- NTT DATA North America (Decatur, IL)
- …Rate $22-$23/hr **Position Summary:** The Utilization Management Coordinator reports to the Director of Claims . This position is responsible for coordinating the ... currently seeks a Utilization Management Coordinator to join our team for a remote position. 100% Remote , Client provides equipment Temporary Role - Duration… more
- Sharp HealthCare (San Diego, CA)
- …and employer business practices. **What You Will Do** This Senior Medical Director position provides critical management and oversight for Sharp Health Plan's (SHP) ... practice of medicine. + 5 years' experience as an HMO Health Plan Medical Director . + California Physicians and Surgeons License - Medical Board of CA -REQUIRED… more
- Zurich NA (Salem, OR)
- … Working: Hybrid Schedule: Full Time Employment Sponsorship Offered: No Linkedin Recruiter Tag: #LI-MD1 #LI- DIRECTOR #LI- REMOTE EOE Disability / Veterans ... Sr. TPA Specialist, Complex Claims 125068 Zurich Insurance is currently looking for...Sr TPA Specialist. This position will oversee complex Liability claims handled by external TPAs on behalf of Zurich… more
- GuideOne Insurance (Dallas, TX)
- As the Director of Data Platform and AI, you will lead the evolution of our enterprise data infrastructure while spearheading the development of intelligent AI ... of AI and machine learning to address business challenges in underwriting, claims , and service operations. Success in this role demands a pragmatic, collaborative… more
- Aston Carter (Portland, OR)
- …process flow based on claims information. + Work on analysis and claims reports for management, coordinating with the director of quality. Essential Skills ... Job Title: Claims AssistantJob Description The Claims Assistant...emails. Work Environment The position offers a 100% fully remote work setup, with a requirement to visit the… more
- Merck (Atlanta, GA)
- **Job Description** The Oncology Regional Medical Scientific Director , RMSD, is a credentialed (ie, PhD, PharmD, DNP, MD) therapeutic and disease expert who engages ... and Scientific Insights. **Location:** This MSL-type role is a remote position that serves the territory of TX &...areas of interest _*Scientific exchange does not include promotional claims about any drug, vaccine, or biologic product. RMSDs… more
- Centene Corporation (Madison, WI)
- …perspective on workplace flexibility. **Position Purpose:** Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement ... of performance improvement initiatives for capitated providers. + Assists Chief Medical Director in planning and establishing goals and policies to improve quality… more
- Molina Healthcare (Tampa, FL)
- …by owning Molina's entire CMS Complaints Tracking Module (CTM) life cycle. As Director of CTM Oversight & Resolution you set the standards and controls that ... you keep complaint data synchronized across appeals & grievances, enrollment, claims , pharmacy, and quality functions. You surface systemic issues, steer partners… more
- Sedgwick (Pittsburgh, PA)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance Client Services Director | REMOTE | Casualty/Workers Compensation Experience required + ... for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The… more
- AdventHealth (Altamonte Springs, FL)
- …even better. **Schedule:** Full Time **Shift** : Monday - Friday **Location:** Remote **The role you'll contribute:** This position is responsible for the management ... of assigned potential compensable claims , asserted claims and suits. Management encompasses...Defense counsel is assigned in consultation with the Department Director . + Litigation plan is discussed with defense attorneys,… more
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