199 file manager jobs found

Become a part of our caring community and help us put health first The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and Waste works within specific guidelines and procedures; applies advanced technical knowledge to solve moderately complex problems; receives assignments in the form of objectives and determines approach, resources, schedules and goals. Where You Come In The Manager, Fraud and Waste coordinates investigation with law enforcement authorities. Assembles evidence and documentation to support successful adjudication, where appropriate. Conducts on-site audits of provider records ensuring appropriateness of billing practices. Prepares complex investigative and audit reports. Decisions are typically related to resources, approach, and tactical operations for projects and initiatives involving own departmental area. Requires cross departmental collaboration, and conducts briefings and...

Become a part of our caring community and help us put health first The Director, Home Health Risk Management identifies and analyzes potential sources of risk, proactively ensuring controls and processes are in place to reduce risk. The Director, Home Health Risk Management requires an in-depth understanding of how organization capabilities interrelate across the Home Health segment. The Director of Risk Management for Home Health will be responsible for development and implementation of controls and cost-effective approaches to minimize risks to the organization as well as estimating the potential consequences of risks. Assesses and communicates information regarding business risks with functions across the organization. Their focus will be on CenterWell risk assessments, issue management, auditing and monitoring. Areas of oversight will include CenterWell Home Health, OneHome, as well as new growth initiatives. This role requires an in-depth understanding of Home Health...

Job Description: About Brown: Brown University is a leading research university distinct for its student-centered learning and deep sense of purpose. Our students, faculty and staff are driven by the idea that their work will have an impact in the world. Brown University offers a flexible work/life balance; summer hours, winter break and a comprehensive Benefits package including time off, annual paid holidays; benefits offerings including health, dental, vision, tuition assistance, retirement, wellness, employee discounts and more. To learn about Brown University’s benefits, visit the University Human Resources web page here for further information. About the Opportunity: At this dynamic cross-campus center, the Institute at Brown for Environment and Society (IBES), students and faculty conduct groundbreaking research and build creative solutions to complex 21st-century problems in climate and sustainability. Work at IBES combines an understanding of the natural world...

Brown University To view the full job posting and apply for this position, go to: https://brown.wd5.myworkdayjobs.com/en-US/staff-careers-brown/job/Sharpe-Refectory/Director-of-Culinary-Operations_REQ205016 Job Description The Director of Culinary will provide oversight of all culinary production actions within Residential and work closely in collaboration with the Director of Retail Operations in Retail dining. The Director of Culinary is responsible for the overall success of the food service operation, adhering to Brown Dining Services' culture and guidelines, the Health Department's regulations, and Brown Dining Services standards and expectations of food quality, freshness, and presentation. In this position, the Director of Culinary Operations is responsible for overseeing the sanitation and safety of the kitchen facilities while ensuring that all kitchen employees produce pleasant, aesthetically appealing, and nutritious food, while meeting financial budgetary goals....

Brown University To view the full job posting and apply for this position, go to: https://brown.wd5.myworkdayjobs.com/en-US/staff-careers-brown/job/South-Street-Landing/Assistant-Director-Compliance-and-Regulatory-Services_REQ204995 Job Description About Brown Brown University is a leading research university distinct for its student-centered learning and deep sense of purpose. Our students, faculty and staff are driven by the idea that their work will have an impact in the world. Brown University offers a flexible work/life balance; summer hours, winter break and a comprehensive Benefits package including time off, annual paid holidays; benefits offerings including health, dental, vision, tuition assistance, retirement, wellness, employee discounts and more. To learn about Brown University's benefits, visit the University Human Resources web page here for further information. About The Opportunity Reporting to the HRPP Director, the Assistant Director, Compliance and...

Summary: Meta's security team is the central engine driving data and system security. We work across all parts of the company, from corporate infrastructure to production to external services, interfacing with nearly every team in the company.We are looking for a Security Engineering Manager with experience supporting teams of engineers who focus on threat modeling, TTP identification, and detection engineering securing Meta's surfaces. You'll support a team of security engineers who work alongside Software Engineers and Offensive Security Engineers to identify critical assets, assess the top risks, and evaluate potential attacks against Meta systems. You will be working across engineering teams supporting Meta's Corporate, Cloud, and Production systems, serving over 3.2 billion daily active users, by supporting teams developing detection and response automation leveraging both industry-standard and custom detection and response platforms. Engineers on the Surface Coverage...

Become a part of our caring community and help us put health first The Compact licensed telephonic Care Manager works from home in a call center environment. They assess and evaluate members' needs and requirements to achieve or maintain optimal wellness by providing care coordination and facilitating member or family interaction with resources appropriate for the care and wellbeing of the member. Job Description Humana Care Support is a division of Humana dedicated to helping adults remain independent in their homes. Our nurses are called Care Managers, because our case management services are centered on the person rather than the condition. The Care Manager uses a range of strategies and techniques to manage a member's physical, environmental, and psycho-social health issues. They identify and resolve barriers to effective care and continuously monitor progress through assessments and evaluations to ensure members achieve their desired health outcomes. Role...

Become a part of our caring community and help us put health first The Senior Product Manager Conceives of, develops, delivers, and manages products for customer use. The Senior Product Manager work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Senior Product Manager is a senior individual contributor who orchestrates complex, cross-platform technology initiatives that advance enterprise strategy and operational reliability. As a Senior Product Manager, you will plan and manage the enhancement and/or integration of the business products with a special focus on clinical care management and technology solutions. This role is pivotal in translating business vision into scalable technology solutions, ensuring seamless integration across platforms such as clinical care management platforms, telephony, data systems, and enterprise architecture. The Senior Product Manager will...

Become a part of our caring community and help us put health first Care Manager Support Assistants assist in ensuring TRICARE beneficiaries receive the highest quality health care for Autism Spectrum Disorder (ASD) related services in accordance with the Autism Care Demonstration (ACD). This role supports the Autism Service Navigator (ASN) by verifying eligibility for the ACD and monitoring and supporting the family for 180 to assist with any barriers to accessing services; education and initial registration into ECHO registration portal for active duty family members; assistance with regional transfers and ensuring the receiving Managed Care Support Contractor receives the appropriate paperwork; processes faxes for ECHO eligibility or other paperwork pertaining to ACD requirements such as eligibility, referrals, etc.; and identification of ABA providers and researching necessary resources to support the beneficiary. KEY ACCOUNTABILITIES Assist beneficiaries with...

Become a part of our caring community and help us put health first The Care Manager, Telephonic Nurse utilizes clinical nursing skills to support the coordination, documentation, and communication of medical services and/or benefit administration. The work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. Associate will be expected to participate in weekend rotation a minimum of one hour each on Saturday and Sunday once every 17 weeks. Work schedule can be between 8am-6:30pm EST. The Care Manager Telephonic Nurse uses clinical knowledge, communication skills, and independent critical thinking skills to provide the best and most appropriate treatment, care or services for members. Coordinates and communicates with providers, members, or other parties to facilitate optimal care and treatment. Understands department, segment, and organizational strategy and operating objectives, including their...

Sumitomo Pharma Co., Ltd., is a global pharmaceutical company based in Japan with operations in the U.S. (Sumitomo Pharma America, Inc.), focused on addressing patient needs in oncology, urology, women's health, rare diseases, cell & gene therapies and CNS. With several marketed products and a diverse pipeline of early- to late-stage investigational assets, we aim to accelerate discovery, research, and development to bring novel therapies to patients sooner. For more information on SMPA, visit our website https://www.us.sumitomo-pharma.com or follow us on LinkedIn. Job Overview We are currently seeking a dynamic, highly motivated, and experienced individual for the position of Manager, Clinical Records Management. The Manager, Clinical Records Management will work in Clinical Operations under the leadership of Clinical Records Lead or similar, playing a pivotal role in supporting all aspects of central records for clinical studies across Phase 1-4. The Manager,...

Become a part of our caring community and help us put health first With over 10 million sales interactions annually, Humana understands that while great products are important, it's the quality of our service that truly defines us. We know that when our members and prospects have delightful and memorable experiences, it strengthens their connection with us and enables us to put their Health First. After all, a health services company that has multiple ways to improve the lives of its customers is uniquely positioned to put those customers at the center of everything it does. Are you passionate about the Medicare population, looking for a role in management with the ability to directly impact your own income potential? If so, we are looking for licensed, highly motivated and self-driven individuals to join our team. Our Senior Manager, Medicare Sales, motivates and drives a team of Medicare Sales Field Agents who sell individual health plan products and educate beneficiaries...

Become a part of our caring community and help us put health first The Senior Pharmacy Contracting Professional conducts all aspects of pharmaceutical contracting and pricing including development, implementation, and maintenance. The Senior Pharmacy Contracting Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The Senior Pharmacy Contracting Professional ensures contract compliance and performs analysis regarding pharmacy claims and purchasing data to identify future contracting opportunities. Begins to influence department's strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude in determining objectives and approaches to assignments. Use your skills to make an impact Required Qualifications Bachelor's...

Become a part of our caring community and help us put health first The Workforce Management Professional 1 applies and integrates advanced and predictive analysis, people metrics and reporting to develop strategic and operational insights for workforce decision-making (e.g., staffing, learning and development, talent management, diversity and human resource compliance). The Workforce Management Professional 1 work assignments are often straightforward and of moderate complexity. The Workforce Management Professional 1 assesses organizational staffing and identifies requirements and solutions to meet workforce objectives. Provides analysis of talent and staffing needs based on strategic planning at the enterprise level. Understands own work area professional concepts/standards, regulations, strategies and operating standards. Makes decisions regarding own work approach/priorities, and follows direction. Work is managed and often guided by precedent and/or documented...

Manager, Project Management Brown University To view the full job posting and apply for this position, go to: https://brown.wd5.myworkdayjobs.com/en-US/staff-careers-brown/job/South-Street-Landing/Manager---Project-Management_REQ205051 Job Description Manager, Project Manager Office of Information Technology This position is responsible for driving the IT project process, and ensuring that it aligns with OIT's strategic objectives and the University's IT project governance practices. In conjunction with the Director, IT Strategy, Project and Portfolio Management this incumbent will be responsible for making sure that the OIT project portfolio is an effective tool for wedding the University IT governance process with available resources and project execution. They will manage the team of IT project managers and ensure that project processes and standards are established and followed resulting in campus confidence that IT projects will be successfully delivered on time...

Become a part of our caring community and help us put health first Humana is evolving its marketing operations to enable smarter planning, faster execution, and greater transparency-and we're looking for a product manager to lead that effort. As Senior Associate/Product Manager - Marketing Resource Management (MRM) Capabilities, you'll own the roadmap for tools and workflows that support campaign intake, planning, approvals, and performance tracking. This role is central to enabling scalable, compliant, and insight-driven marketing operations. You'll help guide the transition to a modern resource management platform and evaluate opportunities to integrate with enterprise workflow systems to support intelligent orchestration. This role supports the day-to-day configuration and optimization of marketing resource management tools and workflows. You'll work closely with cross-functional teams-including Marketing, Creative, Legal, and IT-to ensure campaign planning and...

Job Description Data Center Manager - ACTIVE SECURITY CLEARANCE REQUIRED (Ft. Worth, TX) Are you interested in supporting large-scale distributed infrastructure for the cloud? Oracle is aggressively investing in the Oracle Cloud to provide the broadest, most comprehensive service offerings in the industry and transforming how Enterprises view the cloud. Only Oracle offers a complete suite of integrated services that include applications as a service, platform as a service and infrastructure as a service - eliminating the data and business process fragmentation that come with cloud silos. If this is the challenge you are looking for and you meet the following requirements, we want to talk to you! Department Description: Oracle's Cloud Data Center Operations team is building and supporting new Infrastructure-as-a-Service technologies that operate at high scale in a broadly distributed multi-tenant cloud environment. Our customers run their businesses on our cloud,...

Brown University To view the full job posting and apply for this position, go to: https://brown.wd5.myworkdayjobs.com/en-US/staff-careers-brown/job/Pizzitola/Assistant-Director-for-Student-Athlete-Professional-Success_REQ204849 Job Description Brown University Athletics and Recreation is seeking a forward-thinking, relationship-driven professional to serve as the Assistant Director for Student-Athlete Professional Success. As a proud member of the Ivy League, Brown Athletics and Recreation supports 34 varsity programs and over 1,000 student-athletes competing at the NCAA Division I level. This position offers the opportunity to make a tangible impact in shaping the future success of Brown's exceptional student-athletes-on and off the field. The Assistant Director will lead BrownSPARK, a signature initiative that connects Brown student-athletes with alumni mentors for immersive, project-based professional experiences. By leveraging the power of Brown's global alumni network,...

Become a part of our caring community and help us put health first With over 10 million sales interactions annually, Humana understands that while great products are important, it's the quality of our service that truly defines us. We know that when our members and prospects have delightful and memorable experiences, it strengthens their connection with us and enables us to put their Health First. After all, a health services company that has multiple ways to improve the lives of its customers is uniquely positioned to put those customers at the center of everything it does. The Product Owner 2 is responsible for conveying product vision and roadmap to an Agile delivery team by defining user stories and prioritizing product backlog. The Product Owner 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Product Owner 2 maximizes the value of product created by Agile team. Is the liaison...

Become a part of our caring community and help us put health first The Senior Workforce Management Professional applies and integrates advanced and predictive analysis, people metrics and reporting to develop strategic and operational insights for workforce decision-making (e.g., staffing, learning and development, talent management, diversity and human resource compliance). The Senior Workforce Management Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The Senior Forecasting Analyst plays a pivotal role in shaping strategic workforce planning through advanced forecasting methodologies, comprehensive data analysis, and insightful consultation. This position is responsible for overseeing and refining staffing forecasts, optimizing resource allocation for contact center and back-office operations, and driving continuous improvement in workforce management...

Brown University To view the full job posting and apply for this position, go to: https://brown.wd5.myworkdayjobs.com/en-US/staff-careers-brown/job/225-Dyer-Street/Residential-Graduate-Staff--Pre-College-Student-Life_REQ205058 Job Description ABOUT US: The Division of Pre-College and Undergraduate Programs is dedicated to ensuring a supportive, challenging, inclusive, and developmentally appropriate living and learning environment for the approximately 6,000 pre-college students who hail from all 50 states in the U.S. and over 70 countries. A leader in the field of higher education institutions that provide rigorous academic opportunities to students, Brown University's Pre-College Programs offer high school students (13-18 years old) an opportunity to study a wide range of liberal arts subjects that reflect the breadth of Brown's undergraduate Open Curriculum while strengthening their connection to a robust community of peer scholars from around the world. Students...

Become a part of our caring community and help us put health first Who We Are Humana's CenterWell Senior Primary Care Organization is one of the largest and fastest growing value-based care, senior-focused primary care providers in the country. CenterWell Medical Group is the newest line of business under the CenterWell umbrella, providing virtual wraparound services to a broad population of members who need it the most. We're a fast-growing organization changing how clinical care is delivered - using innovation, data, and technology to keep patients healthier. Our team is mission-driven, collaborative, and unafraid to challenge the status quo in healthcare. About the Role We're seeking a Clinical Operations Lead for CenterWell Medical Group who brings energy, creativity, and a bias toward action in transforming healthcare. This is a hands-on role for someone who loves to take big ideas and turn them into tangible results. Reporting directly to the Chief Medical...

Become a part of our caring community and help us put health first This team would support mass moves, provider departures, center consolidations / relocations, mergers and acquisitions and health plan terminations. Their goal would be to reduce membership loss / enable us to retain the highest amount of membership across these experiences. We want a team to be able to help navigate the members we gain from these efforts through changes, questions or concerns and generally provide churn reducing, customer service. We envision this role would not involve any sales, would be the most entry level role in my org and would help to potentially develop a career path into our other existing roles. W * * ork schedule: M-F, 8:30am-5:00pm EST Role Responsibilities: Conduct outbound and answer inbound calls related to any attrition mitigation marketing communications PCP Terminations - Help ensure engaged members get their questions answered, understand the...

Brown University To view the full job posting and apply for this position, go to: https://brown.wd5.myworkdayjobs.com/en-US/staff-careers-brown/job/South-Street-Landing/Manager--Public-Safety-Applications_REQ204843-1 Job Description Manager, Public Safety Applications Office of Information Technology This position oversees and manages the application needs of Brown University's Department of Public Safety, a sworn, fully-functioning law enforcement agency operating 24/7 to protect and serve the Brown community. The incumbent is responsible for the acquisition, integration, and management of the department's application needs, including access control, CCTV, LPRs, computer-aided dispatch, incident reporting/records management software, mobile data systems, alarms, communications, and compliance. Manage the on call 24x7 responsibilities for the team, including participation in the on call rotation. Education & Experience Bachelor's degree preferred. 5 years...