- Zurich NA (New York, NY)
- Sr . Claims Specialist - Complex ...is seeking a skilled and experienced Senior Claims Specialist to join our Complex Liability ... outcomes. + Ensure regular communication with clients, brokers, business units, and senior claims management. + Proactively manage and resolve high-severity… more
- Norstella (Albany, NY)
- Sr . Director , RWD Analytics and Innovation...Description :** We are seeking a dynamic and visionary Senior Director of RWD (Real-World Data) Analytics ... integrating diverse data sources, including laboratory data, electronic medical records (EMR), claims data, and social determinants of health (SDoH) data, to drive… more
- Sedgwick (Albany, NY)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr VP Medical Director (Hourly) The ideal candidate would work 8-20 hours ... for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The… more
- MVP Health Care (Schenectady, NY)
- …the future of healthcare payment integrity? MVP Healthcare is seeking a visionary ** Senior Director of Payment Integrity & Cost Containment** to lead ... enterprise-wide initiatives that ensure claims are paid accurately, ethically, and efficiently. This high-impact...guidelines. + Serve as a subject matter expert on complex coding issues and documentation standards. + Provide training… more
- The Hartford (New York, NY)
- … senior leadership with a guided view toward upcoming reserve increases on complex claims - act as "gatekeeper" on significant reserve increases. + Active ... to the Assistant Vice President of Errors & Omissions Claims , the Technology and Cyber Director will...risk analysis and reserving approach, and the sharing of claims -trend and industry-trend information with Senior Business… more
- Humana (Albany, NY)
- …with business partners to uphold ethical standards and mitigate risks. The Senior Clinical Compliance Professional will support the Director of Compliance, ... caring community and help us put health first** CenterWell Senior Primary Care (PCO) is a growing provider organization...federal and state requirements. The work assignments involve moderately complex to complex issues where the analysis… more
- MTA (New York, NY)
- …) AGENCY: Construction & Development DEPT/DIV: Contracts/Construction Contracts REPORTS TO: Senior Director , Construction Contracts WORK LOCATION: 2 Broadway ... Director Construction Contract ( Claims ) Job ID:...manage and to recommend and, in consulta tion with senior officers, implement policy and procedural changes for the… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- **Position Overview:** The Senior Director , MSAT Biologics provides strategic and technical leadership for all late-stage and commercial manufacturing processes ... a culture of scientific excellence, collaboration, and accountability. + Provide senior technical leadership and oversight for technology transfer activities to new… more
- Ankura (Lexington, NY)
- …operations, nursing, pharmacy, medical science, economics, accounting, and data science. As a Senior Director , you can expect to: . Demonstrate the highest ... Life Sciences sector in matters relating to compliance with the federal False Claims Act; Anti-Kickback Statute; Food Drug and Cosmetic Act; Department of Justice… more
- Centene Corporation (New York, NY)
- …to providers that would improve utilization and health care quality. + Review claims involving complex , controversial, or unusual or new services in order ... pertaining to utilization review, quality assurance, and medical review of complex , controversial, or experimental medical services. + Support the effective… more