- AIG (Atlanta, GA)
- …point for colleagues . + You will also contribute to continuous improvement in Claims by supporting Quality Assurance / Regional Audit processes , ensuring ... Join us as a Senior Claims Adjuster to take on key responsibilities within a world - class claims function. Make your mark in Claims Our Claims teams are… more
- City of New York (New York, NY)
- …the Bureau of Audit Services. Under the direction of the Acting Executive Audit Director , the Assistant Audit Manager will co-manage the assigned ... all testing schedule (PS, OTPS, Fringe, Admin, LOS, EI claims ) and draft reports and submit for Supervisors review...disputing the audit findings and draft the audit resolution letter for Audit Manager's/ Director… more
- Commonwealth Care Alliance (Boston, MA)
- 011250 CCA- Claims Job Description **Position Summary:** Reporting to the Director , Claims Operations and Quality Assurance, the Claims Sr. Analyst plays ... the scope of MassHealth and Medicare Advantage programs. Under the direction of the Director of Claims Operations and Quality Assurance, this role is responsible… more
- Marriott (Bethesda, MD)
- …Internal Investigations, Legal and Internal Audit , in the resolution of EPLI and Fidelity claims . + Advise the Director of Specialty Claims of any high ... Liability (EPL) and Fidelity insurance lines. The Senior Manager, Specialty Claims provides assistance to the Director of Specialty Claims and the Senior … more
- Emory Healthcare/Emory University (Atlanta, GA)
- …* And more **Work Location:** Atlanta, GA **Description** + Reporting to the Director , Compliance Audit and Analysis, oversees audits, monitoring, and education ... provides billing providers with relevant and timely information regarding audit results and risk areas. + Evaluates hospital and...as well as Epic EMR. + Working knowledge of claims data and analysis, with experience working in the… more
- Henry Ford Health System (Detroit, MI)
- …costs and management of System reputation Will work under the guidance of Senior Claims Managers, Senior Claims Consultant, Director of Insurance, and Vice ... professional and general liability, workers compensation and employers liability claims review, investigation, management and disposition, including financial mitigation… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …growth, with a strong emphasis on quality control and improvements to enhance claims processing stability, flexibility, and innovation. The Director will be ... About The Role The Director of Application Support and Quality Assurance will...well as managing day-to-day activities related to supporting core claims processing system configurations and changes. Primary Responsibilities +… more
- City of New York (New York, NY)
- …support the delivery of high-quality, effective, and impactful contracted services. The Deputy Director of the Office of Contract Agency Audits will report to OCA's ... Director and will oversee one or more Senior Auditors....Auditors' performance of the following tasks: - Reviewing draft audit reports of CBOs prepared by DYCD's contracted independent… more
- Goodwill Industries of Kansas (KS)
- Director of Corporate Risk (Webb Road) **Back** **to all jobs** **Job Description** **Organization:** For more than 60 years, Goodwill Industries of Kansas has been ... we serve. **Summary:** Reporting to the Vice President of Administration, The Director of Corporate Risk is responsible for leading and administering Goodwill's… more
- Ross Stores, Inc. (Dublin, CA)
- …to remain well informed on industry trends, court decisions impacting lease audit claims , opportunities in technology, and the capabilities of third\-party ... all occupancy expenses payable to landlords\. Accountable for the entire lease audit function from claim identification to dispute resolution\. Manage third party… more
- Otsuka America Pharmaceutical Inc. (Boston, MA)
- **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 ... oversee clinical trial and submission support, lead the R&D audit program, engage with regulatory authorities, and maintain clinical...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Rush Enterprises (New Braunfels, TX)
- The Director of Risk Management will be responsible for...bid and performance bonds, and warranty bonds. + Oversee, audit , and conduct claims reviews of the ... risk management programs, including property and casualty insurance programs, claims management, vendor insurance oversight, and corporate insurance certificate… more
- Elevance Health (Atlanta, GA)
- ** Director II, Digital Operations** **Location:** This role requires associates to be in-office 3 days per week, fostering collaboration and connectivity, while ... a dynamic and adaptable workplace. Alternate locations may be considered. The ** Director II, Digital Operations** oversees a combined digital and operations unit;… more
- University of Colorado (Aurora, CO)
- **Finance & Accounting Assistant Director ** **Description** **University of Colorado Anschutz Medical Campus** **Department: College of Nursing** **Job Title: ... Finance & Accounting Assistant Director ** **Position #:00706656 - Requisition #:36608** **Job Summary:** **Supervision Exercised:** **Examples of Work Performed:**… more
- HCA Healthcare (Austin, TX)
- …that number growing to nearly 8,000 by 2028. The Central/ West Texas Division Director of Research Administration will lead a team of research support personnel in ... + Ensuring compliance with federal, state and HCA regulations, policies, procedures, and audit requirements in the use of patient data for research purposes +… more
- Clay Lacy Aviation (Van Nuys, CA)
- …unwavering integrity, and a commitment to excellence. We are seeking a forward-thinking Director of Total Rewards who shares our passion for elevating every detail ... that's redefining what it means to be thoughtfully better. Position Summary The Director of Total Rewards is a strategic leader responsible for the compliant,… more
- Cumberland River Behavioral Health, Inc. (Corbin, KY)
- Job Title: Director of Developmental Intellectual Disabilities (D/ID) Qualifications: A Master's Degree from an accredited college in the areas of Special Education, ... and weekend hours may be required. This position reports directly to the Executive Director . Summary of Job Duties: This position is a full time position that… more
- CenterLight Health System (NY)
- …+ Coordinate with healthcare providers, practice managers, and coders to submit claims appropriately and timely. + Audit billing and collection procedures ... JOB PURPOSE: The Assistant Director , Revenue Cycle is responsible for the management...ESRD, and Nursing Home entitlements. + Perform membership and claims analytics, including IBNR, MMR and 820/834 reconciliation. +… more
- City of New York (New York, NY)
- …effectively and meet DOHMH's strategic objectives Position Summary: The assistant director is responsible for monitoring and tracking all Federal, State, Private, ... and non-governmental public health agencies and bodies. The Assistant Director will be reporting to the Director ...to support public health research and analysis to ensure claims submitted to the Grantors are accurate and timely.… more
- CareFirst (Baltimore, MD)
- …mitigate financial discrepancies and risks tied to performance-based contracts. Oversee audit activities, claims validation, discount guarantees, and compliance ... **Resp & Qualifications** **PURPOSE:** The Pharmacy Strategy Director is responsible for leading the day-to-day operations, performance, and oversight of pharmacy… more