- Takeda Pharmaceutical (Boston, MA)
- …driving alignment of the labeling strategy and labeling content.Interface with Senior Management Cross-Functional Team (GLOC)In alignment with TAU/MPD Labeling Lead, ... coordinates the process to obtain labeling approval by Labeling Senior Management Cross-functional team (Global Labeling Oversight Committee - GLOC) providing… more
- Merck & Co. (Rahway, NJ)
- …and category strategy alignment, sourcing and contracting execution, contract and claims management, project and risk management practices, and supplier relationship ... your capital procurement expertise to influence global project teams and senior management in developing procurement strategies for large capital projects, ensuring… more
- SR International, Inc. (Phoenix, AZ)
- …intervention, and evaluation *InterQual Criteria *CCI *Coding: CPT, HCPCS, ICD-9 * Medical Claims Review *Statistical analysis *Computer data retrieval and ... own laptop SOAZ - Posting ID # 5297 - Medical Review Nurse (Local Only/Mostly Remote /Onsite Trainings)...written and communication skills *Computer skills *Utilization Review skills * Medical Claims Review skills *Producing work products… more
- TEKsystems (San Antonio, TX)
- TEKsystems is looking to hire several FULLY REMOTE Seasoned Medical Claims Analyst for a large healthcare client. **If you have 5+ years of completing a deep ... level of research within PBM claims , and have 3+ years of experience running queries...for this temporary role may include the following: * Medical , dental & vision * Critical Illness, Accident, and… more
- TEKsystems (Orlando, FL)
- Senior Medical Claims Analyst ( Remote ) Contract Duration: Through January 2026 (with potential for extension) Location: Remote (US based) Schedule: ... About the Role We're seeking a detail-oriented and analytical Senior Claims Analyst to join our team....strong technical skills and a background in pharmacy or medical claims . You'll play a key role… more
- Providence (CA)
- **Description** ** Senior Professional Liability Medical Claims Manager This position works R** **_emote._** **Many states eligible.** **Providence caregivers ... people, we must empower them.** **Providence is calling a Sr . Professional Liability Medical Claims ...and take proper steps to pay vendors + Inform Senior Manager Operations of large or complex claims… more
- NTT DATA North America (Ontario, CA)
- …**Job Description** To serve as a senior -level adjudicator and SME for medical claims within the Xcelys environment. Provide subject-matter expertise on ... ** Senior Claims Examiner (Xcelys System)** **NTT...**Key Duties & Responsibilities** -Adjudication & Review -Process comprehensive medical claims using Xcelys and associated subsystems… more
- Insight Global (Brookfield, WI)
- …ensure successful deployment, adoption, and sustained optimization of the product across claims operations. * Provide expert guidance on medical management, ... intelligence (AI) to analyze structured and unstructured data to predict high-cost claims . The product team can assemble data from unstructured sources, build… more
- NTT DATA North America (Ontario, CA)
- NTT DATA is currently seeking ** Senior Medical Claims Examiners (3+ years of Xcelys required)** to join our US based team. This is a 100% remote role. ... as a senior -level adjudicator and SME for medical claims within the Xcelys environment. Provide...for specific roles. The starting hourly range for this remote role is **$20.00 - $21.00/hourly** . This range… more
- TEKsystems (Chicago, IL)
- …is building a project team to support the coupon process within their claims system. They are currently developing automation that will allow uploaded coupons to ... automatically adjust claims with accurate billing. However, at present, a claim...for this temporary role may include the following: * Medical , dental & vision * Critical Illness, Accident, and… more
- CVS Health (Richardson, TX)
- …local to Richardson, TX and be willing to be hybrid, we may consider remote US for the right candidate. Within the application development area, you will: + ... to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and… more
- Sedgwick (Portland, OR)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr . Adjuster - Multiline ( Remote in Portland, OR) As an adjuster at ... + Apply your adjuster knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver innovative customer-facing… more
- Two95 International Inc. (New York, NY)
- Job Title: Sr . Analytics Consultant Job type : Remote Work Type : 6+ Months Contract with extension Rate : $Market /Hour Requirements Job Description: Primary ... of healthcare data, including data from EMR/EHR and/or from medical and pharmacy administrative claims ; strong preference will be given to those with expertise… more
- Sedgwick (Rancho Cucamonga, CA)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr . Executive General Adjuster ( Remote in California) As an adjuster at ... + This role will be primarily responsible for **_Large Complex Property_** claims . **PRIMARY PURPOSE** **:** To investigate losses or claims internationally… more
- GuideOne Insurance (San Francisco, CA)
- The Senior Workers' Compensation Adjuster is responsible for managing moderate to complex workers' compensation claims from initial investigation through ... settlement authority up to $175,000 and involves handling a broad range of claims . Guidance from the home office is typically reserved for high-value, unique, or… more
- Fairview Health Services (Minneapolis, MN)
- **Job Overview** The **Epic Professional Billing Sr Application Analyst** role will provide technical expertise and leadership, including configuring, documenting, ... the business requirements into software specifications. This position is ** remote ** and requires on call rotation 1 week after...role + Epic Certification in Hospital Billing / PB Claims / HB Claims would be ideal.… more
- Parsons Corporation (Centreville, VA)
- …what you're looking for. **Job Description:** Parsons is looking for an amazingly talented ** Sr . Financial Specialist ( Remote )** to join our team! In this role ... Integrated Delivery Projects: NAV over $5M, retention, negative cashflow, Exposure Report, claims report. + Support Project Managers to ensure forecasts are correct… more
- Snapsheet (IL)
- About Snapsheet: Snapsheet exists to simplify claims . We leverage our expertise in virtual estimating and innovative claims management technology, transforming ... claims process - delivering faster, modern experiences for claims organizations of all sizes. What you'll get: +... organizations of all sizes. What you'll get: + Remote working environment - your new commute is however… more
- Zelis (St. Petersburg, FL)
- …focused on supervising a team of Clinician's performing clinical reviews of facility claims , including UB's, Itemized Bills and medical records, to verify ... and operational support to the Manager, Clinical Chart Review, Sr . Level Clinicians and Operations Analysts as directed by...output and queues for timely and proper management of claims . + Ensure client turnaround times and specific processing… more
- UIC Government Services and the Bowhead Family of Companies (Dahlgren, VA)
- **Overview** SR . ELECTRICAL ENGINEER (E30-2025-23396) Bowhead seeks to network with a Sr . Electrical Engineer to join our team at the Naval Surface Warfare ... full onsite work at the Bowhead office or Navy installation. No remote opportunity for this contract **Responsibilities** The Electrical Engineer will design,… more
