- Sharp HealthCare (San Diego, CA)
- …clinical practice of medicine. + 5 years' experience as an HMO Health Plan Medical Director . + California Physicians and Surgeons License - Medical Board of CA ... Time** **Shift End Time** Doctor of Medicine (MD); California Physicians and Surgeons License - Medical Board of CA; Doctor of Osteopathic Medicine (DO) **Hours**… more
- Robert Half Legal (York, PA)
- …clients in navigating complex issues. * Oversee and manage a team of Insurance Claim Managers to ensure effective handling of claims processes. * Provide expert ... and major insurance carriers to facilitate prompt and effective claim resolutions. * Address intricate insurance claims ...actionable solutions. * Juris Doctor (JD) degree and active license to practice law. * Familiarity with claims… more
- Sharp HealthCare (San Diego, CA)
- …as a physician executive in a managed care environment, preferably as an HMO Medical Director . + California Physicians and Surgeons License - Medical Board of CA ... Start Time** **Shift End Time** California Physicians and Surgeons License - Medical Board of CA; Doctor of Medicine...management such as provider relations, member services, benefits and claims management, etc. Assists (as determined by the plan… more
- Artera (Milwaukee, WI)
- …Manage all claims while under the general supervision of the Claims Director . Provide monthly updates and reporting. Coordination and database management; ... Track the receipt of the appropriate paperwork for all claims , set up claim files, and enter...degree from accredited university and/or 5+ years' experience, Adjuster's License and/or Insurance/ Claims Designation or willing to… more
- Commonwealth Care Alliance (Boston, MA)
- …at this time._** **Position Summary:** Working under the direction of the Sr. Director , TPA Management and Claims Compliance, Healthcare Medical Claims ... claims management, coding rules and guidelines, and evaluating/analyzing claim outcome results for accurate industry standard coding logic and policies… more
- Commonwealth Care Alliance (Boston, MA)
- …states will not be considered at this time._** **Position Summary:** Reporting to the Director , Claims Operations and Quality Assurance, the Claims Sr. ... the scope of MassHealth and Medicare Advantage programs. Under the direction of the Director of Claims Operations and Quality Assurance, this role is responsible… more
- USAA (Colorado Springs, CO)
- …or progressive experience in complex litigation. + 2 years customer contact experience. + Claims adjusters license in assigned state or ability to obtain ... us special and impactful. **The Opportunity** As a dedicated ** Claims Litigation Manager Senior** (Western States), you will responsible...and policies. + May serve as assistant to the Director of Litigation Operations and assigned to work on… more
- Kemper (Dallas, TX)
- …or Birmingham office and will work closely with and report directly to the Director of Claims , Arbitration and Subrogation. The Senior Manager will assist the ... leadership team in the development, communication, and execution of the Claims organization's strategic initiatives. The role involves a strong focus on Audit,… more
- Saint Francis Health System (Tulsa, OK)
- …8:00am - 4:30pm Job Summary: Reports to the Worker's Compensation Attorney, the Claims Adjuster is responsible for all processes related to Workers' Compensation ... claims . Minimum Education: High School Diploma or GED. Licensure,...Insurance Department Res Co Staff Adjuster - Worker Comp License . Work Experience: 3 - 4 years related experience.… more
- Commonwealth of Pennsylvania (PA)
- Director (County Fiscal Officer 1) (Local Government) -...yes to the above question, please provide your CPA license number. If you answered no to the above ... County Area Agency on Aging Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/5063156) Apply Director (County Fiscal Officer 1) (Local Government) - Armstrong… more