- AIG (Atlanta, GA)
- …we help customers to manage risk. Join us as a Complex Federal Work Comp Claims Director to play your part in that transformation. It's an opportunity ... impact + Provide technical expertise in directing and resolving Federal Workers' Compensation claims in accordance with best claim practice guidelines. + Utilize… more
- AIG (Atlanta, GA)
- …How you will create an impact + This position is responsible for leading a team of Complex Claims Examiners on the Federal WC Claims team and for ... Make your mark in Federal Work Comp Claims Our Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence… 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
- University of Michigan (Ann Arbor, MI)
- Director of Insurance and Claims Administration Apply Now **How to Apply** A cover letter is required for consideration for this position and should be attached ... relate to this position. **Job Summary** The University of Michigan is seeking a Director of Insurance and Claims Administration, reporting to the Assistant Vice… more
- Mass Markets (Wichita, KS)
- …trusted partner in the industry. We are seeking an experienced Insurance Call Center Claims Director experienced in Property and Casualty and Life insurance to ... support complex business process outsourcing accounts. You will be responsible...monitor, and manage production to ensure accurate and timely claims processing. This is a senior-level position requiring experience… more
- Humana (Columbus, OH)
- …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
- 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 ... Claims Coding Specialist (Req 100825) Watervliet, NY (http://maps.google.com/maps?q=1601+Broadway+Watervliet+NY+USA+12189) Apply Description GENERAL… more
- Spokane County (Spokane, WA)
- Worker's Compensation Claims Adjudicator (OPEN & PROMOTIONAL) Print (https://www.governmentjobs.com/careers/spokanecountywa/jobs/newprint/4663901) Apply Worker's ... Compensation Claims Adjudicator (OPEN & PROMOTIONAL) Salary $59,023.65 - $82,611.81...Spokane County employees. This position provides a variety of complex , confidential administrative duties, is performed with independent judgement… more
- Providence (NM)
- …for services and take proper steps to pay vendors + Inform Management of large or complex claims and claims with potential for media exposure + Report ... work; and to assist the Group Vice President and Director of Risk & Claims as needed...or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so… more
- GAF (Parsippany, NJ)
- …of the Sr Director , Contractor & Technical Services, the Manager, Commercial Claims will be responsible to lead the day to day management of our commercial ... claims team and processes. This position is based in...own job discipline or field. + Ability to solve complex problems and help lead other less experienced team… 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 ... Director 's work includes computer based review of moderately complex to complex clinical scenarios, review of...additional license, if required. + No current sanction from Federal or State Governmental organizations, and able to pass… more
- Primary Health Care (Des Moines, IA)
- As a Revenue Cycle Director , you will serve as the primary lead for PHC's billing and collections processes to increase cash flow and reduce patient accounts ... receivable. The Revenue Cycle Director works collaboratively with the Patient Services ...to ensure compliance with payer, accreditation, regulatory, state and federal rules and regulations as well as organizational policies… more
- City of New York (New York, NY)
- …projects using complex SQL algorithms and EDW data, analyzing data to identify claims that can be reclaimed for higher federal and state reimbursement rates, ... three analytical staff that are responsible for submitting over $50 million in claims for federal and state reimbursement. Ensure all participant and invoice… 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 ... genetic information or any other basis protected by applicable federal , state, or local laws. The Company also prohibits... complex claims , including Third party claims , TDRG, Zero… more
- Community Hospital Corporation (Gainesville, TX)
- The Human Resources Director reports to the CEO for the direction, coordination and overall management of the Human Resource function. The Human Resources ... Director is responsible for the overall planning, organizing, implementing,...and communications. This responsibility includes ensuring compliance with all federal , state and local government regulations as they relate… more
- State of Massachusetts (Boston, MA)
- …is seeking dynamic and solution-oriented applicants for the position of*Deputy Director of Accounting*. This role is responsible for overseeing the collection ... of verified client overpayments, associated state and federal financial reporting functions, and a variety of other...practice policies and procedures. This role reports to the Director of Accounting, directly supervises three (3) staff, and… more
- Boston Public Schools (Boston, MA)
- POSITION OVERVIEW: The Deputy Director of Labor Relations for Boston Public Schools (BPS) will support the Director and Office of Labor Relations (OLR) as a ... Boston Public Schools Office of Human Capital. The Deputy Director will, in the absence of the Director...and procedures documents consistent with BPS mission and applicable federal and state laws and regulations (DESE); develop effective… more
- University of Southern California (Los Angeles, CA)
- … Director , Benefits and Leave AdministrationApply (https://usc.wd5.myworkdayjobs.com/ExternalUSCCareers/job/Los-Angeles-CA University-Park-Campus/Executive- ... continue until the position is filled. Position Overview USC seeks anExecutive Director of Benefits and Leave Administrationwho will be responsible for the strategic… more
- Humana (Columbus, OH)
- …help us put health first** Humana Healthy Horizons is seeking an Associate Director , Medicaid Provider Services to serve in a strategic leadership role within ... Medicaid segment. The Medicaid Provider Services team, led by the Associate Director , is accountable for Humana's Medicaid segment strategy and operationalizing the… more