- AmeriHealth Caritas (Washington, DC)
- …for managing the day-to-day activities of the DC Medicaid Plan Network Management department and staff. Responsible for assisting the Leader with departmental ... This position is also responsible for all provider network recruiting and contracting management activities as it relates to the DC Medicaid Plan. Ensures that the… more
- Community Health Systems (Tucson, AZ)
- The Manager of Risk Management provides leadership and expertise in developing, implementing, and sustaining a comprehensive risk management and patient ... to step in and make an immediate impact. The Manager partners with hospital leadership, clinical teams, and legal...to standards and best practices. + Review and manage claims , potential liability cases, and related legal documentation in… more
- Towne Park (Vienna, VA)
- …+ Completes all tasks in a timely manner as instructed by the Area/District Manager + Cooperates with management and coworkers to ensure that services can ... claims are reported timely and accurately and cooperates with the Risk Management department to resolve claims + Consistently follows the progressive… more
- Family Dollar (Chesapeake, VA)
- Responsible for optimizing the end-to-end workers' compensation claims process, leveraging our Third-Party Administrator (TPA) partnership to accelerate resolution ... external clients, vendors, and industry peers, ultimately establishing Family Dollar's claims program as "Best in Class" through continuous cost reduction, enhanced… more
- UCLA Health (Los Angeles, CA)
- …the next level. You can do all this and more at UCLA Health. As a Manager for Medicare Advantage Utilization Management , you'll provide direct management to ... + Concurrent Review + Continuity of Care + Retro Claims + Retrospective Review + Referral Automation Business Rules/Configuration...degree required + Five or more years of utilization management required + Four or more years of managerial… more
- Paychex (St. Petersburg, FL)
- …programs to ensure legal compliance, limit organizational liability, and provide case management for employees. Supports all functions of the leave of absence ... frequency and duration. Responsibilities + Manages and directs the absence management and safety team. Responsibile for hiring, ongoing training, and development… more
- PPL Corporation (Louisville, KY)
- …on claims and disputes and subsequently consult with senior management to resolve/negotiate claims and disputes associated with complex procurements. ... such as Software, Facilities, Construction, Customer Services, Etc. + Certified Purchasing Manager (CPM) or Certified Professional in Supply Management (CPSM).… more
- Tutor Perini (New Rochelle, NY)
- …future** Frontier-Kemper, a Tutor Perini Company, is seeking a **Change Control Manager ** to join our Kensico-Eastview Connection Tunnel Project in **White Plains, ... **_Extraordinary Projects need Exceptional Talent_** **DESCRIPTION:** As a **Change Control Manager ** at Frontier-Kemper, reporting to the **Project Manager ,**… more
- UNC Health Care (Chapel Hill, NC)
- …well-being of the unique communities we serve. **Summary** : The **Clinical Risk Manager ** is responsible for administering the risk management program and ... The primary responsibility of this position is to administer UNC Health's risk management program on a day-to-day basis, documenting, managing and analyzing risk … more
- Community Health Systems (Oro Valley, AZ)
- **Job Summary** The Manager , Risk Management oversees operational and personnel functions within the department, ensuring effective implementation of risk ... management strategies to minimize exposure to loss and liability....compliance. + Oversees the investigation, processing, and defense of claims and suits against the facility, ensuring timely and… more
Recent Jobs
-
Application Engineer
- Waystar (Atlanta, GA)
-
Associate Director, Sr. IT AI Program Manager
- Insmed Incorporated (NJ)
-
Medical Office Specialist
- HCA Healthcare (Tampa, FL)
-
Senior Data Engineer
- Realtor (Austin, TX)