- American Water (Camden, NJ)
- …* This role is responsible for identifying, communicating, and advancing key regulatory initiatives to support the Company's strategic regulatory objectives. It ... involves close collaboration with state teams and regulatory stakeholders to advocate favorable outcomes, monitor regulatory developments, and shape effective… more
- UPMC (Media, PA)
- …(CCBH) is seeking a qualified individual to fulfill the role of Regional Medical Director in Delaware County, PA. The Regional Medical Director is responsible ... the clinical needs of Community Care members. The Medical Director also participates in regional leadership policy decisions and...an impact on clinical services. + Effectively reduce observation rates , length of stay, and readmission rates .… more
- CenterWell (Dover, DE)
- …a part of our caring community and help us put health first** The Medical Director , Primary Care relies on medical background and reviews health claims. The Medical ... Director , Primary Care work assignments involve moderately complex to...be authorized. All work occurs with a context of regulatory compliance, and work is assisted by diverse resources… more
- Innovation Foods LLC (Millville, NJ)
- …reporting to the General Manager, is tasked with leading all Food Safety, Regulatory , Sanitation, and Product Quality activities. The Director of Quality works ... development, wellness, and exceptional benefits. Our benefits include: Competitive Pay Rates Medical, dental, vision and prescription plans with wellness incentives… more
- Humana (Dover, DE)
- …community and help us put health first** The Behavioral Health Medical Director is responsible for behavioral health care strategy and/or operations. The Behavioral ... Health Medical Director work assignments involve moderately complex to complex issues...be authorized. All work occurs within a context of regulatory compliance and work is assisted by diverse resources… more
- Humana (Dover, DE)
- …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
- Humana (Dover, DE)
- …part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home ... health, SNF, DME, dual Medicare/Medicaid and Waiver requests. The Medical Director provides medical interpretation and determinations whether services provided by… more
- Humana (Dover, DE)
- …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
- Humana (Dover, DE)
- …part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home ... health, SNF, DME, dual Medicare/Medicaid and Waiver requests. The Medical Director provides medical interpretation and determinations whether services provided by… more
- Humana (Dover, DE)
- …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... be authorized. All work occurs within a context of regulatory compliance, and work is assisted by diverse resources,...in their daily work specifically for DSNP. The Medical Director 's work includes computer-based review of moderately complex to… more
- Humana (Dover, DE)
- …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... of service should be authorized. All work occurs within a context of regulatory compliance, and work is assisted by diverse resources, which may include national… more
- Humana (Dover, DE)
- …of our caring community and help us put health first The Medical Director actively uses their medical background, experience, and judgement to make determinations ... of service should be authorized. All work occurs within a context of regulatory compliance, and work is assisted by diverse resources, which may include national… more
- Cushman & Wakefield (Dover, DE)
- **Job Title** Senior Director , Global Shared Services **Job Description Summary** Why You'll Love This Role! As the Senior Director , Global Shared Services, ... contributions are felt across the entire organization. About the Role! The Senior Director , Global Shared Services is a critical finance leader responsible for the… more
- Baylor Scott & White Health (Dover, DE)
- …implementing policies, procedures and performance metrics to improve appeal success rates , ensure regulatory compliance and optimize reimbursement outcomes. Will ... **Job Summary** The Director , Denial Resource Center is responsible for the...Strong understanding of payer denial codes, appeal strategies and regulatory frameworks. + Familiarity with RAC audit processes preferred… more
- Wolters Kluwer (Dover, DE)
- …Consolidation & Reporting, CCH Tagetik has developed pre-packaged solutions addressing regulatory reporting requirements for ESG, Tax, Insurance & Banking. The ... **North American** team is seeking a ** Director of Solution Consulting, North America** to lead a...+ Track and report on key performance metrics (win rates , demo quality, utilization). + Optimize pre-sales processes and… more
- Devereux Advanced Behavioral Health (Villanova, PA)
- **Description** We are seeking a strategic and results-driven National Director of Financial Planning & Analysis (FP&A) to join our team! Reporting to our Senior ... **In this Role, You will** + Establish financial goals, develop program/service rates , and collaborate with Leadership of Devereux's programs across our 11 state… more
- RELX INC (Philadelphia, PA)
- …innovation team focused on data science and AI-driven solutions. We are seeking a Director of Data Science & AI Innovation to lead this effort. This role blends ... and Professional. LexisNexis is a leading global provider of legal, regulatory , business information and analytics that help customers increase productivity, improve… more
- Penn Medicine (Philadelphia, PA)
- …shape our future each day. Are you living your life's work? Position: Director Revenue Cycle Management Entity: Clinical Practices of the University of Pennsylvania ... St Hours: Full Time, Per Departmental Needs Summary: The Revenue Cycle Director is responsible for overseeing all revenue activities and organizing strategies to… more
- Datavant (Dover, DE)
- …and Security to support risk mitigation, training, and adherence to regulatory and contractual obligations. This position requires a strong understanding of ... cause analyses to ensure completeness, accuracy, and alignment with regulatory standards. + Serve as an escalation point for...incidents or high-impact cases, coordinating with Legal and the Director of Compliance on next steps. + Monitor privacy… more
- Navient (Dover, DE)
- …of their financial future, including: + **Private student loans** - low rates , people-first service, and flexible payments. + **Student loan refinancing** - break ... free from high-interest rates or monthly payments. + **Scholarships** - access to...**The Lifecycle Marketing Manager position will report to the Director of Performance Marketing.** **As the Lifecycle Marketing Manager,… more