• HCA Healthcare (Nashville, TN)
    …and company strategy and philosophy of proactive, efficient and effective claims management . Continuous and appropriate documentation within, and maintenance ... and administration of special projects as assigned by the Claims Director , HCI President and VP of...industry trends, changes in laws and rules affecting liability claims management decisions. People Work collaboratively with… more
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  • CommuniCare Family of Companies (Akron, OH)
    …posting team, Business Office Manager, Regional Director of Finance, MDS, Case Management , and others. The CBO claims validation staff will strive to always ... to continued growth, CommuniCare Health Services is currently recruiting for a Claims Validator / Biller to support our Central Billing Office team. PURPOSE/BELIEF… more
    Upward (07/03/25)
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  • Guidehealth (Rockford, IL)
    …required KPIs and Metrics are being met. This role will report to the Sr. Director , Claims Operations. WHAT YOU'LL BE DOING Responsible for the day-to-day ... and growth. You will provide operational oversight to the claims production and the inventory and reporting teams to...TO HAVE Minimum 3 - 5 years' experience in Management of a claim operations. Demonstrated skill in managing… more
    Upward (07/02/25)
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  • Lukos (Tampa, FL)
    Travel Orders and Claims Specialist Please note: This position is contingent upon the award of a contract. We will provide updates on the status of the contract and ... overseas Must be able to meet COMSEC briefing and Local Element management certification requirements available under the OPNAVINST 2201.4, DoD Instruction 8523.01… more
    Upward (07/09/25)
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  • PODS (Clearwater, FL)
    claims optimization, and forecasting financial risks to safeguard the organization's assets. Claims Management & Litigation Oversight Oversee the claims ... JOB SUMMARY The Director of Risk Management leads enterprise-wide risk management by overseeing insurance programs, claims , and litigation to protect the… more
    Upward (07/23/25)
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  • NYC Health Hospitals (New York, NY)
    …vendor management , and revenue and spend managements. The Assistant Director will also actively engage with leadership and participate in decision-making ... Supply Chain services also works closely with facility-based materials management , inventory management , distribution and logistics. General Responsibilities… more
    Upward (07/06/25)
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  • Renew Health Consulting Services (Monrovia, CA)
    …Office Managers in the daily business office activities including billing, collections, claims management , and cash posting. Ensure timely and accurate billing ... within the required industry, education, etc. We are looking for full-time Director of Revenue Management Position Summary: Renew Health Consulting Services,… more
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  • Jamie Grayem (Downey, CA)
    Director , Patient Safety & Clinical Risk Management Downey, CA, US$170,400 - $205,100 + Performance Bonus + Relocation Assistance + Sign On Bonus + Paid ... listed below, this position is also responsible for overseeing critical risk management projects such as cybersecurity, changes to the reimbursement structure, and… more
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  • The University of Kansas Health System (Kansas City, KS)
    Position Title Assistant Director of Clinical Risk Management 1901 Olathe Blvd Position Summary / Career Interest: Responsible for assisting in the development ... experience successfully leading and managing team. Preferred Education and Experience Director level experience in clinical risk management . Knowledge… more
    Upward (07/25/25)
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  • UHS (Aiken, SC)
    management , including potentially compensable events, risk investigation, reporting and claims management . Analyzes incident reports and Utilizes the MIDAS ... Responsibilities Director of Risk Management Aiken Regional...UHS corporate, defense counsel, and UHS claim managers. Manages claims and litigation of alleged medical malpractice and general… more
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  • Howden Group Holdings (Minneapolis, MN)
    …volunteering - you'll find like-minded people driving change at Howden. Our Accounting and Claims team is looking for an Associate Director level hire who has ... and compliance with contract terms and process accounting transactions in accounting and claims system Assist clients with management of trust accounts for… more
    Upward (07/30/25)
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  • Macpower Digital Assets Edge (Las Vegas, NV)
    …within the healthcare system. This position ensures the effective operation of risk management programs, including claims management , risk assessments, root ... Position Summary: The Director of Risk Management is a...drive system-wide risk reduction strategies. Key Responsibilities: Risk & Claims Management : Oversee the investigation, analysis, and… more
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  • The Amynta Group (Overland Park, KS)
    …are interested in joining us here at the Amynta Group! The Production Underwriting Director serves as a center of expertise for UW strategy, product management , ... their own book of business. The production underwriting team director will have 25% of their activities tied to...in our underwriting, sales, marketing, data analytics or operation management teams. If you love to drive creative solutions,… more
    Upward (07/14/25)
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  • McCulloh Consulting (Roxboro, NC)
    …affordable, and picturesque areas of North Carolina. Key Responsibilities: Lead risk management efforts including claims investigation, data analysis, and staff ... About the job Director of Quality Director of Quality...Degree. Minimum 2 years of experience in healthcare risk management or claims investigation/ management . Exceptional… more
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  • Florida Orthopaedic Institute (Tampa, FL)
    …cycle, ensuring front-end operations are optimized to reduce denials and support clean claims . The Director also leads annual and monthly budget planning, ... Position Summary: The Director of Patient Services Operations provides leadership and...benefit verification, authorizations, revenue cycle operations, and healthcare workflow management . Strong knowledge of revenue cycle management ,… more
    Upward (07/12/25)
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  • San Francisco Art Institute (Beverly Hills, CA)
    …Position is All About Under the direction of the General Manager, the Director of Operations is responsible for driving store profitability by ensuring the efficient ... shopping experience. The successful candidate will have significant prior retail management experience handling all aspects of store operations The Director more
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  • SaVida Health (Nashville, TN)
    …as needed. Revenue Cycle Operations Oversee internal billing operations, including claims submission, denial management , payment reconciliation, and collections. ... DIRECTOR OF BILLING AND MANAGED SERVICES ABOUT THE...model includes medical care, counseling, comprehensive toxicology testing, case management and medical management of psychiatric medications.… more
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  • Norton Healthcare (Louisville, KY)
    Responsibilities The Director , Billing and Collections is responsible for planning, organizing, directing and controlling all functions of the billing and ... attendance of the CFB meetings. In this role, the Director must work with pertinent PFS members, other departments...members, other departments and their Directors, to ensure that claims are allowed to progress through the billing cycle… more
    Upward (07/26/25)
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  • Axsome Therapeutics (New York, NY)
    …Inc. is a biopharmaceutical company developing and delivering novel therapies for the management of central nervous system (CNS) disorders. The Axsome team is a ... New York City. About This Role Axsome Therapeutics is seeking an Associate Director of Commercial Analytics and Forecasting to lead marketing analytics for the… more
    Upward (07/29/25)
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  • Otsuka Pharmaceutical Co., Ltd. (Princeton, NJ)
    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 leading a ... implementing procedures to ensure that the business units quality management and compliance program are effective and efficient in...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
    Upward (07/28/25)
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