Claims Director

Job Summary:The Nurse Case Manager I is a critical role within Elevance Health, responsible for delivering high-quality care management services to members with complex and chronic care needs. This position requires a skilled and compassionate RN to assess, develop, implement, and evaluate care plans that optimize member health care across the care...

At Martins Point Health Care, we're committed to transforming our healthcare system while creating a healthier community.As a Utilization Review Nurse, you'll be part of a team that ensures high-quality, cost-efficient medical outcomes for our enrollees.This role involves reviewing prior authorization requests, notifications of emergent hospital admissions,...

Job Details Description At OneAmerica Financial, our purpose is to create more certainty for our customers that leads to better moments, every day. Our commitment is to advance stability and growth in every solution and relationship. We deliver financial strength that builds for generations, and we are always aspiring, looking ahead, and...

Job DescriptionPropel, an Alera Group company, is looking for a Senior Claims Advocate. We are seeking highly motivated colleagues who bring experience and enthusiasm to our team – joining us may be the perfect fit for you!  Alera Group was founded in 2017 and has grown to become the 15th largest broker of US business. We are passionate about our...

Propel, an Alera Group company, is looking for a Senior Claims Advocate. We are seeking highly motivated colleagues who bring experience and enthusiasm to our team – joining us may be the perfect fit for you!  Alera Group was founded in 2017 and has grown to become the 15th largest broker of US business. We are passionate about our clients’ success in...

Job DescriptionJob DescriptionJob Title: Contract Claims AttorneyLocation: Portland, OregonSchedule: Remote (must live within 50 miles of Portland, Oregon)Pay Details: $32/hr.Employment Type: Contract - 9 months  Job Description:LHH is currently seeking applicants on behalf of our client in Portland, Oregon. Our client urgently requires attorneys to...

Transforming Healthcare through Clinical Excellence PacificSource is seeking a highly skilled Senior Medical Director to lead our clinical development strategies and execution of clinical programs. As a key member of our leadership team, you will be responsible for driving improvement in clinical practices, developing and implementing strategic plans, and...

OverviewStaffing Director in Training ProgramJOIN AN OUTSTANDING TEAM! Marquis Companies has been in business since 1989. Marquis Companies is a growing and dynamic healthcare organization that employs several thousand employees across California, Oregon and Nevada. Marquis Companies consists of: Post-Acute Rehab and Assisted Living Facilities, Marquis at...

Job Title: Human Resources Director of Employee RelationsTouchmark is a mission-based, values-driven, for-profit senior living and hospitality company that strives to be both the best provider and the best senior housing employer in the markets we serve.Job Summary:We are seeking a highly experienced and skilled Human Resources Director of Employee Relations...

Job SummaryMartin's Point Health Care is seeking a skilled Utilization Review Nurse to join our team. As a key member of our Health Management Department, you will play a critical role in ensuring the receipt of high-quality, cost-efficient medical outcomes for our enrollees.Key ResponsibilitiesReview prior authorization requests for medical necessity,...

Job SummaryThe Contract Services Manager is responsible for managing commercial relationships with major OEM suppliers and strategic independent suppliers, tender management, leading bid events for major service contracts, as well as contract management and negotiations. This role supports the entire Operations team and reports to the Director, Commercial...

Join Martin's Point Health Care - an innovative, not-for-profit health care organization offering care and coverage to the people of Maine and beyond. As a joined force of "people caring for people," Martin's Point employees are on a mission to transform our health care system while creating a healthier community. Martin's Point employees enjoy an...

Join Martin's Point Health Care - an innovative, not-for-profit health care organization offering care and coverage to the people of Maine and beyond. As a joined force of "people caring for people," Martin's Point employees are on a mission to transform our health care system while creating a healthier community. Martin's Point employees enjoy an...

Join Martin's Point Health Care - an innovative, not-for-profit health care organization offering care and coverage to the people of Maine and beyond. As a joined force of "people caring for people," Martin's Point employees are on a mission to transform our health care system while creating a healthier community. Martin's Point employees enjoy an...

With guidance from the Director of Therapy Operations, using some independent judgment, Therapy Manager manages components of therapy operations, which may include inpatient or outpatient therapy, in accordance with current applicable federal, state, and local standards, regulations, and guidelines to assure that the highest degree of quality care is...

Join Martin's Point Health Care - an innovative, not-for-profit health care organization offering care and coverage to the people of Maine and beyond. As a joined force of "people caring for people," Martin's Point employees are on a mission to transform our health care system while creating a healthier community. Martin's Point employees enjoy an...

Medical Policy Research Analyst Intern 18 Week Part-Time Internship to start October/November 2024Remote from WA, OR, ID, or UTThe Medical Policy Research Analyst Intern will primarily identify, appraise, and summarize scientific literature and clinical practice guidelines for the development and implementation of medical policies to be used by Medical...

Overview:As the Staffing/Human Resources Director at Marquis Companies, you will play a vital role in shaping the future of our organization. This is an opportunity to make a positive impact in the world, grow your career, and work with a great team in a highly supportive and rewarding environment.Key responsibilities include screening, staffing, and...

Associate Mental Health Therapists. Remote and Hybrid Positions Available in Portland, Oregon. Come join our team! At Mindful Mental and Behavioral Health PLLC, we value our employees and our culture of respect, trustworthiness, transparency, empathy, engagement, and connection as we strive to provide the best treatment to those we serve.Serving clients in...

Mental Health Counselors and Social Workers. Remote and Hybrid Positions Available in Portland, Oregon.Come join our team! At Mindful Mental and Behavioral Health PLLC, we value our employees and our culture of respect, trustworthiness, transparency, empathy, engagement, and connection as we strive to provide the best treatment to those we serve.Serving...

About this roleThe Branch Manager is responsible for building and executing business plans designed to bring in new clients, build on existing relationships and grow the bottom line. Financially accountable for market sales plans, recruitment strategies, branch budget, Profit & Loss (P&L) management, and cost control. This role involves recruiting, training,...

About this roleThe Branch Manager is responsible for building and executing business plans designed to bring in new clients, build on existing relationships and grow the bottom line. Financially accountable for market sales plans, recruitment strategies, branch budget, Profit & Loss (P&L) management, and cost control. This role involves recruiting, training,...