- Merck & Co. (North Wales, PA)
- Job DescriptionThe Omnichannel OME Activation Director will play a key leadership position in the US market driving the best in class omnichannel strategy with the ... well as deep technical understanding of Life Sciences data sets (eg, claims , electronic health records) and advanced modeling approaches. Using this expertise, this… more
- Novo Nordisk Inc. (Plainsboro, NJ)
- …minimum of 8 years experience if accompanied by an advanced degree or certification (MBA, JD, PMP, etc) Demonstrates functional knowledge and understanding of the ... Anti-kickback Statute, the False Claims Act, FDA rules and regulations regarding the promotion of pharmaceuticals, government corporate integrity agreements, PhRMA… more
- FUJIFILM Holdings America Corporation (Madison, WI)
- Overview Fujifilm Cellular Dynamics Inc. (FCDI) is seeking a Director , HR Business Partner.This role will be responsible for directing all human resources functions ... human resources plans, etc.). Manage escalated and/or sensitive employment claims , discrimination charges, or related legal issues.Serve as FCDI representative… more
- Option Care Health (Bannockburn, IL)
- …developing, and retaining a diverse workforce. Job Description Summary:The Director , Compliance Investigations is responsible for developing and maintaining a ... but not limited to HIPAA, Stark Law, Anti-Kickback Statute, and False Claims Act, and ensure that investigative practices remain current and compliant.Respects and… more
- FUJIFILM Holdings America Corporation (College Station, TX)
- …monitoring employee well-being; investigating and reporting to the Supervisor / Director of Human Resources the results of investigations, coordinating disciplinary ... actions and claims of potential discrimination or harassment; providing proposed solutions as well as developing a close partnership between Human Resources and… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …Minimum Job QualificationsLicensure or other certifications: Applicant must hold current licensure, certification , and be in good standings with the State of Georgia ... develops a good working rapport with students, parents, coaches, athletic director , school administration, and physicians. The athletic trainer works independently… more
- City and County of San Francisco (San Francisco, CA)
- …be six months, and may be extended with the approval of the Human Resources Director . Certification The certification rule for the eligible list resulting ... technical experience administering employee benefits programs including: researching records, claims adjudication, database maintenance, reviewing forms, performing calculations, and… more
- City and County of San Francisco (San Francisco, CA)
- …verifiable experience adjusting California workers compensation Claims Adjuster and/or a Claims Assistant. License and Certification : + Possession of a Self ... direction, a Worker Compensation Adjuster is responsible for adjusting claims of employees of the City & County of...be extended with the approval of the Human Resources Director . Certification Rule - The certification… more
- Centene Corporation (Jefferson City, MO)
- …experience preferred. Large healthcare transformational project experience preferred. **License/ Certification :** Six Sigma Black Belt certification preferred. ... Pay Range: $142,300.00 - $263,500.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with… more
- Illumination Foundation (Santa Ana, CA)
- …knowledge in understanding, reading EOB's and Remittance Advice + Posting payment accurately to claims and continuing with the claim close out process. + Assist ... Angeles County and the Inland Empire. Job Description The Claims Specialist is responsible for accuracy of claims...to date accounts receivable for both CalAIM and IFMG, claim follow-up, and must have knowledge of billing codes.… more
- Alight (MN)
- …operational improvements and customer experience **Reporting Relationships** As our Team Leader, Claim Operations, you will report to our Director , Claim ... the meaning of Be Alight. Learn more at careers.alight.com. ** Claim Operations Manager** Are you a successful leader who...leader who is experienced in leading a team of Claims professionals? Do you have experience leading a team… more
- LA Care Health Plan (Los Angeles, CA)
- Manager, Claims Integrity Provider Remediation (ALD- 24 months) Job Category: Claims Department: Claims Integrity Location: Los Angeles, CA, US, 90017 ... safety net required to achieve that purpose. Job Summary The Manager, Claims Integrity Provider Remediation is responsible for development and implementation of… more
- Adecco US, Inc. (Naperville, IL)
- …Claims Specialist you will support the Operations Departments as well as the Director of Operations. A Logistics Claims Specialist will be responsible for ... customer online portals, and carrier websites. . Generate weekly reports of claims status. Education/ Certification Requirements: . High School Diploma . Data… more
- Children's Hospital Boston (Boston, MA)
- …goals and expectations for staff, working with senior manager or director to ensure they support the broader process/operation. Provide technical guidance ... and direction to staff. To qualify, you must have: + Epic certification in either Resolute Hospital Billing Administration OR Resolute Hospital Billing Claims … more
- Beth Israel Lahey Health (Plymouth, MA)
- …and any other parties who may be relevant parties in a malpractice or liability claim . + The Director will oversee the Risk Specialists as they provide ongoing ... * Prior experience in direct responsibility for regulatory affairs and claims management strongly preferred **Registration/ Certification :** * Certification … more
- Knutson Construction (Minneapolis, MN)
- …Minnesota's Top Workplaces! Knutson Construction is accepting applications for a Corporate Safety Director to join our team! "Together We Make Dreams Real" - that is ... for care that connects with every Knutson team member! The Corporate Safety Director plays a vital role cultivating and communicating a best-in-class Zero Incident… more
- Jennie Stuart Medical Center, Inc. (Hopkinsville, KY)
- Under the direction of the Coding/CDI Manager and Director of Health Information Management Department and according to established JSH policies and procedures the ... timely manner. Functional Demands Reports to Coding/CDI Manager and/or HIM Director Organizational Expectations + Provides a positive and professional representation… more
- University of Oregon (Eugene, OR)
- …risk assessment, financing, and transfer; contract management; loss control efforts; and claim management. The senior director administers the finances necessary ... Senior Director Risk Management and Insurance Job no: 533258...to complete insurance and claims transactions with campus departments and third parties, including… more
- Universal Health Services (Amarillo, TX)
- …processes and activities. Demonstrates leadership and organizational skills is preparing claim files on potential and actual claims . Demonstrates appropriate ... and Corporate Risk once significant risk is identified that may lead to a claim . 8. Coordinates with Performance Improvement Director when Root Cause Analysis or… more
- City of New York (New York, NY)
- …projects using complex SQL algorithms and EDW data, analyzing data to identify claims that can be reclaimed for higher federal and state reimbursement rates, ... preparing claim adjustments to maximize federal and state funding, providing...providing technical support, financial analysis, data retrieval and financial claims support to DSS and other City agencies, responsible… more
