- Ankura (FL)
- …and serve as the primary testifying expert on high-profile construction disputes, claims , and litigation matters, focusing on design and construction defect analysis ... Requirements: + Bachelor's degree in Mechanical Engineering, Architecture, Construction Management , or a related field from an accredited institution. Advanced… more
- BMS CAT (Wood Dale, IL)
- …and consultants, securing high-value pipelines. + Stay ahead of industry trends- claims mix, recovery needs, alternative solutions-and adapt strategy accordingly. 2. ... National & Enterprise Sales Management + Build and nurture relationships with senior decision-makers...and broker networks. + Deep knowledge of P&C coverages, claims processes, mitigation/restoration industry. + Proficiency in Salesforce, MS… more
- Molina Healthcare (Fort Worth, TX)
- …health care services provided to plan members. * Supports plan utilization management program and accompanying action plan(s), which includes strategies to ensure ... care at the most effective setting. *Evaluates effectiveness of utilization management (UM) practices - actively monitoring for over and under-utilization. *… more
- Centene Corporation (Jefferson City, MO)
- …28 million members as a clinical professional on our Medical Management /Health Services team. Centene is a diversified, national organization offering competitive ... team of medical directors and supervises MD's responsible for utilization management and appeals functions to ensure members receive medically necessary,… more
- First Student (Cincinnati, OH)
- …to offer.** **Job Description Summary** Provides safety oversight, day-to-day management , customer interface, and required reporting and compliance mandates (both ... practices. + Coordinates the support, roll out and project management of all new safety initiatives, training and other...injuries and collisions within the region. Participate on region claims review calls. + Has direct responsibility to ensure… more
- Dignity Health (Carmichael, CA)
- …events reporting process, root cause analyses, investigations and requests from the claims team (including management of subpoenas, Summons and Complaints, and ... This position is responsible for the design, coordination, implementation and management of the Performance Improvement (PI) plan and identifies opportunities for… more
- Fresenius Medical Center (Philadelphia, PA)
- …revenue. Identifies trends, variances, discrepancies, and issues and consults with management and executives to determine appropriate plan of action. Supports ... for timely and accurate communication of revenue reporting to Managed Care Management Team. + Responsible for compliance with all related data collections and… more
- Sutter Health (Sacramento, CA)
- …advancement and upkeep of the risk financing portfolio for Sutter Health, manages all claims and litigation, and serves as an advisor to senior leadership on risk ... related to insurance services. Partners with Sutter Health's captive insurance management and board to align strategic risk financing decisions, optimize coverage… more
- BD (Becton, Dickinson and Company) (Franklin Lakes, NJ)
- …on opportunities to drive &/or lead change + Facilitates change management initiatives within assigned client units incorporating a methodology that includes: ... leaders on organizational structure, roles & responsibilities, staffing levels, matrix management , etc + Contributes effectively to client strategy discussions and… more
- Mass Markets (Wichita, KS)
- …Temporary and Administrative Professional Staffing (TAPS Schedule 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, ... results-driven settings. + Strong commercial and financial acumen, includingP&L management . + Exceptional communication, decision-making, and problem-solving abilities. +… more