- Brunswick (Mettawa, IL)
- …vendor/agency partnerships to scale execution. + Partner with product management , engineering, creative, supply chain, legal (compliance/ claims ), dealer/channel ... blend expertise in product content, digital experience, and technical program management to optimize PDPs, manage PIM/DAM systems, and lead cross-functional teams.… more
- The Cigna Group (Morris Plains, NJ)
- …**Nice to Have** + Prior **PBM/specialty pharmacy** platform knowledge (eg, claims /benefit management , care coordination, specialty workflows). + Earlier ... Risk & Compliance** : Integrate **CIP** standards (eg, change management , supplier security, data handling) into architecture guardrails and developer‑facing… more
- Lilly (Indianapolis, IN)
- …bring life-changing medicines to those who need them, improve the understanding and management of disease, and give back to our communities through philanthropy and ... genetic medicine programs targeting critical therapeutic areas with significant unmet medical needs, while providing dynamic legal support across the complete… more
- BeOne Medicines (San Mateo, CA)
- …the regional strategic feasibility teams. Close partnership with global program & study management team for design and delivery of the studies, for early to ... competing trials, recent or upcoming approvals, prescribing data, insurance claims data, diversity, and recruitment capabilities. This includes intelligence… more
- Providence (Healdsburg, CA)
- … Director of Quality, Excellence, the Executive Leadership Team, and the Medical Staff. The Manager of Risk Management works independently exercising ... **Description** The Manager Risk Management - Quality Assurance and Risk Management... actions to reduce incidence and magnitude of damage claims made against the institutions. The Manager of Risk… more
- University of Southern California (Alhambra, CA)
- …IP & OP healthcare services provided to covered patients. Manages the denial management process for coding-related denials, triage denied claims to distinguish ... Improvement). + COMMUNICATION * Works and communicates in a positive manner with management and supervisory staff, medical staff, co-workers and other healthcare… more
- OhioHealth (Columbus, OH)
- …and presentations to various audiences. **Responsibilities And Duties:** 1. Patient Complaint/ Claims management 35% Meets with patients, families, visitors, as ... , and settlement authority in negotiating and settling patient claims . 2. Unusual occurrences management -20 % 1...hospital exposure/liability; in collaboration with the Risk Manager, Systems Director , and/or the General Counsel, for claims … more
- Wayne State University (Detroit, MI)
- …Self-Insurance Corporation (MUSIC) core contracts. This position reports to Senior Director of Enterprise Risk Management & Insurance Programs. Essential ... Risk Management Specialist Wayne State University is searching for...the self-insurance workers' compensation program and assist the Associate Director of ERM in the administration of the Certificate… more
- Ventura County (Ventura, CA)
- …the county's self-insured programs, managing aspects of commercial insurance procurement and claims management , and supporting Countywide agencies in disability ... five years of recent, progressively responsible management experience in risk management , including insurance and claims management for general… more
- AdventHealth (Maitland, FL)
- … for all provider types Managed Care, Patient Financial services, health insurance claims processing, contract management , or medical economics experience ... language as it relates to reimbursement methodologies Applies detailed understanding of medical coding systems affecting the adjudication of claims to include… more