- NYU Rory Meyers College of Nursing (New York, NY)
- …Perform compliance and monitoring assessments to identify exceptions to establish claims adjudication requirements for pre-EOB and after posting of payments. Prepare ... administration.Required Experience:7+ years relevant professional level experience in a claims processing environment.Preferred Experience:Experience working in an Academic Dental… more
- Centene Corporation (Jefferson City, MO)
- …to providers that would improve utilization and health care quality. + Review claims involving complex, controversial, or unusual or new services in order to ... metrics + Previous experience with ensuring high quality medical director training to review Medicare UM and appeals, Clinical...plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay… more
- Takeda Pharmaceuticals (Boston, MA)
- …and standardizing approaches to common questions involving real world data. The Director , Real-World Evidence Data Sciences Lead is responsible for managing the ... processing, and curation of non-Takeda sourced observational RWD, including claims , disease registry, labs and electronic health/medical records (EHR/EMR) data.… more
- Centene Corporation (Raleigh, NC)
- …a fresh perspective on workplace flexibility. **We're Hiring: Full time Medical Director in North Carolina.** Centene Corporation is a leading provider of ... regular reviews of utilization and/or health care quality. Reviews claims involving complex, controversial, or unusual or new services...plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay… more
- Mass Markets (Mesilla, NM)
- …services. Our contact centers are powered by both on-site and remote agents, leveraging advanced technologies to enhance customer journeys, drive scalability ... management associated with day-to-day contact center operations. Operationally, the Associate Director is responsible for the development and implementation of all… more
- Mass Markets (Wichita, KS)
- …services. Our contact centers are powered by both on-site and remote agents, leveraging advanced technologies to enhance customer journeys, drive scalability ... management associated with day-to-day contact center operations. Operationally, the Associate Director is responsible for the development and implementation of all… more
- Takeda Pharmaceuticals (Boston, MA)
- …the best of my knowledge. **Job Description** **About the role:** The Associate Director /Lead, US Solid Tumor Forecasting will lead US forecasting activities for the ... as a business partner + Knowledge of secondary data sets including claims , EMR, specialty pharmacy data required + Advanced Excel modeling experience required;… more
- ChenMed (Miami, FL)
- …and we need great people to join our team. The Associate Director , Revenue Cycle Management (RCM) Optimization manages and organizes revenue strategy activities ... in this role assists with the strategic alignment and oversight of claims assembly and submission processes. In close collaboration with Billing, Coding, IT,… more
- Turner & Townsend (Houston, TX)
- …in the world. **Job Description** **Turner & Townsend** are seeking an experienced ** Director - Project Controls** to lead our Mega-Projects Portfolio of Programs in ... accounts and will help with wider business initiatives as needed. **This is a hybrid/travel/ remote role that can be seated anywhere in the USA, but the candidate… more
- BeOne Medicines (San Mateo, CA)
- **General Description:** The Director , Strategic Evidence, will possess an understanding of US market access priorities, evidence generation, and proficiency in AI ... customers, and / or past direct work experience at claims , EMR / EHR, real world data vendors, IDNs,...projects, and deliver effective results within defined timelines **Travel:** Remote US Based role, with approximately 30% travel. All… more