- R1 RCM (Boise, ID)
- …encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our ** Claims Processing Operations Lead ,** you will ... providing solutions for internal teams. **Here's what you will experience working as a Claims Processing Operations Lead :** + Lead team meetings and… more
- CVS Health (Franklin, TN)
- …Summary** The Team Lead for the Medicare Supplement Claims Processing team is responsible for overseeing day-to-day operations to ensure timely, ... claims . * Step in to assist with claims processing during peak volumes or staffing...claims processing , preferably with Medicare Supplement claims . * Proven ability to lead or… more
- Axis (Alpharetta, GA)
- …to join to join our Business Technology Services (BTS) division, focusing on supporting claims operations and our claims value stream in a fast-paced ... will be responsible to the agile value stream team lead , ensuring alignment with our agile principles and goals....and SQL database queries to create solutions that enhance claims processing . + Develop and maintain system… more
- Providence (Renton, WA)
- …4 years Experience in Managed Care operations , including a minimum of 3 years claims processing experience, in a TPA, MSO, HMO, PHO or large group practice ... claims adjudicator with at least 3 years prior claims processing experience and a proven track...Pacific Medical Centers, or equivalent external experience in a lead capacity. + Experience with information systems supporting the… more
- TEKsystems (Honolulu, HI)
- …contract to hire, FTE Description The Claims Manager will oversee the claims processing operations , ensuring accuracy, efficiency, and compliance with ... Claims Processing : Oversee the end-to-end claims processing operations , ensuring timely...improvements to enhance operational efficiency and accuracy. Team Management: Lead and mentor a team of ICT testers and… more
- Guardian Life (Bethlehem, PA)
- … Claims , you will play a key role in supporting the Life Insurance claims processing , product and system configuration on Claims management platform and ... will offer a depth and breadth of knowledge of claims processing systems including integration points, data...configuration management. The role will work closely with the claims Operations and Technical teams to identify… more
- HCA Healthcare (Nashville, TN)
- …Physician's Services Group and other corporate departments that will mutually benefit the Claims Department and the organization. + Lead and/or participate in ... Do you want to join an organization that invests in you as a(an) Sr Claims Supervisor? At HCA Healthcare, you come first. HCA Healthcare has committed up to $300… more
- System One (Newtown Square, PA)
- …in high-volume claims environments. + Extensive knowledge of healthcare claims processing , adjudication, and compliance. + Demonstrated success in managing ... are seeking an experienced and strategic Director of Health Claims Administration to lead and oversee all...+ Minimum 10 years of progressive experience in health claims administration and health plan operations . +… more
- Kemper (Henderson, NV)
- …processing and performance metrics. **Position Responsibilities:** + Manages the day-to-day operations for assigned claims staff by establishing schedules and ... on our promises._ **Position Summary:** At Kemper, an Auto Claims Manager is responsible for the oversight of all...Manager is responsible for the oversight of all claim processing and management activities assigned to claim units. This… more
- Commander, Navy Installations (Millington, TN)
- …basic accounting procedures and processes, related to verifying, reconciling, and processing claims /transactions. Ability to conduct research to resolve ... and financial data pertaining to components within the CYP Joint Operations Community Based Fee Assistance Program. Reviews child registration and enrollment… more
- Cognizant (Austin, TX)
- …is a work-from-home position with day shifts and no travel required. **Responsibilities** + Lead and oversee the daily operations of the team to ensure efficient ... **Team Lead Configuration Healthcare** This position is Hybrid. **Job...candidate will have mandatory technical skills in Facets - Claims and Facets with a preference for domain experience… more
- The County of Los Angeles (Los Angeles, CA)
- MANAGER, AUTOPSY OPERATIONS AND SUPPORT SERVICES Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4670156) Apply MANAGER, AUTOPSY OPERATIONS ... through subordinate supervisors. + Develops, implements, and evaluates daily operations , processes, and procedures to achieve established goals and objectives… more
- Elevance Health (Norfolk, VA)
- …Requirements** : + HS diploma or equivalent and a minimum of 2 years of claims processing and/or customer service experience; or any combination of education and ... : + AA/AS or higher-level degree preferred. + Experience processing claims with CI&W (WGS) preferred. +...claims with CI&W (WGS) preferred. + Healthcare commercial claims operations experience preferred. + JAA experience… more
- Geronimo Energy LLC (Crawford County, OH)
- …beneficial for rural communities. Position Description National Grid Renewables is seeking a Lead Technician to join our team. The Lead Technician provides the ... Sycamore Creek Solar plant in Crawford County, Ohio. The Lead Technician will perform maintenance, repairs, and replacement of...generation plant, and leads in all areas of plant operations as directed by the Area Manager with a… more
- The Cigna Group (Jefferson City, MO)
- …The Lead Analyst will support analytics of operational data, specific to claims processing , adjustments, and PDE/Encounters for the client. The role will ... **Product Management Lead Analyst - Centene Operations Management** The job profile for this position is Product Management Lead Analyst, which is a Band 3… more
- Applied Materials (Santa Clara, CA)
- …actions with appropriate groups to improve metrics and address exceptions. + Lead the design and implementation of new business processes. Develop and drive ... and has regional impact; includes integration of processes with Outsourced Logistics Operations providers. + Weekly review of process control exceptions that result… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- …maintenance of everyday health. This position of Biometrics Planning and Integration Lead manages the biometrics deliverables for key drug development projects in a ... operational excellence in the planning and delivery of key Biometrics data operations , dataset development, analyses and reporting through their partnership with the… more
- Otsuka America Pharmaceutical Inc. (Annapolis, MD)
- …Efficiency and Process Improvement** + Identify opportunities for process improvement and lead initiatives to streamline GMA operations worldwide + Implement and ... an exceptional Associate Director of Global Medical Affairs (GMA) Excellence & Operations to support our emerging rare disease portfolio, following our recent… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- …on a first best in class in-line novel therapies. The **Omnichannel Therapeutic Area Lead ** is a part of the Omnichannel COE team of Business Partners responsible ... and travel is expected based on business needs **Job Description:** + Lead the development & implementation of Customer Experience design and Omnichannel expertise.… more
- Humana (Columbus, OH)
- …, technology, communications, and processes + Solid understanding of healthcare operations , particularly around claims processing , enrollment, provider ... a part of our caring community and help us put health first** The Lead , Technology Solutions devises an effective strategy for executing and delivering on IT… more