- AIG (San Francisco, CA)
- Claims Complex Director - Healthcare Professional Liability (HPL) Join us as a Claims Complex Director to take on key responsibilities within ... an impact + This position will ensure high quality claims handling within the Healthcare Professional Liability...+ 7+ years of medical malpractice / professional liability complex claims and/or complex litigation… more
- BeiGene (Emeryville, CA)
- …Understand the current and emerging AI and machine learning techniques to analyze complex datasets related to market access, healthcare economics, and patient ... The Director , Strategic Evidence, will possess an understanding of...customers, and / or past direct work experience at claims , EMR / EHR, real world data vendors, IDNs,… more
- City and County of San Francisco (San Francisco, CA)
- The Department of Public Health prioritizes equitable and inclusive access to quality healthcare for its community and values the importance of diversity in its ... the cost reports, revenue integrity, and Medi-Cal Administrative Activities (MAA) claims sections. Overall, the position will oversee claiming, reporting, and… more
- Stanford Health Care (Palo Alto, CA)
- …participates in internal and external meetings. + Collaborates with the UM/CM Medical Director team on complex cases. + Ensures Utilization Management staff ... status and continued stay review, retrospective review of care, medical claims review, addressing denials/appeals and grievances effectively and timely, and… more
- Pfizer (South San Francisco, CA)
- …tools. These tools and underlying data sets are key enablers for highly complex analytic and reporting processes that support $100+ million dollar market access ... MASPA business users in planning and prioritizations efforts with DTR Project Director , Pfizer Digital and vendors - understanding what those users need most… more
- BetterHelp (Mountain View, CA)
- …your abilities to apply the best of "what's working today" in the mental healthcare system and insurance practices, while being a vocal proponent of what "red tape" ... growth and development, combined with the opportunity to change how mental healthcare services are accessed both domestically and internationally. What will you do?… more
- Sutter Health (San Francisco, CA)
- …care. The RN Case Manager reports to either the Supervisor or Manager or Director of Care Coordination in each facility. The RN Case Manager has frequent contact ... management, quality, ancillary services, third party payers and review agencies, claims and finance departments, Medical Directors, and contracted providers and… more