- Robert Half Legal (Livonia, MI)
- …A prominent Michigan-based organization in the insurance sector is looking for a dynamic Claims Director . This position is ideal for an experienced leader with ... expertise in claims management, litigation oversight, and operational strategy. *This is...management, litigation oversight, and operational strategy. *This is a remote position; however, candidates must currently reside in Michigan… more
- Elevance Health (Waukesha, WI)
- **Clinical Documentation and Claims Integrity Director ** **Location:** Alternate locations may be considered. This position will work a hybrid model ( remote ... home-care and community based services. The **Clinical Document Improvement Director ** is responsible for leading encounter processing, diagnostic documentation and… more
- Providence (Missoula, MT)
- …other liability claims against the organization as assigned or directed by the Director of Risk & Claims ; maintaining up-to-date and accurate claims ... procedures and required regulations; and providing feedback and recommendations to the Director of Risk & Claims on evaluations, litigation trends, department… more
- NTT DATA North America (Decatur, IL)
- …Rate $22-$23/hr **Position Summary:** The Utilization Management Coordinator reports to the Director of Claims . This position is responsible for coordinating the ... currently seeks a Utilization Management Coordinator to join our team for a remote position. 100% Remote , Client provides equipment Temporary Role - Duration… more
- Trinity Health (Farmington Hills, MI)
- …Type:** Full time **Shift:** Day Shift **Description:** **POSITION PURPOSE** Work Remote Position Supervises and coordinates the day-to-day billing and follow-up ... government accounts at an assigned PBS location. Monitors timeliness of claims billed, paid/settled, and reviews documentation in appropriate system(s). Ensures… more
- Sharp HealthCare (San Diego, CA)
- …and employer business practices. **What You Will Do** This Senior Medical Director position provides critical management and oversight for Sharp Health Plan's (SHP) ... practice of medicine. + 5 years' experience as an HMO Health Plan Medical Director . + California Physicians and Surgeons License - Medical Board of CA -REQUIRED… more
- Centene Corporation (Salem, OR)
- …benefits including a fresh perspective on workplace flexibility. **We're Hiring: Remote Child Behavioral Medical Directors** Centene Corporation is a leading ... + Actively practices medicine **Position Purpose:** Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and… more
- Commonwealth Care Alliance (Boston, MA)
- 011250 CCA- Claims **_This position is available to remote employees residing in Massachusetts. Applicants residing in other states will not be considered at this ... time._** **Position Summary:** Reporting to the Director , Claims Operations and Quality Assurance, the Claims Sr. Analyst plays a critical role in ensuring… more
- Morley (Greenville, SC)
- …required)_** Ready to take your creative career to the next level? As a remote Art Director on Morley's award-winning in-house creative team, you'll lead with ... deliverables + **Experience:** + Five years as an Art Director in an agency or in-house creative environment +...Patient advocacy: Free 24/7 help with benefit questions and claims issues + Family, financial and estate guidance (will)… more
- Sanofi Group (Chicago, IL)
- **Job Title:** Associate Director , National Account Operations CVS - US Remote **Location:** Remote /Field Based **About the Job** The **Associate Director ... knowledge of the US healthcare system, including formulary operations, claims adjudication, specialty pharmacy networks, and contract performance tracking. We… more