Director, Adjudication Services jobs
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| Jun 01 | Director Health Plan Client Services | CVS Caremark | Scottsdale, AZ |
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Engage, understand and communicate unique services needs of their business unit with ... Some PBM system knowledge - adjudication process knowledge -Strong Leadership skills/compe... more |
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| Jun 01 | Audit Group Manager - Credit Services Team | TD Bank | South Carolina |
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The Audit Group Manager (AGM) reports directly to the SVP/Director, Credit Services ... Audit and substantial lending and/or adjudication experience in Commercial or... more |
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| May 22 | Director Physician | AMERIGROUP | Houston, TX |
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18. Participates in risk management, claim adjudication, pharmacy utilization ... requests for non-urgent health care services. 34. The medical director must... more |
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| May 22 | (370883) Medical Director | UnitedHealth Group | California |
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Director has single site/state/function/product influence/scope. Requirements:-MD or DO ... services through four industry-leading businesses.UnitedHealthcare Community & State... more |
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| May 22 | Faculty, Assistant Professor, Director of Orchestra | Utah Valley University | Orem, UT |
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Keywords: Faculty, Assistant Professor, Director of Orchestra, Music, student centered teaching organization, building communities of engaged learners, beautiful mountain... more |
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| May 19 | ClaimsConnect Development Director | Kaiser Permanente | Lake Oswego, OR |
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Director ClaimsConnect Development The Director for ClaimsConnect development ... Director of Platform Support IT Shared Services (COO, CTO, CPO, CA) Direct Reports... more |
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| May 19 | Executive Director, ROC ClaimsConnect, KPIT | Kaiser Permanente | Denver, CO |
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into practice. Description The Executive Director, ROC ClaimsConnect is responsible ... A professional services consulting, and/or software development and delivery background in... more |
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| May 19 | Executive Director, CA ClaimsConnect, KPIT | Kaiser Permanente | Pasadena, CA |
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into practice. Description The Executive Director, CA ClaimsConnect is responsible for ... A professional services consulting, and/or software development and delivery background in... more |
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| May 03 | UHC-UM- Medical Director- Virtual-NE | UnitedHealth Group | Morristown, NJ |
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Care Management Medical Director, Health Services Purpose of Job:Health Services conducts ... to provide innovative, affordable benefits services.UnitedHealthcare Medicare &... more |
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| May 01 | United Clinical Services ICM Medical Director - Texas Virtual Role | UnitedHealth Group | Dallas, TX |
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appeals and grievance adjudication, etc. UnitedHealthcare Employer & Individual ... array of products and services through four industry-leading... more |
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| Apr 25 | IPA Executive Director - Marketing - Executive job | Cybercoders | Phoenix, AZ |
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IPA Executive Director IPA Executive Director - Skills Required - IPA, Administration, ... an outstanding record in quality, stability, services, and remarkable electronic... more |
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| Apr 21 | Government Manager of Business Services | Renown Health | Reno, NV |
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Under the general guidance of the CBO Director, the government manager oversees all ... management, claims processing, remittance adjudication, follow-up, denials and appeals... more |
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| Mar 15 | Inpatient Care Medical Director | UnitedHealth Group | Dallas, TX |
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appeals and grievance adjudication, etc. UnitedHealthcare Employer & Individual ... array of products and services through four industry-leading... more |
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| Jan 18 | Appeals & Grievances Medical Director - Virtual Full and Part-Time | UnitedHealth Group | Hartford, CT |
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to provide innovative, affordable benefits services.UnitedHealthcare Medicare & ... and diversified array of products and services through four industry-leading... more |
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| Jun 01 | Strategic Sourcing Director Software | CIGNA | Hartford, CT |
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applications, such as claims processing and adjudication, case management, and predictive ... specific software: Claims management and adjudication; predictive analytics; case... more |
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| May 30 | Executive Director | Dignity Health Medical Foundation Affiliate Staff | Bakersfield, CA |
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ensure optimal reimbursement for healthcare services rendered 5. ... services in comparison to acute care based services and the interaction associated as... more |
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| May 30 | Medical Services Director | Affiliated Computer Services | Sacramento, CA |
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process outsourcing and IT outsourcing services, including data processing, HR ... and customer relationship management services for commercial and government... more |
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| May 30 | Medical Services Director | Xerox | Sacramento, CA |
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process outsourcing and IT outsourcing services, including data processing, HR ... and customer relationship management services for commercial and government... more |
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| May 30 | Assistant Director for the Office of Student Conduct and Conflict Resolution | Northeastern University | Boston, MA |
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Resolution. Additionally, the Assistant Director designs, implements and evaluates ... and student behavior. The Assistant Director is responsible for tracking student... more |
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| May 29 | Associate Medical Director - Corporate Maternal Child Health Job | AMERIGROUP | Virginia Beach, VA |
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19. Participates in risk management, claim adjudication, pharmacy utilization ... requests for non-urgent health care services. Qualifications: EDUCATION AND... more |
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| May 29 | Director, IBX Product Exchange (Dental) | Alliant Insurance Services | Chattanooga, TN |
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GA. SUMMARY The IBX Product Exchange Director is responsible the operational ... relations Director, the Product Exchange Director will share accountability for... more |
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| May 25 | Director, Managed Care Analytics and Reporting | Health Management Associates | Naples, FL |
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rammer support. Experience with Business Objects and SAP BPC products highly desired * Understand of medical coding systems affecting the adjudication of patient accounts in EDI... more |
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| May 25 | Associate Director of Judicial Affairs/Community Standards | Columbia University | New York, NY |
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or behavioral activities, the Associate Director utilizes the Dean's Discipline ... Affairs, Counseling and Psychological Services, Columbia University Athletics, the... more |
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| May 25 | KUAR Program Director | University of Arkansas at Little Rock | Little Rock, AR |
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and social situations. KUAR Program Director must lead by example; demonstrate ... A criminal conviction or arrest pending adjudication shall not disqualify an... more |
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| May 24 | SUPV ADJUDICATIONS OFFICER | Usajobs | Arlington, VA |
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benefits and services including the adjudication of naturalization applications, ... * Administering immigration benefits and services including the adjudication of... more |
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| May 18 | Resident Director-University Housing & Dining Services | Eastern Illinois University | Charleston, IL |
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student development, assignments, adjudication, advising, crisis intervention, ... in an e mail to Mr. Jody Stone, Assistant Director of Residential Life, at... more |
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| May 17 | Director Physician Revenue Cycle | Cheyenne Regional Medical Center | Cheyenne, WY |
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leadership and direction to ensure that services provided meet the needs of the ... Coordinates the collection and adjudication process of physician billing... more |
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| May 16 | Director Health Claims | Cno Financial Group | Carmel, IN |
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Summary: Reporting to the VP of Claims, the Director of Health Claims will identify and ... Health Claims Costs (Internal Claims Adjudication, Vendor Management, Controls... more |
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| May 15 | Student Judicial Programs - Assistant Director | Western Illinois University | Macomb, IL |
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Must have a thorough working knowledge of adjudication procedures and the Code of Student Conduct as administered by a University. Requires strong organizational, analytical, and... more |
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| May 08 | Residence Hall Director | Black Hills State University | Vermillion, SD |
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Life/Residential Life, Division of Student Services. RHD provides leadership and ... student activities, or student affairs/services are highly preferred. Proof of valid... more |
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| May 07 | Director Managed Care | Dignity Health | Rancho Cordova, CA |
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This position is a Director position responsible for directing and conducting managed care ... management capacity (preferably at a director level) in managed care contracting... more |
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| May 02 | EHS Director of Power Maintenance in Plant Services | Shaw Group | Baton Rouge, LA |
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design, construction, and maintenance services to government and private-sector ... guidance from the Sr. Director of Plant Services EH&S. Supports the Executive Vice... more |
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| May 01 | DIRECTOR OF ADMINISTRATION AND DEPARTMEN | University of Washington | Seattle, WA |
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Education Program: The Associate Director will have direct supervision of the Manager/staf ... The Associate Director would have indirect supervision of the Center/Institute Management... more |
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| Apr 25 | Medical Director, California Children's Services and Maternal, Child and Adolescent Health (APHO) | Santa Clara Valley Health and Hospital System | San Jose, CA |
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policy development regarding coordination of services for children with special health ... of high-quality preventive pediatric services through the Children and Adolescent... more |
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| Apr 24 | Associate Director, Voluntary Underwriting | Sun Life Financial | Portsmouth, NH |
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* Responsible for review of claims and underwriting prospects and renewals for cost savings opportunities in the Stop-Loss department utilizing extensive knowledge, expertise and... more |
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| Apr 24 | Illinois RAC Medical Director | HMS | Chicago, IL |
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how to provide references) Medical Director Vendor shall assign a full-time ... correct application of policies during claim adjudication, including through written... more |
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| Apr 20 | Interim Associate Director of Bands And Director of The Pride Marching Band - Commerce | Texas A&m University | Texas |
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and national music festivals, clinics and adjudication for ensembles, presentations of ... through the Texas A&M Online Employment Services website to be considered. Incomplete... more |
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| Apr 20 | Interim Associate Director of Bands and Director of the Pride Marching Band | Texas A&m University-commerce | Commerce, TX |
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and national music festivals, clinics and adjudication for ensembles, presentations of ... oversee basketball band, and serve as the Director of the Summer Music Camps. more |
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| Apr 19 | Claims Quality Assurance Director | Willis | Portsmouth, NH |
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Program team, the Claims Quality Assurance Director is responsible for coordinating the ... insurance claims examination, investigation, adjudication or advocacy, including auto,... more |
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| Apr 17 | Director of Claims | Bankers Financial | Saint Petersburg, FL |
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for daily claims operations. The Director will make recommendations for ... customers and actively marketing subsidiary services in and effort to obtain additional... more |
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| Apr 11 | Director, Business Services CMG | CaroMont Health | Gastonia, NC |
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and payer issues. In addition, the director will work cooperatively with other ... billing office meets the standards of CMG. Director will all provide general oversight... more |
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| Apr 09 | FAI - Director of Operations | First Administrators | Sioux City, IA |
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budgeting for multiple staff, and functions/services that comprise the Operations ... f. Internal support services including mail services, indexing, receptionist claims... more |
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| Mar 29 | Director of Student Organizations and Leadership - Administrator II | California State University, Sacramento | Sacramento, CA |
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Duties/Responsibilities The Director of Student Organizations and Leadership reports to th ... The Director additionally must mediate and/or adjudicate sensitive issues regarding clubs/... more |
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| Mar 26 | Assistant Director of Residence Life | Virginia Polytechnic Institute and State University | Blacksburg, VA |
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leadership to an area office that provides services to residential students, housing and ... experience related to college student services; demonstrated ability in staff... more |
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| Mar 18 | EXECUTIVE DIRECTOR | Schumacher Group | Dallas, TX |
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processing integrity and to achieve the adjudication and cash collection goals of the ... regions, departments, and Revenue Cycle Services business lines to assure seamless... more |
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| Mar 06 | Assistant to the Director (14372) | California State University | San Jose, CA |
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large.The Assistant Director reports to the Director of Student Conduct & Ethical ... adjudication of conduct cases. In absence of Director of Student Conduct & Ethical... more |
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| Mar 06 | Assistant to the Director (14372) | California State University, Chico | San Jose, CA |
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adjudication of conduct cases. In absence of Director of Student Conduct & Ethical ... networks with University Housing Services, University Police Department, other... more |
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| Mar 04 | Director, Contracting & Provider Relations | Centene | Milwaukee, WI |
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computer system to ensure accurate claims adjudication. Perform basic financial analyses to identify medical cost improvement opportunities, develop strategies to reach financial... more |
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| Feb 28 | Director, Revenue Cycle - APP | Asante Health System | Oregon |
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Virtually all medical specialties and services are represented in an organization ... methodologies for inpatient and outpatient services. Experience implementing changes... more |
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| Feb 23 | Technical Director | ManTech International | Washington, DC |
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for advancement. As the Technical Director, you will direct and guide the ... Assurance Programs for all products and services. Prepare Staffing Plans, including... more |
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