UNKNOWN

FEED

Pursuant with sec 1033 of the Violent Crime Control and Law Enforcement Act of 1994, individuals who have been convicted of a felony crime involving dishonesty or breach of trust are prohibited from working in the insurance industry unless they obtain written consent from their state insurance commissioner. Necessary Contacts: In order to effectively fulfill this position, this position must be in contact with:Various internal and external entities including, but not limited to, all levels of BCBSLA personnel, attorneys, group leaders, members, hospitals, physician offices, and DOI.

Blue Cross and Blue Shield of Louisiana

Supervisor, Provider Disputes

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FULL_TIME

Location: Open to Baton Rouge or New Orleans Key ResponsibilitiesThe Director of Organizational Development provides leadership across four primary areas:Fund Development & Grant Administration: Lead STAR's grants and funding pipeline, coordinate complex proposals and reporting requirements, maintain funder and donor records, support donor cultivation and fundraising initiatives, and monitor development performance and funding risks. Organizational Development & Leadership: Develop cross-functional workflows, administrative controls, templates, and accountability systems; identify opportunities for continuous improvement; support strategic planning and organizational change; supervise assigned staff; and participate in executive-level planning, budgeting, risk management, and decision-making.

Sexual Trauma Awareness and Response

Director of Organizational Development

Talent Acquisition

OTHER

Bachelor's degree in Business, Health Care Administration or equivalent experience • U.S. Citizen • Must be able to receive a favorable Interim and adjudicated final Department of Defense (DoD) background investigation • 8+ years of leadership or account management experience in a managed care environment that includes end-to-end provider network delivery experience such as overseeing successful contracting, credentialing, data loading, and ongoing maintenance of any claims issues while working with both executive and operational stakeholders • 8+ years' provider healthcare experience spanning multiple provider types and across regions • Experience and fluency in health plan credentialing, provider data systems, healthcare analytics, and/or performance management. • Lead partnership, advocacy, and service delivery for a portfolio of Health Systems across multiple states, along with large Provider Group strategic partnerships and National providers • Support MVS Field Staff and Military Treatment Facility/VA Medical Center network/provider needs in their regions.

TriWest Healthcare Alliance

Dir, Ntwk Ops Engagement

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Pursuant with sec 1033 of the Violent Crime Control and Law Enforcement Act of 1994, individuals who have been convicted of a felony crime involving dishonesty or breach of trust are prohibited from working in the insurance industry unless they obtain written consent from their state insurance commissioner. Necessary Contacts: In order to effectively fulfill this position, this position must be in contact with: Various internal and external entities including, but not limited to, all levels of BCBSLA personnel, attorneys, group leaders, members, hospitals, physician offices, and DOI.

At the Blue Cross and Blue Shield Association (BCBSA), we provide business strategy, technical support and consulting expertise to 36 Blue Cross and Blue Shield companies across the nation, employing more than 1,000 of the best strategic thinkers in the industry.  We are a Brand manager that sets quality control standards for the 36 independent companies that use the Blue Cross and Blue Shield Brands, and we serve as a trade association that represents these Blue companies. It is through our involvement that the Blues companies share a united vision and strategy while also benefiting from the local strength of all member companies.

Blue Cross and Blue Shield Association

Task Processing:  Handle policy endorsements, audits, cancellations, reinstatements, lost policy releases, check requests, invoices, finance agreements, summaries of insurance, loss runs, MVRs, ID cards, certificates, binders, billing inaccuracies, and Agent of Record letters. New and Renewal Business Support:  Conduct client research, gather underwriting information, perform loss run analysis, prepare submissions, evaluate and negotiate coverages and pricing, prepare and present proposals, bind coverage, and follow up for policy issuance.

Care Provider Jobs in Mentor, OH

Supervisor, Provider Disputes Blue Cross and Blue Shield of Louisiana

Director of Organizational Development Sexual Trauma Awareness and Response

Dir, Ntwk Ops Engagement TriWest Healthcare Alliance

Supervisor, Provider Disputes Blue Cross and Blue Shield Association

Senior Account Associate- Commercial Insurance Insurance Office of America

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