Director of Claims Operations & Vendor Governance
AMIDA CARE INC.
AMIDA CARE INC. is looking for a Senior Director of Claims and Vendor Management in New York City. This position will oversee the operations of the Claims and Vendor Management Teams, aiming to improve overall efficiency and compliance. The ideal candidate must have over 5 years of senior-level Medicaid experience along with strong leadership skills. Responsibilities include managing vendor relationships, ensuring compliance, and enhancing claims processing procedures. Amida Care is dedicated to diversity and inclusion, fostering an equitable workplace for all. #J-18808-Ljbffr AMIDA CARE INC.
$64.8k - $86.74k
...Director of Operations We’re seeking a Director of Operations to take ownership of the operational... ...across underwriting, carriers, regulators, vendors, and parent company support teams to... ...operational hub across underwriting, claims, administrators, and leadership to...ClaimsOverseas$66.46k - $129.59k
...support to Molina functional areas (Claims, and claims configuration) through... ...documentation, management of program controls, vendor practices, budgets, governance frameworks, playbooks and best... ...education and experience. Operational Process Improvement experience. Managed...ClaimsWork experience placement- ...members, Antidote has a great opportunity. JOB SUMMARY The Director of Health Plan Operations, Claims is responsible for the overall administration and... ...COB, payment integrity, FWA, and payment optimization vendors. Serve as a business lead for claims operations. Act as...ClaimsWork at officeLocal areaFlexible hoursShift work
- ...do every day. The Deputy Director of Pharmacy Operations is responsible for oversight... ...ensure PBM and pharmacy vendors meet contractual obligations... ...in pharmacy management of government programs (Medicare,... ...interpretation of pharmacy claims data and other clinical data...ClaimsContract work
$125k - $165k
...floor. We are bringing our revenue cycle operations fully in-house and are looking for an... ...lasting impact on the organization. The Director of Revenue Operations will lead the transition... ...lines, including utilization review, claims management, payer relations,...ClaimsFull timeContract workRemote work$21.53 per hour
...Review open sales orders, purchase orders, vendor claims, and transfers. Confere with regional... ...the effective management of warehouse operations and prevention of inventory shrink,... ...assigned employees comply with company, government, and customer policies, procedures, and...ClaimsFlexible hours$110k - $130k
...solutions is seeking a Manager, Servicing Enablement to oversee the operational performance of third-party sub-servicers. The role requires... ...of mortgage and HELOC servicing operations, managing vendor performance, and ensuring compliance with regulatory requirements...$70k - $78k
...proactively with clients on how to improve our operations. Hire, develop, train, and supervise a... ...'s budget. Identify all procurement and vendor service needs of the location. Perform... .... Monitor and review all damage claims. Recommend and implement plans or programs...ClaimsWork at office$90k - $110k
...seeking a Manager of Logistics & Operations to support the execution of... ...’ll report directly to our Director of Operations & Logistics. You... ...Operating Procedures), vendor guidelines, routing guides, and... ...including chargeback analysis and claims management for all retail...ClaimsTemporary workRemote workHome office- B&H Photo Video in New York is seeking a detail-oriented VC Associate to manage vendor claims and ensure timely payments. The role requires strong organizational skills and proficiency in financial data analysis, as well as effective communication and interpersonal abilities...Claims
- ...DESCRIPTION As the Technology Support Director - Enterprise Software Vendor Management within our technology... ..., including strategic relationship governance, contract lifecycle management, and... ...policies, tooling, and operating cadences that provide real-time visibility...Contract work
$135k - $185k
...The Senior Manager, Data Operations & Governance will own the ingestion, integrity... ...pushing back on vendors when data quality slips, and... ...Reports to: Associate Director, Commercial Analytics. Roles... ...specialty pharmacy, REMS, claims, and field/CRM data Serve...ClaimsWork at officeRemote workVisa sponsorshipWork visa$160k - $180k
The Regional Director of Technology provides strategic leadership, governance, and oversight for all technology operations across multiple properties within US operations. The role ensures... ...-performing teams Investment & Vendor Management Manage budgets and investments...Full time$154.7k - $252.3k
...Excellence team within Reddit’s GTM Strategy & Operations organization. GTM Excellence is... ...role, you'll own and evolve a critical vendor-supported Ad Review program, driving improvements... ...to improve execution, strengthen governance, and ensure teams are delivering against...For contractorsFlexible hours$159.19k - $199.01k
Amida Care, Inc. is hiring a Senior Director of Claims and Vendor Management in New York City. This full-time role involves overseeing claims and vendor management operations, ensuring compliance, and enhancing efficiency. Required qualifications include a bachelor’s degree...ClaimsFull time- ...Operations & Purchasing Coordinator Clearwater Shower Bath Keep Projects Moving. Keep Operations... ...Coordinator who can keep materials, vendors, inventory, and daily operations running... ...staged for the day Manage returns, claims, and defective material reporting Help keep...ClaimsFull timeMonday to Friday
$85k - $125k
...processes and support legal, compliance, and operational priorities. Working closely with... ...help manage client agreements, maintain governance standards, and contribute to broader business... ...Draft, review, and negotiate client, vendor, and employment contracts while ensuring...Hourly payContract workWork at office3 days per week- Engle Martin and Associates, LLC. is seeking an Operations Team Leader to oversee a team of Operations Specialists. This role involves ensuring effective scheduling and resource allocation, managing vendor communications, and refining operational processes. The ideal candidate...ClaimsRemote job
- Prosperhealth in New York is seeking an RCM Operations Lead to own billing operations and manage a team for efficient revenue cycle management. Your role involves handling claims lifecycle, vendor relations, and ensuring seamless billing processes. The ideal candidate...Claims
- ...evaluate sales against finance documents, and craft final agreements. You will coordinate with contractors, gather bids, and select vendors to ensure on-time project completion while maintaining customer satisfaction. The role requires the authority to adjust schedules,...Contract workFor contractors
$222.67k - $292.26k
...myeloma. Legend Biotech is seeking a Sr. Director, Clinical Operations Capabilities and Standards as part of... ...Trial Operational Technologies, Vendor Alliance Management, Site Contracts &... ...responsible for the strategic ownership, governance, and optimization of clinical trial...Permanent employmentFull timeTemporary workFor contractorsLocal areaWorldwideFlexible hours$111.78k - $146.71k
Hi, we're Oscar. We're hiring a Program Manager, Vendor Management Operations to join our Workforce Management team. Oscar is the first health insurance... ...the organization. You will report into the Associate Director, Workforce Management. Work Location: This position is...Full timeWork at officeFlexible hours$25 - $28 per hour
...proactively with clients on how to improve our operations. Hire, develop, train, and supervise a... ...s budget. Identify all procurement and vendor service needs of the location. Perform... .... Monitor and review all damage claims.Recommend and implement plans or programs...ClaimsHourly payTemporary workWork at officeFlexible hours$216k - $252k
About the Team Governance, Risk, and Compliance (GRC) is foundational to Security delivering... .... We are technical in what we build but operational in how we do our work, and we partner... ...maintaining our security and compliance claims and giving customers, auditors, and regulators...Claims- ..., the complexity of that function grows with us. The RCM Operations Lead owns Prosper's revenue cycle day-to-day. This role sits... ...at the center of our billing function — responsible for claim management, vendor oversight, managing our offshore RCM team, answering internal...Claims
- ...be responsible for the daily operations, maintenance, and support of... ...Resolution & Support, Death Claims/COBRA/ & Leave Management, and... ...stakeholders such as benefit vendors to ensure effective service delivery... ...on Ethics and Lobbying in Government (the “Commission”). MTA and...ClaimsWork at officeWeekend workAfternoon shift1 day per week
$99.57k - $116.16k
...Job Title: Manager, Benefit Operations Department/Division: Benefits... ...Resolution & Support, Death Claims/COBRA & Leave Management, and... ...stakeholders such as benefit vendors to ensure effective service delivery... ...on Ethics and Lobbying in Government. Equal Employment...ClaimsFull timePart timeWork at officeWeekend workAfternoon shift1 day per week- ...a motivated and results-driven Assistant Operations Manager to join our team at our Secaucus,... ...necessary. Collect, check, verify and approve vendor invoices and transfer the same to Sea... ...). Assist vessel/owner in handling claim cases. Assist vessels in the arrangements...ClaimsLocal areaShift work
- ...From medical providers to administration & operational staff, there is a career here for you.... ...Job Summary Job Summary: The Associate Director of Operations for Outpatient Services will... ...top denial reasons; first-pass clean claim rate. Charge lag and days to bill from date...ClaimsTemporary workWork at office
$66.46k - $129.59k
...oversee policy and workflow documentation for claims management. The role involves budget... ...legal and compliance teams to maintain governance standards. Applicants should have at... ...or project management, experience with operational process improvement, and familiarity with...Claims
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