- Evolent (Boise, ID)
- …+ Experience with project and stakeholder management **(Required)** + Familiarity with healthcare claim processing **(Preferred)** + 2+ years experience at payer ... connected care journey. We are hiring for a Senior Director to join our Finance Team. The candidate selected...organization to ensure accurate and timely delivery of the claim financial scope reconciliation + Review claims … more
- The Cigna Group (Nashville, TN)
- **Role Summary** The Supplemental Health G&E National Sales Director (NSD) will be responsible for driving new business sales for Supplemental Health products within ... (employers with 3,000+ eligible). This role involves developing and executing strategic sales plans, building and maintaining strong relationships with key… more
- Prime Healthcare (Ontario, CA)
- …(https://careers-primehealthcare.icims.com/jobs/172723/corporate- director -of-clinical-utilization-management/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) ... Overview Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 51 hospitals and has more than 360… more
- Evolent (Boston, MA)
- …languages such as SQL or SAS is **strongly preferred.** + Experience in claims -based healthcare analytics to drive decision making **is preferred.** **Technical ... Doing:** Our Actuarial Team offers candidates the opportunity to support value-based healthcare across all lines of business, particularly in complex conditions such… more
- Genesis Healthcare (WA)
- …Action professional development program. Responsibilities The Clinical Operations Area Director is responsible for efficient and profitable management of Powerback ... for marketing rehabilitation services in the region. The Clinical Operations Area Director monitors the standards of clinical services being delivered and maintained… more
- Sharp HealthCare (San Diego, CA)
- …with medical management such as provider relations, member services, benefits and claims management, etc. Assists (as determined by the plan Chief Medical Officer) ... until agreed upon change is implemented. Works toward SHP strategic goals and objectives of ensuring a high quality...a managed care environment, preferably as an HMO Medical Director . + California Physicians and Surgeons License - Medical… more
- Bassett Healthcare (Cooperstown, NY)
- …health and enjoy the best quality of life possible. What you'll do The Director of Design & Construction will lead all design, planning, and construction for all ... Bassett Healthcare Network's facilities and infrastructure across its multi-site network. This critical leadership role will manage capital construction and… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …improvements to enhance claims processing stability, flexibility, and innovation. The Director will be responsible for both the strategic development and ... Core back-Office systems including but not limited to: Core Healthcare Claims Processing Platform including Eligibility &...and other IT VPs along with CIO to establish claims core platform strategic roadmap. + Establishes… more
- Molina Healthcare (Everett, WA)
- …guidance, signature support services, standards and resources to help Molina Healthcare successfully establish and maintain distinct high performing networks of ... include sustainable value-based reimbursements; and * Are committed to providing quality healthcare for low income Members in an efficient and caring manner.'… more
- Molina Healthcare (Dayton, OH)
- …compatibility, re-use), helping ensure a balance between tactical and strategic technology solutions. Considers business problems "end-to-end": including people, ... Experience** 7-9 years Application Design, Development Experience and, Management, Healthcare Industry **Preferred Experience** 10+ years, Healthcare Industry… more