• Complex Claims Director , General…

    AIG (Atlanta, GA)
    …the role What you need to know: The Complex Director is Senior Adjuster role in Primary Claims responsible for investigating, evaluating, and negotiating ... performance against standards and goals. + In depth knowledge of claim handling procedures, claims performance strategies, and claim best practices. +… more
    AIG (07/23/25)
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  • Sr. Director of Finance

    Outreach Development Corporation (Richmond Hill, NY)
    …to Outreach's ODC and OPI Boards as well as working closely with the senior leadership team. + Director of Billing and Collection is responsible for ... training. For more information, please visit www.opiny.org. The Sr. Director of Finance will serve a key member of...Assist in leading the annual budgeting process, working with senior management and program leadership to set realistic financial… more
    Outreach Development Corporation (08/11/25)
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  • Director & Sr. Counsel II - Pharmaceutical…

    Boehringer Ingelheim (Ridgefield, CT)
    …the company's businesses. Mentors more junior attorneys in areas of expertise. In this role as Director / Senior Counsel you will be a part of the team to ... business teams providing reimbursement, education and other support to patients. The Director & Sr. Counsel provides a broad range of legal services, typically… more
    Boehringer Ingelheim (07/26/25)
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  • Senior Child Behavioral Medical…

    Centene Corporation (New York, NY)
    …to providers that would improve utilization and health care quality. + Review claims involving complex, controversial, or unusual or new services in order to ... determine medical necessity and appropriate payment. + May develop alliances with the provider community through the development and implementation of the medical management programs. + As needed, may represent the business unit before various publics both… more
    Centene Corporation (08/08/25)
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  • Healthcare Process Risk Senior Associate…

    Grant Thornton (Los Angeles, CA)
    …clients design and implement internal controls + Support engagement Manager and/or Senior Manager/ Director in project management activities, such as preparing ... As a Healthcare Process Risk Senior Associate, you will get the opportunity to...to revenue cycle optimization, including billing, coding, reimbursement, and claims processing, with a focus on improving financial performance… more
    Grant Thornton (08/22/25)
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  • Physician (Home Based Primary Care Medical…

    Veterans Affairs, Veterans Health Administration (Amarillo, TX)
    …may be authorized to a highly qualified candidate. Responsibilities The HBPC Medical Director is the senior clinician and is responsible for the overall ... is seeking a Home Base Primary Care (HBPC Medical Director -Physician) within the Geriatric and Extended Care (GEC) Service....claimed by the applicant. [If the applicant does not claim an ECFMG certificate, facility officials must still confirm… more
    Veterans Affairs, Veterans Health Administration (07/31/25)
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  • Deputy Director - Office of Contract Agency…

    City of New York (New York, NY)
    …Deputy Director of the Office of Contract Agency Audits will report to OCA's Director and will oversee one or more Senior Auditors. The Deputy Director ... will be required to work independently to oversee the Senior Auditors' performance of the following tasks: - Reviewing draft audit reports of CBOs prepared by DYCD's… more
    City of New York (08/17/25)
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  • Senior Network & Provider Analytics

    Point32Health (MA)
    …Point32Health (https://www.point32health.org/) . **Job Summary** Working under the direction of the Director or Senior Manager, the Senior Network ... well as finding improvements) and ad hoc requests. The Senior Network Performance Analyst may also serve as a...between payers and providers; solid knowledge of health care claims data, coding schemes (ICD-9/ICD-10, CPT/HCPCS, DRGs), and health… more
    Point32Health (08/07/25)
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  • Associate Director and Counsel, Global…

    RTX Corporation (East Hartford, CT)
    …team in the Legal, Contracts and Compliance organization and will report to the Director and Senior Counsel, Global Ethics & Compliance Investigations. The role ... up. **Are you ready to go beyond?** The **Associate Director and Counsel, Global Compliance Investigations** will be a...risk management experience required + Working knowledge of False Claims Act, Foreign Corrupt Practices Act and the FAR… more
    RTX Corporation (09/04/25)
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  • Sports Medicine Liaison

    St. Luke's University Health Network (Bethlehem, PA)
    …customer service to our patients. The Sports Medicine Liaison also assists the Senior Director , Sports Medicine Relationship in preparing materials necessary for ... a system for logging and reporting on sports medicine referrals as part of the Senior Director 's financial analysis report. + Assists the Senior Liaison and… more
    St. Luke's University Health Network (08/01/25)
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