- Wells Fargo (Charlotte, NC)
- **About this role:** The Fraud & Claims Management Fraud Detection Strategies team is hiring a Director of Fraud Prevention for Digital Account ... experience collaborating with cross-functional teams, including agile product development and fraud operations . + Skilled in synthesizing complex analytical… more
- Humana (Oklahoma City, OK)
- …into allegations of fraud , waste, and abuse involving providers who submit claims to Humana's Oklahoma Medicaid line of business. As the Senior Fraud ... first** Humana's Special Investigations Unit is seeking a Senior Fraud & Waste Investigator to join the Oklahoma Medicaid...transparency and accountability. You will report to the SIU Director and work closely with Humana's Oklahoma Market. **Key… more
- City of New York (New York, NY)
- …Admiralty payments in collaboration with the Direct and Deputy Director of Tort Claims . 8) Oversees Fraud Hotline phone and emails. 9) Review and reconcile ... public fiscal and public safety. Reporting to the Deputy Director of Tort Claims , with wide latitude...with respect to managing claim assignments and day to-day operations of the Affirmative Claims Division. 11)… more
- Experian (Costa Mesa, CA)
- …of collaboration and continuous improvement. You will work remotely and reporting to the Director of Unemployment Claims . What You'll Do + Lead and Inspire: ... benefits administration + 2+ years of people leadership experience managing high-volume claims processing teams or customer service operations + Knowledge &… more
- Otsuka America Pharmaceutical Inc. (San Juan, PR)
- …clear recommendations on best medical excellence capability for the company. The Senior Director , Medical Affairs Strategy Excellence & Operations will set the ... focused on achieving medical excellence critical priorities. The Sr. Director has a proven track of success in driving...a minimum of 5 yrs. and experience in Medical Excellence/ operations + Ability to lead a team and influence… more
- Otsuka America Pharmaceutical Inc. (Charleston, WV)
- The Associate Director , Strategic Planning & Operations will support the assets of varying lifecycle stages in the relevant therapeutic area portfolio. This role ... medical affairs processes are in place. This position reports directly into the Director , Strategic Planning Lead, who in turn reports into the Medical Excellence &… more
- Otsuka America Pharmaceutical Inc. (Santa Fe, NM)
- The Director , Strategic Planning & Operations is a pivotal role within the Medical Excellence & Operations team within Global Medical Affairs. This role is ... the asset lifecycle. This role reports directly into the Executive Director , Medical Excellence and Operations . **Job Description** **Key Responsibilities… more
- Otsuka America Pharmaceutical Inc. (Montpelier, VT)
- **Position Summary:** The Director GVE Operations oversee and coordinates projects within the department to ensure alignment with organizational goals. This role ... and other integrated data generation initiatives. This position reports to the Senior Director , Global Integrated Evidence & Innovation Operations and can be… more
- IQVIA (Wayne, PA)
- Job Description Summary: **Associate Director Finance Operations ** Directs financial planning and accounting practices including budgeting, costing, financial ... **Essential Functions and Responsibilities:** + Responsible for **pharmacy prescription claims processing** , translating strategy into proactive plans to enable… more
- Otsuka America Pharmaceutical Inc. (Annapolis, MD)
- …+ Direct Account Management CRM tool and process in collaboration with Sales Operations staff + Conduct all activities in compliance with all applicable local, state ... markets including understanding of all major payer segments, payer operations /financial drivers and budgets, formulary access management, coverage decision processes… more
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