Manages the team responsible for investigating and auditing healthcare providers to detect and prevent medical billing fraud, waste, and abuse. Reviews medical billing and insurance claims to identify billing anomalies, outliers, and patterns of upcoding, phantom billing, or duplicate charges. Compiles evidence and documents findings in investigative reports. Refers cases of fraud to law enforcement or state regulatory agencies. May take the lead on more complex investigations. Requires a bachelor's degree. Typically reports to a director. Manages subordinate staff in the day-to-day performanc... view job details

Manages the implementation of a patient experience strategy that supports the organization's mission, values, and goals. Oversees initiatives and projects to nurture and support a patient-centric culture across clinical, support, and administrative functions. Collects, measures, and analyzes patient, family, and staff sentiment data and feedback to identify areas for improvement. Coordinates role-based training to enhance each patient interaction. Requires a bachelor's degree. Typically reports to a director. Manages subordinate staff in the day-to-day performance of their jobs. True first lev... view job details

Oversees day to day activities of one or more functions within a hospital's business office. Responsible for admitting and registration, patient billing and collection, third-party payer relations, and/or preparation of insurance claims. Ensures activities comply with hospital standards and government regulations. May also be responsible for the patient admitting function. Generates budgets, financial statements, and various reports. Requires a bachelor's degree. Typically reports to the head of a unit/department. Manages subordinate staff in the day-to-day performance of their jobs. True firs... view job details

Manages the claims quality audit team to ensure accurate, consistent, and compliant evaluation of claims handling and outcomes. Oversees audit planning, execution, and reporting in accordance with established standards and schedules. Develops audit criteria, sampling methods, and quality metrics to measure performance and identify risks. Reviews audit findings, identifies root causes, and recommends corrective and process improvement actions. Provides technical guidance and training to auditors and partners with operational leaders on remediation. Ensures compliance with regulatory requirement... view job details

Manages the study and treatment of patients with emotional, mental, or psychological disorders. Oversees a team performing psychological and behavioral assessments for patients. Ensures behavioral analysts design and implement effective behavior intervention plans. Conducts reviews and audits to ensure compliance with clinical policies, guidelines, and regulations, and to improve the effectiveness of those policies. Implements new departmental initiatives and training programs and supports and supervises staff. Typically requires a bachelor's degree in psychology or related field. May require ... view job details

Manages a team responsible for creating and executing comprehensive market access strategies. Implements an integrated marketing strategy to deliver a strong product value proposition with the end user in mind. Manages the creation of marketing materials that communicate the unique attributes of the drug/medical device to external stakeholders including payer and trade channel recommendations. Provides strategic recommendations for pricing, patient access, reimbursement, and health systems strategy to support expanding the accessibility of the drug/medical device. Requires a bachelor's degree.... view job details

Manages the team responsible for providing nursing services in a physician office site. Responsible for implementing all nursing services in compliance with current local, state, and federal standards and regulations. Monitors the quality of patient care and services and makes recommendations and/or adjustments as needed. May provide direct patient care and is responsible for evaluating patient health. Typically requires a bachelor's degree in nursing. Requires Registered Nurse (RN). Typically reports to a director. Manages subordinate staff in the day-to-day performance of their jobs. True fi... view job details

Manages the team responsible for managing the onboarding and integration of new healthcare providers (doctors, clinicians, facilities) into an insurance network or health system. Monitors the coordination of credentialing, contracting, and compliance to ensure providers can legally and efficiently begin treating patients and billing for services. Collects and verifies licenses, certifications, and other required information to ensure compliance with state regulations and payer requirements. Requires a bachelor's degree. Typically reports to a director. Manages subordinate staff in the day-to-d... view job details

Responsible for managing the policies and procedures of voice communications. Ensures uninterrupted access to all voice telecommunication features including voicemail, ACD or PBX systems. Oversees the design and implementation of voice telecommunications networks. Selects vendors and negotiates contracts. Reviews reports on system specifications in support of system upgrades and makes final decision regarding updates. Involved in long-range or strategic voice communications plans. May require a bachelor's degree in area of specialty. Typically reports to a top management. Manages subordinate s... view job details

Manages and implements the plans, designs, and development of all aspects of network systems that will meet an organization's requirements for performance, security, and compliance with relevant standards and regulations. Identifies network requirements for hardware, software, and services that will provide optimal solutions and meet the capacity requirement for the organization. Conducts network architecture design, feasibility, and cost studies. Develops monitoring, maintenance, expansion, contingency, and recovery plans and strategies to ensure the network is responsive to changes in demand... view job details

Provides leadership, innovation, and oversight for data analytics operations to produce the data sets required to inform and develop insights and strategies for operational and business initiatives. Develops the data standards and deploys automation tools to obtain and process data from different sources. Constructs data sets to analyze, inform, identify trends, and support stakeholder decision-making. Builds processing capacity and team to support projects using statistical methods, modeling, analytical methodologies, and data analysis. Requires a bachelor's degree in business, a quantitative... view job details

Leads library operations and staff that develop and maintain a collection of technical information and provide research and reference support to researchers, scientists, and engineers. Builds an extensive network of technical information resources and contacts from various sources like government agencies, universities, professional and industry associations to obtain the required information. Communicates with researchers to develop and maintain a broad knowledge and understanding of the organization's relevant topics and effectively target technical publications as information sources. Creat... view job details

Manages the development, preparation, and maintenance of production schedules to guide the production activities and resources that achieve maximum efficiency and meet output and timeline objectives. Collaborates with internal teams to assess and incorporate materials, inventories, resource availability, and delivery commitments into schedules. Monitors production progress and develops revised scheduling responsive to changes in the flow of materials, designs, equipment, or other resources. Utilizes ERP systems, planning and scheduling software, or other database tools to develop and maintain ... view job details

Manages the order fulfillment process. Oversees order entry, administration, and shipping processes. Implements scalable business processes and customer service standards to deliver efficient order processing. Uses order tracking and CRM systems to process orders, maintain customer information, and monitor contracts or agreements for expiration or renewal. Monitors inventories utilizing systematic procedures to maintain appropriate levels of products. Coordinates with stakeholders to troubleshoot and resolve workflow issues. Requires a bachelor's degree. Typically reports to a head of a unit/d... view job details

Manages coordination of the flow of products manufactured by third parties to customers and develop enhancements to the optimization of supply chain operations. Monitors and analyzes key metrics including inventories, delivery time, lead times, and order cycles. Evaluates product forecasts, sales force forecasts, competitive information, and market conditions. Identifies trends, issues and opportunities for process improvements and efficiencies. Requires a bachelor's degree. Typically reports to a director. Manages subordinate staff in the day-to-day performance of their jobs. True first level... view job details

Establishes and implements import and export controls to ensure compliance with international trade laws and regulations. Collaborates with marketing and supply chain functions to ensure the organization meets the legal requirements of all countries where the company does business. Manages documentation processes to ensure that all required permits, licenses, and certifications are obtained. Monitors changes to compliance processes due to new or amended regulations. Possesses in-depth and up-to-date knowledge of customs rules and regulations and other related requirements for global shipping. ... view job details

Manages a team of engineers that are responsible for implementing, maintaining, and optimizing biopharma processes. Oversees the process simulations, modeling, and scale-up studies to ensure efficient and cost-effective production. Reviews and evaluates processes to enhance yield, productivity, and product quality. Identifies process bottlenecks, performs root cause analysis, and implements corrective actions to improve process performance. Ensures processes and procedures are in compliance with regulations and align with industry best practices. Stays current on emerging technologies and tren... view job details

Manages a team of professional services consultants responsible for providing advice and services to clients. Oversees professional services consulting engagements from strategy through implementation, ensuring timely and high-quality delivery of client solutions. Provides strategic guidance on selecting, implementing, and integrating solutions and/or technologies. Stays current on industry best practices and emerging trends and makes recommendations to clients accordingly. Requires a bachelor's degree. Typically reports to a director. Manages subordinate staff in the day-to-day performance of... view job details

Manages the field service operations of oil, gas, or mining machines and equipment on designated sites. Develops policies and procedures to ensure operations comply with all regulatory guidelines. Oversees the scheduling of routine maintenance on equipment to ensure uptime and adequate performance and researches and plans upgrades. Reviews and negotiates service contracts to ensure resources are adequate to meet obligated budget and deadlines. May require an associate degree. Typically reports to a director. Manages subordinate staff in the day-to-day performance of their jobs. True first leve... view job details

Manages marketing efforts and programs to support distributors, wholesalers, and retailers market and sell an organization's products. Develops sales promotions and ensures resources, materials, and displays align with the initiative's strategic message. Implements processes and procedures to educate and train partners about product uses and benefits and ensure effective communication with end-users. Collaborates with partners to ensure products are available, well-promoted, and properly displayed to increase brand awareness and sales opportunities. Reviews sales, orders, and various demand me... view job details