- Alight (SC)
- …with Regulatory Compliance and Risk Committees. **Requirements** + Experience of 10 years in claims and 7 years leadership in absence management . + Have advanced ... and Great Place to Work! Do you have advanced experience in absence management leadership? **Our Story** At Alight, we believe a company's success starts with… more
- Elevance Health (Atlanta, GA)
- **Business Change Director - Claims /Payment Integrity Use-Case Lead** **Location:** This position will work a hybrid model (remote and office). Ideal candidates ... 50 miles of a PulsePoint location. The **Business Change Director - Claims /Payment Integrity Use-Case Lead** is responsible for...continue to improve on the process. The Business Change Director is responsible for working with management … more
- Premera Blue Cross (Mountlake Terrace, WA)
- … Operations Director ** to join our team and oversee our claims management organization. This position offers an exceptional opportunity to contribute ... expertise will play a crucial role in enhancing the quality and efficiency of our claims processes. In this capacity, you will lead a strong claims team, drive… more
- CommonSpirit Health (Houston, TX)
- …Houston, TX office and will travel regionally in the south region. The Region Director Risk Management and Loss Prevention is responsible for orchestrating the ... in collaboration with Claim Operations, Regional leadership, and market/local risk management professionals. Within an established framework, the Director … more
- Snapsheet (IL)
- …Snapsheet exists to simplify claims . We leverage our expertise in virtual estimating and innovative claims management technology, transforming the ... Job Title: Director of Pre-Sales Company: Snapsheet Job Location: Remote...claims process - delivering faster, modern experiences for claims organizations of all sizes. About the Role: As… more
- Veterans Benefits Administration (Wichita, KS)
- …Not Available Telework: Available Virtual : This is not a virtual position. Position Description/PD#: Director ; PD# 37956A Relocation/Recruitment Incentives: ... Summary The incumbent serves as Director of the Wichita VA Regional Office. The...control as circumstances require to facilitate efficient and effective management . Analyzes and evaluates results and accomplishments in each… more
- Axtria, Inc. (Philadelphia, PA)
- …Client Leadership + Lead global team to deliver programs for Commercial Data Management , Reporting and Analytics solutions for Life Sciences clients + Work with ... through the pre-launch to launch to post-launch journey enabling suitable data management and commercial insights along the way + Responsible for execution of… more
- Gilead Sciences, Inc. (Foster City, CA)
- …aspirations. Join Gilead and help create possible, together. **Job Description** As **Senior Director , Data Science Omnichannel NBA** , you would report to the Head, ... Data Science and Data Management . Based in NJ / CA, you would lead...leader and expertise in working on IQVIA and Symphony Claims , Komodo claims , Optum, Definitive health, Health… more
- Takeda Pharmaceuticals (Columbus, OH)
- …to bring life-changing therapies to patients worldwide. Join Takeda as Associate Director , Global Labeling Lead where you will be responsible for the development ... guidance. **How you will contribute:** With guidance from leadership: Management of Labeling Cross-Functional Teams + Independently leads Labeling cross-functional… more
- Emerson (St. Louis, MO)
- …+ MBA + Knowledge of Federal, state, and local safety regulations. + Knowledge of claims management and resolution. + Ability to be a creative and progressive ... We provide a wide range of development opportunities, including face-to-face and virtual training, mentorship and coaching, project management , and on-the-job… more
- BeiGene (San Mateo, CA)
- …BeiGene is actively seeking a seasoned compliance professional at the associate director level who thrives in fast-paced settings, brings a proactive, pragmatic ... and is driven to make an impact. This role will report to the Senior Director of Compliance Operations and will play a critical role in BeiGene's global Compliance… more
- Elevance Health (Nashville, TN)
- …and utilizes multiple systems. May include oversight of multiple functions within claims , customer service, enrollment and billing, document management , mail ... ** Director of Customer Care II** **Location:** This role...goals strongly preferred. + Experience interacting confidently with senior management and executive level stakeholders, as a subject matter… more
- Huntington Ingalls Industries (Newport News, VA)
- CORPORATE DIRECTOR AND ASST GENERAL COUNSEL 2 Location: Newport News, Virginia, United States Date: Dec 27, 2024 Req ID: 39185 Team: N358 LEGAL Entity: HII Corporate ... Yes Full-Time Shift: 1st Relocation: Relocation assistance will be available Virtual /Telework Opportunity: Yes - Occasional or hybrid telework available Travel… more
- Premera Blue Cross (WA)
- …our Healthsource blog: https://healthsource.premera.com/ . As an **Assistant Medical Director ** at Premera, you will provide benefit coverage determinations based ... addition, you will support clinical programs (disease and case management ), as well as the review and adoption of...or network structure. + Use clinical expertise to support claims review decisions, including level of care, pricing and… more
- CVS Health (Columbus, OH)
- …health care more personal, convenient and affordable. **Position Summary** The Lead Director , Practice Transformation plays a key role by leading transformation of ... tools, clinical performance improvement (Medical Loss Ratio/MLR, Medical Expenditure Management ), clinical operations in a care delivery setting, population health… more
- Elevance Health (Nashville, TN)
- …policies or new business. May include oversight of multiple functions within claims , customer service, enrollment and billing, document management , mail ... 8:00am - 5:00pm CT **Location:** On-site; Nashville, TN The ** Director I Customer Care** is responsible for directing an...in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to… more
- Ankura (Chicago, IL)
- …providers, health plans and their delegates, pharmacies and pharmacy benefit management companies, as well as pharmaceutical, medical device, and diagnostics ... experience and supported clinical documentation and practice standards. This role can be virtual or in a hybrid capacity. Engagement Examples The nature of the… more
- IQVIA (Durham, NC)
- …outcomes. Responsibilities: + Prospect, qualify, and generate new sales through both virtual and in-person outreach. + Responsible for selling into **regional and/or ... (CDO, CAO, VP), Technology (CIO) and Business Areas (Pharmacy, Care Management , Care Coordination, other), with demonstrated success selling technology based… more
- CommonSpirit Health (Lexington, KY)
- …acting as a risk-related subject matter expert. + Assists with ensuring risk management activities for claims are completed including timely claim identification ... is local/market leader concurrence on claim resolution strategy. Completes those activities for claims along with local risk management professionals as a team.… more
- Veterans Affairs, Veterans Health Administration (Kings County, NY)
- …Responsibilities Functions or Scope of Assigned Duties: The Deputy Chief of Quality Management (QM) is a member of the executive administrative team and reports to ... the Director . The incumbent will work closely with the Chief...service chiefs. The Nurse IV Deputy Chief of Quality Management (QM) functions as an advisor, administrator, educator, consultant,… more