- Lincoln Financial Group (Honolulu, HI)
- …will oversee and ensure the fair, ethical and timely management of complex claims . **What you'll be doing** + Maintains knowledge on current and emerging ... + Directs the processing and administration of all aspects of LTD complex claims ensuring accurate and timely claim management. + Develops and executes claim… more
- HomeSafe Alliance (Honolulu, HI)
- …Raising awareness of any settlement practices, trends, or areas of concern to the Director of Claims . Responds to internal and external customer disputes and ... as needed to ensure prompt recovery of claim expenses. + Work with the Director of Claims and Claims Managers to ensure any concerns or issues are addressed.… more
- Humana (Honolulu, HI)
- …first** The Medical Director relies on medical background and reviews health claims . The Medical Director (Staff Geriatrician or Physician with Ten (10) ... (10) Years of Clinical Practice with Older Adults (Medical Director ) is dedicated full time to the Indiana Pathways...complex needs and care of older adults. The Medical Director actively uses their medical background, experience, and judgement… more
- Humana (Honolulu, HI)
- …The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
- Amentum (Honolulu, HI)
- The **Senior Director of Contracts** will report to the Vice President of Contracts and lead the Contracts team supporting the Critical Missions operating group at ... Amentum. The Senior Director will provide strategic direction and functional expertise to...prepare and effectively resolve Requests for Equitable Adjustment (REAs), Claims and other complex matters. + Excellent interpersonal, communications… more
- Spanish Peaks Mountain Club (Maui County, HI)
- …be considered. Please Click Here (https://www.myworkday.com/montage/d/task/1422$1471.htmld) to apply internally. Director of Security SUMMARY The Director of ... Experience in managing of Work Comp and General Liability claims + Security Guard Card certified + Advanced computer...camera systems and radios. The pay scale* for the Director of Security is $82,000.00 to $103,000.00. *The pay… more
- Humana (Honolulu, HI)
- …of our caring community and help us put health first** The Associate Director , Value-Based Solutions will be responsible for leading the operational performance of ... Horizon's specialty value-based payment (VBP) model portfolio. The Associate Director will oversee a team of direct reports to...in Medicaid and Medicare managed care + Expertise performing claims data analysis to inform VBP model design +… more
- Highmark Health (Honolulu, HI)
- …a customer's financial experience - member and patient billing, benefits and claims , cost transparency, and health & spending accounts. Accountable for leading a ... team of product managers and product analysts focused on research & insights, problem/opportunity management, product strategy, roadmap management, and value case development. Partners across the Living Health organization and the Enterprise to engage key… more
- Marriott Vacations Worldwide (Lahaina, HI)
- …efficiently and creating a positive work culture among staff members. Supports Director of Operations in ensuring Hotel Operations meet the brand's standards, ... WORK ACTIVITIES** **Managing Security/Loss Prevention Operations** + Assists the Director of Engineering in administering fire prevention programs and emergency… more
- Hawaii Pacific Health (Honolulu, HI)
- …the managed care services department including referral management, patient steerage, and claims auditing. Under the general direction of the Department Director ... or designee, develops and applies methods to provide analytics and reporting services to support population health management, quality and cost initiatives for all Hawai'i Pacific Health hospitals, clinics and other entities including Hawai'i Health Partners.… more