- Eisai, Inc (Nutley, NJ)
- At Eisai, satisfying unmet medical needs and increasing the benefits healthcare provides to patients, their families, and caregivers is Eisai's human health care ... in function, as well as being the key contact for internal and external audits . The individual will seamlessly work across the organization in support of operational… more
- Nesco Resource (Newington, NH)
- Director , Environmental Health & Safety (Onsite)Position Summary: This role involves providing comprehensive environmental, health, and safety (EHS) direction and ... and recordkeeping. Provide insights on new acquisitions, processes, and equipment. Audits and Investigations: Periodically audit EHS programs and policies for… more
- Sudden Service, Inc. (Gonzales, LA)
- …lift truck folder is scanned and kept current.Processes all warranty claims and follows through to completion.Answers telephone, types correspondences, reports, and ... the duties of safety coordinator as assigned by the Louisville Safety Director .Maintains files and records of all SSI owned vehicles to include, drivers,… more
- Sudden Service, Inc. (Jacksonville, FL)
- …lift truck folder is scanned and kept current.Processes all warranty claims and follows through to completion.Answers telephone, types correspondences, reports, and ... the duties of safety coordinator as assigned by the Louisville Safety Director .Maintains files and records of all SSI owned vehicles to include, drivers,… more
- NJ Transit (Newark, NJ)
- …check requisition requests, etc. + Analyzes, audits and approves payment of medical bills and expenses associated with claims and litigation. + Develops and ... Assistant Director , Rail Claims Finance Job Description:...settlement authority. Prepares and presents rail cases to the Claims Review Committee. Attend all Claim Review… more
- Alight (MN)
- …operational improvements and customer experience **Reporting Relationships** As our Team Leader, Claim Operations, you will report to our Director , Claim ... the meaning of Be Alight. Learn more at careers.alight.com. ** Claim Operations Manager** Are you a successful leader who...leader who is experienced in leading a team of Claims professionals? Do you have experience leading a team… more
- USAA (San Antonio, TX)
- …part of what makes us so special! **The Opportunity** We are seeking a dedicated Claims Litigation Manager Senior. This position is a hybrid work type and can be ... resource for colleagues with less experience. + Applies advanced knowledge of claims litigation processes. + Proactively manages litigation and acts as liaison with… more
- Knutson Construction (Minneapolis, MN)
- …Minnesota's Top Workplaces! Knutson Construction is accepting applications for a Corporate Safety Director to join our team! "Together We Make Dreams Real" - that is ... for care that connects with every Knutson team member! The Corporate Safety Director plays a vital role cultivating and communicating a best-in-class Zero Incident… more
- University of Miami (Miami, FL)
- …for confidential and effective medical case review, peer review, and potential claims review. + Collaboration with Executive Director of Medical Risk ... programs in all functional areas of the health care organization. + Collaboration with Executive Director of Claims and Litigation and keep claims and risk… more
- CVS Health (Columbus, OH)
- …resistant illnesses through peer review and educational interventions.* Work with medical director teams focusing on inpatient care management, clinical ... coverage review, member appeals clinical review, medical claim review, and provider appeals clinical...goals otherwise specified for the planBe present for regulatory audits in person * Support all Clinical Quality initiatives… more
- Mass Markets (Dallas, TX)
- …OVERVIEW MCI is seeking an experienced Insurance Call Center Customer Service Director experienced in Property and Casualty and Life insurance to support complex ... center insurance managers engaged in assisting policy holders with coverage limits, claim information, and general account questions. This is a senior-level position… more
- The Cigna Group (Bloomfield, CT)
- …mid-level position for a physician interested in a career in health care administration. The Medical Director role is a Medical Principal who also manages 2 ... medical necessity reviews for coverage, case management, and claims resolution, using benefit plan information, applicable federal and state regulations,… more
- Commonwealth Care Alliance (Boston, MA)
- …Plan Chief Medical Officer (CMO), the Massachusetts and Rhode Island Market Medical Director is an integral part of a mission-driven clinical and market ... team. The Medical Director 's primary responsibilities are to ensure...requirements, supports procurement efforts, and participates in health plan audits as appropriate. 9) Represents CCA at external meetings… more
- CVS Health (Tallahassee, FL)
- …to make health care more personal, convenient and affordable. Senior Clinical Solutions Medical Director - Behavioral Health Quality Aetna, a CVS Health Company, ... and effective use of health care resources. The Senior Medical Director - Behavioral Health Quality will...for quality initiatives. + Overall accountability for quality assurance audits and oversite of QA team + Interface directly… more
- Point32Health (Canton, MA)
- …Marketing, Network Contracting, Legal, Servicing, Claims , Corporate Communications, and Medical Policy. The Director leads staff (managers and program ... Summary** Under the general direction of the VP, the Appeals and Grievances Director is responsible for management and oversight of the Enterprise Member Appeals and… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Director , Government Pricing Date: Apr 28, 2024 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: 52842 **Who we are** ... difference, and new people to make a difference with. **The opportunity** The Director , Government Pricing is responsible for the company's compliance with both the… more
- HCA Healthcare (Plano, TX)
- **Description** **Introduction** The Director of Reimbursement directs and coordinates activities of employees engaged in back-office revenue cycle management ... including data entry, claims filing, appeals/reconsiderations, payment posting and reconciliation, physician query...self-pay policies and improves them as needed; implements reception audits and other processes to improve self-pay front end… more
- Stanley Black and Decker (New Britain, CT)
- **EHS Director , Distribution Centers (DC) Americas** **Come make the world and accelerate your success.** It takes great people to achieve greatness. People with a ... CRAFTSMAN(R), STANLEY(R), CUB CADET(R), and HUSTLER(R). **The Job:** As a EHS Director , Distribution Centers (DC) Americas, you'll be part of our Corporate… more
- Reyes Holdings (Niles, IL)
- …compensation claims on the company including direct costs, ie, medical expenses, indemnity payments, etc. and indirect costs, ie, lost productivity, ... the rule governing the program. **Position Summary:** The Safety and Compliance Director elevates the company's safety performance by tying culture and safety… more
- Randstad US (Louisville, KY)
- revenue cycle director . + louisville , kentucky + posted april 9, 2024 **job details** summary + $90,000 - $110,000 per year + permanent + bachelor degree + category ... nursing industry located in Louisville, Kentucky is seeking a Premium Revenue Cycle Director to join their team. The Premium Revenue Cycle Director 's… more
