- AIG (New York, NY)
- Join us as a Senior Complex Claims Director - Cyber, Media, & Technology to grow your experience in Claims . Make your mark in Claims Our Claims teams ... and efficiency. How you will create an impact As a Senior Complex Claims Director , you will be responsible for handling all aspects of complex first party… more
- Humana (Trenton, NJ)
- …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to complex clinical… more
- MTA (New York, NY)
- …phones and other administrative tasks and functions at the direction of Asst. and/or Director - Claims & Investigations. + Tendering of claims for excluded ... Senior Claims Administrator Job ID: 7867 Business Unit: MTA...496 DEPT/DIV : Risk Management SUPERVISOR : Acting Deputy Director , OCIP LOCATION : 2 Broadway, New York, NY… more
- Humana (Trenton, NJ)
- …The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
- Humana (Trenton, NJ)
- …The Corporate Medical Director relies on medical background and reviews health claims . The Corporate Medical Director works on problems of diverse scope and ... complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation and decisions about the appropriateness of services… more
- Axis (New York, NY)
- …candidates taking part in the selection process. AXIS is seeking a _Senior Claim Director , Specialty Complex_ _Claims_ to join our North America Claims team. ... This role will report the Head of Specialty Complex Claims . As a direct report to the Head of...a direct report to the Head of Specialty Complex Claims , you should possess the ability to handle and… more
- VNS Health (Manhattan, NY)
- …regional staff at all levels including but not limited to, Provider Relations, Claims , Medical Director , third party administrator, pharmacy benefit manager, to ... achieve resolution of appeals and grievances. + Ensures the accuracy and integrity of data collection and reporting systems to support analysis and reporting of grievances and appeals data for operations and for required CMS and DOH reporting. Participates in… more
- Zurich NA (New York, NY)
- …public company Director 's and Officer's (D&O), Fiduciary and transactional risk claims of moderate to high value and complexity. The ideal candidate will have ... Legal Claims Professional - Public D&O 119736 At Zurich North America Claims we acknowledge that work life-balance and flexibility are a priority when it comes… more
- City of New York (New York, NY)
- …Within AO, exists Office of Revenue that houses SNAP-CR. They establish SNAP claims for the agency according to the Federal SNAP guidelines to recover inaccurate ... supervise staff (PAAII, PAAI, Eligibility Specialist II) involved in Claims processing. - Monitor and distribute cases in the...all staff under direct supervision. - Represent the Executive Director and/or Division Director (in their absence)… more
- VNS Health (Manhattan, NY)
- OverviewManages the configuration and maintenance of the claims system used to administer operations of current and new business for VNS Health Plan products. ... reports, recommendations, and updates/revisions to address existing and potential claims system issues. Works under general direction. Compensation Range:$98,200.00… more
- City of New York (New York, NY)
- …(2) positions are in the Operations Unit. Responsibilities include: - Reviewing appeals claims against DOF records, such as Decision and Orders received by the ... the Special Adjudications Unit as directed by the Chief Administrative Law Judge, Director , or Supervisors. Additional Information: The City of New York is an… more
- City of New York (New York, NY)
- …projects using complex SQL algorithms and EDW data, analyzing data to identify claims that can be reclaimed for higher federal and state reimbursement rates, ... state funding, providing technical support, financial analysis, data retrieval and financial claims support to DSS and other City agencies, responsible for the… more
- City of New York (New York, NY)
- …comparable civil service title.* Reporting to the Chief Operating Officer, the Director of Disability Retirement Services will lead the Division, providing strategic ... transformative improvements in service delivery including case management. The Director will champion a results-oriented approach, integrating innovative practices… more
- Cardinal Health (Trenton, NJ)
- …and promote enrollment. **_Job Summary_** We are seeking an experienced and strategic Director of US Benefits to lead and oversee the design, implementation, and ... and adjustments as necessary. + Financial Acumen: + Analyze benefits utilization and claims data to identify opportunities for cost savings or plan enhancements that… more
- City of New York (New York, NY)
- …York City Employees' Retirement System Membership and Service Division seeks a Deputy Director . Under the direction of the Membership and Service Director , the ... relationships, trust, and productivity within their teams. Understanding what your director wants to achieve and creating effective lines of communication with… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Director for the Risk Management and Patient Safety Department is responsible for overseeing the day to day operations of the department in ... collaboration with the Executive Director . This includes the coordination and investigation of Serious...8. Collaborates with the professional liability carrier and oversees claims management with the carrier(s). 9. Works collaboratively with… more
- Taiho Oncology (Princeton, NJ)
- Associate Director , Outcomes Research & Real World Evidence Princeton, NJ, USA Req #389 Wednesday, September 4, 2024 Looking for a chance to make a meaningful ... Value Proposition: Join our growing Medical Affair team in the role of Associate Director , Outcomes Research & RWE. Your expertise will play a pivotal role in… more
- Unilever (New York, NY)
- Director , Product Development (NYC) New York,NY HOURGLASS COSMETICS - DIRECTOR , PRODUCT DEVELOPMENT (NYC) Connected by creativity and driven by purpose. ... and commitment to innovation, high performance and luxury position. The Director , Product Development owns the end-to-end development process, proactively engaging… more
- Ascendis Pharma (Princeton, NJ)
- …develop their skills. Ascendis Pharma is looking to hire an experienced Director , Contract Operations to join our team. Responsibilities will include implementing ... demonstrating strong leadership, project management, and communication skills. As the Director , Contracting Operations, you will oversee all aspects of contracting… more
- Research Foundation CUNY (New York, NY)
- Job Title: Assistant Director PVN ID: VC-2410-006539 Category: Managerial and Professional Location: OFFICE OF VC - FACILIT PLAN, CONSTRUC & MGMT Job Description ... plays a vital role in successfully implementing this program. The Assistant Director (AD) has primary responsibility for the development and implementation of… more