more
- Celestica (New York, NY)
- …**Functional Area:** Supply Chain Management (SCM) **Career Stream:** Supply Chain Management (SCM) **Role:** Director 1 (DR1) **Job Title:** Director , ... Level 12 **Direct/Indirect Indicator:** Indirect **Summary** We are currently seeking a ** Director , Strategic Supply Chain Management ** to join our team to… more
- The Mount Sinai Health System (New York, NY)
- …of fee schedule linkage, and facilitation of the resolution of escalated operational and claims issues. The Director , Hospital Contract Support is a key member ... policies. Works with Communications on large scale notifications. 12. Directly manages complex MCO claims resolutions with significant liability, which may… more
- City of New York (New York, NY)
- …Bureau of Revenue Optimization and Automation (BROA) develops and automates complex revenue generating and risk avoidance projects, provides financial analysis and ... responsible for implementing revenue enhancing initiatives and projects using complex SQL algorithms and EDW data, analyzing data to...SQL algorithms and EDW data, analyzing data to identify claims that can be reclaimed for higher federal and… more
- CVS Health (Parsippany, NJ)
- …more personal, convenient and affordable. Position Summary The NJ Medicaid Lead Director , Network Management is accountable for designing conceptual models, ... + Ensures resolution of escalated issues related, but not limited to, claims payment, contract interpretation and parameters, or accuracy of provider contract or… more
- The Hartford (Morristown, NJ)
- …or Morristown, NJ 3 days a week (Tuesday through Thursday). The Assistant Director , Category Management is an individual contributor role with responsibility to ... delivers exceptional customer experiences. SSRE is structured with three category management teams, Professional and Corporate Services, Technology & Outsourcing and… more
- Hackensack Meridian Health (Edison, NJ)
- …3. Umbrella/Excess, Employed Physician/Provider, Captive & self-insurance programs. + Oversees the claims management of a complex and growing insurance ... management , underwriting, insurance brokerage organization + Experience with complex insurance programs and alternative risk finance programs, including captive… more
- New York State Civil Service (New York, NY)
- …No Agency DASNY - Dormitory Authority of the State of New York Title Director , Downstate Design & Construction (2 positions) - NYC Office Occupational Category Other ... or Architects license. PC applications and construction systems experience in management of capital projects.Essential Skills* Demonstrated management skills.*… more
- The Mount Sinai Health System (New York, NY)
- …performing analysis to inform business decisions. * Analyze issues using enrollment, claims , clinical/EHR, medical management , financial and other corporate data ... **JOB DESCRIPTION** The Senior Director - Actuary collaborates with stakeholders from across...team of directors and/or analysts to develop sophisticated risk management analytics that provide information, insights, and BI (Business… more
- AbbVie (Newark, NJ)
- …LinkedIn. Job Description *Position can sit remotely anywhere in the US The Director , Patient Centered Outcomes Research, is responsible for the design and execution ... functions (eg, Clinical Development & Operations, Regulatory, Commercial). The Director , Patient-Centered Outcomes Research, will support a therapeutic area and… more
- Centene Corporation (New York, NY)
- …fresh perspective on workplace flexibility. **Position Purpose:** Assist the Chief Medical Director to direct and coordinate the medical management , quality ... to providers that would improve utilization and health care quality. + Reviews claims involving complex , controversial, or unusual or new services in order… more
- City of New York (New York, NY)
- …Grant Accounting. Under the general direction of the Assistant Deputy Commissioner, the Director of the Division of Revenue Control and Analysis (DRCA), with wide ... fiscal reports and other related accounting reports of a complex nature. The Office of Fiscal Operations is recruiting...Administrative Staff Analyst, Level NM-II to function as the Director of the Division of Revenue Control and Analysis… more
