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Dallas, TX  -  Jan 7

Utilization Review Nurse


AIG

... perform first level utilization review for workers’ compensation claims, based on review criteria and protocols in accordance ... do not meet clinical review criteria with Medical Director for final determination. 7. Assists in UR file preparations to ensure completeness and accuracy upon notice of reconsideration or appeal. 8. Performs other related ...
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Jersey City, NJ  -  Jan 7
Salary: $65,000 to $130,000 per year

Director of Service Operations - Healthcare


Cascades Tissue Group-TN, Inc.

Director of Service Operations w/ Healthcare background! BlueCard experience is a plus! Director of Service Operations - Healthcare near Newark, NJ ... Not a fit for this job? Search other Director of Service Operations jobs! Are you an employer? ... Experience Required At least 2 Years Short Description Director of Service Operations w/ Healthcare background! BlueCard experience ...
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De Pere, WI  -  Dec 29

TL Customer Service QA


Multiplan

... accessing our network products, and some 65 million claims processed through our networks each year, we're the ... To work closely with the team and the Director of QA to ensure that weekly deliverables are completed ...
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Seattle, WA  -  Dec 20

Director, Clinical Account Management - (Can be located anywhere


UnitedHealth group

... US-WA-Seattle Reference Code: 1215447 Position Type: Full-Time Employee Director, Clinical Account Management - (Can be located anywhere ... order pharmacy facilities, specialty drugs and retail drug claims processing. ...
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Sylva, NC  -  Dec 14

Area Director/Chief Executive Officer


Smoky Mountain Center

... Counties. Accepting applications for the following: FULL-TIME AREA DIRECTOR/CHIEF EXECUTIVE OFFICER: The CEO will manage & oversee ... Utilization Management, Provider Community Relations , Provider Contracting, Claims Adjudication, Accounting, Finance, Human Resources, Information Technology & Quality Improvement. The CEO will be responsible for: the recruitment of staff, establishing priorities, and the ...
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Jersey City, NJ  -  Dec 12
Salary: $65,000 to $130,000 per year

Director of Service Operations - Healthcare


Cascades Tissue Group-TN, Inc.

Director of Service Operations w/ Healthcare background! BlueCard experience is a plus! Director of Service Operations - Healthcare near Newark, NJ ... Not a fit for this job? Search other Director of Service Operations jobs! Are you an employer? ... Experience Required At least 2 Years Short Description Director of Service Operations w/ Healthcare background! BlueCard experience ...
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Jersey City, NJ  -  Dec 11
Salary: $65,000 to $130,000 per year

Director of Service Operations - Healthcare


Cascades Tissue Group-TN, Inc.

Director of Service Operations w/ Healthcare background! BlueCard experience is a plus! Director of Service Operations - Healthcare near Newark, NJ ... Not a fit for this job? Search other Director of Service Operations jobs! Are you an employer? ... Experience Required At least 2 Years Short Description Director of Service Operations w/ Healthcare background! BlueCard experience ...
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Dec 8

Director of Risk Management


Northwest Medical Center

... hospital-wide risk management program including clinical risk management, claims management, program development and risk management education for ... of professional and general liability risk exposures. The Director will provide consultation and education to facility leadership, clinical personnel, board of trustees and medical staff members related to risk exposures including risk prevention ...
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Sylva, NC  -  Dec 7

Area Director/Chief Executive Officer


Smoky Mountain Center

... Counties. Accepting applications for the following: FULL-TIME AREA DIRECTOR/ CHIEF EXECUTIVE OFFICER: The CEO will manage & ... Utilization Management, Provider Community Relations , Provider Contracting, Claims Adjudication, Accounting, Finance, Human Resources, Information Technology & Quality Improvement. The CEO will be responsible for: the recruitment of staff, establishing priorities, and the ...
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Jersey City, NJ  -  Dec 3
Salary: $65,000 to $130,000 per year

Director of Service Operations - Healthcare


Cascades Tissue Group-TN, Inc.

Director of Service Operations w/ Healthcare background! BlueCard experience is a plus! Director of Service Operations - Healthcare near Newark, NJ ... Not a fit for this job? Search other Director of Service Operations jobs! Are you an employer? ... Experience Required At least 2 Years Short Description Director of Service Operations w/ Healthcare background! BlueCard experience ...
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Woodland Hills, CA  -  Dec 3

Director I Customer Care - Multi 37687


WellPoint

... a commitment to leadership, integrity, innovation and community. Director I Customer Care - Multi 37687 Job Description ... for directing the operations of multiple functions within claims, customer service, and/or enrollment and billing. Essential duties ... to: Directs the operations of multiple functions, including claims and customer service. May also direct operations of ...
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Jersey City, NJ  -  Nov 26
Salary: $65,000 to $130,000 per year

Director of Service Operations - Healthcare


Cascades Tissue Group-TN, Inc.

Director of Service Operations w/ Healthcare background! BlueCard experience is a plus! Director of Service Operations - Healthcare near Newark, NJ ... Not a fit for this job? Search other Director of Service Operations jobs! Are you an employer? ... Experience Required At least 2 Years Short Description Director of Service Operations w/ Healthcare background! BlueCard experience ...
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Jersey City, NJ  -  Nov 23
Salary: $65,000 to $130,000 per year

Director of Service Operations - Healthcare


Cascades Tissue Group-TN, Inc.

Director of Service Operations w/ Healthcare background! BlueCard experience is a plus! Director of Service Operations - Healthcare near Newark, NJ ... Not a fit for this job? Search other Director of Service Operations jobs! Are you an employer? ... Experience Required At least 2 Years Short Description Director of Service Operations w/ Healthcare background! BlueCard experience ...
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Jersey City, NJ  -  Nov 20
Salary: $65,000 to $130,000 per year

Director of Service Operations - Healthcare


Cascades Tissue Group-TN, Inc.

Director of Service Operations w/ Healthcare background! BlueCard experience is a plus! Director of Service Operations - Healthcare near Newark, NJ ... Not a fit for this job? Search other Director of Service Operations jobs! Are you an employer? ... Experience Required At least 2 Years Short Description Director of Service Operations w/ Healthcare background! BlueCard experience ...
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Orlando, FL  -  Nov 18

Director of Sales or Director of Business Development


Burdock Group

... efforts with the addition of an experienced sales director or business development. Currently, Burdock Group welcomes resumes ... also regularly perform efficacy assessments for potential health claims, and provide regulatory advice. The ideal Director must: " Identify strategically sound sales opportunities " ...
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Seattle, WA  -  Nov 11

Gold and Agent Customer Care Director


Safeco Insurance

... have for a Gold and Agent Customer Care Director. We are looking for an experienced, driven and customer focused professional to join our Claims and Customer Care team. In the role of Gold and Agent Customer Care Director will: Report the Vice Present of Customer Care, ...
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