- CareFirst (Baltimore, MD)
- …and work activities/deliverables that week. **PURPOSE:** Under leadership of the Executive Vice President , Health Services, this position leads and oversees Case ... Grievances operational functions for all lines of business. The Vice President of Clinical Operations is accountable...a message across. + General understanding of health care claims data , trend analysis, and insurance operations… more
- Norstella (Columbus, OH)
- Vice President , Norstella Real-World Data (RWD) Product Marketing Company: Norstella Location: Remote, United States Date Posted: Sep 9, 2024 Employment ... The Netherlands, Japan, China and India. **The Role:** The VP , Real-World Data (RWD) Product Marketing will...delivery efforts for the most comprehensive real world data assets in the industry. **Key Responsibilities:** + Product… more
- Lyric (Hartford, CT)
- …Integrity and Accuracy Report. Discover more at Lyric.ai . **About this Role:** This VP , Product is responsible for the product delivery function at Lyric. As ... ROI expectation, etc . Drive product quality . Use data and analytics to ascertain the behavior of customers...Years experience in healthcare with **specific focus on payer claims ** systems and products 10+ years of product development… more
- AIG (Charlotte, NC)
- …is at the heart of everything we do, from underwriting risks to processing claims . The Information Technology team equips our employees with the latest tools to ... and execution working closely with diverse teams including Application Delivery , Business Operations, Technology Support and Product Management. Our practice… more
- PennyMac (Fort Worth, TX)
- …aspirations of homeownership through the complete mortgage journey. **Job Overview** The ** Vice President Claims ** develops the business and strategic ... property preservation and protection, and claim filing processes. **A Typical Day** The ** VP Claims ** will: + Oversee the development and execution of effective… more
- Elevance Health (Wallingford, CT)
- Staff VP Clinical Data Science Location **:**...limited to a wide array of analytics, utilizing large data sets, paid claims experience and clinical ... limited to a wide array of analytics, utilizing large data sets, paid claims experience and clinical...Preferred Skills, Capabilities, and Experiences: + Experience with care delivery & palliative care data analytics +… more
- Highmark Health (Pittsburgh, PA)
- **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** The VP of Insurance Product Strategy, Design, & Implementation will oversee product strategy, ... of medical products that exceed $20 billion in annual allowed claims expense. Balancing profitability, enrollment and customer satisfaction commitments, the … more
- Outcomes4me (Boston, MA)
- VP Engineering Location: In office, Boston MA Company Overview...with healthcare data integrations such as EHR data and claims data for example ... MA - the global epicenter of healthcare innovation and delivery . Hear directly from patients how we have helped...to deliver on our mission to democratize healthcare. The VP of Engineering must be a strategic thinker who… more
- CVS Health (Dallas, TX)
- …convenient and affordable. **Position Summary** CVS Health is recruiting for a VP , Adjudication & Eligibility Engineering. This role will be responsible for the ... pharmacy adjudication systems through strategic planning and delivery , systems modernization, site reliability engineering and operations, and building a solution… more
- UNC Health Care (Morrisville, NC)
- …leadership. **Responsibilities:** + Serve as a strategic partner to the Chief Legal Officer, the Vice President for Risk Management, the Vice President ... and program development on behalf of the Chief Legal Officer and Legal team leaders, the Vice President for Risk Management, and the Vice President for… more
- AON (Chicago, IL)
- …Property & Casualty ( VP & Director), you will report directly to the Senior Vice President and Executive Director Aon is in the business of better decisions ... certificates, endorsements, audits, invoicing, and policy checking. + Monitor claims activities and assist clients with claims ...& Director), you will report directly to the Senior Vice President and Executive Director Aon is… more
- Zelis (GA)
- …Impact Analysis results and value propositions . The new leader will report to the Sr. Vice President of Analytics & Insights, oversee a team of ~6, and may be ... Advise Sales & prospects on scoping of analytic opportunities, data quality, and delivery expectations . +...industry + Specific experience with larges sets of healthcare claims data preferred + Strong project, program… more
- Molina Healthcare (Escondido, CA)
- …outreach and resolving provider inquiries. * In conjunction with the Associate Vice President , Network Strategy & Services, develops health plan-specific ... Molina Healthcare and contracted provider network. In partnership with Associate Vice - President , manages and coordinates the Provider Services activities for… more
- Iron Mountain (Boston, MA)
- …Risk Management** **This position is a Senior Director-level position reporting to the Vice President of Global Safety, Risk & Security (GSRS).The Senior ... program to ensure the proper and efficient handling of claims , gathering data on claims ...requirements are met** + **Operationalize the design, analysis and delivery of claim information which influences risk management behavior… more
- Tractor Supply Company (Brentwood, TN)
- …needed to improve overall team member experience in stores. + Partner with Region Vice President to analyze turnover data and create effective retention ... Development** + Consult and guide District Managers and Region Vice President on important HR initiatives, including...team in reviewing written corrective action documents prior to delivery to team member. + Coordinate review of involuntary… more
- Humana (Columbus, OH)
- …and the courage to innovate **Additional Information** Typically reports to a Regional Vice President of Health Services, Lead, or Corporate Medical Director, ... first** The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex… more
- Copeland (St. Louis, MO)
- …US programs, and provide consultation on local programs. Reporting directly to the ** Vice President of Total Rewards** , you will collaborate with ... Global Benefits, YOU WILL:** + Lead the design and delivery of global benefits programs that considers diverse employee...a diverse workforce + Partner with peers and the VP , Total Reward to create and maintain a global… more
- Billings Clinic (Billings, MT)
- …any concerns they have in this regard with their immediate supervisor and/or the Vice President People Resources. All employees and job applicants will be ... in this position is responsible for assisting the pharmacist in the delivery of quality pharmaceutical care and medication distribution as permitted by law.… more
- AdventHealth (Maitland, FL)
- …and quality improvement of the network as assigned by the Division CFO/SrVP, Vice President of Revenue Cycle Operations and/or Director, Utilization Review ... Medical Director is responsible for providing physician review of utilization, claims management, and quality assurance related to inpatient care, outpatient… more
- HCA Healthcare (Atlantis, FL)
- …purpose to give people a healthier tomorrow."- Jane Englebright, PhD, RN CENP, FAAN Senior Vice President and Chief Nursing Executive If this is the kind of ... safety program on a day to day basis and claims management program and risk management education for the...and documentation of grievances. Also tracks and shares risk data and works with accreditating and regulatory agencies with… more