- Elevance Health (Columbus, OH)
- ** Staff VP Claims Operations (Original Claims )** **Location:** Successful candidate must reside within 50 miles of an Elevance office, and able to ... advanced technology solutions + Experience having accountability for performance of large-scale claims operations + Experience managing large teams (500+) +… more
- CareFirst (Baltimore, MD)
- …review and Appeals & Grievances operational functions for all lines of business. The Vice President of Clinical Operations is accountable for both behavioral ... communities. Leads the development of clinical and diagnostic clinical operations strategy. The Vice President ...a message across. + General understanding of health care claims data, trend analysis, and insurance operations … more
- YMCA of Greater Seattle (Seattle, WA)
- …communities in a culturally versatile and respectful manner. Job Summary The Assistant Vice President (AVP), Risk Management will directly lead a holistic and ... damages, and other risks. Under the direction of the Vice President , HR, supervises, plans, develops and...claims of CAP violations, leading CAP trainings for staff , and ensuring ongoing compliance with the Association's Praesidium… more
- HCA Healthcare (Nashville, TN)
- …Do you want to join an organization that invests in you as an Assistant Vice President , Insurance? At HCA Healthcare, you come first. HCA Healthcare has ... or indirectly six employees, and reporting directly to the VP Insurance. In this role you will be responsible...needs, particularly with regard to any employed, contracted or staff physician needs. What you will do in this… more
- Southland Industries (Garden Grove, CA)
- **POSITION SUMMARY** As the Vice President of Safety, s/he will spearhead the organization's safety initiatives, setting the gold standard for safety culture, ... tactics that can improve our approaches and willingness to partner with our Operations , Engineering, field and fabrication folks, to design safer ways to perform our… more
- Centene Corporation (Jefferson City, MO)
- …that contract terms, standards and expectations are met, which includes Internal operations ( Claims , Appeals & Grievances, and Membership) + Partners with ... mandates + Manages the relationship governance process to ensure compliant operations and monitors fulfillment of contract obligations + Responsible for service… more
- Crawford & Company (Atlanta, GA)
- …and implements claim standards. + Develops and manages Property and Casualty claims staff . + Recruits, selects, orients, hires, coaches, counsels, disciplines ... We Touch Position Summary Under the direction of the SVP-National Claim Operations , assures satisfactory profit margins and long-term growth consistent with business… more
- Tucker Company Worldwide (Haddonfield, NJ)
- …Representatives (BDRs) and Business Development Specialists (BDSs), ensuring all BD staff have the necessary resources to achieve their targets. + Achieve ... capture both new and repeat revenue. Train the BD staff and, eventually, stratify or specialize in the team...of the customer from the BDR/S to all necessary operations personnel. After the transition, be ready to assist… more
- Centene Corporation (Austin, TX)
- …contracting strategy, unit cost management, claims configuration and network operations . + Oversee network development staff and external consultants in ... years of experience in government programs. Previous experience managing staff , including hiring, training, managing workload and performance. **License/Certification:**… more
- Armstrong McGuire (Charlotte, NC)
- …to provide affordable housing and empower communities? If so, you may be the next Senior Vice President of Operations (SVPO) at Habitat for Humanity of the ... of the SVPO will include: + Actively engage with President and other Senior Staff to set...strategy for the organization + Retail + Supervise the VP , Retail Operations + In partnership with… more
- HUB International (Brentwood, TN)
- …daily workflow and handling of all claims within the units. The Assistant Vice President /Senior Manager must be able to facilitate a culture that values, ... adjusting staff in the claim organization. Carry out Assistant Vice President /Senior Claim Manager responsibilities in accordance with the company's… more
- Elevance Health (Atlanta, GA)
- …of Medicare rules and regulations for program areas including but not limited to: claims , grievances and appeals, Part D and risk adjustment. + Knowledge of Risk ... Adjustment Payment methodologies and the CMS HCC Model. + Healthcare operations and/or compliance experience within a large payor organization. + Progressive… more
- Southwest Gas Corporation (CA)
- …Company's five operating divisions. At the direction of the Vice President /Risk Management and Compliance Officer, the Operations Risk Manager, or counsel, ... university is preferred, but not required. **ESSENTIAL JOB RESPONSIBILITIES** + Manage claims function and department staff , within the Risk Management… more
- AIG (Atlanta, GA)
- …to direct reports to achieve technical excellence and aid the Assistant Vice President in developing and ensuring technical excellence by establishing ... high standard of customer service. + Ensure that adjusting staff analyze coverage; investigate and resolve claims ...an exciting time to join us - across our operations , we are thinking in new and innovative ways… more
- Molina Healthcare (Mid Florida, FL)
- …staffs, and leads all activities of the State Plan's Provider Network Management and Operations Department. Works with staff and senior management to develop and ... day-to-day leadership and management of the health plan market or product operations that mirrors the company's mission, vision, and core values; and ensuring… more
- AECOM (Arlington, VA)
- …generation, project margin achievement, DSO, G&A, project delivery, client satisfaction, staff utilization, safety, claims resolution and quality. **Capability ... world. Join us. **Job Description** **AECOM** has an immediate need for an ** VP , Water Area Business Leader (ABL), Washington DC/ Virginia** , reporting to the… more
- CUNY (New York, NY)
- …staff ' budget operations , and facilities. This position reports to the Vice President for Finance, Human Resources & Business Development and provides ... Executive Director of Finance and Business Operations (ECP) **POSITION DETAILS** As a key member...has the following responsibilities: + Collaborate with the Assistant Vice President on the College's Financial Planning… more
- Connecticut College (New London, CT)
- …executive-level business operations support and financial analysis to the Vice President for Finance and Administration. Manage various projects within ... basic financial projections. General Duties and Responsibilities 1. Provide executive-level business operations support to the Vice President by prioritizing… more
- Baylor Scott & White Health (Dallas, TX)
- …project, and staff help for an Executive Vice President to include evaluating departmental operations , assembling background material, reports, and ... activities in the management, coordination and implementation of the operations of the Executive Vice President... staff to resolve distribution to the Executive Vice President or referral to other … more
- RK Mechanical (Denver, CO)
- …and projections with superintendent(s). + Provide monthly and quarterly information to project manager, vice president of operations and vice ... those prepared by local police, for completeness and accuracy, and forward to vice president of finance. + Ensure project quality control procedures are… more