- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- CenCal Health (Santa Barbara, CA)
- …for medical management functions; assists subordinate managers in resolving medical claims review, grievances, appeals, and other medical ... Chief Medical Officer, or his/her designee, the Medical Director is responsible for providing clinical... for a health plan, IPA, or other similar medical Management entity is preferred. Unrestricted license… more
- Munson Healthcare (Traverse City, MI)
- …HEALTH TEAM! Full-Time Monday-Friday No Call Munson Healthcare is seeking a Medical Director for Occupational Medicine to lead clinical operations, provide ... health programs. As part of Munson's Occupational Health and Medicine team, the Medical Director will oversee clinical operations, lead in the supervision of… 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
- 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
- Sante Health (Fresno, CA)
- NOT A REMOTE POSITION. A challenging and rewarding opportunity awaits a new Director of Quality Management at Sante Health System in Fresno, CA. This leadership ... role partners closely with health plans and medical providers to analyze data, identify trends, and develop...community. Sante is one of the largest health care claims and billing management companies in Central… 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
- Four Seasons Hotels Limited (Naples, FL)
- …role: **This position will not be onboarded until June 9th 2025** To assist the Director of People and Culture with the direction of all aspects of the People and ... and legal matters related to resort employees. The Assistant Director of People and Culture will also be responsible...to and attend any related hearings for all employee claims against the hotel including EEOC, NLRB, Workers' Compensation,… 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
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