- AIG (Jersey City, NJ)
- Claims Complex Director - Healthcare Professional Liability (HPL) Join us as a Claims Complex Director to take on key responsibilities within ... an impact + This position will ensure high quality claims handling within the Healthcare Professional Liability...+ 7+ years of medical malpractice / professional liability complex claims and/or complex litigation… more
- Humana (Raleigh, NC)
- …understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to ... of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations… more
- Humana (Juneau, AK)
- …understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to ... of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations… more
- UNC Health Care (Chapel Hill, NC)
- …health and well-being of the unique communities we serve. **Summary** : Reporting to the Director of Claims & Litigation, the Claims and Litigation Manager ... and the monitoring of incidents that develop into claims against healthcare providers and staff of...claims information in the internal database. Assists the Director in other projects related to claims … more
- HCA Healthcare (Denver, CO)
- …while giving to the community. We are seeking distinguished applicants for our Director Risk Management opening. Help HCA Healthcare create healthier tomorrows ... is hired below midpoint of the range. **Introduction** Last year alone, HCA Healthcare colleagues invested over 156,000 hours impacting our communities. As a(an) … more
- Henry Ford Health System (Detroit, MI)
- …costs and management of System reputation Will work under the guidance of Senior Claims Managers, Senior Claims Consultant, Director of Insurance, and Vice ... professional and general liability, workers compensation and employers liability claims review, investigation, management and disposition, including financial mitigation… more
- Prime Healthcare (Farmers Branch, TX)
- …trends and identify opportunities for process improvement and reimbursement optimization. Complex Claims Management:identifies, trends, and owns portfolios of ... Outsourcing program across Revenue Cycle Management for all Prime Healthcare . The Corporate Director is responsible for...complex claims , including Third party claims , TDRG, Zero… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …Proven experience in managing complex risk management programs in an integrated complex healthcare setting + Strong knowledge of healthcare laws, ... **Overview** **Be inspired. Be rewarded. Belong. At Emory Healthcare .** At Emory Healthcare we fuel...more **Work Location:** Atlanta, GA **Description** + The Corporate Director of Risk Management plays a critical role in… more
- Elevance Health (Atlanta, GA)
- …senior management and prior leadership experience preferred. + Finance experience in a complex healthcare business, with complex data, such as Specialty ... **Finance Director - Paragon Healthcare ** _A proud...and reporting experience with large data sets such as claims data, drug therapy data, profitability analysis, gross margin… more
- Tenet Healthcare (Commerce Township, MI)
- Director of Revenue Analysis - 2506003876 Description : Are you a results-driven leader ready to make a meaningful impact to patients, caregivers, and your ... DMC Huron Valley-Sinai Hospital , we're seeking an innovative and experienced healthcare leader to drive excellence and inspire our team towards exceptional patient… more
- The Cigna Group (Independence, OH)
- **WORK LOCATION: Cleveland or Independence, OH area.** The **Provider Contracting Director ** serves as an integral member of the Provider Contracting Team and ... for a local given territory. **DUTIES AND RESPONSIBILITIES** + Manages complex contracting and negotiations for fee for service and value-based reimbursements… more
- Waystar (Atlanta, GA)
- …with hands on experience in the financial and operational challenges facing the healthcare provider market. We are looking for someone who can lead game changing ... features into product releases. This professional self-starter will report to a Director , Product Management and work closely with key stakeholders in data science,… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …have experience working with adults in clinical behavior analysis within complex settings and demonstrate proficiency in staff training and behavioral consultation. ... Familiarity with interdisciplinary team collaboration is essential, particularly in healthcare or psychiatric environments. The primary role of this position will be… more
- Waystar (Louisville, KY)
- **ABOUT THIS POSITION** This role reports to a Director , Product Management and work closely with User Experience team and Technology teams. The Sr. Product Manager ... reports, and assessing strengths and weaknesses of competitors + Studying healthcare industry standards and staying up-to-date on industry changes and compliance… more
- Mount Sinai Health System (New York, NY)
- …and strategic business needs (eg, market sizing), and healthcare topics (eg, claims analysis) with guidance from Quality Director ? Effective communicator ? ... and executive-facing roles ? Advanced analytical capabilities required, experience with healthcare claims analysis and clinical quality measures highly preferred… more
- University of Washington (Seattle, WA)
- …success in leading enterprise-wide safety/quality initiatives or project management in complex healthcare systems and diverse disciplines + Advanced oral ... with UW Medicine and UW executives, clinical leaders, and healthcare professionals regarding sensitive matters. Positive and transparent communications...Executive Director of UW Risk Management, the Director of UW Claims Services and UW… more
- Commonwealth Care Alliance (Boston, MA)
- 011230 CA-Provider Engagement & Performance Position Summary: The Director of Provider Relations leads the strategic vision and operational execution of provider ... role is responsible for cultivating high-impact relationships with key healthcare providers, optimizing network performance, and ensuring compliance with regulatory… more
- UNC Health Care (Morrisville, NC)
- **Description** ** Director of Ambulatory Quality and Population Health Analytics** Become part of an inclusive organization with over 40,000 teammates whose mission ... well-being of the unique communities we serve. **Summary** The Director of Ambulatory Quality and Population Health Analytics leads...in SQL, data warehouse structures, and Epic data sources, claims data sources, claims ingestion, and data… more
- Humana (Indianapolis, IN)
- … relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex issues where ... understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to … more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- … will lead a small team of experienced employee relations experts who together solve complex problems on a regular basis. The Director is expected to stay ... **Job Summary** Otsuka Pharmaceutical Company is a global healthcare company with the corporate philosophy: "Otsuka-people creating new products for better health… more
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