- Sedgwick (Cleveland, OH)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Director Complex Claims **PRIMARY PURPOSE** **:** To be responsible for ... managing SIU investigations of complex fraud schemes involving providers, vendors, attorneys and others;...degree from an accredited college or university preferred. Fraud Claims Law Associate (FCLA), Certified Insurance Fraud Investigator (CIFI),… more
- Cleveland Clinic (Cleveland, OH)
- …with one of the most respected healthcare organizations in the world. The Director of Billing Compliance plays a crucial role in supporting the organization's ... with a strong commitment to excellence. The ideal candidate for Cleveland Clinic's Director of Billing Compliance should possess a blend of technical expertise in… more
- Option Care Health (Cleveland, OH)
- …best and brightest talent in healthcare. **Job Description Summary:** The Director , Operations is responsible for delivering safe, efficient and effective patient ... error proofing for pick, pack and ship operations. + Partners with Regional Director , Sales to drive market development and execute market based sales strategy. +… more
- Millennia Housing Management (Lakewood, OH)
- Position Overview The Regional Facilities Director (RFD) is responsible for overseeing the maintenance operations and capital infrastructure across multiple regions, ... across all properties. + Assist the Risk Management team with insurance claims and related reporting, interfacing with insurance adjusters to meet company standards.… more
- Molina Healthcare (Cleveland, OH)
- …with federal and state laws. Negotiates and services larger and more complex market/national/group-based providers in accordance with company standards in order to ... expectations * Evaluates, negotiates and supports larger and more complex market/national/group-based providers in compliance with company standards while meeting… more
- Molina Healthcare (Cleveland, OH)
- …contracting negotiations and understanding of alternative arrangements. Maintains critical Complex provider information on claims and provider databases. ... federal, state and local regulations. Responsible for contracting/re-contracting of Complex contracts with Alternative Payment Methods including but not limited… more