- GRAIL (Durham, NC)
- …healthcare companies. For more information, please visit grail.com . The Associate Director will proficiently lead the Prior Authorization, Billing Data Entry, ... daily activities of the billing staff, managing all aspects of prior authorization billing, pre-certification, and eligibility functions. The Associate Director… more
- Veterans Affairs, Veterans Health Administration (Pittsburgh, PA)
- …experience with basic troubleshooting related to telehealth services and/or programs. Prior Medical Director . Proven post-acute long-term care experience. ... Pittsburgh is looking to recruit a Part Time Medical Director , for the Telemedicine Medical Officer of the Day...subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested… more
- AIG (Atlanta, GA)
- …AIG, we are reimagining the way we help customers to manage risk. Join us as a Claims Law Firm Panel Director to play your part in that transformation. It's an ... the team's standard operating process. + Lead discussions with Claim leadership to develop Claims Law Firm...or financial services industry preferred. + Minimum 5 years prior experience working with Claim / Law… more
- Travelers Insurance Company (Hartford, CT)
- …$106,300.00 - $175,400.00 **Target Openings** 1 **What Is the Opportunity?** The Director , Business Delivery is responsible for taking a high level business vision, ... broad and results from multi-year aspirational goals. The Business Delivery Director , working collaboratively with the technology leaders, is responsible for… more
- AIG (Atlanta, GA)
- …knowledge of claim handling procedures, claims performance strategies, and claim best practices. + Prior management experience preferred. + Ability to ... customers to manage risk. Join us as a Managing Director to play your part in that transformation. It's...of claim file quality. + Conduct periodic claim file audits of field claims practices… more
- AIG (Atlanta, GA)
- …+ Bachelor's Degree or equivalent required. Multi-state adjuster licenses preferred. + Prior claims management experience desired. + Must possess excellent ... customers to manage risk. Join us as a Managing Director TTPO Complex Claims to play your...expertise interpreting insurance contracts. + In depth knowledge of claim handling procedures, claims performance strategies, and… more
- Hackensack Meridian Health (Edison, NJ)
- …to transform healthcare and serve as a leader of positive change. The ** Director of Patient Financial Services for Claims Management** provides management of ... and maintains strong payer relationships to remove barriers to claim creation and submission and works through any issues...Prior experience with Epic. + Management of a claims & clearinghouse application. + Experience working in a… more
- CommuniCare Health Services Corporate (Akron, OH)
- …for proper documentation and will ensure that all necessary data was verified prior to billing. Additional responsibilities: + Check claim to verify correct ... growth, CommuniCare Health Services is currently recruiting for a Claims Validator / Biller to support our Central Billing...team, CBO cash posting team, Business Office Manager, Regional Director of Finance, MDS, Case Management, and others. The… more
- Commonwealth of Pennsylvania (PA)
- …per week/two days per pay period . However, requests to telework must be sent to the Director prior to being off to ensure that no more than 20% of caseworkers ... attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements....Unofficial transcripts are acceptable. You must attach your transcript(s) prior to the submission of your application by using… more
- Citizens (Cherry Hill, NJ)
- …career with exciting new challenges and opportunities to stretch yourself. As the Director of First Line Risk, you will represent the first line of defense ... of Risk Managers and/or Senior Risk Managers primarily supporting the Fraud and Claims line of business Qualifications: + 8-12+ years experience in Risk Management,… more
- University of Colorado (Aurora, CO)
- …+ Establishes tracking mechanisms to monitor deliverables on assigned grants. + Obtains prior approval from Executive Director /PI and sponsor as indicated for ... **Finance & Accounting Assistant Director ** **Description** **University of Colorado Anschutz Medical Campus** **Department: College of Nursing** **Job Title:… more
- Integra Partners (Troy, MI)
- … processing adheres to HIPAA regulations and payer-specific guidelines. + Document claim activity and payer communications in the claims management system. ... verification, prior authorization, and appeal processes. + Proficiency in claims management systems and electronic billing platforms. + Excellent attention to… more
- HUB International (Columbus, OH)
- **POSITION SUMMARY:** Overmyer Hall Associates is seeking to add a Claims Leader to their Property & Casualty Service team! The Claims Leader will oversee and ... manage the claims process and claims service team for the region, who are primarily...in our Columbus office, and will report to the Director of Property & Casualty Operations. **ABOUT HUB INTERNATIONAL:**… more
- Billings Clinic (Billings, MT)
- …regional affiliate locations to support risk functions as indicated by Risk Management Director . The Risk and Claims Specialist assists in coordination of the ... in coordination of medical malpractice claims at the direction of the Risk Management Director and/or the Risk and Claims Coordinator and Risk and Claims … more
- University of Utah Health (Salt Lake City, UT)
- …EO/AA_ This position is responsible for researching, identifying and adjusting medical claim errors. This position is not responsible for providing care to patients. ... medical advancement, and overall patient outcomes. **Responsibilities** + Reviews medical claim requests or electronic records to determine if adjustment is… more
- Guidehouse (San Marcos, CA)
- …**:** None **What You Will Do** **:** The **Billing Supervisor - Healthcare Claims ** is responsible for the daily operations of billing and works closely with ... Billing Supervisor reports directly to an Operations Manager or Director level position and may perform any and all...Access, Medical Records and Information Systems to ensure clean claim rate meets established goals. + Works with both… more
- City of New York (New York, NY)
- …Within AO, exists Office of Revenue that houses SNAP-CR. They establish SNAP claims for the agency according to the Federal SNAP guidelines to recover inaccurate ... supervise staff (PAAII, PAAI, Eligibility Specialist II) involved in Claims processing. - Monitor and distribute cases in the...and SNAP only sites, Quality Control and Internal Audits prior to establishing in WMS. - Conduct day to… more
- Sanofi Group (Morristown, NJ)
- …in developing RWE studies, as well as study management and publications. + Prior experience in claims database analysis, RWE studies including understanding of ... **Job title** : Global Medical Director , Evidence Generation - Insights and Strategy **Location:**...studies that translate large datasets from existing registries and claims databases into meaningful insights. These insights will help… more
- MTA (New York, NY)
- Deputy Director , OCIP Management Risk Control Job ID: 10770 Business Unit: MTA Headquarters Location: New York, NY, United States Regular/Temporary: Regular ... Date Posted: May 22, 2025 Description JOB TITLE: Deputy Director , OCIP Management Risk Control SALARY RANGE: $128,255 -...of a staff of 2 people including the Sr Claims Administrator, 1 Analyst and approximately 7 consultants. +… more
- Prime Healthcare (Farmers Branch, TX)
- …Responsibilities The Corporate Director of Billing Optimization ... optimization and improved metrics across the clearing houses. The Director will partner with revenue cycle and business office...are not limited to: 837 files, billing edits, clean claim rate standards, billing errors and trends, as well… more