- Eisai, Inc (Phoenix, AZ)
- …internal cross functional partners including but not limited to Associate Director Regional Marketing, Oncology Field Reimbursement Managers, and other specialty ... (eg, PhRMA Code; Federal Food, Drug, Cosmetic Act; Anti-Kickback Statute; False Claims Act, OIG/DOJ Guidance; Foreign Corrupt Practices Act; and federal and state… more
- SaVida Health (Nashville, TN)
- DIRECTOR OF BILLING AND MANAGED SERVICES ABOUT THE ORGANIZATION SaVida Health, a private equity backed healthcare company, provides outpatient opiate and alcohol ... the needs of patients suffering from opiate and alcohol addiction. Summary: The Director of Revenue Cycle Operations is responsible for overseeing all functions of… more
- The Amynta Group (Overland Park, KS)
- …are interested in joining us here at the Amynta Group! The Production Underwriting Director serves as a center of expertise for UW strategy, product management, or ... their own book of business. The production underwriting team director will have 25% of their activities tied to...a profitable book of business. Monitor premiums, costs and claims ratios per contract and recommend corrective measures to… more
- McCulloh Consulting (Roxboro, NC)
- About the job Director of Quality Director of Quality Roxboro/Durham, NC Metro Area Discover Your Next Chapter in the Heart of North Carolina Nestled in the ... outstanding schools, four-season recreation, and a deeply supportive local culture. Position: Director of Quality Why Join Us: Be part of a tight-knit community… more
- Norton Healthcare (Louisville, KY)
- Responsibilities The Director , Billing and Collections is responsible for planning, organizing, directing and controlling all functions of the billing and ... attendance of the CFB meetings. In this role, the Director must work with pertinent PFS members, other departments...members, other departments and their Directors, to ensure that claims are allowed to progress through the billing cycle… more
- Turner Construction (Boston, MA)
- …implementation of proactive programs to reduce incidents, injuries, near misses, and claims costs. Analyze and track BU EH&S program results, identify opportunities, ... and define measures for continuous improvement and review with BU leadership. Lead development and implementation of Annual BU EH&S Plan and related goals aligned with headquarters (HQ) EH&S requirements. Drive goal progress, analyze and track results,… more
- Guidehealth (Rockford, IL)
- …KPIs and Metrics are being met. This role will report to the Sr. Director , Claims Operations. WHAT YOU'LL BE DOING Responsible for the day-to-day management ... of the Claim Operations team. Maintains and improves claims processing operations by monitoring system performance; identifying and resolving problems; preparing… more
- Jamie Grayem (Downey, CA)
- Director , Patient Safety & Clinical Risk Management Downey, CA, US$170,400 - $205,100 + Performance Bonus + Relocation Assistance + Sign On Bonus + Paid Relocation ... Data CenterWill work with other peers in quality, IP Director , Clinical Quality Director for cross functional...reporting trends in the process flow of investigations and claims for red flags, appeal reasons, and overturns, reporting… more
- Factory Direct Marine & RV (Palm Harbor, FL)
- Caravelle Boat Group and Lexington Pontoons has an immediate opening for our Director of Finance position. This is a strong leadership-oriented position for a ... can multitask. This position will report directly to the Director of Operations. This position is in Americus, GA...is not Factory Direct Marine & RV . These claims are fraudulent, and you are strongly advised to… more
- City of New York (New York, NY)
- …to the Bureau's Claim Prepares used to track and identify all claims submitted for reimbursement. Assist with the management of the distribution of scanned ... is critical to tracking and cataloging of all BCR claims , as well as the submission of all DSS...archiving claiming documents to the City Warehouse. Assist the Director of the Bureau with financial data computations and… more
- USAA (Phoenix, AZ)
- …application, synthetic fraud and account takeover attempts Closely partner with Strategies team, Director of Fraud Identity Analytics and Director of Fraud Model ... and graph techniques to identify criminal networks engaging in fraud, scams, disputes/ claims and AML and deliver highly significant benefits Generate and prioritize… more
- BridgeBio Pharma (Palo Alto, CA)
- …reengineer the future of biopharma. What You'll Do BridgeBio is looking for a Director /Sr. Director , Health Economics & Outcomes Research, to join our strong and ... analyzing clinical trial data, real-world evidence (RWE), and healthcare claims data Value Demonstration: Developing and disseminating HEOR reports, presentations,… more
- Housing and Redevelopment Authority of St. Cloud, MN (St. Cloud, MN)
- …Manager is responsible for the daily administrative support for the Executive Director , Board of Commissioners, and the Agency. This position performs difficult ... of administrative support tasks with emphasis on assistance to the Executive Director and Board of Commissioners. Prepares and distributes meeting agendas, meeting… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …with. The opportunity We are seeking an experienced and strategic IT Associate Director to support the Access & Value team within our Commercial organization. This ... with Data & Analytics teams to enable access to real-world data (RWD), claims data, and health economics models. Support the development of dashboards and… more
- Macpower Digital Assets Edge (Las Vegas, NV)
- Position Summary: The Director of Risk Management is a key leadership role responsible for overseeing all aspects of patient safety, risk mitigation, and regulatory ... This position ensures the effective operation of risk management programs, including claims management, risk assessments, root cause analysis (RCA), and action plan… more
- iCare Health Solutions Enterprise (Miami, FL)
- …Monitor payer contract KPIs such as net revenue realization, gross-to-net adjustments, clean claim rates, and claims lag variance Perform ad hoc data analyses ... dates, carve-outs, and inclusions/exclusions Test contract builds using simulated claims to confirm accurate payment logic and resolve discrepancies...to assist the Revenue Cycle Director and leadership in the assessment and interpretation of… more
- The Hartford Financial Services Group, Inc. (Hartford, CT)
- Director & Assistant Actuary - AM06BE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. ... be ongoing partnership with the Personal Insurance (PI) Homeowners reserving/ claims team, the PI Product team, and the enterprise... team, the PI Product team, and the enterprise Claims Analytics teams to ensure we have a cohesive… more
- City of New York (New York, NY)
- …to meet evolving needs Under the direction of the Assistant Director of Forensic Operations, oversees the quality assurance/control activities associated with ... physical inventory of decedent remains, including medical examiner cases and claim only cases. -Supervises decedent case reconciliation process. -Report any problems… more
- Nassau County, NY (Hempstead, NY)
- …and military veterans shall be exempt from the payment of application fees. All claims for application fee waiver are subject to verification. If you can verify ... 30, 2025. NOTE: Candidates will not be able to claim any credit for training or experience gained after...APPLYING : Inquiries should be directed to the Executive Director , Nassau County Civil Service Commission. The Commission does… more
- Atlantic Health System (Newton, NJ)
- …records. Verifies insurance coverage and assists the billing department with processing claims . Communicates test results to patients when directed by physicians or ... all team members. Offerings vary based on role level (Team Member, Director , Executive). Below is a general summary, with role-specific enhancements highlighted:… more
