- Ryder System (Salem, OR)
- …of assigned staff. Assists Director with other staff as directed. Work with Director and other management team to develop tactics and strategies to achieve ... staff. Handles commercial lines bodily injury and property damage claims as well as insurance and contractual coverage issues....annual metrics and other KPI's + Participates with the Director in the selection and management of… more
- Humana (Salem, OR)
- …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... Lead Medical Director - North Central Medicaid Markets. The Medical Director conducts Utilization Management of the care received by members in the… more
- Humana (Salem, OR)
- …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an… more
- Humana (Salem, OR)
- … management or utilization management . **Additional Information** Reports to a Lead Medical Director . The Medical Director conducts Utilization ... a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews preauthorization requests… more
- Prime Therapeutics (Salem, OR)
- …our passion and drives every decision we make. **Job Posting Title** Senior Director of Underwriting - REMOTE **Job Description** The Sr. Director Underwriting ... for prospective clients and new customer acquisitions. **Responsibilities** + Analyze claims data and develop cost-of-care projections for existing customer renewals… more
- CVS Health (Salem, OR)
- …+ Innovation and ideation around new areas of data driven impact around medical cost and patient experience + Work closely with other development teams to ... experience in developing and operating innovative healthcare analytic solutions utilizing member, claims , clinical and provider data + 10+ years working with… more
- Trustmark (Salem, OR)
- …+ Collaborate with the sales leadership teams of VP of Sales & Client Management , Senior Directors' Sales, and the whole sales team to maximize opportunities. + ... accounting of activities and sales. + Collaborate with and support the Client Management team to assure persistency goals are being achieved. + Review national… more
- Northwest Human Services (Salem, OR)
- …analyze data to identify trends and areas for improvement. + Assist in the Claims Management process by reviewing and updating policies and tools, and support ... are a mission focused organization providing compassionate and professional medical , dental, psychiatry, mental health, and wraparound services for...FTCA Claims management for timely submissions. + Monitor… more
- UMB Bank (Salem, OR)
- …across all payment channels. Will work with the Enterprise Fraud Prevention and Claims teams to provide data to help identify emerging fraud trends and UMB's ... concert with the Enterprise Fraud Prevention and Enterprise Fraud Claims teams to identify fraud exposure and make necessary...to fulfill overall business needs and expectations of the Director of Enterprise Fraud Operations and the bank's senior… more
- Prime Therapeutics (Salem, OR)
- …understanding of pharmaceutical claims data and general understanding of medical claims data; highly analytical + Experience identifying opportunities for ... and leadership expectations. + Serves as a consultant to management on major matters pertaining to laws and regulations,...ability to adjust focus **Reporting Structure** + Reports a Director in the Compliance department Potential pay for this… more
- PeaceHealth (Springfield, OR)
- …providing support for specialty inpatient nursing service lines such as Care Management and Neuro/Stroke. Details of the Position: + Leads the identification and ... and teaching skills. (Required) + Understanding of the principles of project management , including documentation and communication. (Required) + Ability to work with… more
- Cardinal Health (Salem, OR)
- …on policies. **_Manager, Ethics and Compliance_** Reporting to the Compliance Director , this position is responsible for supporting the programmatic requirements for ... focus include: compliance training, policy development, exclusion screening tracking, management of investigations and development of programmatic presentation materials.… more