DIRECTOR OF CLAIMS QUALITY jobs in CITY OF YORK, United Kingdom

, Brooklyn, Manhattan, Queens, and Staten Island through a comprehensive range of products. Director of Claims Quality – Hybrid... facilitation of a data and metrics-driven Claims Quality Assurance and Performance oversight program to ensure payment accuracy...

guidelines Strong experience in the analysis and processing of claims, quality assurance, CMS payment methodologies (i.e., DRGs... and analysis of inpatient medical claims utilizing NYCHSRO/MedReview and payer specific systems, adjudication platforms, policies...

Overview of Role: The Deputy Compliance Director is responsible for supporting the Compliance Director in all aspects... Director regarding key issues and developments. Monitoring day-to-day operation of the pension, annuity and health processing...

by developing medicines that provide truly meaningful improvements in quality of life and survival for people with cancer.... What you’ll be doing The Executive Director, Compliance at Nuvation Bio will be responsible for leading the compliance...

by developing medicines that provide truly meaningful improvements in quality of life and survival for people with cancer.... What you’ll be doing The Executive Director, Legal at Nuvation Bio will be responsible for leading the healthcare and commercial...

a Managing Director, New York to provide seasoned, disciplined, and effective management of the KIND field office, including...-support functions. As the head of KIND's local office, the Managing Director, New York is a critical member of the...

perspective on workplace flexibility. Position Purpose: Assist the Chief Medical Director to direct and coordinate the medical... management, quality improvement and credentialing functions for the business unit. Provides medical leadership...

risks, optimizing claims processes, and ensuring compliance with safety protocols. Additionally, the director...Director of Risk Management Co. NY, NJ Hybrid 200-250k Job Overview: The Director of the Loss Control/Risk...

authentic Italian food at our restaurants, cafés and to-go counters SHOP a selection of high-quality Italian, local... and homemade products LEARN through our classes and our team's product knowledge Job Description The Director, Benefits...

management, gaps in care, claims editing, use of resources and quality. Performs high dollar claims, complex case reviews... and difficult medical cases. Participates in the QARR/HEDIS Quality Improvement Activities and utilization management of the...

Sr Managing Director - UC05AE We’re determined to make a difference and are proud to be an insurance company..., legal and compliance guidelines, meeting our quality standards and effectively exhibiting judgment when guidelines...

Managing Security/Loss Prevention Operations Assists the Director of Engineering in administering fire prevention programs... first aid program for guests and employees. Oversees the claims process and protects company assets by closely...

- Processing invoices and T&E expense claims for team members. Ensure all policies are followed and items are processed... which includes requesting equipment setup and system access Produce high quality emails and messages to individuals at all levels...

and quality execution of these strategies. Primary responsibilities will include: Working closely with the VP of Product... as key support in top-to-top meetings with VP of Product and Growth and Executive Director of Strategic Planning...

, arbitration, and contract negotiation proceedings. Partner with the HR Director to investigate and respond to employment claims... is prepared from scratch to provide the freshest quality ingredients and menu selections on a daily basis. Menus are rotated every...

of high quality, great experience at a lower cost. Acacia champions a collaborative environment to deliver vital health... requests for services to the Medical Director when guidelines are not met and reviewing residential services requiring MCO...

(and later, the first long-wear foundation), Revlon has provided consumers with high-quality product innovation, performance... our insights growth agenda across the Mass, Professional and Prestige businesses. Reporting to the Director, Consumer Insights, the...