- Mount Sinai Health System (New York, NY)
- **Job Description** ** Director Pre Appeals Management -HSO Appeals Management -Corporate 42nd Street-Full-Time-Days -Remote** The Director , Pre Appeals ... costs. The Director collaborates closely with medical staff, vendors, case management , and payers to secure payment and benefits for beneficiaries that is in… more
- Community Health Systems (Las Cruces, NM)
- The Director of Risk Management is responsible for developing, implementing, and maintaining comprehensive risk management programs to ensure the safety and ... compliance, and promoting a culture of safety throughout the facility. The Director collaborates with hospital leadership, department heads, and legal counsel to… more
- Zurich NA (New York, NY)
- Senior Energy/Onshore Property Underwriter (Executive or Director level) 128585 Zurich is seeking an experienced Senior Energy/Onshore Property Underwriter ... (Executive or Director level)for our office in New York.While this position...and 10 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance… more
- Molina Healthcare (Yonkers, NY)
- …utilizing provider data such as the Provider Online Directory, Utilization Management , Customer Experience, Enrollment, and Claims Payment and Processing. ... **Job Description** **Job Summary** The Network Solutions Director is responsible for leading a team designing...to enable enterprise wide capabilities. Synchronizes data among multiple claims systems and application of business rules as they… more
- CenterWell (Boston, MA)
- … Director , Primary Care relies on medical background and reviews health claims . The Medical Director , Primary Care work assignments involve moderately complex ... The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex… more
- Fluor (Greenville, SC)
- …through assigned contract administrators, compliance with Prime Contract, and Fluor Contract Management Practices. The position requires the Contract Director to ... this role. **Job Description** This position provides oversight for all contract management activities on mega projects or key, strategic projects. This role… more
- Commonwealth Care Alliance (Boston, MA)
- …in provider relations, contracting, or network operations, including 3-5 years in a director or senior management role. * Experience with value-based payment ... goals. * Familiarity with CRM systems (eg, Salesforce) and provider relationship management tools. * Understanding of claims operations, utilization … more
- Zurich NA (Chicago, IL)
- AVP, Underwriting Director OR VP, Senior Underwriting Director - E&S Property 127820 Zurich is currently looking to hire an experienced E&S Property Underwriter ... and employee satisfaction! This role will be filled at either an AVP, Underwriting Director OR VP, Senior Underwriting Director level. The hiring manager will… more
- AdventHealth (Shawnee, KS)
- ** Director of Risk Management - AdventHealth Shawnee Mission** **All the benefits and perks you need for you and your family:** + Benefits from Day One + Paid ... **The role you'll contribute:** Responsible for developing and administering the Risk Management Program for loss prevention and claims control. This position… more
- Guardian Life (Plano, TX)
- …experience is preferred + A thorough understanding of the dental insurance industry, claims management experience, and a substantive knowledge of CDT, policy, ... The **Dental Director ** will be responsible for ensuring that professional...compliant with applicable state regulations. You will ensure that claims , referrals, appeals, and grievances meet state specific regulations,… more