- Banner Health (Phoenix, AZ)
- …the effectiveness of risk mitigation strategies. 8. Oversees investigation and evaluation of complex claims and manages such claims through mediation and/or ... Claims Mgmt **Work Shift:** Day **Job Category:** Legal The **Senior Director , Claims & Litigation Counsel** will provide strategic and operational… more
- Lincoln Financial Group (Phoenix, AZ)
- …for LTD. You will oversee and ensure the fair, ethical and timely management of complex claims . **What you'll be doing** + Maintains knowledge on current and ... + Directs the processing and administration of all aspects of LTD complex claims ensuring accurate and timely claim management. + Develops and executes claim… more
- Ryder System (Phoenix, AZ)
- …and metrics Intermediate, Preferred + Demonstrated ability to handle and manage complex insurance and contractual coverage claims Intermediate, Preferred + ... by a professional staff. Handles commercial lines bodily injury and property damage claims as well as insurance and contractual coverage issues. Assists Director … more
- Humana (Phoenix, AZ)
- … relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex issues where ... understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to … more
- Humana (Phoenix, AZ)
- … relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex issues where ... The Medical Director 's work includes computer based review of moderately complex to complex clinical scenarios, review of all submitted clinical records,… more
- Humana (Phoenix, AZ)
- …relies on medical background and reviews preauthorization requests for services. The Medical Director work assignments involve moderately complex to complex ... or data requires an in-depth evaluation of variable factors. The Medical Director for the National Medicare Outpatient Team provides medical interpretation and… more
- Banner Health (Phoenix, AZ)
- …**Work Shift:** Day **Job Category:** Risk, Quality and Safety The **Senior Director , Clinical Risk Management & Patient Relations** will provide strategic and ... to the clinical risk management team and patient relations team. The Senior Director , Clinical Risk Management and Patient Relations has oversight for Clinical Risk… more
- Centene Corporation (Phoenix, AZ)
- …to providers that would improve utilization and health care quality. + Reviews claims involving complex , controversial, or unusual or new services in order ... perspective on workplace flexibility. **Position Purpose:** Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement… more
- Molina Healthcare (Phoenix, AZ)
- …years leadership/supervisory experience required * Progressive management experience to manage complex work systems and workflows required * Knowledge of pre-edit ... Access, Word and Excel * Knowledge and understanding of claims processing systems and medical claims * Knowledge of HMO, PPO, POS, MCO, Medicare, Medicaid,… more
- Zurich NA (Phoenix, AZ)
- …Construction Casualty Underwriter, (Sr. Level III or AVP Level IV) you will handle complex new and renewal domestic P&C Construction Casualty accounts and serve as a ... and 10 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance...AM - Phoenix Remote Working: Hybrid Schedule: Full Time Employment Sponsorship Offered: No Linkedin Recruiter Tag: #LI-BN1 #LI- DIRECTOR … more
- Cardinal Health (Phoenix, AZ)
- …on policies. **_Manager, Ethics and Compliance_** Reporting to the Compliance Director , this position is responsible for supporting the programmatic requirements for ... outcomes for training and historical purposes. + Assist the Director in the development and creation of Compliance Committee...but not limited to: Anti-Kickback Statute, Stark Law, False Claims Act & Civil Monetary Penalty Law and CMS… more
- Prime Therapeutics (Phoenix, AZ)
- …is responsible for managing, analyzing, and delivering Treasury reporting, including complex liquidity reporting and claim payment process reporting for a variety ... Team and guidance to the Accounting, Finance, Information Technology and Claims operation functions. **Responsibilities** : + Develop, manage, and advance monthly… more
- TAD PGS, Inc. (Buckeye, AZ)
- …Resources (HR) Manager will partner with organizational leadership to help solve complex organizational challenges. The HR Manager will manage the HR department, ... all applicable laws and regulations. Job Responsibilities: + Works with the HR Director and broader HR team to implement group initiatives across the organization .… more