- AIG (San Francisco, CA)
- Claims Complex Director - Healthcare Professional Liability (HPL) Join us as a Claims Complex Director to take on key responsibilities within ... an impact + This position will ensure high quality claims handling within the Healthcare Professional Liability...+ 7+ years of medical malpractice / professional liability complex claims and/or complex litigation… more
- System One (Newtown Square, PA)
- …Administration, or related field (Master's preferred). + Extensive experience with healthcare claims processing, policy development, and vendor oversight. + ... Job Title: Director , Health Claims Administration Location: Newtown...today for immediate consideration! Responsibilities + Deep understanding of healthcare regulations, claims adjudication, and compliance (HIPAA,… more
- Billings Clinic (Billings, MT)
- …regional affiliate locations to support risk functions as indicated by Risk Management Director . The Risk and Claims Specialist assists in coordination of the ... claims at the direction of the Risk Management Director and/or the Risk and Claims Coordinator...Risk & Claims Coordinator and Risk and Claims Analyst on complex issues. * Works… more
- Integra Partners (Troy, MI)
- …dynamic, proven Claims Examiner, with a specific background in the complex rehab technology (CRT) space. This role is responsible for real time support ... that exemplifies high energy and a passion for the healthcare business. To succeed, the individual will need to...Duties + Be prepared to appeal or correct CRT claims in compliance with Medicare, Medicaid, and commercial insurance… more
- CommuniCare Health Services Corporate (Charleston, WV)
- …leader in post-acute care for those that are chronically ill or have complex conditions. Our more than 150 skilled nursing, assisted living, independent living, ... growth, CommuniCare Health Services is currently recruiting for a Claims Validator / Biller to support our Central Billing...team, CBO cash posting team, Business Office Manager, Regional Director of Finance, MDS, Case Management, and others. The… more
- Prime Healthcare (Farmers Branch, TX)
- …trends and identify opportunities for process improvement and reimbursement optimization. + Complex Claims Management: identifies, trends, and owns portfolios of ... Outsourcing program across Revenue Cycle Management for all Prime Healthcare . The Corporate Director is responsible for... complex claims , including Third party claims , TDRG, Zero… more
- City of New York (New York, NY)
- … Director of OHSSA. This position will also serve as the inaugural Director of Healthcare Accountability, leading strategy and implementation for Local Law ... the Agency's Chief Medical Officer. The BEHS is the healthcare systems bureau of DOHMH. Our mission is to...routinely update their interpretation in accordance with a highly complex , rapidly evolving regulatory environment. - Stay informed of… more
- Evolent (Boston, MA)
- …support value-based healthcare across all lines of business, particularly in complex conditions such as oncology and cardiology. We are advocates for creating ... humility, adaptability, intellectual curiosity, and accountability as we solve complex business problems. **Collaboration Opportunities:** The Director ,… more
- Conduent (Florham Park, NJ)
- …of a culture where individuality is noticed and valued every day. **Senior Director , Client Partner Executive - Healthcare ** **Are you an accomplished Client ... large enterprise accounts?** **About the Role** As a Senior Director , Client Partner Executive at Conduent, you will lead...on Conduent's full suite of BPO services in the healthcare sector, including: + Claims processing +… more
- Prime Healthcare (Ontario, CA)
- …including Claims and Customer Service, to provide guidance on complex Authorizations, Referrals, Denials and Appeals. + Integrates and coordinates services using ... and Company performance. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/172723/corporate- director -of-clinical-utilization-management/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityPrime Healthcare Management… more