- Municipal Employees' Retirement System of MI (MERS) (Lansing, MI)
- …In this pivotal role, you'll: Advise the Retirement Board and staff on complex legal and policy matters Ensure compliance with IRS, state, and federal regulations ... matters and performs research and analysis required for the solution of complex legal issues that have significant ramifications for the operations and customers… more
- AIG (Jersey City, NJ)
- 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
- Humana (Helena, MT)
- …understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to ... of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations… more
- Humana (Juneau, AK)
- …understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to ... of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations… more
- UNC Health Care (Chapel Hill, NC)
- …health and well-being of the unique communities we serve. **Summary** : Reporting to the Director of Claims & Litigation, the Claims and Litigation Manager ... and the monitoring of incidents that develop into claims against healthcare providers and staff of...claims information in the internal database. Assists the Director in other projects related to claims … more
- Commonwealth Care Alliance (Boston, MA)
- …billing-related certifications **Required Experience (must have):** + 3+ years in healthcare claims processing, provider reimbursement, or payment integrity. + ... states will not be considered at this time._** **Position Summary:** Reporting to the Director , Claims Operations and Quality Assurance, the Claims Sr.… more
- HCA Healthcare (Denver, CO)
- …while giving to the community. We are seeking distinguished applicants for our Director Risk Management opening. Help HCA Healthcare create healthier tomorrows ... is hired below midpoint of the range. **Introduction** Last year alone, HCA Healthcare colleagues invested over 156,000 hours impacting our communities. As a(an) … 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
- Emory Healthcare/Emory University (Atlanta, GA)
- …Proven experience in managing complex risk management programs in an integrated complex healthcare setting + Strong knowledge of healthcare laws, ... **Overview** **Be inspired. Be rewarded. Belong. At Emory Healthcare .** At Emory Healthcare we fuel...more **Work Location:** Atlanta, GA **Description** + The Corporate Director of Risk Management plays a critical role in… more
- Huron Consulting Group (Chicago, IL)
- …Work Authorization required **PREFERRED QUALIFICATIONS:** + Experience with comprehensive healthcare data sets ( claims , payroll, financial performance, clinical, ... and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling… more
- Tenet Healthcare (Commerce Township, MI)
- Director of Revenue Analysis - 2506003876 Description : Are you a results-driven leader ready to make a meaningful impact to patients, caregivers, and your ... DMC Huron Valley-Sinai Hospital , we're seeking an innovative and experienced healthcare leader to drive excellence and inspire our team towards exceptional patient… more
- The Cigna Group (St. Louis, MO)
- **WORK LOCATION: St. Louis, MO** The **Provider Contracting Director ** serves as an integral member of the Provider Contracting Team and reports to the Provider ... for a local given territory. **DUTIES AND RESPONSIBILITIES** + Manages complex contracting and negotiations for fee for service and value-based reimbursements… more
- The Cigna Group (Independence, OH)
- …LOCATION: Must reside in the Cleveland or Independence, OH area.** The ** Director ** **,** **Provider Contracting Network Management** serves as an integral member of ... for a local given territory. **DUTIES AND RESPONSIBILITIES** + Manages complex contracting and negotiations for fee for service and value-based reimbursements… more
- Kyndryl (Oklahoma City, OK)
- …a key leadership role across multi-disciplinary teams, guiding them through complex consulting engagements and be responsible for creating and positioning strategic ... Kyndryl's largest accounts across the C-suite, spanning the intersection between complex Business and IT customer solutions, transformations that impact across the… more
- Providence (Anaheim, CA)
- …**Calling all Esteemed Leaders!** Are you a strategic mastermind with a passion for healthcare ? Do you thrive on navigating complex challenges and shaping the ... the administrative and operational support necessary to manage medical malpractice risk, claims , and patient safety interface functions. The Director will… more
- Waystar (Louisville, KY)
- **ABOUT THIS POSITION** This role reports to a Director , Product Management and work closely with User Experience team and Technology teams. The Sr. Product Manager ... reports, and assessing strengths and weaknesses of competitors + Studying healthcare industry standards and staying up-to-date on industry changes and compliance… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …have experience working with adults in clinical behavior analysis within complex settings and demonstrate proficiency in staff training and behavioral consultation. ... Familiarity with interdisciplinary team collaboration is essential, particularly in healthcare or psychiatric environments. The primary role of this position will be… more
- Mount Sinai Health System (New York, NY)
- …and strategic business needs (eg, market sizing), and healthcare topics (eg, claims analysis) with guidance from Quality Director ? Effective communicator ? ... and executive-facing roles ? Advanced analytical capabilities required, experience with healthcare claims analysis and clinical quality measures highly preferred… more
- Fresenius Medical Center (West Chicago, IL)
- …dashboards). + Familiarity with healthcare data (EHR/PM systems, patient flows, claims , outcomes). + Ability to analyze complex data and present insights ... + **Must have healthcare experience.** **Key Responsibilities** + Clean, and transform... experience.** **Key Responsibilities** + Clean, and transform large healthcare datasets from multiple sources (EHR, PM systems, financial,… more
- CenterWell (Boston, MA)
- …Care relies on medical background and reviews health claims . The Medical Director , Primary Care work assignments involve moderately complex to complex ... relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex issues where… more
