- University Medical Partners (Newark, CA)
- …with risk at Stanford Medicine to reduce and manage claims . *Develops, maintains, and expands collaborations with stakeholders to support program development. ... Description Position at University Medical Partners UNIVERSITY MEDICAL PARTNERS Chief Clinical Officer Job Description University Medical Partners is a California… more
- Banner Health (Phoenix, AZ)
- …Job Category: Risk , Quality and Safety The Senior Director, Clinical Risk Management & Patient Relations will provide strategic and operational leadership ... to Banner Health's teams responsible for clinical risk management team and patient relations. Great...operations within approved budget. Serve as member of the Chief Risk Officer's leadership team, helping to… more
- Delta Dental Of Missouri (St. Louis, MO)
- …a significant impact on our growth and success! Position Summary: Sales and Account Management Leadership - Are you a strategic leader with a passion for driving ... partnership/supplemental benefit offerings. This role is accountable for the leadership, management , training, and motivation of the current Missouri sales team… more
- Indivior PLC (Richmond, VA)
- …and leading implementation of mitigation strategies Tracking and advising senior management on claims and litigation developments, exposures, and strategies ... General Counsel, Litigation Title: Associate General Counsel, Litigation Reports To: Chief Legal Officer Location: Richmond Indivior is a global pharmaceutical… more
- Children's Hospital Los Angeles (Los Angeles, CA)
- …accountable for contributing to audit functions, business continuity, claims management , insurance, physical security, integrated risk management and ... challenging, but always rewarding. **It's Work That Matters.** **Overview** ** Chief Risk Officer** Los Angeles, California (100%...and risk partners to identify and recommend risk management approaches for CHLA Claims… more
- City of Chicago (Chicago, IL)
- **Description:** Chief Assistant Corporation Counsel - Employment Litigation Division The City of Chicago Law Department is seeking an attorney for the position of ... Chief Assistant Corporation Counsel (" Chief ACC") in...matters, including but not limited to: (a) client counseling, risk prevention and risk assessment; (b) interaction… more
- Veterans Affairs, Veterans Health Administration (Fort Harrison, MT)
- …in standards interpretation implementation, Patient Safety, Infection Prevention and Control, Risk Management , and System Redesign of processes and structures ... Summary The Registered Nurse (RN) Chief Quality and Patient Safety executes leadership that...care, policies, and objectives for the enhancement of quality management organization wide. Assist in policy-making activities as related… more
- Saint Francis Health System (Tulsa, OK)
- …**to login and apply.** Full Time Job Summary: The Senior VP, Chief Population Health Officer (CPHO) will be reporting directly to the ... Chief Executive Officer of Saint Francis Health System (SFHS),...Experience in project development and implementation, and in care management and/or contracting operations in a healthcare setting. Experience… more
- Sutter Health (Emeryville, CA)
- …management , credentialing, authorizations, concurrent review, and elements of claims review-ensuring that these processes are evidence-based, compliant, and ... management , and quality improvement. + Proven history in population health management , risk adjustment, and quality measurement (HEDIS, CMS Stars). +… more
- Providence (TX)
- …and procedures, system-wide claims and litigation processes, and appropriate System risk management issues + Provide input for quality and patient safety ... from approved counsel list + Coordinate and consult with risk management on disclosure conversations with patients...efficiency of department work; and to assist the SVP Chief Risk Officer and Senior Manager Operations… more
- City of New York (New York, NY)
- …statistical data to identify claims that pose potential risks, and provide risk management recommendations to the Division Chief ; 12) Maintain control ... Adjustment (BLA), negotiates and approves all monetary settlement of claims and lawsuits involving the City of New York....disputes arising out of City contracts. BLA manages City risk by holding agencies accountable, rooting out fraud, and… more
- City of New York (New York, NY)
- …statistical data to identify claims that pose potential risks, and provide risk management recommendations to the Division Chief ; 14) Communicate ... Adjustment (BLA), negotiates and approves all monetary settlement of claims and lawsuits involving the City of New York....disputes arising out of City contracts. BLA manages City risk by holding agencies accountable, rooting out fraud, and… more
- CHS (Clearwater, FL)
- …5 (Highly Satisfied). Department Quality Level The Department will be audited by Enterprise Risk Management (ERM). Actual results will be compared to goals in ... and member-focused service. With at least 5-7 years of claims operations management experience and strong leadership...are discussed and approved by Human Resources and the Chief Operating Officer of PAS. * Creating a culture… more
- MTA (New York, NY)
- …of necessary tasks to reduce the MTA's cost of risk through risk analysis and transfer, claims management practices, captive financial planning, ... opportunities. Position Objective: The Deputy Director supports the Deputy Chief of Risk & Insurance Management...valued over $100 million are overseen by the Deputy Chief ), and overseeing all other claims . +… more
- MTA (New York, NY)
- …Control SALARY RANGE: $128,255 - $148,850 HAY POINTS: 994 DEPT/DIV: Finance SUPERVISOR: Deputy Chief , Risk and Insurance Management LOCATION: 2 Broadway, New ... hire. SUMMARY : The Deputy Director supports the Deputy Chief of Risk and Insurance Management...of a staff of 2 people including the Sr Claims Administrator, 1 Analyst and approximately 7 consultants. +… more
- University of Miami (Miami, FL)
- …and other regulatory agency reportable events and prepare submission for approval by Associate Medical Risk management Officer and the Chief Medical Risk ... notification and documentation of potentially compensable events to Chief Medical Risk Officer, Director of Medical Claims and Assistant General Counsel. +… more
- Republic Services (Phoenix, AZ)
- …regarding a wide range of claims , litigation, investigations, and other risk management , safety, and related insurance matters. Senior Corporate Counsel ... legal and professional support to the organization related to risk management , safety, and related insurance matters....+ Drafts and contributes to reports to the organization's Chief Legal Officer, senior management , auditors, and… more
- The Hartford (San Francisco, CA)
- …by focusing on the intersection of underwriting, data science, risk finance, risk engineering, technology, and claims . Our team takes a nimble and creative ... technological trends as they are being developed, while growing Y- Risk business and will report to the Chief...intersection of underwriting, data science, risk finance, risk engineering, technology, and claims . + Spearhead… more
- UPMC (Pittsburgh, PA)
- **Purpose:** Strategize with Division Chief Legal Officer & VP Compliance, Quality and Risk Management and the Risk Management team and other UPMC ... resolution of issues/barriers. **Responsibilities:** + Monitor, trend and analyze risk management concerns and identify strategies to...conditions and procedures that may have contributed to the risk and liability claims . + Be familiar… more
- Sharp HealthCare (San Diego, CA)
- …with medical management such as provider relations, member services, benefits and claims management , IT management , etc. + Plans, organizes, and directs ... UM reviews of all clinical reviewers. + Participates in risk management reviews. + Assists in pharmacy... Management and high-cost review with CMO and Claims management teams. + Co-Chairs with the… more
