- Centene Corporation (Jefferson City, MO)
- …to providers that would improve utilization and health care quality. + Review claims involving complex, controversial, or unusual or new services in order to ... hearings, STARS metrics + Previous experience with ensuring high quality medical director training to review Medicare UM and appeals, Clinical review quality… more
- Robert Half Finance & Accounting (Mount Prospect, IL)
- Description We are looking for a dynamic and strategic VP/ Director of Finance to lead and optimize financial operations for a multi-location orthodontic organization ... while safeguarding financial health. * Supervise revenue cycle processes, including claims processing, payment posting, and collections, with a focus on… more
- UPMC (Pittsburgh, PA)
- …the execution of those strategies, and evaluating program and initiative outcomes. The Director of Medical Cost Economics will manage one or more analysts and will ... is a strong preference: Value-based reimbursement, population health, segmentation/ stratification, claims development etc. + 8+ years of experience in progressively… more
- Oshkosh Corporation (Mcconnellsburg, PA)
- …utility vehicles and accessories-can be found all over the world.** The Senior Director of Quality will lead the global quality organization to ensure that products, ... to drive continuous improvement, reduce cost of poor quality (warranty, liability claims ), and foster a culture of quality across the enterprise **YOUR IMPACT**… more
- Aveanna Healthcare (Miami, FL)
- RN Clinical Director of Operations 10k Sign On Bonus ApplyRefer a FriendBack Job Details Requisition #: 209379 Location: Miami, FL 33166 Category: Nursing Salary: ... regulations * Oversight if internal billing and collection efforts to generate clean claims * Perform other duties as assigned Benefits Offerings: + 401(k) with… more
- Abt Global Inc. (Rockville, MD)
- …embrace rewarding and meaningful work? Now's your chance. **The Opportunity** As a Project Director you will lead and manage a large and complex project with a focus ... + Experience with technical-driven efficiencies, including automation and AI tools. + Medicare claims data in FISS, MCS, and VMS and the Common Working File (CWF)… more
- University of Virginia (Charlottesville, VA)
- The Director of Revenue Accounting will be responsible for overseeing all aspects of revenue accounting and revenue recognition policies and procedures, ensuring ... recognition policies are compliant * Determine healthcare accounts receivable reserve and claims loss calculation methodologies suitable for the business * Lead the… more
- J&J Family of Companies (Spring House, PA)
- …IM), a pharmaceutical company of Johnson & Johnson is recruiting for a **Senior Director , Head of Hematology R&D Data Science & Digital Health** . This position has ... + Familiarity with healthcare relevant datasets, such as EHR/RWD, genomics, insurance claims + Capacity to manage timelines and drive key deliverables in a… more
- Wider Circle (Atlanta, GA)
- We're looking for a Director of Clinical Operations who can both design and do - someone who thrives in the details of operations, is comfortable executing workflows ... groups). + Oversee revenue cycle management (RCM) and coding processes - ensuring claims accuracy and timeliness. + Partner with Finance and Quality to measure unit… more
- Travelers Insurance Company (Hunt Valley, MD)
- …**Target Openings** 1 **What Is the Opportunity?** Travelers is seeking a Director of Software Engineering (Salesforce) to join our Personal Insurance organization ... events + Design platform event architectures for real-time policy changes, claims updates, and regulatory notifications + Architect Change Data Capture strategies… more