- The Hartford (Charlotte, NC)
- …- and to help others accomplish theirs, too. Join our team as we help shape the future. Vice President , Claims Data Science & AI The Hartford is hiring a ... Vice President to lead the Claims Data Science organization. This role is pivotal in transforming the Claims customer journey by aligning AI… more
- Humana (Raleigh, NC)
- …a part of our caring community and help us put health first** The Associate Vice President (AVP), Medicaid Data Strategy & Enablement, is responsible for ... particularly during new state program implementations and for management of historical claims data . + Create and lead a Medicaid Data Governance Council,… more
- Sumitomo Pharma (Raleigh, NC)
- …seeking a dynamic, highly motivated, and experienced leader for the position of ** Vice President , Regulatory Affairs Oncology** . The candidate must be deeply ... and evaluation of the adequacy of clinical evidence provided to support proposed claims and assess consistency of proposed claims with FDA-approved labeling +… more
- Elevance Health (Durham, NC)
- **Staff Vice President (VP) Pharmacy Actuary** **Location** May be located in any Elevance Health PulsePoint office preferably in Indianapolis, IN, Atlanta, GA, ... formulary decisions + Calculate the value of Cost of Care including pulling data , building models, and developing appropriate assumptions. + Report the Cost of Care… more
- AIG (Charlotte, NC)
- …is at the heart of everything we do, from underwriting risks to processing claims . The Information Technology team equips our employees with the latest tools to ... additional risk and performance metrics + Design and supervise implementation of data quality controls and workflows + Improve vulnerability discovery and risk-based… more
- Norstella (Raleigh, NC)
- …(RWD)** The Product Marketing Manager, RWD is an individual contributor reporting to the Vice President of Product Marketing. You'll shape and execute GTM for ... * 3-5 years in Product Marketing or Product Management; experience with real-world data ( claims , labs, EMR/EHR, Rx, hub/specialty pharmacy) strongly preferred. *… more
- Otsuka America Pharmaceutical Inc. (Raleigh, NC)
- …will serve as a strategic thought partner and Chief of Staff to the Vice President of Medical Affairs, providing high-level guidance and operational leadership ... global medical affairs strategy, optimize operational frameworks, and enable data -driven innovation across therapeutic areas. **Job Description** **Key Responsibilities… more
- Novant Health (Charlotte, NC)
- What We Offer Novant Health revenue cycle services is introducing a New Vice President of Mid Cycle Services to lead the unification of hospital and ambulatory ... plans. + Strong analytical and problem-solving skills with ability to use data to inform decisions. + Ability to work collaboratively with executive leadership… more
- Highmark Health (Raleigh, NC)
- **Company :** enGen **Job Description :** **JOB SUMMARY** The Vice President of Solution Delivery is a critical leadership role responsible for overseeing all ... the healthcare industry. + Understanding of health plan operations, including claims processing, enrollment, billing, and customer service. + Proven track record… more
- Novant Health (NC)
- …ensuring the optimization of revenue cycle functions and will report directly to the Vice President of the Revenue Cycle Consolidated Business Office . Strategic ... reports to senior management. Analyze payer reimbursement patterns, denial trends, and claims data to identify opportunities for revenue enhancement and process… more
- Humana (Raleigh, NC)
- …and the courage to innovate **Additional Information** Typically reports to a Regional Vice President of Health Services, Lead, or Corporate Medical Director, ... first** The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex… more