- HP Inc. (Vancouver, WA)
- …without notice, subject to applicable law. **The Opportunity** Office Print Strategy, Senior Director **HP** Palo Alto, Vancouver (Washington) USA Come join HP, the ... HP's future leaders. We work as a 'meritocracy' that appeals to and rewards high achievers. Your success paves...reports. The Strategy leader will collaborate with and influence senior executives to build consensus and secure commitment for… more
- Harbor Health Services, Inc. (Mattapan, MA)
- …Off plus 11 additional Holidays and much more! Role: Reporting to the Senior Director of Health Plan Operations, the Director of Utilization Management and Quality ... issues from EOHHS, CMS and other regulatory entities. Collaborates with Senior Medical Director to resolve complex medical review issues and utilization… more
- Rockefeller University (New York, NY)
- …Responsibilities Reporting to the _JEM_ Executive Editor, the Scientific Editor (* Senior Scientific Editor) will oversee the editorial and peer review process ... critiques keeping in mind _JEM_ s bar for publication + Handles any associated appeals and rebuttal communications with authors + Stays up to date with cutting-edge… more
- Stanford Health Care (Palo Alto, CA)
- …critical role in shaping the financial integrity of the organization. As a senior member of the team, this individual actively contributes to process improvement ... + Oversee Medicare and Medi-Cal audit processes, addressing inquiries and pursuing appeals or litigation when necessary (eg, CMS disputes). + Review third-party… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Insurance Appeals Senior , Revenue Integrity and Utilization Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is ... insurance pre-certification required. Licensure Requirements: None. Apply/Share Job Title INSURANCE APPEALS SENIOR ID 4357425 Facility Covenant Health Corporate… more
- Hawaiian Electric (Honolulu, HI)
- …on all aspects of litigation matters from case inception to judgment and appeals . SENIOR ASSOCIATE GENERAL COUNSEL (LITIGATION & REGULATORY) JOB FUNCTION: ... Associate General Counsel or Senior Associate General Counsel (Litigation & Regulatory) -...property damage claims, from case inception to judgment and appeals ; advising officers, managers and employees regarding proposed legislation,… more
- Centene Corporation (Jefferson City, MO)
- …medical directors and supervise MD's responsible for utilization management and appeals functions to ensure members receive medically necessary, evidence-based care ... the enterprise. + Provide medical leadership for all utilization management ( appeals ), pharmacy, case management, disease management, cost containment, and medical… more
- Ochsner Health (New Orleans, LA)
- …make a difference at Ochsner Health and discover your future today!** The Appeals Specialist is responsible for managing and resolving insurance claim denials and ... Collaborate with clinical staff and coding teams to obtain necessary documentation for appeals + Track and monitor appeal status, maintaining detailed records in the… more
- Henry Ford Health System (Troy, MI)
- …for the prompt and thorough investigation of medical and pharmacy member appeals and grievances for Health Alliance Plan's (HAP's): Commercial, Medicare Advantage, ... of regulatory requirements from State and Federal agencies and speak before members, senior leaders and other key stakeholders to present appeal cases on an ongoing… more
- Thrive Proactive Health (Virginia Beach, VA)
- …2 - Medical Billing Specialist (Experienced): Take ownership of full claim lifecycles, denials, appeals , and collections. + Level 3 - Senior Billing Specialist / ... learning the ins and outs of insurance billing, denials, appeals , and patient financial support. This position is ideal...Submit and follow up on claims, corrected claims, and appeals . + Denials & A/R Management : Investigate, appeal,… more
- NTT America, Inc. (Plano, TX)
- …adaptable, and forward-thinking organization, apply now. We are currently seeking a Delivery Senior Manager to join our team. NTT DATA is seeking to hire a ... **Medicare Appeals Clinical Leader** to lead service delivery engagements and...recommendations and interpretations of records. + Prepare reports for senior management on appeal trends and compliance status. **Requirements:**… more
- Houston Methodist (Sugar Land, TX)
- At Houston Methodist, the Senior Denials Management Specialist position is responsible for performing utilization review activities, and monitoring the clinical ... denial management and appeals process, as applicable, in collaboration with clinical team partners. This position uses sound clinical judgement in the Utilization… more
- MyFlorida (West Palm Beach, FL)
- SENIOR ASSISTANT ATTORNEY GENERAL-DLA - 41001124 Date: Dec 12, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... 865789 Agency: Office of the Attorney General Working Title: SENIOR ASSISTANT ATTORNEY GENERAL-DLA - 41001124 Pay Plan: SES...in federal district courts, the Eleventh Circuit Court of Appeals , and United States Supreme Court. Capable of handling… more
- City and County of San Francisco (San Francisco, CA)
- …California San Francisco and UC Law San Francisco. Under direction, the 1813 Senior Benefits Analyst performs complex benefits work for the City's health, dental, ... projects in an assigned benefit program. Additionally, the 1813 Senior Benefits Analyst directly oversees a team of Benefits...to change after adoption (eg, as a result of appeals ), as directed by the Human Resources Director or… more
- MyFlorida (Tampa, FL)
- SENIOR ASSISTANT ATTORNEY GENERAL-DLA - 41001102 Date: Dec 10, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... 864029 Agency: Office of the Attorney General Working Title: SENIOR ASSISTANT ATTORNEY GENERAL-DLA - 41001102 Pay Plan: SES...in federal district courts, the Eleventh Circuit Court of Appeals , and United States Supreme Court. Capable of handling… more
- HCA Healthcare (Nashville, TN)
- **Description** **Introduction** Do you have the career opportunities as a Quality Control Senior Manager you want with your current employer? We have an exciting ... Do you want to work as a Quality Control Senior Manager where your passion for creating positive patient...crucial support to the regulatory compliance team in managing appeals and improving documentation to meet regulatory standards. +… more
- State of Massachusetts (Everett, MA)
- …historically underserved. For more information on our vision, click here. * * The Senior Associate Commissioner of Special Education is a senior level position, ... serving on cabinet, and reporting to Deputy Commissioner Robert Curtin. The Senior Associate Commissioner of Special Education will directly supervise four special… more
- City and County of San Francisco (San Francisco, CA)
- …right fit. The City and County of San Francisco is looking to hire multiple Senior Administrative Analysts to be part of the City workforce of nearly 40,000 staff ... County of San Francisco has to offer. As a Senior Administrative Analyst, you will be responsible for directing...to change after adoption (eg, as a result of appeals ), as directed by the Human Resources Director or… more
- City and County of San Francisco (San Francisco, CA)
- …City and County of San Francisco is looking to bring on board multiple Senior Human Resources Analysts to help departments in hiring, supporting, and retaining a ... City and County of San Francisco has to offer. Senior Human Resources Analysts are responsible for hiring, developing,...to change after adoption (eg, as a result of appeals ), as directed by the Human Resources Director or… more
- City and County of San Francisco (San Francisco, CA)
- …minimum qualifications. Application Deadline: Continuous How to Apply: Applications for Senior Information Systems Engineer - Networks Specialty are only accepted ... systems together as an enterprise networking backbone. The 1043 Senior Networks Engineer is the advanced journey level in...to change after adoption (eg, as a result of appeals ), as directed by the Human Resources Director or… more
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