- Emergent Biosolutions (Gaithersburg, MD)
- …products designed-to protect and enhance life. I: Job Summary The Senior Director , Global Franchise Lead is responsible for leading commercial development and ... barriers Provide commercial input for Target Product Profile and Target Product Claims development along with Research, Clinical, Regulatory, and CI/MR and Market… more
- UnitedHealth Group (Fort Washington, PA)
- …to make a difference? Join us to start Caring. Connecting. Growing together. The Director of Actuarial within UHC Medicare & Retirement will lead an actuarial team ... trends in medical cost drivers for Medicare Supplement products. The director will perform critical data analysis, SAS/SQL/Excel modeling, and actuarial analytics… more
- UnitedHealth Group (Eden Prairie, MN)
- …and completion Experience with secondary data assets for research: administrative claims databases or electronic medical record data Experience in business ... development (client facing meetings, responding to RFPs, presenting proposals, developing budgets, etc.) Experience setting therapeutic area or disease area evidence generation strategies. Experience authoring research protocols or analysis plans and working… more
- Oncourse Home Solutions (Naperville, IL)
- …harassment. Position Summary Reporting to the Senior Vice President, the Director , Strategy and Operation leads cross-functional efforts to develop and execute ... regular in-office hybrid model is required (generally in office Tues/Wed/Thurs. and remote M & F). Key Responsibilities: Strategic Leadership & P&L Management… more
- Blue Shield of California (Oakland, CA)
- …of pre-service and retrospective utilization review, Appeals and Grievances, and provider claims dispute reviews. The Senior Medical Director for FEP Prior ... emergence of a value-based health care system in California. The Senior Medical Director FEP Prior Authorization and Post Review will report to the Vice President,… more
- Banner Health (Phoenix, AZ)
- …Rel Work Shift: Day Job Category: Risk, Quality and Safety The Senior Director , Clinical Risk Management & Patient Relations will provide strategic and operational ... this unique opportunity with Banner Health. This is a remote position living in the Phoenix area. You will...risk management team and patient relations team. The Senior Director , Clinical Risk Management and Patient Relations has oversight… more
- Cuyahoga County Board of Health (Cleveland, OH)
- POSITION AVAILABLE Position: Director of Finance Reports to : Chief Administrative Officer Position to be filled : September 8, 2025 Position Type: Full-time, ... and local agencies in regard to the interpretation of financial legislation, reimbursement claims , required records and reports, and the receipt of income from those… more
- Ross Stores (Dublin, CA)
- …well informed on industry trends, court decisions impacting lease audit claims , opportunities in technology, and the capabilities of third-party consultants/experts. ... *Optimize financial results by enforcing lease language, analyzing merits of claims , spreading best practices across both internal and external teams, leveraging… more
- Capstone ISG (Fernandina Beach, FL)
- …specializes in ensuring the accuracy, efficiency, and compliance of property claims handled by our property adjusters. We're seeking a conscientious individual ... to balance diverse tasks in a standard work day. Remote position in Eastern Time Zone Property Experience Necessary...product delivery. On files above authority, reports internally to Director with thoughts and recommendations for the file for… more
- Alameda Alliance For Health (Alameda, CA)
- …: Full Time must live in one of 6 states: CA, AZ, NV, TX, WA, OR; remote and on site in Alameda County. Available for Full-Time Work Schedule 8:00am - 5pm Pacific ... Representatives are under the direction of a Member Services Supervisor, Manager and Director , and service our members through our call center as well assisting… more
- UHS (Jacksonville, FL)
- Responsibilities THIS IS NOT A REMOTE POSITION. POSITION IS LOCATED ON SITE. We are pleased to announce the following available position: FT MEDICAL BILLING AND A/R ... Patient Accounts Rep is primarily responsible for time timely follow up of insurance claims until the final disposition. This would include follow up on billed … more
- Veterans Health Administration (Cincinnati, OH)
- …documents which are used locally by staff under the guidance of the Vet Center Director or other staff. The creation of materials is done in compliance with RCS ... SF-50's (current/former Federal employees), documentation to support Veterans Preference claims , or ICTAP/CTAP documentation (for displaced Federal employees). You… more
- Capital Area Immigrants Rights (CAIR) Coalition (Washington, DC)
- …written pleadings involving a host of issues that touch on novel immigration claims ; (ii) the provision of direct legal services to immigrants through litigation in ... Habeas Project (approximately 15%): Collaborate with the Lab Program Director , Deputy Program Director , Managing Attorney, and Development/Communications… more
- Ewings Associates (Baltimore, MD)
- Health Insurance Payer Contract Modeling & Benchmark Analyst (1099) Location: Remote (United States); Mid-Atlantic Region Preferred Type: Short-term Contract, 1099 ... financial modeling. - Strong Excel skills; familiarity with payer claims data is a plus. - Attention to detail...skills and experience. Keywords: VP of Revenue Cycle Operations, Director of Revenue Cycle, Managed Care Contract Analyst, Healthcare… more
- Mt. Hood Community College (Gresham, OR)
- …both remotely and in-person to meet program needs. This position may be eligible for remote work on a hybrid basis. Any remote work requires prior approval and ... must comply with MHCC Remote Work policies and administrative regulations. Remote ...to exceed $300,000 Long Term Disability (LTD) Approved benefit claims begin after 90-day elimination period. Maximum benefit is… more
- Ampcus (Los Angeles, CA)
- …our talented Team. Job Title: General Accountant Location(s): Los Angeles, CA ( Remote ) SUMMARY STATEMENT: This position is responsible for providing technical and ... general accounting assistance to the Assistant Director of Finance. Primary responsibilities include processing the general ledger month-end closing including… more
- Experity (Atlanta, GA)
- …the opportunity to work remotely or in an office. While this position allows remote work, we require Team Members to live within a commutable distance from one ... all aspects of TJC survey preparation in collaboration with the Director of Professional Services, support ongoing compliance initiatives, and partner with… more
- Kraft Tank Corporation (Kansas City, KS)
- …problems pertaining to service & repair work. Escalates customer issues to the Director of Service as needed. Promotes and supervises the training of service ... environment. Maintains shop organization and cleanliness. Make sure warranty claims are processed and forwarded to supplier on time....in instances of non-compliance. Reports all accidents to the Director of Service, Director of Operations and… more
- Allianz (Chicago, IL)
- …or O'Fallon, MO offices. The Impact You Will Have Reporting to the Director , HRIS and Payroll, you will: Payroll Administration Governance and Quality Assurance ... recognizes the value of striking a balance between in-person collaboration and remote working. Please feel free to discuss flexible working arrangements with us.… more
- Molina Healthcare (San Antonio, TX)
- …experience. **Required Experience** * 7 years' experience in healthcare claims review and/or Provider appeals and grievance processing/resolution, including 2 ... years in a manager role. * Experience reviewing all types of medical claims (eg CMS 1500, Outpatient/Inpatient, Universal Claims , Surgery, Anesthesia, high… more
