- NHC (Knoxville, TN)
- RN Licensed - Director of Quality and Risk management Overview Direction of Quality and Risk Management Department activities and resources to achieve ... departmental and organizational objectives. Leadership of the Risk Management activities including managing claims against the facility; interfacing with… more
- Hiscox Ltd (New York, NY)
- …Cyber/Tech/Media/Crime is a first line manager responsible for leading a team of claim professionals who are handling claims , including matters in litigation, ... Director in preparing and presenting reserve analysis and claims trends Takes an active role in the ...matching Comprehensive health insurance, vision, dental and FSA plans ( medical , limited purpose, and dependent care) Company paid group… more
- Regal Medical Group, Inc. (Northridge, CA)
- …help coordinate care with the high- risk team. In collaboration with the Lead Medical Director may identify needs for and participate in the development and ... processes, team development and education. Work closely with high risk program Medical Director specific...should need arise in cross coverage, secondary/tertiary review, or medical director decision making. Perform retro- claims… more
- PODS (Clearwater, FL)
- JOB SUMMARY The Director of Risk Management leads enterprise-wide risk management by overseeing insurance programs, claims , and litigation to protect the ... the company's reputation. It also integrates proactive loss prevention measures and structured claims protocols to enhance risk mitigation efforts. A key focus… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …dotted line reporting relationship to the VP, Revenue Performance Management, the Director of Billing Compliance ensures the integrity and accuracy of billing ... and industry standards, focusing on hospital and professional billing compliance. The Director acts as the 'second line of defense' to ensure effective operational… more
- Veracity Solutions (Reading, PA)
- … for Workers Compensation. This individual will also serve as the System Medical Director for enterprise Occupational Claims , including fiscal oversight. ... of Occupational Claims for Workers Compensation. Serves as the System Medical Director for enterprise Occupational Claims , including fiscal oversight.… more
- Restoration Management Company (Atlanta, GA)
- …Project Directors are responsible for simultaneously managing and directing multiple claims /jobs. Direct lead technicians and superintendents in the production phase ... of job(s) via work orders. This position reports directly to the Regional Director and interfaces with other departments within the company as required. Key… more
- Johnson and Johnson (Raynham, MA)
- …States of America Job Description: Johnson and Johnson is currently seeking a Medical Director , Medical Affairs, Orthopedics (Spine) located in Raynham, ... help patients on their journey to wellness. Learn more at https://www.jnj.com/medtech The Medical Director , Medical Affairs, Orthopedics role provides … more
- Pyramid Consulting, Inc. (St. Louis, MO)
- Immediate need for a talented Medical Director . This is a 06+months contract opportunity with long-term potential and is located in US(Remote). Please review the ... implementation of performance improvement initiatives for capitated providers. Assists Chief Medical Director in planning and establishing goals and policies… more
- MedStar Health (Washington, DC)
- …Leads, develops and implements alternative payment methodologies (shared savings, risk sharing bundle arrangements). Collaborates with key stakeholders, including ... provider pay-for-performance programs preferred. APR-DRG hospital reimbursement methodology and claims adjudication systems is required. significant experience managing networks… more
- Connected Health Care, LLC (Wichita, KS)
- …Provide guidance on legal matters, including patient grievances and medical -legal claims Facilitate staff training on risk prevention and regulatory updates ... Job Description Full-Time Director - Healthcare Risk Management - Wichita, KS Connected Health Care, a leading recruitment and staffing firm, is proud to partner… more
- DW Simpson (Portola Valley, CA)
- Play a key role in the development of medical care for the elderly. The Director , Actuary will be responsible for all actuarial functions related to revenue, ... claims modeling, & financial analysis and will assess & refine risk -adjusted revenue projections for Medicare-Medicaid populations. The ideal candidate will be an… more
- Trinity Health (Syracuse, NY)
- …TITLE Administrative Assistant DEPARTMENT: Clinical Quality & Safety REPORTS TO: Regional Director of Risk Management MISSION STATEMENT: We, St Joseph's Health, ... visitors, vendors, various regulatory and professional agencies. SUPERVISED BY: Regional Director of Risk Management SUPERVISES: None CAREER PATH: Administration… more
- Sunrise Senior Living (Westmont, IL)
- …Sunrise internal business controls. Process and manage unemployment and worker's compensation claims and update claim activity as necessary. Clearly communicate ... national/provincial regulations pertaining to occupational health and safety and promoting Risk Management programs and policies and adhering to safety rules and… more
- Veterans Health Administration (Asheville, NC)
- …MHS; the Professional Standards Board, Chief of Staff and approved by the Medical Center Director . The provider performs professional work describing human ... of counseling and case management services provided to Veteran patients at the Medical Center. He/she performs the duties of a licensed professional mental health… more
- Ward Trucking, LLC (Halethorpe, MD)
- …the areas of: Pickup and Delivery operations, dock operations, linehaul cut-times, claims prevention, determination of amount of manpower hours and staffing, service ... center physical plant and equipment maintenance and risk management. Effectively use Computerized Dispatch System, prepare routes and dispatch local P & D drivers.… more
- Veterans Health Administration (Iowa City, IA)
- …City Department of Veterans Affairs Health Care System (VAHCS), is seeking a Pain Medical Director for a full-time appointment at the Rehabilitation and Extended ... healthcare system. Team with PMT members to perform proactive medical record reviews of patients at risk ...claimed by the applicant. [If the applicant does not claim an ECFMG certificate, facility officials must still confirm… more
- Stantec (Raleigh, NC)
- …System selection to be based on Project/Client needs as well as proactive Claims / Risk mitigation. Oversee and approve development and management of the Project ... the Project Design Schedule. Development and maintenance of the Project Risk Register, based on review of contract conditions, project-specific delivery… more
- Gallagher (New York, NY)
- …Indulge your passion for problem-solving and embrace the thrill of addressing risk head-on at Gallagher's global brokerage team. Join a family of diverse ... of trust and triumph in the dynamic world of risk management. We believe that every candidate brings something...role reports directly into either the Branch Client Service Director or the Branch Client Service Supervisor. The Branch… more
- Ellie Mental Health (Clarksville, MD)
- …and exceed goals Coordinate services with case managers, families, work personnel, medical personnel, other Ellie staff, and school staff as needed Attend and ... and professional development. Flexible scheduling Hourly pay structure PLUS commission on claims Access to Continuing Education CEU Library What else you should… more
