- 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
- Humana (Trenton, NJ)
- …and overseeing audit activities to ensure compliance with internal policies, regulatory requirements, and industry standards. The Director Internal Audit ... part of our caring community and help us put health first** The Director , Internal Audit develops, plans and evaluates internal audit programs for the organization's… more
- CenterWell (Trenton, NJ)
- …our caring community and help us put health first** The National Medical Director for Home-Based Care Programs is a key clinical leadership position responsible for ... and high-risk Medicare patients within a full-risk, value-based framework. The Medical Director collaborates in a dyad partnership with the Strategy Advancement and… more
- Datavant (Trenton, NJ)
- …experiences to realize our bold vision for healthcare. **Role Overview** As the Director of Prospective + Concurrent Risk Adjustment Products, you will lead the ... suite. + Define multi-year plans aligned to customer outcomes, regulatory drivers, and market trends in risk adjustment, care...risk score impact, and concurrent coding capture and correction rates . + Establish and track KPIs that measure both… more
- Datavant (Trenton, NJ)
- …experiences to realize our bold vision for healthcare. **Role Summary:** The ** Director of Internal Audit** will design, implement, and oversee Datavant's legal and ... audit standards. Reporting to the Chief Compliance and Privacy Officer, the Director of Internal Audit will evaluate the effectiveness of internal controls, risk… more
- Humana (Trenton, NJ)
- …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 (Trenton, NJ)
- …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
- Penn Medicine (Philadelphia, PA)
- …future each day. Are you living your life's work? **Position: Associate Director Rev Cycle Management** **Entity: Clinical Practices of the University of ... Market Street** **Hours: Full Time, Mostly Remote** **Summary:** The Associate Director Revenue Cycle Management is responsible for overseeing all revenue activities… more
- Humana (Trenton, NJ)
- …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... authorized at the Inpatient level. All work occurs within a context of regulatory compliance, and work is assisted by diverse resources, which may include national… more
- Humana (Trenton, NJ)
- …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
- PSI Services (Trenton, NJ)
- **Description** **Title:** Sr. Director , Federal Program Management **Location:** Remote-US **Salary:** $175K / annually + STIP **About PSI** Join Us at PSI - Where ... why we've benchmarked all our roles against local market rates and why you'll always see salary details in...aligns with your expectations. **About the Role** The Senior Director , Federal Program Management is a critical leadership role… more
- Baylor Scott & White Health (Trenton, NJ)
- …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
- Humana (Trenton, NJ)
- …caring community and help us put health first** The Associate Director ; Software Renewals establishes and implements hardware and software acquisition, protection, ... procedures that are aligned with IT standards and strategy. The Associate Director ; Software Renewals requires a solid understanding of how organization capabilities… 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
- Wolters Kluwer (Trenton, NJ)
- …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
- Travelers Insurance Company (Trenton, NJ)
- …regularly engage in unique and intellectually stimulating business problems. As a Director , Product Management, you will manage the growth and profitability for ... in the formulation of recommendations based on analysis and interpretation of rates , data, and trends to achieve business objectives. By collaborating and… more
- Evolent (Trenton, NJ)
- …of our specialty programs and administrative platform. Role Overview The Associate Director role on Client Analytics will support both internal teams (EAS, Specialty ... partners. + Advanced Reporting & Compliance: Lead the development of regulatory and ad hoc reporting strategies, ensuring accuracy, compliance, and alignment… more
- Penn Medicine (Philadelphia, PA)
- …our future each day. Are you living your life's work? **Position: Director Revenue Cycle Management** **Entity: Clinical Practices of the University of Pennsylvania ... **Hours: Full Time, Per Departmental Needs** **Summary:** The Revenue Cycle Director is responsible for overseeing all revenue activities and organizing strategies… more
- Xerox (Trenton, NJ)
- …Job Level Individual Contributor Job Type Experienced Job Field ATTORNEYS Seniority Level Director Currency USD - United States - US Annual Base Salary Minimum ... internal postings, please visit Xerox Careers (https://xerox.avature.net/en\_US/careers) . **Monthly:** Monthly rates for this position can be shared with you per… more