- Ally (Raleigh, NC)
- …to translate business needs into technology solutions * Partners closely with the Director of Fraud Strategy to ensure Ally's technology roadmap evolves to ... years of experience in financial crime prevention required, with a background in operations , analytics, or claims management * In-depth knowledge of financial… more
- AIG (Atlanta, GA)
- …agencies. The individual must have significant experience with Workers' Compensation as a Claims Manager/ Director (managing a team of Claims Professionals ... to include onsite competency evaluations as needed. + Partner with Contracts Director / Claims Legal to address any/all State Regulatory/Compliance issues. + Serve… more
- State of Massachusetts (Boston, MA)
- The Deputy Program Integrity Director is a policy, people and operational leader within the Program Integrity Unit of MassHealth. The Program Integrity Unit is a ... of MassHealth members. The team is led by the Director of Program Integrity, who reports to the Deputy... is responsible for leading MassHealth's efforts to control fraud , waste and abuse ("FWA") across the agency's programs.… more
- University of Washington (Seattle, WA)
- …of Bioengineering (https://bioe.uw.edu/) is looking for an outstanding leader as its Director . UW Bioengineering is a vibrant community driving advances in health ... reports to the Department Chair and Associate Dean of Administration and Operations and serves as the business manager/senior administrative and managerial support… more
- City of New York (New York, NY)
- …for (1) Administrative Staff Analyst NM III to function as an Executive Director , Data Analytics & Verification who will: - Oversee the management, administration, ... data analytics, data reporting, database hosting and systems used for fraud investigation, revenue collection activities and tracking. Ensure business continuity for… more
- RELX INC (Cambridge, MA)
- Senior Director -Product ManagementAre you a thought leader and innovator seeking a new opportunity? Would you like to lead a team to solve complex business problems? ... of risk. Within our Healthcare vertical, our solutions focus on transforming operations and improving health outcomes across the healthcare industry. While our… more
- Bausch Health (Bridgewater, NJ)
- …Commercial Data Science and Analytics will exist to help the Commercial Operations , Marketing and Sales organizations achieve their vision by unlocking value from ... data quicker and more effectively. The Director , Data Science will lead the execution of this...on key datasets (ie, external data sources such as claims , affiliations, etc. and internal data sources such as… more
- RELX INC (Annapolis, MD)
- Director of Data Content and Strategy About the business: LexisNexis Risk Solutions is the essential partner in the assessment of risk. Within our Healthcare ... vertical, our solutions focus on transforming operations and improving health outcomes across the healthcare industry....and experienced professional to join our team as the Director of Data Content and Strategy. This critical role… more
- Air National Guard Units (St. Paul, MN)
- …apply Responsibilities Major Duties: This is not an all-inclusive list A DIRECTOR OF INSPECTIONS, GS-1801-12, 1. Plans, organizes, resources, and directs the ... to assist with inspections. 2. Applies an extensive knowledge of installation operations and DoD, DAF, and G-MAJCOM guidance to direct complex strategic planning… more
- Bausch + Lomb (Bridgewater, NJ)
- …eye health in the future. We are seeking a highly skilled and experienced ** Director of Benefits** to lead our employee benefits program. Reporting directly to the ... Vice President, Total Rewards and HR Operations , the successful candidate will be responsible for developing,...+ Oversee the administration of US benefits programs, including claims resolution, billing, and reconciliation. + Develop and manage… more
- Immigration and Customs Enforcement (IN)
- …vendor for claims processing, provider appeals, IHSC outside referral related fraud , waste and abuse and cost containment. Co-lead for HPMU team performance, ... vendor for claims processing, provider appeals, IHSC outside referral related fraud , waste and abuse and cost containment. Co-lead for HPMU team performance,… more
- State of Colorado (CO)
- …Services CFO Office is an organizational work unit within the Operations /Administrative Services Office within the Office of Behavioral Health. This work ... and denials, provides training, assists the Medicare billing team in processing claims to Medicare, and reviews and processes payee accounts for the Hospitals.… more
- Immigration and Customs Enforcement (IN)
- …Security (DHS), Immigration and Customs Enforcement (ICE), Enforcement and Removal Operations (ERO), ICE Health Service Corps (IHSC), Office of Deputy Assistant ... Director for Healthcare Compliance (HCC), Health Plan Management Unit...regarding MedPARs for reimbursable health care services and medical claims resolution. Incumbent ensures compliance with related IHSC, ICE,… more
- City and County of San Francisco (San Francisco, CA)
- …This work supports the Commission's overall effectiveness by periodically reviewing operations to identify ways to improve internal controls, standardize and ... in other Commission divisions to support and review their operations . In a fast-paced and team-oriented environment, our auditors...Commission. Auditors also play a key role in reviewing claims for public financing to ensure that City funds… more
- City of New York (New York, NY)
- …BOOKEEPER CIVIL SERVICE TITLE The Office of Child Support Services, Fiscal Operations which handles all fiscal related activities is responsible for ensuring that ... for ensuring the fiscal integrity of OCSE by preventing fraud throughout the collection and disbursement process. It prepares...for accuracy and completeness. Responsible for the examination of claims and vouchers as well as all valid … more
- Peace Corps (Washington, DC)
- …Promote economy, efficiency and effectiveness in the Agency; Prevent and detect fraud , waste and abuse; Conduct and supervise audits, evaluations and investigations; ... and Keep the Director and Congress fully informed about problems and deficiencies...on all administrative management matters associated with programs and operations . Leads the OIG Management and Administration Unit and… more
- FirstBank PR (Miami, FL)
- …special projects/investigation or any other matter as determined by BSA Manager and/or Operations Director Independence of Judgment : The degree of judgment is ... Unit Supervisor Job Summary : Responsible for all Bookkeeping/Deposit Operations requirements including formulating the proper procedures and guidelines to… more
- Lithia & Driveway (Killeen, TX)
- …II, Business Manager III, Accounting Manager, Area Controller, or Platform Director . Responsibilities + Responsible for their assigned store's accounting books and ... + Periodic review of controls and financial records for fraud prevention + Ensure that all accounts receivable monies...work. + Develops and maintains a positive relationship with Operations Leaders including assigned store General Manager (GM) in… more
- Baptist Memorial (Covington, TN)
- …available for each particular BSP patient scenario + Responsible for daily billing operations , such as submission of claims (electronic and paper), patient ... assistance for their prescriptions. The individual in this position supports the BSP Director , BSP Pharmacy Staff and Clinical Pharmacists to ensure that all duties… more