- AmeriHealth Caritas (Newtown Square, PA)
- **Role Overview** The ** Director of Payment Integrity Solutions** is responsible for overseeing Payment Integrity edit and program strategy and performance across ... policy refinement, and strong Plan and provider stakeholder engagement. The Director leads efforts to monitor effectiveness, address operational gaps, support… more
- Tenet Healthcare (Commerce Township, MI)
- Director of Revenue Analysis - 2506003876 Description : Are you a results-driven leader ready to make a meaningful impact to patients, caregivers, and your ... by location and is determined by employment status Summary Job Description The Director of Revenue Analysis reports to the hospital Chief Financial Officer and… more
- NetApp (Morrisville, NC)
- …to ensure comprehensive risk management and insurance coverage. + Assist in resolving complex and challenging claims . Work closely with other functional groups ... **Job Summary** As a Director of Capital Markets & Risk, reporting to...the primary subject matter expert, offering strategic guidance on complex legal agreements. Lead high-level training sessions and foster… more
- Excellus BlueCross BlueShield (Buffalo, NY)
- …to providers that would improve utilization and health care quality. Reviews claims involving complex , controversial, or unusual or new services in ... you to apply! Job Description: This position assists the Chief Medical Director to direct and coordinate the medical management, quality improvement and… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- …to pioneer the field of bioanalysis, look no further. The Associate Director , Bioanalysis is responsible for managing the outsourced measurement in biological fluids ... regulatory compliance. + Demonstrated ability to work on multiple complex projects simultaneously with high attention to detail. +...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Otsuka America Pharmaceutical Inc. (Boise, ID)
- **Job Summary** The Associate Director , Global Product Quality - Biologics is responsible for directing quality oversight of clinical and commercial products at CMOs ... and commercial products. + Develops comprehensive quality strategies for complex biologic development programs that address unique manufacturing challenges. +… more
- Otsuka America Pharmaceutical Inc. (Dover, DE)
- The Executive Director , US Access Strategy & Marketing, CNS leads the Access Strategy and Marketing team responsible for the development of US market access ... strategy, and payer marketing + Strong understanding of the complex and rapidly evolving factors influencing US market access,...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Children's Hospital Los Angeles (Los Angeles, CA)
- …to deliver family-centered care half a million times each year. From primary to complex critical care, more than 350 programs and services are offered, each one ... Work collaboratively with CHLAMG related to shared risk and claims management. **Minimum Qualifications/Work Experience:** _Required:_ 5+ years' risk management,… more
- AECOM (New York, NY)
- …experienced Program Management Director to join our team, leading on a complex program in Lima, Peru.** **Responsibilities include, but are not limited to:** + ... infrastructure consulting firm, partnering with clients to solve the world's most complex challenges and build legacies for future generations. There has never been… more
- Centene Corporation (Jefferson City, MO)
- …to providers that would improve utilization and health care quality. + Reviews claims involving complex , controversial, or unusual or new services in order ... perspective on workplace flexibility. **Position Purpose:** Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement… more