- Banner Health (Phoenix, AZ)
- …leadership to Banner Health's teams responsible for claims and litigation management , clinical risk management , and patient relations. Great opportunity ... Mgmt **Work Shift:** Day **Job Category:** Legal The **Executive Director , Claims & Litigation Counsel** will provide...process improvement and providing legal advice and direction for risk management incidents and grievances, claims… more
- Zurich NA (Phoenix, AZ)
- …+ Ensure regular communication with clients, brokers, business units, and senior claims management . + Proactively manage and resolve high-severity injury ... Sr. Claims Specialist - Complex Construction Claims ...commercial property-casualty insurance solutions and a wide range of risk management products and services for businesses… more
- USAA (Phoenix, AZ)
- …part of what makes us so special! **The Opportunity** We are seeking a dedicated Claims Litigation Case Manager Senior. This position is a hybrid work type and can ... are effectively identified, measured, monitored, and controlled. + Follows written risk and compliance policies, standards, and procedures for business activities. +… more
- Atlas (Tempe, AZ)
- …participate in national professional societies for the Practice. + Develop and manage risk management strategies for the performance of the Practice. + Maintain ... **Position** : ATO Technical Practice Director - Construction Management Atlas is a nationwide leader in civil engineering, materials testing, and geotechnical… more
- USAA (Phoenix, AZ)
- …Investigations Unit (SIU),** you will be responsible for Life, Annuity & Health claims and fraud investigation programs and management of the Life Special ... guidelines, and training reference materials. + Oversees decisions made within the claims and benefits process. + Approves claims within assigned authority… more
- USAA (Phoenix, AZ)
- …process improvement and design methodologies, eg Six Sigma and Lean, business operations, risk management , quality assurance and control, or internal audit, (in ... policies within a regulated environment. + Knowledge of operational risk management practices. + Organizational agility; with...sets you apart:** + 5+ years of fraud or claims management + Deep knowledge of Reg… more
- Molina Healthcare (Phoenix, AZ)
- …practice, capitation, HMO regulations, managed healthcare systems, quality improvement, medical utilization management , risk management , risk adjustment, ... regarding utilization practices, guideline usage, pharmacy utilization and effective resource management . + Develops and implements a Utilization Management … more
- Takeda Pharmaceuticals (Phoenix, AZ)
- …to bring life-changing therapies to patients worldwide. Join Takeda as Associate Director , Global Labeling Lead where you will be responsible for the development ... guidance. **How you will contribute:** With guidance from leadership: Management of Labeling Cross-Functional Teams + Independently leads Labeling cross-functional… more
- CVS Health (Phoenix, AZ)
- …data, risk stratification. + Experience working with clinical and claims data. **Preferred Qualifications** + Experience as a healthcare clinical consultant is ... health care more personal, convenient and affordable. **Position Summary:** **The Lead Director , Operations (hiring for two positions)** plays a key role by leading… more
- Zurich NA (Phoenix, AZ)
- …leading provider of commercial property-casualty insurance solutions and a wide range of risk management products and services for businesses and individuals. We ... and fraud. + Contributing to profitable growth by providing risk insight, information and trends to Business Unit or...vendors within agreed authority limits aligned to the organization's Claims Vendor Management strategy. + Acting as… more
- Zurich NA (Phoenix, AZ)
- …leading provider of commercial property-casualty insurance solutions and a wide range of risk management products and services for businesses and individuals. We ... Specialist 113183 Zurich is looking for a highly skilled **Senior Design/Construction Management Consulting Specialist** within Risk Engineering and our Zurich… more
- Zurich NA (Phoenix, AZ)
- …leading provider of commercial property-casualty insurance solutions and a wide range of risk management products and services for businesses and individuals. We ... will work collaboratively across business units including but not limited to; claims , finance, risk engineering, actuary, and technical underwriting while… more
- Stantec (Chandler, AZ)
- … team and Discipline Leads. + Proactive interface and communication with Corporate Risk Management , as appropriate. + Proactive interface and communication with ... be based on Project/Client needs as well as proactive Claims / Risk mitigation. + Oversee and approve development...Experience with scheduling large, complex projects. + Experience with claims management for design projects. + Sound… more
- CVS Health (Phoenix, AZ)
- …- Maintains accurate and complete documentation of required information that meets risk management , regulatory, and accreditation requirements. - Protects the ... AM to 5:00 PM Arizona Time zone. The Care Management Associate (CMA) supports comprehensive coordination of medical services...service delivery under the direction of nurse or medical director in the most appropriate setting at the most… more
- USAA (Phoenix, AZ)
- …expanding the company's library of internal packages and applications. Works with model risk management to validate the results and stability of models before ... team, Director of Fraud Identity Analytics and Director of Fraud Model Management and Model...models within the Model Development Control (MDC) and Model Risk Management (MRM) framework. + Composes and… more
- Zurich NA (Phoenix, AZ)
- …leading provider of commercial property-casualty insurance solutions and a wide range of risk management products and services for businesses and individuals. We ... and 10 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance...North America has over 150 years of experience managing risk and supporting resilience. Today, Zurich North America is… more
- Freeport-McMoRan (Phoenix, AZ)
- …recommends appropriate actions in order to reduce Company's liability. + Support the Director of Contracts Management to establish and develop strategies to ... services groups such as Legal, Risk and Sites, to ensure contract compliance, risk mitigation and service management + Participate on project management … more
- Marriott (Phoenix, AZ)
- …**Schedule** Full Time **Located Remotely?** N **Position Type** Management **JOB SUMMARY** Assists in the management ... WORK ACTIVITIES** **Managing Security/Loss Prevention Operations** * Assists the Director of Engineering in administering fire prevention programs and emergency… more
- Centene Corporation (Tempe, AZ)
- …Improvement Committee (QIC). + Document, investigate and resolve formal and informal complaints, risk management and sentinel events related to quality of care ... issues. + Audit medical records, review administrative claims and analyze data and interventions for quality improvement studies and activities + Function as the… more