- Humana (Columbus, OH)
- … Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members ... **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement… more
- AIG (Jersey City, NJ)
- Claims Complex Director - Healthcare Professional... portfolio of the most complex and high exposure medical malpractice (and some GL) claims at ... Liability (HPL) Join us as a Claims Complex Director to take on key...+ Keeps abreast of significant changes in the law, claims and industry trends (not limited to medical… more
- AON (Chicago, IL)
- Aon is looking for an Associate Director , Claims Advocate in Reinsurance! Workstyle: Hybrid in our Chicago, IL location! Aon is in the business of better ... documents and policies. #LI-RW1 #LI-HYBRID 2548521 Aon is looking for an Associate Director , Claims Advocate in Reinsurance! Workstyle: Hybrid in our Chicago, IL… more
- Banner Health (Phoenix, AZ)
- …and a minimum of five to seven years medical professional liability management experience, either as in-house claims professional or outside counsel. Must ... Mgmt **Work Shift:** Day **Job Category:** Legal The **Executive Director , Claims & Litigation Counsel** will provide...leadership experience with healthcare risk management , quality management , in house liability claims management… 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 ... will professionally represent the company and its customers. Other Director Qualifications Include: + Requires 10+ years of insurance...and Life insurance programs and a proven track record claims management + Bachelor's Degree in … more
- Sedgwick (San Francisco, CA)
- …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Director - Dedicated (REMOTE) **PRIMARY PURPOSE** : To be ... + Establishes policy and procedures to assure compliance to best practices, claims management services standards, state regulations, and client service… more
- Providence (Renton, WA)
- …Federal, State, health plan and contractual regulations and guidelines. The Executive Director Claims Operations interfaces with internal and external resources ... **Description** **THE ROLE** The Executive Director directs, manages and oversees the activities of...for success in this position + Expertise includes delegated medical group functions, management and analysis +… more
- Commonwealth Care Alliance (Boston, MA)
- …under the direction of the Sr. Director , TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be responsible ... Medicare and Medicaid + 7+ years progressive experience in medical claims adjudication, clinical coding reviews for...and Analytics + Direct and relevant experience with HCFA/UB-04 claims management , coding rules and guidelines, and… more
- Robert Half Accountemps (Long Beach, CA)
- Description An Healthcare IPA in Long Beach is in the need of a Medical Claims Examiner III. This role of Medical Claims Examiner III is will be an ... essential position within the organization. The Medical Claims Examiner III is responsible for...develops, maintains and runs standard reports * Assist the Claims Supervisor/ Director in reviewing the quality auditing… more
- Whitney Young Health Center (Watervliet, NY)
- …Apply Description GENERAL RESPONSIBILITIES: Responsible for reviewing medical claims prior to submission and ... complex or problem claims or insurance types as designated by the Director . Reviews payer coding policies and procedures to ensure that the department remains in… more
- Spokane County (Spokane, WA)
- …51 and WAC 296-20. Work is performed under the direction of the Risk Management Director . TOTAL COMPENSATION: $75,550 - $105,743 annually. Total compensation is ... proper coverage. The position includes reviewing, processing, and adjudicating claims and the management of the Spokane...claims in accordance with Title 51 (RCW) and Medical Aid Rules and other statutes related to Washington… more
- Providence (NM)
- …focus / specialty: + General Liability Claims Processing + General Liability Claims Management + General Liability Legal Experience (EG Paralegal, Etc.) + ... action plans, and claims status in the claims data management software + Coordinate with...work; and to assist the Group Vice President and Director of Risk & Claims as needed… more
- LA Care Health Plan (Los Angeles, CA)
- … department is of the highest quality and is well documented. Works with the Claims Director , Claims Managers and Supervisors to ensure the Plan's core ... Business Administration Experience Required: At least 5 years of Claims Management experience. At least 3 years... claims data analysis. Advanced working knowledge of claims coding and medical terminology. An in-depth… more
- Kanaan Communications, LLC (Upland, CA)
- …Insurance, and Legal Departments. The Analyst of Claims also provides risk management services in collaboration with the Safety Director , Claims Manager, ... work in the United States for this company. + Previous experience in insurance claims management position or related experience in a corporate insurance or legal… more
- CommuniCare Health Services Corporate (Blue Ash, OH)
- …posting team, Business Office Manager, Regional Director of Finance, MDS, Case Management , and others. The CBO claims validation staff will strive to always ... growth, CommuniCare Health Services is currently recruiting for a Claims Validator / Biller to support our Central Billing...of benefit options from life and disability plans to medical , dental, and vision coverage from quality benefit carriers.… more
- NFTA (Buffalo, NY)
- …broad in scope with frequent opportunity for exercising independent judgment in making claims management decisions subject to final review and approval by the ... MANAGER, CLAIMS Title Description: CLAIMS Date Posted: 8/30/2024 Deadline:... Director of Risk Management and/or Office of General Counsel.… more
- Select Medical (Camp Hill, PA)
- …**Inpatient Central Business Office Trainer** (on-site role) **Why work at Select Medical ?** **We are committed to your growth and success:** + Career advancement ... _Availability of benefits is dependent on role with Select Medical ._ Our team offers first-shift, Monday through Friday schedules...be involved in special projects as assigned by the Director of CBO or VP Patient Accounting. **Responsibilities** +… more
- Montana State University (Bozeman, MT)
- …travel, fine art, etc.); ensure compliance with insurance, financial reporting and claims management rules and regulations; manage special event insurance ... General Statement The position of Occupational Safety/Health Specialist II reports to the Director of Safety & Risk Management . Safety & Risk Management… more
- GAF (Parsippany, NJ)
- …leadership of the Sr Director , Contractor & Technical Services, the Manager, Commercial Claims will be responsible to lead the day to day management of our ... to: + Provide day to day oversight and performance management of the commercial claims team, consisting...a wide range of health insurance options that include medical , dental, and vision for you and your family.… more
- Prime Therapeutics (Rancho Cordova, CA)
- …our passion and drives every decision we make. **Job Posting Title** Supervisor Claims - Hybrid in or near Rancho Cordova, California **Job Description Summary** ... customer concerns. Assumes additional responsibilities in the absence of the Manager/ Director . **Job Description** - Manages cross-functional team members to meet or… more