- Eisai, Inc (Nutley, NJ)
- At Eisai, satisfying unmet medical needs and increasing the benefits healthcare provides to patients, their families, and caregivers is Eisai's human health care ... from you.JOB SUMMARY:As a member of the Data Analytics group, the Associate Director , Commercial Analytics is part of a high performing team that provides… more
- Insmed Incorporated (Bridgewater, NJ)
- …subject matter expert including burden of illness studies, patient evidence studies, medical claims and electronic health records database analyses, economic ... in New York™, and Best Workplaces for Millennials™ lists.OverviewThe Associate Director , HEOR is a significant contributor to the development and communication… more
- BioAgilytix (Durham, NC)
- …provide guidance and support on employee relations issues, performance management and organizational development. Maintain in-depth knowledge of legal requirements ... and required documentation.Conduct and report on exit interviews for Associate Director level and below to determine reasons behind voluntary separations and… more
- Serco (Washington, DC)
- …corrective actions based on findings. The Assistant Program Director for Medical Claims Review would be responsible for management the medical and ... **Position Description** Serco is seekinga motivated Assistant Program Director for Medical Claims ... management experience and subject matter expertise in medical claims verification, including medical … more
- University of Utah Health (Salt Lake City, UT)
- **Overview** **University of Utah Health is seeking an experienced new Associate Director of Risk Management Claims !** This position is responsible for ... with staff, physicians, insurers and legal counsel within the organization. The Associate Director of Risk Management Claims operates at a System… more
- USAA (Plano, TX)
- …of what makes us so special! **The Opportunity** We are seeking a dedicated Director Claims Operations - Auto Physical Damage - Central Region. This position ... responsible for delivering business results. Responsible for leading execution change management , claims strategies, leader development and technology adoption.… more
- USAA (Phoenix, AZ)
- …be a part of what makes us so special! **The Opportunity** As a dedicated Director , Claims Operations, you will lead and be accountable for auto, property, and ... responsible for delivering business results. Responsible for leading execution change management , claims strategies, leader development and technology adoption.… more
- NJ Transit (Newark, NJ)
- Assistant Director , Rail Claims Finance Job Description: Move forward with us! At NJ TRANSIT, you'll join us in transforming the third-largest transportation ... tried and which are settled. Provides hands on litigation management to control costs. + Conducts and coordinates litigation...requests, etc. + Analyzes, audits and approves payment of medical bills and expenses associated with claims … more
- Mass Markets (Dallas, TX)
- POSITION OVERVIEW MCI is seeking an experienced Insurance Call Center Claims Director experienced in Property and Casualty and Life insurance to support complex ... will professionally represent the company and its customers. Other Director Qualifications Include: + Requires 10+ years of insurance...and Life insurance programs and a proven track record claims management + Bachelor's Degree in … more
- MetLife (Oriskany, NY)
- Director - Benefit Claims and Funds Recovery City/Cities Bloomfield, Bridgewater, Cary, Omaha, Oriskany, Tampa, Warwick State(s) Connecticut, Florida, Nebraska, ... and across MetLife. The key focus of the Benefit Claims and Funds Recovery team supporting RIS, is to...Compliance . GOSC - MetLife offshore team . RIS Director of Risk & Controls, Director Direct… more
- Sedgwick (Uniondale, NY)
- …place to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Director Claims Workers Comp & liability **PRIMARY PURPOSE** : To be ... + Establishes policy and procedures to assure compliance to best practices, claims management services standards, state regulations, and client service… more
- Office of Workers' Compensation Programs (IN)
- …processing workers' compensation claims /benefits cases and final adjudication of medical claims . Education Any applicant falsely claiming an academic degree ... operations, vocational rehabilitation services, communications, fiscal operations, information technology, medical coding, claims adjudication, etc.) at the… more
- HomeSafe Alliance (Columbus, OH)
- …and motivated **Assistant** **Cl** **aims Manager** to assist in all aspects of claims management , to support and promote process improvement methodologies and ... Raising awareness of any settlement practices, trends, or areas of concern to the Director of Claims . Responds to internal and external customer disputes and… more
- LA Care Health Plan (Los Angeles, CA)
- … department is of the highest quality and is well documented. Works with the Claims Director , Claims Managers and Supervisors to ensure the Plan's core ... Business Administration Experience Required: At least 5-7 years of Claims Management experience. At least 3-4 years... of a complex nature. Advanced working knowledge of claims coding and medical terminology. An in-depth… more
- HUB International (Boise, ID)
- …with financial security and career satisfaction. Apply today! \#LI-JR2 Department Claims Management Required Experience: 5-7 years of relevant experience ... vast network of experts who will help you reach your goals through risk services, claims management , and compliance support. And this gives you the peace of mind… more
- Alight (MN)
- …Are you a successful leader who is experienced in leading a team of Claims professionals? Do you have experience leading a team that is responsible for providing ... important to you? If so, Alight is seeking a Claims Operations Manager with experience meeting team service goals...team, for all parties in STD and Family and Medical Leave Act (FMLA) client absence programs including employees,… more
- Jennie Stuart Medical Center, Inc. (Hopkinsville, KY)
- Under the direction of the Coding/CDI Manager and Director of Health Information Management Department and according to established JSH policies and procedures ... + Excellent organizational skills + Ability to effectively collaborate remotely with management , HIM staff, medical staff, Business Office. + Proficient in… more
- University of Miami (Miami, FL)
- …case review, peer review, and potential claims review. + Collaboration with Executive Director of Medical Risk Management and with the Executive ... please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The Executive Director , Legal, Regulatory and UHealth Risk Management … more
- Universal Health Services (Greer, SC)
- …trends for group action and participates in Environment of Care walk-through. CLAIMS MANAGEMENT + Facilitates the processing of summons and complaints ... Center for Behavioral Health is currently looking for a Director of Risk Management . Who We Are...claims within the facility + Directs in house claims investigation. + Preserves all pertinent information ( medical… more
- Abbott (Abbott Park, IL)
- …transfer and self-insured programs operate effectively in support of business goals. + Claims Management - Collaborate with Legal, TPAs and Insurers. Assist in ... of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines. Our 114,000...global headquarters in Abbott Park, Illinois is seeking a Director of Global Risk Management to join… more
