Senior Manager, Claims Operations Analytics & Programs
4062 Aetna Resources, LLC
4062 Aetna Resources, LLC is looking for a qualified candidate to lead the Claim Operations Review program, ensuring the smooth operation and financial monitoring of claims processes. In this role, you will conduct in-depth analyses and provide insights into operational workflows. The ideal applicant will have at least 5 years of experience analyzing claims data and presenting findings to senior leaders. Proficiency in MS Excel and SQL is a must. This full-time position offers competitive pay and comprehensive benefits. #J-18808-Ljbffr 4062 Aetna Resources, LLC
$120k - $135k
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...delivering full-service pharmacy benefit management (PBM) solutions to self-insured... ...(EHP), which consolidates all claim administration-related workflows in... ...135,000 USD Position Summary The Senior Manager, Government Programs Operations is responsible for the overall...SeniorClaimsLocal areaRemote work$130k - $160k
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...leads the Aetna Business Unit Claim Operations Review program, providing 1) ongoing... ...members of the Claim Operations Analytics team; presents the... ...editing, Pended Claim Inventory management, Auto-adjudication,... ...analytical presentations to senior leaders. Demonstrated adaptability...SeniorClaimsHourly payFull timeTemporary workLocal area- NiCE is seeking a Lead Client Services Program Manager to join their Cloud Professional Services team in Hoboken, NJ. The successful candidate... ...managing multiple client programs and delivering cloud-based analytics services focused on financial crime compliance. Ideal...Senior
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...deep expertise in CRM analytics, funnel optimization,... ...opportunities, and alignment to program and revenue objectives... ...s degree. Experience operating within high‑... ...metrics, medical/pharmacy claims, and syndicated sales... ...analysis, funnel management, KPI definition, and inside...ClaimsFlexible hours$122.5k - $175k
Senior Partner Program Manager, Global Partner Incentives About Zscaler Zscaler accelerates... ...and launch through claims, validation, and payout -... ...with Finance, Marketing, Operations, and IT to drive automation... ...feedback, and performance analytics to refine incentive...SeniorClaimsFull timeWork at officeLocal areaWorldwide$82.94k - $199.14k
...one community at a time. CVS Media Exchange is hiring a Senior Manager, Sales Operations & Analytics. This role sits within the CMX Sales org and reports... ...CVS Health bonus, commission or short‑term incentive program in addition to the base pay range listed above. This position...SeniorHourly payFull timeTemporary workWork at officeLocal area2 days per week$67.9k - $199.14k
...an exciting opportunity for a Senior Informatics Manager to join our dynamic Risk Adjustment Analytics team! In this role, you will lead... ...medical and pharmacy claims, encounter, provider, and membership... ...government-regulated healthcare programs (Medicaid, Medicare, and/or...SeniorClaimsHourly payFull timeTemporary workWork experience placementLocal areaRemote work- Ellis Technologies, Inc. is seeking a Measurement Program Manager for the TikTok Marketing Science Measurement Team. This role involves driving program operations and establishing efficient processes while managing multiple projects in a dynamic environment. Candidates...
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- Transformcap is seeking a Senior Analyst to join our growing Analytics team in New York. The ideal candidate has over 3 years of experience in data analytics... ...solutions and provide strategic insights on pharmacy claims and healthcare trends. #J-18808-Ljbffr TransformcapSeniorClaimsRemote job
$60 - $70 per hour
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BerryDunn is hiring a Senior Consultant focused on Medicaid program integrity and claims audits. The ideal candidate will provide assistance on risk assessments and compliance, conduct audits, and develop corrective action plans. This position allows for remote, hybrid...SeniorClaimsRemote work- Highmark Health is seeking a senior leader to manage a team of actuarial and analytics professionals. This role will guide strategic initiatives in claims reserving and financial forecasting, ensuring operational excellence and financial stability across the organization...SeniorClaims
$72.8k - $115k
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Senior Programs and Business Operations Manager Join to apply for the Senior Programs and Business Operations Manager role at Airbnb Senior Programs and Business... ..., provides business critical insights using analytics, ensures cross-functional alignment of goals and execution...SeniorFull timeWork experience placementCasual workLive inWork at officeRemote workWorldwide$64.53k - $125k
Mount Sinai Medical Center is looking for a Program Manager II to support program leadership and manage multiple programs to meet established goals. The role involves overseeing daily operations, staff scheduling, preparing budget proposals, and developing program strategies...Senior$140k - $180k
Fluxon is seeking a Senior Program Manager - Sales Operations to own and lead operations driving revenue planning and execution. This fully remote role... ...candidate has 7+ years in relevant roles and proven analytical skills with tools like Excel. Fluxon offers a competitive...SeniorRemote job$106.61k - $284.28k
...Company Overview CVS Health's Analytics & Behavior Change (A&BC)... ...platform. Position Summary As a Senior Product Manager within the A&BC... ...with medical and pharmacy claims data and their application... ...commission or short‑term incentive program in addition to the base pay...SeniorClaimsHourly payFull timeTemporary workWork at officeLocal areaRemote work2 days per week1 day per week$185k - $225k
...aspire to be the best, and work with the best, this is where you belong. About the Role The Well-Being Senior Manager - Project Management, Programming, & Operations is an integral part of Latham’s Well-Being & Benefits team. This role will be responsible for using...SeniorTemporary workWork at officeFlexible hours3 days per week$120k - $140k
BerryDunn is seeking a Senior Consultant with expertise in Medicaid program integrity and claims audits. The role involves assisting clients in detecting fraud and conducting audits while ensuring compliance with federal regulations. Remote, hybrid, or office work is available...SeniorClaimsWork at officeRemote work$70k - $80k
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