- Novo Nordisk Inc. (Plainsboro, NJ)
- …global ethics and compliance program. Relationships Reports to the Executive Director , Risk Insights & Management. Manages a team of compliance professionals ... NNI employees to assist with the execution of the audit and follow-up on any remediation actions Reviews and...and clear understanding of the Anti-Kickback Statute and False Claims Act, FDA rules and regulations regarding the promotion… more
- AIG (Atlanta, GA)
- …point for colleagues . + You will also contribute to continuous improvement in Claims by supporting Quality Assurance / Regional Audit processes , ensuring ... Join us as a Senior Claims Adjuster to take on key responsibilities within a world - class claims function. Make your mark in Claims Our Claims teams are… more
- Citizens (Wilmington, DE)
- …career with exciting new challenges and opportunities to stretch yourself. As the Director of First Line Risk, you will represent the first line of defense ... of Risk Managers and/or Senior Risk Managers primarily supporting the Fraud and Claims line of business Qualifications: + 8-12+ years experience in Risk Management, … more
- City of New York (New York, NY)
- …the Bureau of Audit Services. Under the direction of the Acting Executive Audit Director , the Assistant Audit Manager will co-manage the assigned ... all testing schedule (PS, OTPS, Fringe, Admin, LOS, EI claims ) and draft reports and submit for Supervisors review...disputing the audit findings and draft the audit resolution letter for Audit Manager's/ Director… more
- Commonwealth Care Alliance (Boston, MA)
- 011250 CCA- Claims Job Description **Position Summary:** Reporting to the Director , Claims Operations and Quality Assurance, the Claims Sr. Analyst plays ... 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
- NJ Transit (Newark, NJ)
- … Claims Admin + Director Risk Management & Insurance + Director Claims Management Education, Experience and Qualifications: + Bachelor's Degree and ten ... Chief of Risk Management & Claims Finance Job Description: Move forward with us!...up to the amount subject to the Board of Director approval amount, managing all claim reserves and determining… more
- Marriott (Bethesda, MD)
- …Internal Investigations, Legal and Internal Audit , in the resolution of EPLI and Fidelity claims . + Advise the Director of Specialty Claims of any high ... Liability (EPL) and Fidelity insurance lines. The Senior Manager, Specialty Claims provides assistance to the Director of Specialty Claims and the Senior … more
- Emory Healthcare/Emory University (Atlanta, GA)
- …* And more **Work Location:** Atlanta, GA **Description** + Reporting to the Director , Compliance Audit and Analysis, oversees audits, monitoring, and education ... provides billing providers with relevant and timely information regarding audit results and risk areas. + Evaluates hospital and...as well as Epic EMR. + Working knowledge of claims data and analysis, with experience working in the… more
- Henry Ford Health System (Detroit, MI)
- …costs and management of System reputation Will work under the guidance of Senior Claims Managers, Senior Claims Consultant, Director of Insurance, and Vice ... professional and general liability, workers compensation and employers liability claims review, investigation, management and disposition, including financial mitigation… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …growth, with a strong emphasis on quality control and improvements to enhance claims processing stability, flexibility, and innovation. The Director will be ... About The Role The Director of Application Support and Quality Assurance will...well as managing day-to-day activities related to supporting core claims processing system configurations and changes. Primary Responsibilities +… more
