- EG America (Westborough, MA)
- …and/or transfer risk in order to protect the Company assets. The Director of Risk Management has responsibility for directing the Company's insurance ... be effective. Responsibilities: Reporting to the Vice President in Accounting, the Director will be responsible for: Determining appropriate risk financing for… more
- Marriott International (Bethesda, MD)
- …requirements and the complexity of workers' compensation and general liability claims , ensuring high-quality, timely, and cost-effective claim outcomes. ... of civil laws and state workers' compensation statutes. Preferred Bachelor's degree in risk management or claims Certification from various Claims seminars… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …and new people to make a difference with. The opportunity The Associate Director , Managed Care Payer Analytics is responsible for leading the analytical strategy ... Data Analytics and IT to ensure data integrity and accessibility across claims , utilization, rebate, and contract systems Build dashboards, KPIs, and executive… more
- Mount Sinai Hospital (New York, NY)
- …behalf of Mount Sinai Human Resources partners, the Pharmacy Benefits Program Director is responsible to provide service support, reporting, pricing, and/or other ... internal stakeholders and other external vendors. The Pharmacy Benefits Program Director serves as the primary pharmacy benefits subject matter expert supporting… more
- NBCUniversal (New York, NY)
- …2025. Job Description Job Summary We're looking for a proactive and knowledgeable Risk Manager to preserve the company's assets by identifying potential risks and ... insured, transferred, or managed internally. You'll be the go-to expert on risk management, offering guidance across the business and working closely with teams… more
- PODS (Clearwater, FL)
- JOB SUMMARY The Director of Risk Management leads enterprise-wide risk management by overseeing insurance programs, claims , and litigation to protect the ... the company's reputation. It also integrates proactive loss prevention measures and structured claims protocols to enhance risk mitigation efforts. A key focus… 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
- UPMC Senior Communities (Pittsburgh, PA)
- …a place for you. UPMC Health Plan's growing Actuary department is seeking a Director , Actuary to ensure that the UPMC Health Plan Actuarial Department provides the ... financial reporting department to develop reserve amounts for IBNR claims , active claims and premium deficiency reserves...to ensure premium and revenue flow adequate to cover medical and administrative costs and profit margins for the… more
- UHS (Washington, DC)
- …a 500-car garage and a helipad for emergency transport. We are seeking a Director of Risk Management Our ideal candidate's broad responsibility is to protect ... the Risk Management Plan and Patient Safety Program. The Director - Risk Mgmt. activities may include monitoring, analysis, reporting, conducting… more
- WelbeHealth (Los Angeles, CA)
- …and financial analysis. This role will focus on overseeing capitation rates, risk adjustment methodologies, claims forecasting, and Incurred But Not Reported ... rates, risk scores, and capitation structures Oversee actuarial modeling, claims analyses, and risk assessments to improve cost-effectiveness and… more
- Shriners Children's (Tampa, FL)
- …directors and officers' coverage, cyber liability, loss control (safety), facility risk management issues and claims management. Responsibilities Insurance ... children and their families. All employees are eligible for medical coverage on their first day! In addition, upon...special projects as assigned. Qualifications Minimum: 10+ years of Risk Management experience 5+ years of Director … more
- Duke University (Durham, NC)
- …and claim pre-litigation files. Negotiate resolution with authority from Director . Provide basic and complex preventive risk management assessment of ... the work described herein. Knowledge, Skills and Abilities Customer Service Risk Evaluation Interviewing Skills Investigation Skills Medical Terminology Analyze… more
- City of Glendora, CA (Glendora, CA)
- …system issues; works with staff to gather cost information and submits findings to Risk Management; researches and submits claims for damage to the City's water ... is HIGHLY desirable. Under general direction from an Assistant Public Works Director , plans, organizes, oversees, coordinates and supervises the day to day… more
- Gallagher (Mokena, IL)
- …Indulge your passion for problem-solving and embrace the thrill of addressing risk head-on at Gallagher's global brokerage team. Join a family of diverse ... of trust and triumph in the dynamic world of risk management. We believe that every candidate brings something...role reports directly into either the Branch Client Service Director or the Branch Client Service Supervisor. Directly contributes… more
- BAYADA Home Health Care (Merchantville, NJ)
- …employment related litigation. A combination of in-house and firm experience with medical malpractice/professional liability claims is necessary. This is an ... partnering closely with outside counsel when needed. They will manage high- risk professional and general liability claims , focusing on healthcare-related… more
- Deciphera Pharmaceuticals (Waltham, MA)
- …Deciphera, as well as external vendor partners. This position will report to the Director Patient Access and Reimbursement as part of the Market Access team and will ... respond to customer inquiries or complaints. Oversee, manage and share responsibility for risk issue resolution and root cause analysis as it relates to customers.… more
- Medical Center SE Texas Port Arthur (Port Arthur, TX)
- POSITION SUMMARY: Under the direction of the Risk Management Director , the Risk Management Manager will have responsibilities in performing the daily tasks ... and actual claims and litigation. Collaborate with Quality, Compliance, Nursing, Medical Staff, and Leadership to monitor and address risk -prone processes… more
- Veterans Health Administration (Las Vegas, NV)
- …determine risk and/or degree of malnutrition. Develops and implements Medical Nutrition Therapy (MNT) to address the nutrition diagnosis, evaluates and monitors ... needed to achieve positive patient outcomes. Documents MNT in the medical record using the Assessment, Diagnosis, Intervention, Monitoring, Evaluation (ADIME)… more
- Veterans Health Administration (Philadelphia, PA)
- …Technologist communication and interaction between multiple clinics and services throughout the Medical Center is required to provide specialized and unique care for ... to determine requirements of non-standard exams. Regularly works with patient's electronic medical record to check and order blood labs, post progress notes, flag… more
- Chubb (Alpharetta, GA)
- …and appropriate controls. Ability to select risk based on exposure and risk analysis. Ability to analyze claims and quantify losses. Financial proficiency ... is to underwrite individual risks of public companies to provide Director & Officers Liability, Employment Practices Liability, Fiduciary Liability, and other… more
