Senior Supplemental Health Claims Strategist
Pacific Life
Pacific Life is seeking a Senior Supplemental Health Claims Specialist to support complex claims administration from Omaha, NE or remotely in Tennessee. The role sits in the Workforce Benefits Division and drives timely, fair adjudication with expert knowledge of policy provisions and regulatory requirements. You will improve workflows, partner with Compliance, Legal, and Billing, and mentor teammates while delivering high-quality service to policyholders and stakeholders alike. #J-18808-Ljbffr Pacific Life
$69.39k - $84.81k
...balance, and resources to make a positive impact on the future - including your own. We’re actively seeking a talented Senior Supplemental Health Claims Specialist to join our Team in Omaha, NE or remote in Tennessee. As a Senior Supplemental Health Claims Specialist you...SeniorClaimsRemote workFlexible hours- ...Senior Sales Strategist We are seeking a Senior Sales Strategist to serve as the escalation point for high-value or highly skeptical claimants... ...for a confident communicator who can step in when a claim has stalled, a claimant has become unresponsive, or additional...SeniorClaims
- Vanderbilt Health in Tennessee seeks a skilled coder to review, accurately assign, and abstract professional and outpatient facility codes for encounters, using designated coding classifications to ensure compliant coding practices. The role supports ongoing staff training...SeniorWork experience placement
- ...Senior Vice President, Liability Operational Strategy About the Company Renowned provider... ...Hospitals & Clinics Life and Health Managed Care Medical Testing & Clinical... ...~ ancillary benefit management ~ claims management ~ provider network ~ pharmacy...SeniorClaims
- ...ABOUT US A Specialty Path to Good Health Upperline Health is the nation's largest... ...center of value-based care. About the Senior Counsel, Healthcare Compliance The Senior... ..., the Anti-Kickback Statute, the False Claims Act, state fraud and abuse laws, HIPAA...SeniorClaimsFull timeTemporary workImmediate start
$160k - $210k
Job-ID: 202606592Category: Health and Benefits ConsultingLocation... ...absence management strategies and claims audit services. Product based... ...goals are met· Serve as senior level escalation point for client... ...company-paid life insurance, supplemental life insurance, AD&D, group...SeniorClaimsTemporary workSeasonal workLocal areaVisa sponsorshipWork visaFlexible hours- ...Nashville, TN, US 2 days ago Requisition ID: 1713 Lucent Health combines top-tier claims management with a compassionate, human-focused, data-... ...benefits partner for self-insured employers. Summary The Senior Accountant - Corporate Spend role is a cross-functional role...SeniorClaimsLocal area
$20 - $36 per hour
...Work Better For Everyone Optum Insight is improving the flow of health data and information to create a more connected system. We... ...outstanding overpayments (95% of your day can be on phones) Provide claims expertise support by reviewing, researching, investigating,...SeniorClaimsHourly payMinimum wageFull timeContract workWork experience placementLocal areaMonday to FridayShift work$37 per hour
Senior Care Specialist (Registered Nurse) - Work From Home About Sagility Sagility combines... ..., provider solutions, payment integrity, claims cost containment, and analytics. Sagility... ...support members with chronic and complex health conditions. Working by phone, you will...SeniorClaimsHourly payDaily paidSeasonal workRemote workWork from home$46.99k - $122.4k
We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At... ...advanced Excel modeling techniques to analyze large sets of pharmacy claims data and build forward looking financial forecasts and profit...SeniorClaimsHourly payFull timeTemporary workWork experience placementLocal area$91.7k - $163.7k
...PricingCompany: UnitedHealth GroupAt UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing... ...performance-based contractsIntermediate level of knowledge of claims processing systems and guidelines*All employees working remotely...SeniorClaimsMinimum wageFull timeContract workWork experience placementLocal areaRemote work- ...across the country.Founded in 2017, Upperline Health is the nation's largest multispecialty... ...lives of the patients we serve.About the Senior Data AnalystOur organization is in a... ...critical link between Finance, Accounting, and claims-level data across our organization.This...SeniorClaimsFull timeWork at officeRemote work
- ...innovation and growth.Practice Overview:Ankura’s Health Care team is a recognized leader in... ..., and law firms.Role Overview:The Senior Managing Director will be an executive-level... ...review, the analysis of coding and billing of claims, quality control procedures, and the...SeniorClaimsFull timeRemote work
$198.8k - $391.6k
...initiatives involving access, claims, care management, and... ...Healthcare Product Strategy Senior Manager, you will support healthcare... .... Our team includes business strategists, operations experts, designers... ...+ years of experience across health plans, healthcare providers,...SeniorClaimsLocal areaVisa sponsorship$124k - $280k
.../ Operations Consultant you will advise health payer clients on modernizing operations and... ..., within our Advisory practice. As a Senior Manager you will lead large projects, shape... ...operations, with focus areas that may include claims processing, reimbursement models,...SeniorClaimsFull timeH1bWork at office- ...services, project management, and analytical business resources in the health care industry. As a trusted advisor, Projé provides the... ...Health Insurance Organization, specifically a HealthRules Payer claims system Implementation/Migration. Proven Expertise in HealthRules...SeniorClaimsFull timeLive outRemote workFlexible hours
- ...proven delivery leader who combines strong health payer industry knowledge, technology... ...and building trusted relationships with senior client executives.As an Accenture Senior... ...knowledge of core payer processes such as claims, enrollment and eligibility, benefits, and...SeniorClaimsWork experience placementLive inWork at officeLocal area
- ...Eliassen Group is seeking a Senior Business Analyst to bridge business units and IT, translating needs into actionable requirements and designs for technology solutions. The focus includes claims insurance with Guidewire Claims Center experience highly desired. This remote...SeniorClaimsFull timeContract workRemote work
- ...Overview Ardent Health is a leading provider of healthcare in growing mid-sized urban... ...states. POSITION SUMMARY: The Senior IT Systems Analyst is responsible for... ...applications, primarily Epic Professional Billing Claims . The analyst will routinely perform in...SeniorClaimsFull time
- ...complex planning strategies, with a focus on preserving and transferring wealth across generations. Position Overview The Senior Wealth Strategist will serve high net worth clients as the family strategist to include trusts and estate administration. This position is responsible...SeniorTemporary workH1bWork at officeLocal areaFlexible hours
- Mamaya Health is seeking an experienced Accounts Receivable Assistant to join our Revenue Cycle Management team. This role focuses on accurate claims management, insurance follow-up, denial resolution, payment research, and maintaining outstanding AR. The ideal candidate...ClaimsRemote job
$750 per month
...Overview Navitus Health Solutions is seeking a Sr. Account Executive to join our team! The Sr. Account Executive (Sr. AE) is a senior level individual contributor responsible for full strategic... .... Translate complex reporting, claims adjudication concepts, and clinical...SeniorClaimsWork experience placementFlexible hours- TwelveStone Health Partners Inc is hiring a full-time Account Reimbursement Specialist in Nashville. The role focuses on resolving insurance and patient account balances, including pursuing denied claims and coordinating with payors. The ideal candidate has at least three...ClaimsFull time
- A leading real estate investment company in Nashville is looking for a motivated Senior Leasing Associate to build customer relationships and decrease vacancies. Responsibilities include researching landlords, analyzing industry trends, and negotiating lease terms. The...Senior
- AMSURG is seeking a Sr. Licensure & Certification Specialist to support the Director and L&C department. This remote-centric hybrid role involves renewal of licenses, enrollments, and regulatory reporting for ambulatory surgery centers nationwide. Ideal candidate has an...SeniorRemote job
- Amsive in New York is seeking a Sr. Specialist, SEO to support organic search clients across health, finance, tech and B2B sectors. You’ll develop and execute content and technical SEO strategies, work with a larger team, and translate performance data into actionable...SeniorRemote job
- ...that is revolutionizing global health. At Vireo Systems and pH-D... ...connectswith consumers and grows. The Senior Social Media Manager will... ...consistency accurate product claims and proper disclosures.... ...reporting tools. ~ Wellness or supplement experience is preferred....SeniorClaimsFull timeRemote work
$140k - $160k
...Description Job Description About Blackbird Health Blackbird Health is clinician-founded,... ...Blackbird Health is looking to hire a Senior Director, Revenue Cycle Management (RCM)... ...performance (DAR, A/R aging, clean claim rates) to broader business growth with an...SeniorClaimsInterim role$114.6k - $234.6k
...Oracle is seeking a US-based Senior Principal Energy Program Manager... ...and renewable energy claims: Global Reporting Initiative... ...as immunization/occupational health mandates, and/or drug testing... ...Life insurance and AD&D ~ Supplemental life insurance (Employee/Spouse...SeniorClaimsContract workTemporary workFor contractorsFlexible hours- A healthcare marketing services firm is seeking a Senior Account Executive, Communications, based in Nashville, TN. The role involves crafting communication strategies for top healthcare clients and requires strong media relations and project management skills. Suitable...Senior
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