- CVS Health (Charleston, WV)
- …do it all with heart, each and every day. **Position Summary** The Care Management Associate (CMA) role is a full time remote telework position. Qualified candidates ... welfare population health members, and carries a caseload. The Care Management Associate supports comprehensive coordination of medical services including Care Team… more
- Community Health Systems (Lufkin, TX)
- …to foster a culture of safety and compliance. + Oversee the investigation and management of legal claims and suits, ensuring timely and accurate responses to ... The Manager of Risk Management is responsible for overseeing daily operations and...part of the application or hiring process, contact the director of Human Resources at the facility to which… more
- Community Health Systems (Tucson, AZ)
- The Manager, Risk Management oversees operational and personnel functions within the department, ensuring effective implementation of risk management strategies ... identifying and addressing operational variances to achieve goals in risk management and quality standards. + Participates in the development, implementation, and… more
- City and County of San Francisco (San Francisco, CA)
- …those relating to recordkeeping and to filing. + Work with the Division Director , Executive Director , HRC management on intradepartmental collaboration. + ... and civil rights. Under the direction of the Policy and Anti-discrimination Division Director and Executive Director , the Civil Rights Division Manager develops,… more
- Zurich NA (Schaumburg, IL)
- Document Management System (DMS) Subject Matter Expert (SME) - IBM FileNet 122364 Zurich North America is looking for a Document Management System (DMS) Subject ... areaAND + 7 or more years of software product management or product development experience. + 5 or more...JIRA or similar tooling + P&C - Commercial Insurance, Claims , or Underwriting system experience desired + Strong verbal… more
- Commonwealth Care Alliance (Boston, MA)
- …will not be considered at this time._** Position Summary: Reporting to the Director , Claims Operations & Quality Assurance, the Regulatory Compliance & Audits ... Knowledge, Skills, Abilities & Language (nice to have): * Facets (Core Claims Platform) * ServiceNow (Change Request Management ) * Salesforce (Dispute/Compliance… more
- McLaren Health Care (Indianapolis, IN)
- …of high risk, and under and overuse of services. Collaborates with Medical Director and senior management on complex cases and special projects. **This ... We are looking for a Utilization Management RN, to join us in leading our...TPA, PHO and Managed Care functions including understanding of claims administration, including CPT-4 codes, revenue codes, HCPCS codes,… more
- Subaru of America (Camden, NJ)
- …Relations, Product Management , Business Planning, and SBR departments.) + Marketing Claims , Awards, Partner Integration: As an example, serves as lead person to ... Launch Manager in communication/coordination between Marketing, Public Relations, Product Management , Service, Customer Advocacy, Parts, Sales, Distribution, Business Planning,… more
- Baystate Health (Springfield, MA)
- …of the CARe program. The Sr Director of Clinical Safety and Risk Management also collaborates with the Claims Managers in the operations of the system-wide ... the direction of the Chief Risk Officer, the Sr Director of Clinical Safety and Risk Management ... personnel, and attorneys on matters related to potential claims , claims or lawsuits and recommends appropriate… more
- Marriott (Boston, MA)
- …**Schedule** Full Time **Located Remotely?** N **Position Type** Management **JOB SUMMARY** Assists in carrying out the daily ... * High school diploma or GED; 2 years experience in the human resources, management operations, or related professional area. OR * 2-year degree from an accredited… more