- Eisai, Inc (Phoenix, AZ)
- At Eisai, satisfying unmet medical needs and increasing the benefits healthcare provides to patients, their families, and caregivers is Eisai's human health care ... oral markets with approved indications, helping targeted customers, such as Medical Oncologists, Hematologists, Endocrinologists, and nurses, etc. learn about the… more
- South Florida Regional Transportation Authority (Pompano Beach, FL)
- … of Operations to join our team. Under the direction of the Executive Director , this Senior Management position is responsible for the complete oversight and ... with internal and external stakeholders. Ideal Candidate Profile The Director of Operations will possess the expertise, professionalism, leadership skills,… more
- PacificSource (Portland, OR)
- …keeping all up to date and actionable. In collaboration with the plan Medical Director , identifies and monitors opportunities for improving health care costs. ... utilize each person's talents and strengths. The VP of Claims , Encounters and Payment Integrity Operations is a key...Integrity Operations is a key member of the Executive Management Group reporting to the Senior Vice President of… more
- The University of Kansas Health System (Kansas City, KS)
- Position Title Assistant Director of Clinical Risk Management 1901 Olathe Blvd Position Summary / Career Interest: Responsible for assisting in the development ... experience successfully leading and managing team. Preferred Education and Experience Director level experience in clinical risk management . Knowledge… more
- Mount Sinai Hospital (New York, NY)
- Job Description The Director of Contract Compliance will oversee the contract compliance program, ensuring the organization's contracts, specifically related to ... contract compliance monitoring, risk identification, and issue resolution. The Director will collaborate with various internal departments, including legal, finance,… more
- Regal Medical Group, Inc. (Northridge, CA)
- …development and implementation of policy and plans for effective patient centered utilization management ; together with the medical director , interprets and ... coordinates, plans and manages staff activities; develops with Medical Director program goals and objectives; makes...experience in a medical group, IPA, or management company required, with claims experience recommended.… more
- Massachusetts Bay Transportation Authority (Boston, MA)
- …MBTA Legal to provide large claim reporting to insurer(s) with assessment of claims management practices and projection of future liabilities associated with ... contribution in local safety committee meetings as needed. Job Summary The Senior Director of Risk ManagementStrategies will partner with and report to the Chief… more
- UnitedHealth Group (Minneapolis, MN)
- …customer journey and ensuring we exceed expectations as we deliver clinical coverage and medical claims reviews. Our role is to empower providers and members ... deliver seamless experience, and manage health care costs. The Medical Director provides physician support to Enterprise...a multidisciplinary team and is actively involved in the management of medical benefits for all lines… more
- Royal Oak Health Group (Killeen, TX)
- …clinic an hr South of Waco, Texas has a great opportunity for a Clinic Medical Director . Community-Based Outpatient Clinics (CBOCs) are an integral part of the ... the patient experience and ensures continuity of healthcare services delivered to veterans. This Medical Director role will be to provide a full range of primary… more
- Molina Healthcare (Long Beach, CA)
- …quality improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. Facilitates conformance to ... claims and appeals and resolves grievances related to medical quality of care. Attends or chairs committees as...relevant experience, including: 2 years previous experience as a Medical Director in a clinical practice. Current… more
- Insight Global (Minneapolis, MN)
- …data and changes documenting activities to ensure adherence to configuration management procedures and policies. Reviews and approves procedures, manuals, and ... issues in order to meet critical timelines. Escalates when necessary to Director . Review and oversight of completion for new system configuration setups. Review… more
- PUC SCHOOLS (Burbank, CA)
- … Director will oversee and coordinate general ledger accounting, cash management , accounts receivable, accounts payable, claims reporting, and invoicing. This ... is not limited to Finance, Human Resources, Operations, IT and Data Management , facilities identification and acquisition, fundraising, grant management , college… more
- Insurance Recruiting Solutions (Chapel Hill, NC)
- Home Office Claims Director Location: Jersey City, NJ; Alpharetta, GA; Chapel Hill, NC; Chicago, IL; Hartford, CT; Scottsdale, AZ Compensation: $180,000 to ... expanding its leadership team and seeking a Home Office Claims Director to oversee and elevate complex...at a senior or executive level Expertise in litigation management , complex claim resolution, and policy interpretation Excellent written… more
- Particle Health (New York, NY)
- …use cases, health data security and privacy Experience with medical data sets - medical records, claims , ADTs and / or Healthcare data standards such as FHIR ... data analytics and interoperability. Our mission is to unlock the power of medical records in an intelligent platform that focuses health back on the patient.… more
- Chubb (Philadelphia, PA)
- …of claims with emphasis on hands-on file and litigation management . Automobile and General Liability (GL) experience in Products, Premises Liability, Oil ... role you will manage complex primary and excess general liability and automobile claims , both litigated and non-litigated. This role requires an individual to be… more
- Amplity Health (Philadelphia, PA)
- …the full-service go-to partner of biopharma companies that delivers flexible + specialized medical + commercial services. No matter where a drug is in its lifecycle, ... transforms how breakthrough treatments reach the people who need them. Director , Client Partnerships - Intel Business Development-Remote Amplity is seeking to… more
- UHS (Bradenton, FL)
- …Knowledge of hospital operations, risk identification, assessment and reduction and claims management . Excellent communication skills, both written and oral. ... knowledge and skills to help our patients succeed. The Director of Risk Management (Performance Improvement) has...Five (5) years of experience in quality and risk management /improving organizational performance within an acute medical … more
- Telecare (Riverside, CA)
- …experience above the minimum requirements. POSITION SUMMARY Under the guidance of the Director of Nursing (DON), the ADON is responsible for activities and functions ... policies and procedures; organizes the department to meet legal, organizational and medical staff guidelines; and functions in an advisory capacity to the… more
- LHD Benefit Advisors (Indianapolis, IN)
- …to improve efficiency, client impact, and alignment with organizational priorities. Analyze medical and pharmacy claims , financial cost data, and wellness trends ... Job Type Full-time Description LHD Benefit Advisors is hiring a Director of Health Analytics & Strategy to lead the design and execution of integrated population… more
- CSC Management (Houston, TX)
- …El Paso, Albuquerque, Portland, and Oklahoma City - with close to 5,000 units under management . Job Summary: The Community Director is the key to success at our ... Cooper Street Capital is looking for a Community Director in Houston, TXto join our growing team!...TXto join our growing team! Who We Are: CSC Management is a privately owned, multi-family property management… more
