Director of Appeals and Grievances
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
Divisional Director of Sales & Marketing
The Divisional Director of Sales and Marketing is responsible for hands on sales execution and revenue generation at communities within your assigned portfolio and helping to implement necessary Phoenix sales systems. Collaborates with Regional Directors of Operations (RDO)/ Community Engagement Dir...
Regional Director of Sales and Marketing -SC Residence Required
The Regional Director of Sales and Marketing will work closely with the Vice President of Sales and Marketing and the Home office team to ensure the highest level of Sales and Marketing support is provided, financial wellbeing of each community is reached, and business goals are met in accordance wi...
Director of Health and Wellness
The Team Member is frequently required to use hands to finger, handle, or feel; reach with hands and arms and talk or hear. TerraBella communities together account for more than 2200 units and span a full spectrum of senior living and care options, including Active Independent Living, Assisted Livin...
Director - Financial Operations - Physician Practices (Medical and Hospital Based)
The Director works closely with the corporate finance department and the physician practice leadership to develop, implement, and monitor the annual operating and capital budgets and business plans. A strong communicator and diplomat who is able to inspire and effectively communicate with wide and d...
Director of Catering
Keeps abreast of budgeted revenue goals and assists in putting together plans and actions or originates and generates business. Efficiently and effectively use Microsoft Outlook, Word, and Excel, and the Property Management System. We offer a pay range of $75,000 - $90,000 per year (based on experie...
Director of Communications and Outreach
Under the direction of the Dean, the Director of Communication and Outreach will be will be responsible for developing, managing, and executing strategic communication and outreach initiatives. Mercer University is searching for a Director of Communications and Events for the McAfee School of Theolo...
Site Director- Honey Springs BattleField and Visitor Center
Applicants must have a bachelor’s degree in history, historic preservation, museum studies, public or business administration, or a closely related field and a minimum of four years of professional experience in the management of museums, non-profits, or other related professional management experie...
Senior Director of HR and People Operations
The CDC Foundation helps CDC save and improve lives by unleashing the power of collaboration between CDC, philanthropies, corporations, organizations and individuals to protect the health, safety and security of America and the world. The Senior Director of HR and People Operations will play a strat...
Director of Food & Beverage
You are the Director of Food & Beverage and you lead one of the larger departments -- if not the largest department -- in the hotel. It is your role to ensure that both in-house and local clientele choose your hotel for their dinners and special events so revenues -- and thus profits -- are maximize...
Director of Nursing (DON)
The ideal candidate will have at least 2 years of Director of Nursing (DON) experience, and be a strong leader and customer-service focused. We respect your time and if you have 2 years experience as a DON, then you know what the job entails. ...