• Claims Complex Director…

    AIG (Jersey City, NJ)
    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
    AIG (10/08/25)
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  • Director I Claims

    Elevance Health (Indianapolis, IN)
    ** Director I Claims ** **Location** : _This...auditing of claim payments. Provides guidance on the most complex claims . **How you will make an ... an accommodation is granted as required by law._ The ** Director I Claims ** is responsible for directing...dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with… more
    Elevance Health (10/03/25)
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  • Medicare/Medicaid Claims Reimbursement…

    Commonwealth Care Alliance (Boston, MA)
    …billing-related certifications **Required Experience (must have):** + 3+ years in healthcare claims processing, provider reimbursement, or payment integrity. + ... states will not be considered at this time._** **Position Summary:** Reporting to the Director , Claims Operations and Quality Assurance, the Claims Sr.… more
    Commonwealth Care Alliance (08/31/25)
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  • Program Director , TechOps Core Systems

    Molina Healthcare (Orlando, FL)
    **Job Summary** The Program Director , TechOps Core Systems provides department-level oversight for TechOps Core Systems performance and initiatives with emphasis on ... QNXT platform evolution, AI adoption, claims adjudication, provider/benefit configuration, and payments modernization. The role orchestrates cross‑functional… more
    Molina Healthcare (10/04/25)
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  • Healthcare Insights Management…

    Huron Consulting Group (Van Buren, AR)
    …Work Authorization required **PREFERRED QUALIFICATIONS:** + Experience with comprehensive healthcare data sets ( claims , payroll, financial performance, clinical, ... and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling… more
    Huron Consulting Group (10/07/25)
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  • Occupational Health Medical Director…

    Munson Healthcare (Traverse City, MI)
    … HEALTHCARE 'S OCCUPATIONAL HEALTH TEAM! Full-Time | Monday-Friday | No Call Munson Healthcare is seeking a Medical Director for Occupational Medicine to lead ... injury/illness care, follow-up, and referral. Provide case management support for complex /long-term claims . + Provide leadership, direction and coordination of… more
    Munson Healthcare (07/14/25)
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  • Senior Director of Insurance & Risk…

    Hartford HealthCare (Hartford, CT)
    …And this is*your moment*. **Job:** **Management / Administration* **Organization:** **Hartford HealthCare Corp.* **Title:** *Senior Director of Insurance & Risk ... Work where*every moment*matters. Every day, more than 40,000 Hartford HealthCare colleagues come to work with one thing in...and Tallwood Urology & Kidney. Position Summary: The Senior Director of Insurance & Risk Financing will establish a… more
    Hartford HealthCare (07/10/25)
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  • Hospital Contract/Negotiation Director…

    The Cigna Group (Charlotte, NC)
    **_LOCATION: Hybrid position aligned to the Charlotte, North Carolina Market._** The ** Director , Hospital Contract Negotiations** serves as an integral member of the ... for a local given territory. **DUTIES AND RESPONSIBILITIES** + Manages complex contracting and negotiations for fee for service and value-based reimbursements… more
    The Cigna Group (10/02/25)
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  • Provider Contracting Director - Cleveland,…

    The Cigna Group (Cleveland, OH)
    …LOCATION: Must reside in the Cleveland or Independence, OH area.** The ** Director ** **,** **Provider Contracting Network Management** serves as an integral member of ... for a local given territory. **DUTIES AND RESPONSIBILITIES** + Manages complex contracting and negotiations for fee for service and value-based reimbursements… more
    The Cigna Group (08/31/25)
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  • Market Service Director Chesapeake

    GE HealthCare (VA)
    …acumen are required to achieve outcomes. **Job Description** The Market Service Director will be responsible for developing and executing on strategies to increase ... as ensuring excellent delivery and implementation of contracts, warranty claims , repair/service agreements, spare parts sales, training, installation support, field… more
    GE HealthCare (08/20/25)
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