- 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 (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
- AIG (Jersey City, NJ)
- At AIG, we are reimagining the way we help customers to manage risk. Join us as a Complex Claims Director - Casualty Coverage and Mass Tort to play your part ... Insurance, Construction Defect or Environmental experience preferred. + The ability to handle complex claims involving diverse coverage issues related to GL and… more
- Zurich NA (New York, NY)
- 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
- 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
- Merck (Rahway, NJ)
- **Job Description** The Associate Director , Business Insights Analytics & Data Science, will be responsible for developing and communicating data-driven and ... analyze data leveraging advanced analytical/statistical techniques from disparate databases/sources ( claims data/EMR Data and other sources) to drive optimization… more
- EPAM Systems (New York, NY)
- …- Payor, Provider, or Life Sciences and/or horizontal areas - Core Operations: Claims , Enrollment and Billing, Med Management ; RCM; Commercial Operations, Supply ... a natural self-starter. You have a passion for solving complex problems. If this sounds like you, this could...be the perfect opportunity to join EPAM as a ** Director , Healthcare Advisory** . In this role, you will… more
- WTW (New York, NY)
- …experience in the US market in both market-facing and home office or product management roles to join as an Associate Director in our Insurance Consulting ... you will collaborate with our team of pricing, portfolio management , underwriting, finance, and claims experts to...and mentoring less experienced colleagues + Practiced in managing complex projects and delegating work to senior and junior… more
- Danaher Corporation (New York, NY)
- …tools that address the world's biggest health challenges. The Director , Global Product Marketing Hematology/Urinalysis Solutions for Beckman Coulter Diagnostics ... the Global Product Marketing Leadership team and report to the Senior Director of Global Product Marketing responsible for new product commercialization and thought… more