Remote Senior Director, Claims & Eligibility Operations
Southern Scripts
- Remote job
Liviniti, LLC is seeking a Senior Director of Claims and Eligibility Operations to lead strategic direction for Claims Adjudication, QA, and Eligibility Operations. This role requires partnering with the technology team to ensure platform readiness and drives continuous improvement across the domain. You will oversee a multi-functional team, ensure regulatory compliance (ERISA, NCPDP), and establish data-driven dashboards for executive leadership. #J-18808-Ljbffr Southern Scripts
- ...and property and casualty operations, there are always... ...best. This position is not eligible for employment visa sponsorship... ...is looking for a Senior Claims Specialist/Claims Technical Director to join their team. Ideally... ...but we are also open to remote candidates. Job title...Remote workOperationsSeniorClaimsFull timePart timeSeasonal workWork at office
$196.73k - $258.21k
...Senior Director, Escalated Provider Issue Resolution Atlanta... ..., Georgia. This is a remote position, open to... ...per year. You are also eligible for employee benefits,... ...will build and scale the operating model for escalated... ...team, and partner across Claims, Network, Utilization...Remote workOperationsSeniorClaimsWork at office$155k - $200k
...Position Summary: The Senior Manager / Associate Director, Gross-to-Net (GTN)... ..., and commercial operating expense forecasting... ...with limited claims historyExecute rate... ...constraints, donor eligibility yield, and vein-to-... ...permitted by law. For remote-based positions, this...Remote workOperationsSeniorClaimsFull timeLocal area$200k - $225k
...built a hospitality operating system that improves... ...hospitality. The Role As Senior Director, Legal you will serve... ...leadership on claims exposure and... ...travel credits. ~ Remote Work: over three‑quarters... ...identity and employment eligibility for all U.S. hires through...Remote workOperationsSeniorClaimsFull timeContract workHome officeFlexible hours$257.5k - $290k
...partner is looking for a Senior Director, Interoperability based... ...will shape how clinical, operational, and administrative data... ...of clinical, claims, and pharmacy data. ~... ...and employee benefits for eligible full-time employees. ~ Remote work within the United...Remote workOperationsSeniorClaimsFull timeFlexible hours$164.9k - $235k
...technically versatile Senior Director, Intelligent... ...Maintain sustainability claims database and approve... ...supervisory control, and operator-in-the-loop systems Integration... ...systems, or remote-control systems. Experience... ...may be provided if eligibility requirements are met....Remote workOperationsSeniorClaimsWork experience placementWork at officeRelocation package$203.2k - $345.6k
...productivity, improve operational efficiency, reduce security... ..., used under license. Claim based on GitLab data.... ...on GitLab's all-remote R&D PMO team, you will... ...executive leaders and senior stakeholders to translate... ...location-based eligibility requirements. Our Talent...Remote workOperationsSeniorClaimsFull timeWork at officeFlexible hours$203.2k - $345.6k
...productivity, improve operational efficiency, reduce security... ..., used under license. Claim based on GitLab data.... ...on GitLab's all-remote R&D PMO team, you will... ...executive leaders and senior stakeholders to translate... ...Sales roles are also eligible for incentive pay targeted...Remote workOperationsSeniorClaimsFull timeWork at officeFlexible hours$150k - $175k
...Senior HR Business Partner Industry: Industrial... ...4 Days on Site, 1 day Remote with regular travel to... ...Benefits: This position is eligible for medical, dental,... ...supporting operations across multiple states... ...with workplace injury claims, documentation, modified...Remote workOperationsSeniorClaimsFull timeLocal areaMonday to FridayShift work$110.5k - $173k
...Pharmacy Benefits Senior Manager, you will own... ...$2.4M gene therapy claim lands in Q1. What... ...communications, and operational readiness so go-lives... ...173,000 a year #LI-REMOTE The pay range... ...all employees Bonus eligibility for all roles excluding Director and above Commission...Remote workOperationsSeniorClaimsFull timeContract workInternship- ...Product, Engineering, and Operations on the litigation‑ and... ...terms. Serve as a senior thought partner to the... ...class/representative claims (including PAGA), and... ...admission or registration eligibility) 12+ years combined... ...ongoing development Remote & Office: Internet, commuting...Remote workOperationsSeniorClaimsFor contractorsWork at officeFlexible hours
- ...the investigation, management and proper resolution of liability claims and professional and general liability litigation to reduce the... ...trends and issues..Work with Risk Management and Clinical Operations to identify and address liability trends and building exposures...Remote workOperationsSeniorClaims
- ...Senior Benefits Manager We are looking... ...related benefits operations. In this role, you... ...closely with the Director of the People Team... ...training period. Eligible for a hybrid work schedule (up to 2 remote days per week) upon... ...employees to resolve claims issues. Support...Remote workOperationsSeniorClaimsTemporary workH1bWork at officeImmediate startMonday to FridayFlexible hoursAfternoon shift2 days per week
- ...the role Leap is seeking a Senior Technical Implementation Manager... ...functionally with clinical, operations, data, and client success to... ..., SFTP connections, and eligibility, claims, and prior authorization files... ...vision coverage Flexible remote work environment Opportunities...Remote workOperationsSeniorClaimsImmediate startFlexible hours
- ...Product, Engineering, and Operations, and growing the team... .... Employment claims: Manage agency investigations... ...: Serve as a senior thought partner to the... ...California admission or eligibility to register as in‑house... ...ongoing development Remote & Office: Internet, commuting...Remote workOperationsSeniorClaimsFull timeFor contractorsWork at officeFlexible hours
$158.4k - $175k
...partner is looking for a Senior Technical Product... ...intelligence, security operations, threat hunting, investigations... ...products, validating claims, and documenting... .... Benefits Remote position open to employees... ...U.S. locations. Eligibility for bonus compensation...Remote workOperationsSeniorClaimsFull timeFlexible hours- ...Senior Director of Claims and Eligibility Operations - REMOTE Role And Responsibilities The Senior Director of Claims and Eligibility Operations is responsible for the strategic leadership and operational oversight of two critical and interdependent functions within...Remote workOperationsSeniorClaimsFull timeLocal areaImmediate startWeekend work
$180k - $225k
...founders and finance teams to accelerate operations, gain real-time visibility, and control... ...have up to four weeks per year of fully remote work!Responsibilities BizOps is the connective... ...with a brex.com domain. Any outreach claiming to be from Brex via other sources should...Remote workOperationsSeniorClaimsWork at officeWork from home- ...needed. Job Summary The Senior Director of Employee Relations... ...situations to reduce claims and ensure... ...(for some transit / operations roles) up to twenty-four... ...requirements. Work Eligibility: All employees must be... ...the duration, and if remote, are in a quiet place...Remote workOperationsSeniorClaimsFull timeContract workPart timeInternshipWork at officeLocal areaImmediate startAll shiftsShift work
$112.7k - $193.2k
...review, audit management, and operational excellence across Optum. We... ...the flexibility to work remotely * from anywhere within the U... ...Experience in Payment Integrity, Claims Processing, Provider... ...all benefits are subject to eligibility requirements). No matter where...Remote workOperationsSeniorClaimsMinimum wageFull timeWork experience placementWork at officeLocal area- ...information Job Title Senior Benefits Manager... ...role partners with the Director of Benefits and works... ...Benefits Manager to drive operational excellence and an... ...monitoring of high-cost claims to ensure accurate... ...motivating, and mentoring remote or distributed teams.•...Remote workOperationsSeniorClaimsWork at officeLocal areaShift work
$79k - $101k
...Full Time Located Remotely? N Position Type Management... ...00 Annually Bonus Eligible: Y Job Summary The... ...Resources and Operations employees to lead... ...of the non-senior level HR team members... ...respond to unemployment claims; reviews provider... ...escalated to the Director of Human Resources...Remote workOperationsSeniorClaimsFull timeWork at officeLocal areaRelocation package- The Metropolitan Transportation Authority seeks a Senior Director in Enterprise Asset Management Value Realization to maximize benefits... ...will drive adoption, refine workflows, and align maintenance, operations, and capital planning with best practices, leveraging data-...Remote jobOperationsSenior
- ...phases. *Position is open to senior or staff level experience, see... ...owned assets are located. Remote work will be limited. ResponsibilitiesSafety... ...between engineering, plant/operations personnel and construction... ...approves payment of invoices.Claims and Issue Resolution Develops...Remote workOperationsSeniorClaimsFull timeContract workFor contractorsFor subcontractorNight shift
$172.36k - $258.55k
Role Description The Remote Senior Director, Healthcare Analytics is accountable for building and leading... ...rigorous assessments of clinical, operational, and benefit interventions (e.g., care... ...~Work hands-on with medical/pharmacy claims, enrollment, provider, and operational...Remote workOperationsSeniorClaimsFull time$130k - $170k
...Overview Real Chemistry seeks a Senior Director of Advertising Analytics to... ..., or Wilmington—or remotely within the US, depending on... ...enable resourcefulness and operational excellence. Team Leadership... ...payments to any unverified sources claiming to be connected to Real Chemistry...Remote workOperationsSeniorClaimsWork experience placementWork at officeLocal area2 days per week- ...DeCA) Headquarters in Fort Lee, NJ seeks a senior auditor to plan, execute, and report on complex audits of government programs, operations, and financial statements. The role... ...transcripts may be required for education claims. #J-18808-Ljbffr United-States-Department...Remote jobOperationsSeniorClaims
- ...Senior People Operations Business Partner Reserv is an insurtech creating and incubating cutting-edge AI and automation technology to bring efficiency and simplicity to claims. Founded by insurtech veterans with deep experience in SaaS and digital claims, Reserv is...Remote workOperationsSeniorClaims
$91.7k - $163.7k
...Position Summary As a Senior Technical Product Manager... ..., architecture, operations, and business stakeholders... ...flexibility to work remotely * from anywhere within... ...balanced. Focus will be on claims & benefits related... ...benefits are subject to eligibility requirements). No...Remote workOperationsSeniorClaimsMinimum wageFull timeWork experience placementLocal area$107.35k - $140.9k
...Requirement 4 days per week, 1 day remote work. How You Will Contribute... ...vendor partnerships, claims oversight, cost containment strategies... ...), managing policy and operational requirements. Lead the... ...documentation standards. Serve as the senior escalation point for complex,...Remote workOperationsSeniorClaimsTemporary workLocal area
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