A company is looking for a Director of Appeals and Grievances.Key ResponsibilitiesManage a large Appeals and Grievance team and ensure compliant processing of casesConduct training, identify improvement opportunities, and ensure audit activities are performedOversee the timely processing of Appeals and Grievances while meeting Service Level AgreementsRequired Qualifications, Training, and EducationBachelor's degree in business administration, healthcare, or related field;
Master's degree preferredAt least 10 years of experience in a supervisory or management role, preferably in healthcare or insuranceMinimum of 5 years of experience in a grievance and appeals environment with knowledge of CMS regulationsExperience in medical benefits and healthcare industry regulationsCertification or progress toward certification in a relevant field is highly preferred
Senior Director of Sales and Marketing
Uses strong analytic skills and an in-depth understanding of the organization and the business in order to handle arising problems and issues. Knowledge of sales and marketing to include principles and methods for showing, promoting, and selling products or services to include marketing strategy and...
Exec Director - Learning and Performance Excellence
The Executive Director - Learning and Performance Excellence executes workplace learning and career development strategies; oversees the development and delivery of training/learning and development programs and resources; creates and implements processes for managers and peers to reinforce learning...
Director of Government Affairs and Advocacy
Support the Director of Policy and Research in drafting and submitting policy comments on behalf of CASL leadership at the city, state, and federal levels. How would you like to drive policy changes that uplift communities and advocate for equitable solutions? Join CASL as our Director of Government...
Senior Director of Marketing Analytics and Optimization
You will manage a team of analysts and testers, collaborating with media, merchandising and data teams to enhance campaign performance, optimize marketing investments, and maximize conversion rates and revenue growth. As a reflection of our current needs and planned growth, we are very pleased to of...
Director of Operations & Outreach
Specific responsibilities include: multidisciplinary research institute development, organize and lead workshops and symposia to encourage collaborations between stakeholders, strategic and operations planning, staff hiring and cross-functional team development, oversight of research administration,...
Assistant Director, Office of Sponsored Programs & Research Services
Position Information Position Title Assistant Director, Office of Sponsored Programs & Research Services Category Administrative Position Number TBD Posting Number S0001215 Location Hybrid - Chicago/Schaumburg Open Date 09/20/2024 Close Date 12/31/2024 Open Until Filled? No Job Type Full-Time Workin...
Associate Director, Finance and Grants Management
As the fine arts museum of the University of Chicago, the Smart Museum of Art is a site for rigorous inquiry and exchange that encourages the examination of complex issues through the lens of art objects and artistic practice. Through strong scholarly and community collaborations and a welcoming app...
Director of Finance and Budget Analysis
Collaborates with Associate Dean of Operations and Administration to develop, revise, and implement policy and procedures of finance areas (revenue/expense management), professional fee billing, grants/contracts and review financial feasibility and provide pro forma proposals to ensure interdependen...
Director of Digital Client and Partner Experience Optimization
Northern Trust is proud to provide innovative financial services and guidance to the world’s most successful individuals, families, and institutions by remaining true to our enduring principles of service, expertise, and integrity. Leadership and organizational skills are required to determine the B...
Associate Director of Business Development, Clinical Research
Under the direction of the Executive Director of Research, the Associate Director of Business Development for Clinical Research develops and implements growth strategies for obtaining clinical trials, including business development strategies and assessment, guidance and monitoring of operational ne...