- AIG (Jersey City, NJ)
- …efficiency. How you will create an impact + This position will ensure high quality claims handling within the Healthcare Professional Liability ("HPL") Claims ... Claims Complex Director - Healthcare Professional...internal coordination with the corporate legal team. + Achieves quality standards by effectively managing each claim to ensure… 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...the agency such as CA and SNAP only sites, Quality Control and Internal Audits prior to establishing in… more
- Ankura (New York, NY)
- …services across the Firm. Practice Summary: Ankura's Forensic Accounting and Claims Consulting (FACC) practice focuses on assisting corporations in the ... quantification and presentation of first party insurance claims as a result of a covered loss. Commonly...will work closely with our professionals - Consultants through Director - and gain first-hand experience in consulting. Your… more
- Nuts (Cranford, NJ)
- Director of Food Safety & Quality Assurance Cranford, NJ Apply Hi, we're Nuts.com! Nuts.com is a self-funded, profitable, rapidly growing multi-channel DTC ... us continue to build something special. The role: The Director of Food Safety and Quality Assurance...introduction including vendor onboarding and ensuring all client-facing product claims reflect vendor specifications + Build process to have… more
- Zelis (Morristown, NJ)
- …and performance of the Out of Network Post Pay Solutions department. The Director ensures that the department meets the quality , productivity, and compliance ... Position Overview: The Director of Out of Network Services is responsible...of the department, such as retained savings, turnaround time, quality assurance, and customer satisfaction. + Identify and implement… more
- 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 ... **Job Description** ** Director - Hospital Contract Support- Mount Sinai Health Partners**...matrix partners on new and impactful MCO coverage and claims payment policies. Works with Communications on large scale… more
- Project Renewal, Inc. (Bronx, NY)
- … Director , determines policy for the clinical programs. Ensures that the Clinical Director and staff are providing quality care to the clients and ensures ... Program Director Shelter- Ana's Place, 4380 Bronx Blvd, Bronx,...state and city audits as well as any legal claims or lawsuits filed by clients and staff. +… more
- HSS (New York, NY)
- …you too can be part of our transformation across the enterprise Director of Risk Management Full-Time Responsibilities: + Reviews occurrence reports and enters ... hospital employees. + Management of agenda of monthly suits, claims and events meeting (Professional Safety Committee) and ensure...degree + 5 years experience in Hospital Risk Management, quality or other similar leadership role + Ability to… 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
- Mondelez International (East Hanover, NJ)
- …community and business unit leaders. **How you will contribute** The Senior Director Consumer Science Innovation is a highly strategic role and will manage ... and initiate new consumer research programs (relating to product, pack and claims ). The role requires strong partnership with R&D, Insights and Analytics and… more
- The Hartford (New York, NY)
- …looking for a strong candidate who will drive Sales, Marketing, Profit, Growth, and Quality of Middle Market business. The Managing Director leads the execution ... Managing Director - UQ06CB We're determined to make a...standards and levels of authority. This requires overseeing the Quality Analysis process and ensuring its effectiveness, consistency, timeliness,… more
- City of New York (New York, NY)
- …*Applicant with similar civil service titles are encouraged to apply.* The Director of Payroll and Timekeeping will report to the Assistant Commissioner for ... focus on supporting payroll and overseeing timekeeping operations. The Director will help to ensure that TLC is in...monitor their implementation and accuracy as well as create quality assurance procedures. Provide a high-level of customer service… more
- City of New York (New York, NY)
- …operation of the Office of Audit Services (OAS) and Office of Quality Assurance (OQA), Office of Accountability Strategies (OAS), Compliance and Contract Monitoring ... Staff Analyst NM III to function as an Executive Director , Data Analytics & Verification who will: - Oversee...- Design, test, and implement the process to evaluate claims for skimming reimbursement in a batch, data-driven manner,… more
- The Hartford (New York, NY)
- Managing Director - UQ06CB We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here ... future. Reporting to the AVP of Alternative Distribution, the Managing Director will provide direct underwriting leadership, sales leadership, and agency management… more
- BronxCare Health System (Bronx, NY)
- …and claims activities, support of and participation in Continuous Quality Improvement (CQI) teams, consistent adherence to the specific rules and regulations ... Overview The Assistant Director Health Information Management is responsible for technical...and its employee. -Contributes to and participates in the Performance/ Quality Improvement activities of the assigned department. Contribution and… more
- RELX INC (Norwalk, CT)
- Senior Director -Product ManagementAre you a thought leader and innovator seeking a new opportunity? Would you like to lead a team to solve complex business problems? ... Team leads the strategy and development of Healthcare solutions, leveraging provider, claims , and consumer data to provide insights for Healthcare Payer, Provider,… more
- Axtria, Inc. (Berkeley Heights, NJ)
- …in the industry. Description: We are looking for Senior Manager and Associate Director for our Decision Science practice. Success in this position requires managing ... as: + Patient analytics using Real World Data (RWD) sources such as Claims data, EHR/EMR data, lab/diagnostic testing data, etc. + Predictive modeling using Real… more
- Ankura (New York, NY)
- …and operating model design, and acquisition and merger support. Healthcare Performance Improvement Director Responsibilities As a director be a key leader on ... to day relationships between Ankura team and senior client executives + Ensures the quality of engagement(s) and assists in the development of staff As a key member… more
- City of New York (New York, NY)
- …Abuse Prevention Program (RAPP). Under administrative direction of the Senior Director of Administration Planning Operations and Emergency Support Services, the ... Director of Contracts and Compliance with wide latitude for...appropriate documentation including vendor program evaluations, site visit reports, claims for reimbursement, budget modification, and fiscal audits. -… more
- Elevance Health (New Hyde Park, NY)
- ** Director I Medicare Operations** **Location:** This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of one of ... Medicare and Medicaid Services to transform federal health programs. The ** Director I Medicare Operations** is responsible for directing multiple business function… more