- Harbor Health Services, Inc. (Mattapan, MA)
- …the Senior Medical Director, Senior Director of Clinical Operations and the Senior Vice President . Collaborates with leaders across the organization and serves ... for performance on such measures and prepares and presents data to PACE staff and Harbor leadership. Uses ...with UM RNs and Senior Medical Director to deny claims when appropriate. Attends IDT meetings on routine basis.… more
- CMA CGM (America) LLC (Norfolk, VA)
- …including 4,000 in Marseilles where its head office is located. Position Summary: The Vice President and General Counsel is responsible for leading CMA CGM ... on US legal matters with HO legal department, in particular on maritime claims . Serve as lead lawyer/legal advisor on all major business transactions, including… more
- The Hartford (Charlotte, NC)
- …- and to help others accomplish theirs, too. Join our team as we help shape the future. Vice President , Claims Data Science & AI The Hartford is hiring a ... Vice President to lead the Claims Data Science organization. This role is pivotal in transforming the Claims customer journey by aligning AI… more
- Albany Medical Center (Albany, NY)
- …all MMERS/MMDCS within DOH system + Prepare clinical service reports for Vice President to present claims data to Department Chairmen + Maintain accuracy ... demands * Manage reserve process by reviewing case with Vice President * Check adequacy of reserves... Management: + Assumes day to day responsibility for data entry of all claims /suits/potentials in Stars… more
- Prime Healthcare (Ontario, CA)
- …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/227013/ vice - president -of-health-plan-operations-and- claims ... Responsibilities This position requires relocating to Ontario, California. TheVice President of Health Plan Operations and Claims ...Employee Health Plans. Through in-depth audit and review of Claims data , the VP will identify financial… more
- AON (New York, NY)
- …+ Review completed applications and underwriting submission materials prepared by Assistant Vice President ("AVP") and Associate. + Prepare renewal strategy ... + Review completed applications and underwriting submission materials prepared by Assistant Vice President ("AVP") and Associate. + Prepare renewal strategy… more
- University of Rochester (Rochester, NY)
- …(United States of America) Range: UR UR2 099 **Responsibilities:** Reporting directly to the President , the Senior Vice President and General Counsel for the ... of many of the most important issues that affect the University. The Senior Vice President and General Counsel also provides direct advice and counsel to… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …at one of the nation's premier academic health plans serving 63,000 lives. As Associate Vice President of Finance reporting directly to the President of the ... health plan operations + Serve as principal financial advisor to President and governance committee on sustainability, benefit design, and strategic investments… more
- Publicis Groupe (Philadelphia, PA)
- …Facebook: www.facebook.com/digitashealth| Twitter: www.twitter.com/digitas_health **Overview** We're looking for a Vice President , Director of Data Strategy ... and prioritize opportunity audiences. + Audience profiling and insight generation leveraging claims , behavioral, and attitudinal data . + Market and competitive… more
- BD (Becton, Dickinson and Company) (Warwick, RI)
- …and become your best self. Become a maker of possible with us. **Opportunity: Vice President , HR - Surgery** This position provides strategic HR Business Partner ... the SURGERY leadership in creating a high-performance organization. The Vice President , HR - Surgery reports into...Works on complex issues where analysis of situations or data requires an in-depth knowledge of the team and… more
- Stanford University (Stanford, CA)
- Assistant Vice President , Total Rewards **Human Resources Services, Redwood City, California, United States** Human Resources Post Date Aug 21, 2025 Requisition ... as they develop their careers and enrich their lives.** **Reporting to the Associate Vice President for Human Resources, the Assistant Vice President… more
- Sumitomo Pharma (Little Rock, AR)
- …seeking a dynamic, highly motivated, and experienced leader for the position of ** Vice President , Regulatory Affairs Oncology** . The candidate must be deeply ... and evaluation of the adequacy of clinical evidence provided to support proposed claims and assess consistency of proposed claims with FDA-approved labeling +… more
- Baystate Health (Springfield, MA)
- …for exempt employees. Minimum - Maximum $162,800 - $226,100 **Position Summary:** The ** Vice President of Safety and Regulatory Affairs** is a senior executive ... mitigation. + Serve as the primary liaison with legal counsel on claims , litigation, and potential liability exposure. **Regulatory Compliance and Accreditation** +… more
- JPMorgan Chase (Wilmington, DE)
- We are seeking a dynamic and strategic leader to join the Sapphire team as Vice President , Product Strategy. In this highly visible role, you will focus ... Develop and refine individual benefits, overall value propositions, marketing claims , and key reasons-to-believe (RTBs) for strategic initiatives, ensuring alignment… more
- Elevance Health (Mason, OH)
- **Staff Vice President (VP) Pharmacy Actuary** **Location** May be located in any Elevance Health PulsePoint office preferably in Indianapolis, IN, Atlanta, GA, ... formulary decisions + Calculate the value of Cost of Care including pulling data , building models, and developing appropriate assumptions. + Report the Cost of Care… more
- Chiesi (Boston, MA)
- …R&D, market access, and digital technology teams, utilizing large datasets such as claims data , electronic health records (EHRs), and registries, and leveraging ... teams and external partnerships. + Familiarity with RWD sources (eg, EHRs, claims data , registries) and analytical tools (eg, Python, R, SQL). We would prefer… more
- AON (New York, NY)
- …to be able to leverage carriers effectively. + Engage the Aon FSG claims and legal advocacy group for claim administration and counsel as per established ... as well as internal equity and alignment with market data . The salary may also be adjusted based on...to leverage carriers effectively. + Engage the Aon FSG claims and legal advocacy group for claim administration and… more
- AIG (Charlotte, NC)
- …is at the heart of everything we do, from underwriting risks to processing claims . The Information Technology team equips our employees with the latest tools to ... additional risk and performance metrics + Design and supervise implementation of data quality controls and workflows + Improve vulnerability discovery and risk-based… more
- JPMorgan Chase (Columbus, OH)
- …lines. + Manage regulatory compliance frameworks, including legal reviews and data privacy requirements. + Develop and maintain standardized operational frameworks ... organization. + Ensure consistent application and annual review of disclaimers and claims in all materials. + Collaborate on compliance attestations and operational… more
- Centene Corporation (Tallahassee, FL)
- …not limited to reimbursement strategy, contracting strategy, unit cost management, claims configuration and network operations. + Oversee network development staff ... to network costs and provider contracts. + Oversee analysis of claim trend data and/or market information to derive conclusions to support contract negotiations. +… more
