Top 909395 Manager, Learning & Performance Jobs

Supervisor, Focused Review
Delta Dental of Michigan —Okemos, MI
- Full-time
- Hybrid work
- 5 years
- Word processing
- Research
- Dental insurance
- Opportunities for advancement
Organizational Psychologist
Central Intelligence Agency —Washington, DC
- $179,891 - $288,000 a year
- Full-time
- 5 years
- Doctor of Philosophy
- Travel
- Health insurance
- Dental insurance
Learning & Development Manager
Bluegrass Supply Chain —Bowling Green, KY
- $80,000 - $90,000 a year
- Up to 50% travel
- 3 years
- Travel
Quick Apply
Manager, Learning Design & Innovation
American Society of Addiction Medicine —Rockville, MD
- $75,000 - $78,000 a year
- Full-time
- Hybrid work
- Background check
- Writing skills
- 3 years
- Health insurance
- Dental insurance
Quick Apply
Chief Human Resources Officer
Bancroft —Cherry Hill, NJ
- $200,000 - $250,000 a year
- Full-time
- 18 years or older
- Customer service
- 11+ years
Manager, Learning and Evaluation-Philanthropy
CareQuest Institute for Oral Health Inc —Remote
- $118,745 - $139,700 a year
- Full-time
- Remote
- 5 years
- Senior level
- Communication skills
- Disability insurance
- Health insurance
Quick Apply
Lead, Service Delivery Management
Pearson —Remote
- $140,000 - $150,000 a year
- Full-time
- Remote
- School experience
- 3 years
- Education
9d
Learning & Development Manager
California Dental Association —Remote
- $99,000 - $123,800 a year
- Full-time
- Hybrid work
- English
- 3 years
- Bachelor's degree
- Paid parental leave
- Health savings account
Quick Apply
Regional HR Manager
Leoforce —Midland, TX
- $150,000 - $200,000 a year
- Management
- Senior level
- 10 years
Quick Apply
3d
Senior Manager, Talent & Performance
PlayStation Global —New York, NY
- $186,600 - $279,800 a year
- Remote
- Criminal background check
- Organizational skills
- Fair chance
Quick Apply
Learning, Leadership, and Culture Manager
ThyssenKrupp —Hamilton, OH
- $95,000 - $115,000 a year
- English
- Continuous improvement
- Team management
- Health insurance
Learning & Development Manager
PDI —Woodcliff Lake, NJ
- $130,000 - $150,000 a year
- Hybrid work
- 5 years
- Master's degree
- Analysis skills
- Paid parental leave
- Paid holidays
Quick Apply
Assistant Manager Learning & Development
Sagility —Remote
- Remote
- Mid-level
Learning Development Program Manager
Veritext —Remote
- $67,760 - $80,000 a year
- Full-time
- Hybrid work
- Continuous improvement
- US work authorization
- Senior level
- Paid holidays
- Disability insurance
Quick Apply
10d
Learning and Development Manager
Minuteman Security Technologies Inc —Raleigh, NC
- $88,000 - $115,000 a year
- Full-time
- Continuous improvement
- Travel
- Organizational skills
- Paid holidays
- Health insurance
Senior Talent Development Manager
Chobani —Alabama
- $109,000 - $172,700 a year
- Full-time
- Remote
- Senior level
- 10 years
- Health savings account
- Paid holidays
Adjunct Faculty, Educational Leadership
American College of Education —Remote
- $50 per student
- Full-time
- Remote
- School experience
- Doctoral degree
- Mid-level
Quick Apply
7d
Learning Operations Manager
Chewy —Phoenix, AZ
- Full-time
- Microsoft Outlook
- Management
- Bachelor of Science
7d
Senior Learning & Development (L&D) Specialist
Veracity Insurance Solutions —Remote
- $75,000 - $90,000 a year
- Full-time
- Remote
- Writing skills
- 3 years
- Project management
- Paid holidays
- Health insurance
Quick Apply
Manager, Safeguarding Learning Pathways
UNITED STATES SOCCER FEDERATION 1 —Atlanta, GA
- Full-time
- Microsoft Excel
- Microsoft Outlook
- 5 years

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Supervisor, Focused Review

Delta Dental of Michigan -
Okemos, MI

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Job Details

Full-time

Benefits

Dental insurance
Opportunities for advancement

Qualifications

Contract documentation review
Healthcare financial misconduct investigations
Contract review
Word processing
Spreadsheets
Contract interpretation
Research
Internal investigations
Health insurance knowledge
Healthcare billing investigations
Insurance investigations
Presentation preparation
Productivity software
Insurance (Financial sectors)
Technical Proficiency
Data analysis software

Full Job Description

Job Title:

Supervisor, Focused Review

Number of Positions:

Location:

Okemos, MI

Location Specifics:

Hybrid Position

Job Summary:

At Delta Dental of Michigan, Ohio, and Indiana we work to improve oral health through benefit plans, advocacy and community support, and we amplify this mission by investing in initiatives that build healthy, smart, vibrant communities. We are one of the largest dental plan administrators in the country, and are part of the Delta Dental Plans Association, which operates two of the largest dental networks in the nation.

At Delta Dental, we celebrate our All In culture. It’s a mindset, feeling and attitude we wrap around all that we do – from taking charge of our careers, to helping colleagues and lending a hand in the community.

Position Description:

Plans, organizes, and supervises the Provider Auditor Focused Review Special Investigation Unit (SIU) , including oversight of data research and review, and audit and investigation activities. E nsures all team operations align with corporate and departmental goals and objectives, maintains compliance with applicable standards and policies, and supports continuous improvement in Focused Review processes.

Primary Job Responsibilities:

Supervises and monitors the daily administrative and technical functions of the Focused Review SIU teams, data research and review, and audit and investigation activities to ensure efficient, compliant operations that support departmental and corporate goals and objectives.
Supports staff recruitment, onboarding, and development by assisting with interviewing, training, mentoring, and evaluating team members to promote accountability and achievement of individual and team objectives.
Oversees staff engaged in data research, report development, and analytics, serving as a resource for audit and research questions and providing guidance to internal and external stakeholders on reporting issues, provider agreements, processing policies, client contracts, and regulatory compliance for both commercial and government programs.
Implements and enforces policies, procedures, and standards for audits and investigations, and assists in preparing departmental reports and analyzing business processes to ensure compliance with regulatory requirements for both commercial and government programs.
Facilitates communication with law enforcement and legal representatives by supporting the preparation of documentation and responses to subpoenas, and assisting with administrative or judicial proceedings related to fraud, waste, and abuse.
Builds and maintains collaborative relationships with business partners to provide operational support, clarify requirements, and promote effective use of SIU services and solutions.
Acts as a liaison for staff and internal departments, providing expertise and interpretation of dental policies, procedure codes, and processing guidelines related to claims adjudication, fraud, waste, and abuse activities.
Assists in developing and implementing departmental strategies, goals, and objectives to support continuous improvement and operational excellence.
Supports budget monitoring and resource allocation for the Focused Review SIU teams as directed by management.

Perform other related assigned duties as necessary to complete the Primary Job Responsibilities as described above.

#LI-Hybrid

Minimum Requirements:

Position requires a bachelor’s degree in business administration , criminal justice, or related field a nd five years of experience conducting investigations, audit s, or complex data analy sis within the insurance industry. Previous leadership experience is preferred , as well as experience reviewing claims activity, provider behavior, or group contract compliance. Will accept any suitable combination of education, training, or experience.

Position requires advanced knowledge of the insurance industry operations; strong investigative skills related to fraud, waste, and abuse; proficiency with analytic al tools, word processing, spreadsheet, and presentation software skills; strong verbal and written communication skills, strong organizational and analytical skills; the ability to lead investigative teams ; the ability to interpret contract language and identify indicators of fraudulent activity ; the ability to manage multiple assignments with competing deadlines; and the ability to resolve complex problems using independent judgment. Professional certifications such as CFE, CIA, AHFI are preferred .

The company will provide equal employment and advancement opportunity within the context of its unique business environment without regard to race, color, religion, gender, gender identity, gender expression, age, national origin, familial status, citizenship, genetic information, disability, sex, sexual orientation, marital status, pregnancy, height, weight, military status, or any other status protected under federal, state, or local law or ordinance.

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Refine Your Search

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Learning & Development Manager

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