- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- Position Summary: The Director of Medical Management is responsible for the strategic direction, leadership, and oversight of all medical management functions, ... internal stakeholders including the Chief Medical Officer, Provider Relations, Claims , and IT to ensure seamless integration of medical...+ At least 3-5 years in a leadership or director -level role managing teams. + Strong knowledge of regulatory… more
- BAE Systems (San Diego, CA)
- **Job Description** The Contract Director for the Lead Maintenance Activity (LMA) is responsible for the overall administration, management, and oversight of the US ... (eg, source selection support) to post-award administration, including modifications, claims , and closeout. + Performance and Compliance Monitoring: Ensure the… more
- Compass Group, North America (Austin, TX)
- …instructions to refer a friend to this position._** **Job Summary** The **Safety Director ** will be responsible for reducing claims and lost time injuries ... Eurest **Position Title: SAFETY DIRECTOR ** **Location: Austin, TX** **Pay Grade: 15** **Salary: Experienced** **Other Forms of Compensation:** none As the leader in… more
- Molina Healthcare (Ann Arbor, MI)
- …activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to Medicare, Medicaid, ... focused reviews and recommends corrective actions. + Conducts retrospective reviews of claims and appeals and resolves grievances related to medical quality of care.… more
- Elevance Health (Cincinnati, OH)
- **Clinical Compliance Medical Director ** _Please note that per our policy t_ _his role enables associates to work virtually full-time, with the exception of required ... accommodation is granted as required by law._ The **Clinical Compliance Medical Director ** is responsible for providing clinical guidance related to the company's… more
- AECOM (Los Angeles, CA)
- …Description** **AECOM Technical Services is currently looking for an experienced Program Management Director to join our team, leading on a complex program in Lima, ... activities + Manage scope, budget and schedule, including contract administration, claims and quality compliance + Ensure that appropriate risk management analysis,… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …protected characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Director of Risk Adjustment Location: Hybrid | Eagan, Minnesota Career Area: ... Special Services/Product Lines The Impact You Will Have The Director of Risk Adjustment is a key leader responsible for shaping risk adjustment strategies,… more
- The Hartford (Hartford, CT)
- …team as we help shape the future. We are seeking a highly experienced Director of Engineering to lead our engineering team in developing and maintaining our finance ... flow of Financial Transactions inside The Hartford. Transactions from policy & claims admin systems flow through the Finance Pipeline Oracle batch applications for… more
- J&J Family of Companies (Irvine, CA)
- …We are searching for the best talent for an **Associate Director , Clinical Operations** to support our Electrophysiology business. _This role will ... Relocation assistance is available to qualified candidates. **Purpose** : This Associate Director , Clinical Operations will be leading a team of clinical research… more
- CBRE Government and Defense Services (Reston, VA)
- **Description** **Job Summary** The Director of Operations will be responsible for providing regional management and oversight of aP&L of +$30M of design-build and ... construction services to the Federal Government at military installations. The Director of Operations is responsible for all life-cycle construction activities… more