Senior Medical Claims Team Lead
Providence Health Plan Group
Providence is seeking a Claims Supervisor to oversee the day-to-day operations of the Claims Processing and UM Denial Letter Units. Working under the direction of the Manager, Claims, you will supervise staff and ensure reporting and compliance with AB1455 and CMS guidelines. Join Providence to support patient-centered care within a collaborative team and enjoy our comprehensive benefits and professional growth opportunities across the Providence network. #J-18808-Ljbffr Providence Health Plan Group
- ...Journal is seeking an intermediate-level workers' compensation claims handler with California experience to manage moderate to difficult... ...within authority. The role includes reserving, managing medical bills, and facilitating return to work, within state law requirements...SeniorMedicalClaims
- UnitedHealth Group is seeking a Senior Recovery Resolution Analyst to validate provider claims against medical records and apply coding guidelines in post-payment reviews.... ...determine payment accuracy, and collaborate with teams while maintaining caseload and productivity in...SeniorMedicalClaimsRemote job
- Sedgwick Claims Management Services Ltd. is hiring for a Senior RN Consultant in Professional Liability. You will investigate, analyze, and evaluate complex medical malpractice claims for self-insured and commercial clients, providing medical knowledge to determine liability...SeniorMedicalClaims
- ...the United States seeks a Disability Adjudicator III (FFTL) to provide expert consultation and adjudication for disability claims within the Medical Relations Branch. This is a federally funded time-limited FFTL position, non-merit, eligible for the same benefits as...SeniorMedicalClaimsPermanent employment
- ...exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally. At Chubb, we... ..., national origin, ancestry, mental and physical disability, medical condition, genetic information, military and veteran status, age...SeniorMedicalClaimsLocal area
$24 - $43 per hour
...healthier lives. The work you do with our team will directly improve health outcomes by... .... Connecting. Growing together. The Senior Medical Coder performs concurrent review of FFS... ...coding functions within charge review, claim edits, and denials and play a critical role...SeniorMedicalClaimsHourly payMinimum wageFull timeWork experience placementLocal areaRemote workMonday to Friday$86.8k - $217.1k
IQVIA is growing! Hiring multiple Senior Data Team Leads across our FSP (Functional Service Provider) and Traditional (Sponsor-Agnostic) delivery... ...the development and commercialization of innovative medical treatments to help improve patient outcomes and population...SeniorMedicalFull timePart timeImmediate startRemote workWork from homeWorldwide- Senior Property Claims Representative To assure the consistent application of company procedures and practices in commercial, residential, farm... .... Farm Bureau offers a full benefit package including medical, dental, vision, and 401K. #J-18808-Ljbffr Construction Association...SeniorMedicalClaimsWork at officeWork from home
$80k - $128k
...performs data analysis, investigation, and medical review to detect, prevent, deter, reduce... ...We are looking to add a Nurse Reviewer Team Lead to our SGS team of talented... ...must be well versed in research on medical claims data and other sources of information to...MedicalClaimsContract workFor contractorsWork at officeRemote workShift workNight shift$46.99k - $112.2k
...a time. Position Summary The Senior Investigator, Aetna Special Investigations... ...prevent payment of aberrant claims submitted to the Medicaid... ...legal review Collaborate with Medical Directors on clinical issues... ...Serve as back up to the Team Leader as necessary Collaborate...SeniorMedicalClaimsHourly payFull timeTemporary workWork at officeLocal area$230k - $270k
Irvine - Mid-Senior Employment Litigation Associate Attorney Apply... ...California wage & hour class action claims and PAGA matters, representing... ...and advance within a market-leading practice , this role provides... ...Benefits Package : Medical, dental, vision, disability, and...SeniorMedicalClaims$21 - $29 per hour
...service best practices with all team members to deliver a... ...corrects and resubmits) manual claims for third party program prescription... ...assigned by the Pharmacy Manager. Leads Pharmacy Department inventory... ...relationships with the local medical community, including...SeniorMedicalClaimsHourly payWork experience placementLocal areaImmediate startFlexible hoursAfternoon shift$76k - $100k
...physical damage estimates on vehicles where a claim has been submitted for first- or third-... ...reports as required. Participate in team meetings and departmental initiatives.... ...health insurance options that start on Day 1 (medical, dental, vision) ~ Annual 401(k)...SeniorMedicalClaimsNight shift$37.31 - $48.28 per hour
...About the job The Senior Paralegal for the Commercial Litigation Team supports commercial litigation attorneys in the... ...bankruptcies o Prepare and file claims in small bankruptcy matters o Track... ...benefits package that may include: Medical, Dental, Vision Care and Wellness...SeniorMedicalClaimsContract workLocal areaWorldwide- TransEleven Claims Managers (TCM) seeks a Senior Claims Counsel to manage a high-volume portfolio across PL/GL practice areas. The role is 100% remote after training at our Allen, TX offices and requires experience in insurance defense and liability claims. You will oversee...SeniorClaimsRemote job
- ...lost revenue. Follows corrective action. Re-bill and adjust claims as necessary. Batch and submit claims to Medicaid, Medicare,... ...Vacation/ Personal Days/ Sick Days/ Paid Holidays annually) * Medical * Dental * Vision * Retirement Savings with Agency Match...SeniorMedicalClaimsFull timeWork experience placementFlexible hours
- All Jobs > Commercial Lines Senior Account Manager Job Classification: Non-exempt; Full-... ...inquiries about their policy, invoicing, and claims. Must be able to exchange accurate... ...including pregnancy, childbirth, or related medical condition), sexual orientation, gender identity...SeniorMedicalClaimsFull timeWork at office
$135k - $165k
...Construction Company is looking for a Senior Project Manager ! Company... ...management strategies Lead the project team in executing project plans,... ...management teams to manage claims, disputes, and insurance... ...benefits, including medical, dental, vision, 401(k) with...SeniorMedicalClaimsContract workFor contractorsFor subcontractorWork at officeLocal area$72k - $80k
...alternative application process. Senior Human Resources Generalist... ...of the overall Human Resources team and will provide support in on... ...plans. Review benefits and claims with employees. Processes enrollments... ...(LTD) - maternity, paternity, medical, Paid Family Leave (PFL),...SeniorMedicalClaimsFull timeTemporary workLocal area- ...Investigates third party safety incidents, often working closely with the claims department and regulators. Specific Business Unit duties may... ...such as coordinating hearing conservation, respirator and medical surveillance programs. Power Delivery: Provides technical...SeniorMedicalClaimsFor contractors
- Claims Specialist page is loaded## Claims Specialistremote... ...a Claims Specialist/Senior Claims Specialist to join our Claims Team. The position will work a... ...claims across the U.S.* Lead investigations, evaluate... ...Rewards package, including medical, dental, and vision plans...SeniorMedicalClaimsFull timePart time
$185 per hour
...home health. About the role As a Senior Designer at Enzo, you'll own... ...existing design and product team. You'll design for four very different... ...scrubbing charts before a claim goes out, and the agency owner... ...equity 401k & insurance (medical, dental, vision, HSA, and more...SeniorMedicalClaims$130k - $150k
...immediate opening for: Senior Pega Developer Job... ...of the development teams providing support to new... ...Program Management Lead the design and modeling... ...Health & Wellness: Medical, dental, vision, mental... ...operational efficiency. Claims AEGIS members consistently...SeniorMedicalClaimsFull timeImmediate start- Senior Product Manager (Technical) — Dental SaaS Platform... ...busywork and help teams run more efficient, more... ...delivery accountability. Lead architecture-informed... ...(huge plus) Medical or dental billing and revenue... ...eligibility/benefits, claims lifecycle, ERA/EOB posting...SeniorMedicalClaimsContract work
- ...strength is a talented team who flourish in a collaborative... ...— both pre- and post-claims. Ascot exists to solve... ...Position Overview: The Senior Claims Specialist,... ...or complexity. This can lead to a compensability... ...policyholders, injured workers, medical providers, brokers, and...SeniorMedicalClaimsTemporary workLocal areaFlexible hours
- Senior Product Manager, EHR & Data Remote Opportunity... ...performing, collaborative team. If you're: A product... ...with healthcare data (claims, clinical, EHR, or... ...Engineering pods, including leading and participating in... ...: Competitive salary Medical, Dental and Vision benefits...SeniorMedicalClaimsLocal areaRemote work
$140k - $200k
Collectors is the leading creator of innovative technology... ...to join our growing team.Our services span... ...collector.We’re looking for a Senior Platform Engineer to... ...eligible to enroll in Medical, Dental, and Vision.Additional... ..., through fake e-mails claiming to be from the company...SeniorMedicalClaimsFull timeRemote workWorldwideFlexible hoursShift work$123k - $176.13k
...Controls Manager to join our team. This is a project-facing delivery... ...forensic support functions. Lead proposal, project startup, and... ...recovery, change review, claims avoidance, dispute resolution,... ...employees. Benefits and Perks medical dental vision short and long‑term...SeniorMedicalClaimsFull timeContract workTemporary workPart timeFor contractorsWork at officeLocal area- ...ambition. Join Amrize as a Senior Counseland help... ...management for warranty claims. Work closely with marketing... ...and communications teams to identify and analyze... ...with proven ability to lead and influence others. Ability... ...Stock Purchase Plan Medical, Dental, Disability and...SeniorMedicalClaimsContract workWork experience placementLocal areaFlexible hours
- ...Join Our Family-Oriented Team Are you ready to shape people... ..., hands-on, and trusted Senior Human Resources Manager to lead our HR function. We believe... ...compensation, employment claims, and internal audits.... ...Competitive compensation Medical, dental, and vision benefits...SeniorMedicalClaims
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