- CHS (Clearwater, FL)
- …5 (Highly Satisfied). Department Quality Level The Department will be audited by Enterprise Risk Management (ERM). Actual results will be compared to goals in ... and member-focused service. With at least 5-7 years of claims operations management experience and strong leadership...are discussed and approved by Human Resources and the Chief Operating Officer of PAS. * Creating a culture… more
- City of New York (New York, NY)
- …(OAS), Investigation, Revenue and Enforcement Administration (IREA), Office of Data Security Management (ODSM) and the Vendor Monitoring Office (VMO). The Office of ... Staff Analyst NM III to function as a(n) Executive Director, Financial Review & Claims Processing who will: - Manage, plan and develop the operational activities of… more
- University of Miami (Miami, FL)
- …and other regulatory agency reportable events and prepare submission for approval by Associate Medical Risk management Officer and the Chief Medical Risk ... notification and documentation of potentially compensable events to Chief Medical Risk Officer, Director of Medical Claims and Assistant General Counsel. +… more
- Baystate Health (Springfield, MA)
- …Risk Management Department of Baystate Health. The Sr Director of Clinical Safety and Risk Management assists the Chief Risk Officer in system ... **Summary:** Under the direction of the Chief Risk Officer, the Sr Director...Sr Director of Clinical Safety and Risk Management also collaborates with the Claims Managers… more
- Pioneer Bank (Albany, NY)
- …and regulations. *With oversight from the SVP - Compliance and Chief Risk Officer, provides guidance Pioneer's management and staff regarding the application ... TITLE: Enterprise Risk Management Associate LOCATION: Headquarters REPORTS...Headquarters REPORTS TO: Senior Vice President - Compliance & Chief Risk Officer CLASSIFICATION: Full Time, Non… more
- Anthony Jordan Health Corp (Rochester, NY)
- …is now seeking aRisk Management Specialistwho, under the guidance of the Chief Compliance & Risk Officer, is primarily responsible for managing the complex ... Risk identification and incident management . Proactive risk reduction and claims prevention . To manage and encourage ongoing education of Jordan Health… more
- The Hartford (Hartford, CT)
- …to address emerging risks. In addition, this role will partner with Enterprise Risk Management (ERM) to identify and key underwriting risks and mitigation ... Hartford, CT, this position supports the Office of the Chief Underwriting Officer's mission to drive underwriting excellence across...+ Minimum of 7 years of experience in Underwriting, Claims , Product Management or comparable role is… more
- Republic Services (Phoenix, AZ)
- …regarding a wide range of claims , litigation, investigations, and other risk management , safety, and related insurance matters. Senior Corporate Counsel ... legal and professional support to the organization related to risk management , safety, and related insurance matters....+ Drafts and contributes to reports to the organization's Chief Legal Officer, senior management , auditors, and… more
- The Hartford (Hartford, CT)
- …Head of Catastrophe Risk to lead and develop a team of risk management professionals focused on assessing, monitoring, reporting and managing insurance ... risks. Reporting to the Enterprise Chief Risk Officer of The Hartford, this...mortality/morbidity. In addition, they will lead efforts to develop risk management practices and associated policies providing… more
- Sharp HealthCare (San Diego, CA)
- …with medical management such as provider relations, member services, benefits and claims management , IT management , etc. + Plans, organizes, and directs ... UM reviews of all clinical reviewers. + Participates in risk management reviews. + Assists in pharmacy... Management and high-cost review with CMO and Claims management teams. + Co-Chairs with the… more