- Centene Corporation (Austin, TX)
- …benefits including a fresh perspective on workplace flexibility. **Position Purpose:** The Director , Workforce Management serves as a business leader who will be ... and owning workforce management strategy, process, and execution for claims . Will focus on tactical and strategic plans, capacity...plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay… more
- Providence (WA)
- …other liability claims against the organization as assigned or directed by the Director of Risk & Claims ; maintaining up-to-date and accurate claims ... procedures and required regulations; and providing feedback and recommendations to the Director of Risk & Claims on evaluations, litigation trends, department… more
- Sharp HealthCare (San Diego, CA)
- …and employer business practices. **What You Will Do** This Senior Medical Director position provides critical management and oversight for Sharp Health Plan's (SHP) ... practice of medicine. + 5 years' experience as an HMO Health Plan Medical Director . + California Physicians and Surgeons License - Medical Board of CA -REQUIRED… more
- Centene Corporation (Salem, OR)
- …benefits including a fresh perspective on workplace flexibility. **We're Hiring: Remote Child Behavioral Medical Directors** Centene Corporation is a leading ... + Actively practices medicine **Position Purpose:** Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and… more
- Danaher Corporation (Orlando, FL)
- …the Danaher Business System which makes everything possible. The Field Reimbursement Director position is a provider / customer facing role responsible for ... coordinate and engage targeted customers within the US. Reporting to the Senior Director of Market Access Americas, this highly visible role will play a pivotal… more
- Morley (Greenville, SC)
- …required)_** Ready to take your creative career to the next level? As a remote Art Director on Morley's award-winning in-house creative team, you'll lead with ... deliverables + **Experience:** + Five years as an Art Director in an agency or in-house creative environment +...Patient advocacy: Free 24/7 help with benefit questions and claims issues + Family, financial and estate guidance (will)… more
- Insight Global (Norfolk, VA)
- Job Description Insight Global is looking for a Remote Director of Health Plan Business Testing for a large healthcare company. This individual must reside in ... one of the approved remote states listed below. This candidate will lead all...management of related extracts and data. Functional areas include Claims , Encounters, Benefits Configuration, Claims & Pricing… more
- Commonwealth Care Alliance (Boston, MA)
- 011250 CCA- Claims **_This position is available to remote employees residing in Massachusetts. Applicants residing in other states will not be considered at this ... time._** **Position Summary:** Reporting to the Director , Claims Operations and Quality Assurance, the Claims Sr. Analyst plays a critical role in ensuring… more
- Staples (Framingham, MA)
- …role can be based in our Corporate Office, located in Framingham, MA or can be remote . **What you'll be doing:** The Director of Environmental Health & Safety is ... ** Director , Environmental Health & Safety** Our US Supply...audits progress. . Manages Workers Compensation (WC) programs including claims management, Return to Work program and performance metric… more
- Molina Healthcare (Scottsdale, AZ)
- …by owning Molina's entire CMS Complaints Tracking Module (CTM) life cycle. As Director of CTM Oversight & Resolution you set the standards and controls that ... you keep complaint data synchronized across appeals & grievances, enrollment, claims , pharmacy, and quality functions. You surface systemic issues, steer partners… more
- Sedgwick (Pittsburgh, PA)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance Client Services Director | REMOTE | Casualty/Workers Compensation Experience required + ... for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The… more
- Zurich NA (Honolulu, HI)
- … Working: Hybrid Schedule: Full Time Employment Sponsorship Offered: No Linkedin Recruiter Tag: #LI-MD1 #LI- DIRECTOR #LI- REMOTE EOE Disability / Veterans ... AVP, Complex Construction Claims - NY Labor Law 126105 Zurich North...dynamic and experienced leader to join our Complex Liability Claims team. In this high-impact role, you'll take charge… more
- Two95 International Inc. (Atlanta, GA)
- Job Title: Director , Health Plan Analytics Job type : Remote Work Type : 6+ Months Contract with extension Rate : $Market /Hour Requirements Position Summary: As ... the Director of Analytics, you will lead a team of...including but not limited to enrollment, finance, call center, claims , Case Management and Utilization Management * 5+ years… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- **Job Summary** We are seeking an experienced and dynamic Executive Director of R&D Global Quality to join our team. This pivotal role will be responsible for ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
- Commonwealth Care Alliance (Boston, MA)
- …at this time._** **Position Summary:** Working under the direction of the Sr. Director , TPA Management and Claims Compliance, Healthcare Medical Claims ... 011250 CCA- Claims Hiring for One Year Term **_This position is available to remote employees residing in Massachusetts. Applicants residing in other states will… more
- Martin's Point Health Care (Portland, ME)
- …as a "Great Place to Work" since 2015. Position Summary The Medical Director (MD) provides clinical leadership and direction to the utilization & care management ... Management, Compliance and Appeals, , Network Management, Member Services, benefits & claims management, and Compliance. In this role, there is the opportunity to… more
- Insight Global (Norcross, GA)
- …repair claims , tire claims and pre-paid maintenance claims . The Claims adjuster will report to the Senior Director of Claims Operations and ... the auto industry. Our customer is looking for Powertrain Claims Adjusters to join their team.. As an adjuster...Tech Savvy / Ability to efficiently work in a remote environment Quiet working environment with no distractions (Area… more
- Stanford Health Care (Palo Alto, CA)
- …significant impact at one of the nation's leading academic medical centers? The Director of Professional Billing Organization at Stanford Health Care offers a unique ... excellence in a mission-driven environment. **A Brief Overview** The Director , Professional Billing Organization (PBO) manages all administrative and clinical… more
- Humana (Springfield, IL)
- …education and training. The Claim Research and Resolution Professional reports to the Claims Research and Resolution Associate Director and is responsible for ... Dually Eligible (HMO D-SNP) in IL, is seeking a Claims Research & Resolution Professional claims educator,...PHI / HIPAA information. Travel: While this is a remote position, occasional travel to Humana's offices for training… more
- Zurich NA (Overland Park, KS)
- AVP, General Liability Claims Manager 126572 Zurich is currently looking for an AVP, General Liability Claims Manager. We're seeking an inspiring and dynamic ... leader to guide and support a high-performing team of Managers and Claims Professionals within our General Liability Specialty Team. In this pivotal role, you'll… more