- 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
- Banner Health (Phoenix, AZ)
- …effectiveness of risk mitigation strategies. 9. Oversight for investigation and evaluation of complex claims and manages such claims through mediation and/or ... Claims Mgmt **Work Shift:** Day **Job Category:** Legal The **Executive Director , Claims & Litigation Counsel** will provide strategic and operational… more
- Whitney Young Health Center (Watervliet, NY)
- …for reviewing medical claims prior to submission and following up on more complex or problem claims or insurance types as designated by the Director ... date . Four (4) years of progressive experience in medical billing and claims processing in a multi-specialty healthcare setting. Professional coding experience… more
- CommuniCare Health Services Corporate (Blue Ash, OH)
- …leader in post-acute care for those that are chronically ill or have complex conditions. Our more than 150 skilled nursing, assisted living, independent living, ... growth, CommuniCare Health Services is currently recruiting for a Claims Validator / Biller to support our Central Billing...team, CBO cash posting team, Business Office Manager, Regional Director of Finance, MDS, Case Management, and others. The… more
- Prime Healthcare (Farmers Branch, TX)
- …trends and identify opportunities for process improvement and reimbursement optimization. + Complex Claims Management: identifies, trends, and owns portfolios of ... Outsourcing program across Revenue Cycle Management for all Prime Healthcare . The Corporate Director is responsible for... complex claims , including Third party claims , TDRG, Zero… more
- Ankura (Chicago, IL)
- …execution, business and operating model design, and acquisition and merger support. Healthcare Performance Improvement Director Responsibilities As a director ... to drive business development and project delivery Heatlhcare Performance Improvement Director Requirements: Bring meaningful experience in healthcare and… more
- CommonSpirit Health (Houston, TX)
- …TX office and will travel regionally in the south region. The Region Director Risk Management and Loss Prevention is responsible for orchestrating the successful ... market/local risk management professionals. Within an established framework, the Director develops, implements and assesses the effectiveness of Region-wide programs… more
- HCA Healthcare (Austin, TX)
- …is incentive eligible. **Introduction** Do you have the career opportunities as a(an) Director of Patient Safety you want with your current employer? We have an ... which is part of the nation's leading provider of healthcare services, HCA Healthcare . **Benefits** St. David's...of colleagues. Do you want to work as a(an) Director of Patient Safety where your passion for creating… more
- Walmart (Bentonville, AR)
- Position Summary What you'll do The Director of Healthcare Research Analytics will be responsible for leading data management and analysis of large, real-world ... the future of our analytics capabilities. This position will report to the Senior Director , Healthcare Research and Clinical Affairs in the Walmart Health … more
- Select Medical (Camp Hill, PA)
- …This position will also be involved in special projects as assigned by the Director of CBO or VP Patient Accounting. **Responsibilities** + Trains new IP CBO team ... Leadership and all IP team members. + Any additional projects as assigned by the Director of CBO or VP Patient Accounting + Training on various **OnBase, and old… more
- EPAM Systems (Mclean, VA)
- …sounds like you, this could be the perfect opportunity to join EPAM as a ** Director , Healthcare Advisory** . In this role, you will engage with insurance clients ... time. In addition to client service and delivery, the Director , Healthcare Advisory is expected to make...or Life Sciences and/or horizontal areas - Core Operations: Claims , Enrollment and Billing, Med Management; RCM; Commercial Operations,… more
- Prime Healthcare (Ontario, CA)
- …including Claims and Customer Service, to provide guidance on complex Authorizations, Referrals, Denials and Appeals. + Integrates and coordinates services using ... and Company performance. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/172723/corporate- director -of-clinical-utilization-management/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityPrime Healthcare Management… more
- Evolent Health (Columbus, OH)
- …curiosity, creativity, accountability, and a growth mindset as we solve complex business problems. **Collaboration Opportunities** The Director , Client Analyst ... health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek… more
- Zelis (Morristown, NJ)
- Position Overview: The Director of Out of Network Services is responsible for overseeing the operations and performance of the Out of Network Post Pay Solutions ... department. The Director ensures that the department meets the quality, productivity,...procedures, and contractual obligations related to out of network claims . + Collaborate with other departments, such as network… more
- Humana (Columbus, OH)
- … relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex issues where ... The Medical Director 's work includes computer based review of moderately complex to complex clinical scenarios, review of all submitted clinical records,… more
- Penn Medicine (Plainsboro, NJ)
- …related to requested information to prepare for pending litigation. + Advises the PMPH Director of Quality of any complex issues or problems involving patient ... work? Penn Medicine Princeton Health is hiring for a Director of Patient Safety. We are looking for someone...the liability insurance carrier regarding all potential and verified claims . + Coordinates the release of records in response… more
- CVS Health (Columbus, OH)
- …tactics, policies, and programs that drive the delivery of quality healthcare to establish competitive business advantage for Aetna. Health Services strategies, ... and policies. **Primary Job Duties & Responsibilities:** Behavioral Health Medical Director + Collaborates with health plan Sr Leadership to identify, develop,… more
- J&J Family of Companies (Columbus, OH)
- Director , Health Economics and Market Access - Wound Closure and Healing and Biosurgery - 2406204292W **Description** Johnson & Johnson is recruiting a Director , ... Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a world where... innovation empowers us to build a world where complex diseases are prevented, treated, and cured, where treatments… more
- Norstella (Columbus, OH)
- Senior Director , RWD Analytics and Innovation Company: Citeline Location: Remote, United States Date Posted: Sep 6, 2024 Employment Type: Full Time Job ID: R-408 ... pharmaceutical, contract research organizations (CROs), medical technology, biotechnology and healthcare service providers, including the top 10 global pharma and… more
- Taiho Oncology (Princeton, NJ)
- …to support value proposition of Taiho's products + Analyze real-world healthcare data, including claims data, electronic health records/electronic medical ... Associate Director , Outcomes Research & Real World Evidence Princeton,...earn and maintain the confidence of patients, the global healthcare community, collaborators and partners, and each other. Together,… more