- Ross Stores, Inc. (New York, NY)
- …continuous learning opportunities and development for our teams\. **GENERAL PURPOSE:** The Director , Product Compliance & Regulatory Attorney will work as a member ... investigations, ad hoc client inquires, and compliance/regulatory projects * Project/Process/ Claims Management: Effectively and efficiently develop, maintain and improve… more
- CVS Health (Phoenix, AZ)
- …we do it all with heart, each and every day. **Position Summary** The Lead Director , Pharmacy Appeals will lead a team of 40+ colleagues in the management of ... guiding other internal business units to resolve issues quickly. The Lead Director , Pharmacy Appeals is also responsible for working with the Presidential Response… more
- AmeriHealth Caritas (Newtown Square, PA)
- **Role Overview** The ** Director of Payment Integrity Solutions** is responsible for overseeing Payment Integrity edit and program strategy and performance across ... policy refinement, and strong Plan and provider stakeholder engagement. The Director leads efforts to monitor effectiveness, address operational gaps, support… more
- Tenet Healthcare (Commerce Township, MI)
- Director of Revenue Analysis - 2506003876 Description : Are you a results-driven leader ready to make a meaningful impact to patients, caregivers, and your ... by location and is determined by employment status Summary Job Description The Director of Revenue Analysis reports to the hospital Chief Financial Officer and… more
- Molina Healthcare (Yonkers, NY)
- **Job Description** **Job Summary** The Network Solutions Director is responsible for leading a team designing and executing new solutions. The position requires the ... lead a diverse team of technical experts and business analysts. The Solutions Director will interface with IT and business leaders to enable enterprise wide… more
- Elevance Health (St. Louis, MO)
- **Business Strategy Plan Director (Business Stat Plan Dir)** Location: This role requires associates to be in-office **3** **days per week** , fostering ... a commutable distance from an office._** The **Business Strategy Plan Director - MedEx (Medical Expense) Management** is responsible for managing the development… more
- J&J Family of Companies (Spring House, PA)
- …Research & Development LLC, a Johnson & Johnson company, is recruiting for a Director , R&D Data Science and Digital Health (DSDH) Immunology and Rare Disease. Is ... If it is, you will report to the Senior Director , R&D Data Science and Digital Health, Immunology and...Experience with healthcare datasets, such as EHR, or insurance claims **Preferred Skills:** + A strong background in RWE/Data… more
- Insight Global (West Des Moines, IA)
- Job Description Insight Global is hiring for a full-time Director of Revenue Cycle for one of our large healthcare clients in Des Moines, IA. This individual is ... the organizations accounts receivable operations, ensuring accurate and timely billing, claims management, and collections from patients and third‑party payors. This… more
- Georgetown Behavioral Health Institute (Georgetown, TX)
- The Director of PI & Risk Management is responsible for the development, planning, coordination and administration of a systematic program designed to reduce risk ... and monitoring of a quality review program. The essential duties of the Director of Clinical Services include: + Directs the collection, measurement and presentation… more
- CSL Behring (King Of Prussia, PA)
- As the Senior Director of Sales Operations, Data & COE you will play a key role with responsibility for leading all aspects of sales force operations across the ... areas including Sales, Medical and Marketing. **Data Operations:** Senior Director is a high-level leader responsible for overseeing a...integration of specialty pharmacy data and use of secondary claims data (eg IQVIA claims data) -Experience… more