• Director Complex Claims

    Sedgwick (Fort Worth, TX)
    …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Director Complex Claims **PRIMARY PURPOSE** **:** To be responsible for ... managing SIU investigations of complex fraud schemes involving providers, vendors, attorneys and others;...degree from an accredited college or university preferred. Fraud Claims Law Associate (FCLA), Certified Insurance Fraud Investigator (CIFI),… more
    Sedgwick (05/08/25)
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  • Complex Claims Director…

    AIG (Dallas, TX)
    …AIG, we are reimagining the way we help customers to manage risk. Join us as a Complex Claims Director to play your part in that transformation. It's an ... to succeed + 7 plus years of General Liability/Auto claims experience. + Experience with complex and high exposure General Liability Bodily Injury and Property… more
    AIG (04/26/25)
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  • P&C Senior Director - Pricing, Product,…

    WTW (Dallas, TX)
    …lines insurance experience to join as a Property & Casualty (P&C) Senior Director in our Insurance Consulting and Technology (ICT) practice. In this role, you ... America P&C propositions, especially in the business-focused areas of Pricing, Product, Claims and Underwriting. Our goal is to substantially increase our footprint… more
    WTW (05/09/25)
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  • Medical Director - Medicaid N. Central

    Humana (Austin, TX)
    … relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex issues where ... understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to … more
    Humana (05/14/25)
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  • Director , Digital Health Corporate Counsel

    Otsuka America Pharmaceutical Inc. (Austin, TX)
    …Founded on Otsuka's rich history in delivering breakthrough innovations to solve complex problems for patients, Otsuka Precision Health (OPH) is the next step ... health experience, one connection at a time, together. The ** Director , Digital Health Corporate Counsel** will be responsible for...with other members of the OPH Legal team on complex matters and matters of first impression, as well… more
    Otsuka America Pharmaceutical Inc. (04/17/25)
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  • Sr Director , Performance Suite Analytics

    Evolent (Austin, TX)
    …to ensure clean and consistent tracking of Evolent's covered membership and claims + Synthesize complex analyses into succinct presentations for communication ... providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and...connected care journey. We are hiring for a Senior Director to join our Finance Team. The candidate selected… more
    Evolent (05/02/25)
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  • Medical Director - Pacific SW Region

    Humana (Austin, TX)
    … relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex issues where ... The Medical Director 's work includes computer based review of moderately complex to complex clinical scenarios, review of all submitted clinical records,… more
    Humana (05/10/25)
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  • Medical Director - Care Plus - Florida

    Humana (Austin, TX)
    … relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex issues where ... The Medical Director 's work includes computer based review of moderately complex to complex clinical scenarios, review of all submitted clinical records,… more
    Humana (04/24/25)
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  • Corporate Director , PFS Outsourcing…

    Prime Healthcare (Farmers Branch, TX)
    …trends and identify opportunities for process improvement and reimbursement optimization. + Complex Claims Management: identifies, trends, and owns portfolios of ... complex claims , including Third party claims , TDRG, Zero Balance, and assists in the remediation of denial trends, including coordination with other… more
    Prime Healthcare (03/21/25)
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  • Associate Director , Brand & Sales…

    Otsuka America Pharmaceutical Inc. (Austin, TX)
    The Associate Director , Brand and Sales Analytics will be part of a high performing team that provides actionable, innovative solutions to address key business ... questions & opportunities. The Associate Director , Sales & Marketing Analytics should be able to...and effectively with limited supervision, while working across a complex matrix environment that includes areas in marketing, sales,… more
    Otsuka America Pharmaceutical Inc. (05/16/25)
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