Senior Claims Analytics & Workflow Lead
Jobtailor
Jobtailor is seeking a senior business/systems analyst specialized in healthcare claims to build reporting across the full lifecycle, reconcile data, and deliver dashboards for Operations, Finance and Client Success. You will partner with Product and Engineering to resolve data and workflow gaps, and support payer implementations. The role requires strong SQL, BI tool experience, and deep knowledge of claims formats and clearinghouse workflows in a value-based care environment. #J-18808-Ljbffr Jobtailor
Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Senior Claims Analytics & Workflow Lead in Florida, NY vacancy
- HCC Service Company, Inc. is seeking a Senior Property Claims Adjuster (Complex, Large Loss) to manage intricate property claim files remotely... ...or in hybrid duties from Troy, MI. The role demands strong analytics, negotiation skills, and collaboration with adjusters and...SeniorClaimsRemote job
$106.4k - $159.6k
A leading insurance provider seeks a Claim Specialist for their Complex Claims Unit. You will manage complex construction defect claims, requiring expert analysis and negotiation skills. This role offers hybrid or remote options, with a competitive salary range of $106...SeniorClaimsRemote job- Celestar, a B&A Company, seeks a Senior Geospatial Research Analyst for US Southern Command - J2 Research Analysis Support located at... ...SOUTHCOM. You will work with a collaborative team to apply geospatial analytics and all-source methods to complex intelligence challenges....Senior
- ...for optimal client strategies. This role requires a Bachelor's degree and 3-5 years of Group Underwriting experience, emphasizing analytical and financial skills. The position includes benefits like health insurance, 401k, mental health services, and more, fostering a...Senior
- OCTA is seeking a Senior Workers’ Compensation Program Specialist to lead the design, implementation, and oversight of the agency’s workers’ compensation claims program. You will act as a subject-matter expert, shaping policies, performance metrics, and cost‑containment...SeniorClaims
- AeroVironment is seeking a Senior Data Analytics Engineer to develop and enhance an Oracle-based data warehouse to support enterprise-wide Power BI analytics and reporting. The successful candidate will bridge data engineering and business intelligence, collaborating with...Senior
- Jobtailor in New York City seeks an experienced Fraud Risk Manager to lead the design and deployment of fraud prevention rules and ML-driven strategies across Citi Retail Services. You will monitor performance, identify trends, and collaborate with cross‑functional teams...Senior
- Valid8 Financial, Inc. is seeking a hands-on Senior Accountant in our Miami Lakes office to own the monthly and annual close, prepare journal entries, and support financial reporting. You will work across the accounting function, coordinate audits, assist with payroll,...SeniorWork at office
- ...and maintain reporting to track the full claims lifecycle from submission to payer... ...expert on claims structure, clearinghouse workflows, and payer responses Support complex claim... ...SQL/data expertise to support reporting, analytics, process improvements, claim corrections...SeniorClaims
- Recruiter / Talent Acquisition Junior / Senior / Lead Job Openings Recruiter / Talent Acquisition Junior / Senior... ...CRM and pipeline engagement systems Hiring analytics, dashboards, and funnel metrics Onboarding workflows and HRIS systems Experience building partnerships...SeniorRemote work
- ...messaging with the Peer Advocacy & Community Lead Create go-to-market plans covering... ...strategies supporting adoption of new tools, workflows, and behaviors Partner with Experience... ...Sean Ellis test Partner with Adoption Analytics & Insights on adoption dashboards...SeniorPermanent employment
- ...Sentara Health Plans seeks a Senior Benefit Configuration Analyst to design, build and... ...QNXT benefit configurations for accurate claims adjudication. You will work with Product... ...strong SQL Server skills, and excellent analytical and documentation abilities. #J-18808-Ljbffr...SeniorClaims
Sentara Health Plans
Florida, NY2 days ago $140k - $165k
...Work Arrangement The position is part of Zurich North America Claims, which values work‑life balance and flexibility. The hybrid work... ...injury) from inception through trial Well organized with strong analytical skills, excellent oral and written communication, proactive...SeniorClaimsFull timeTemporary workWork at officeRemote workWork from homeVisa sponsorshipZurich North America
Florida, NY1 day ago- ...detail-oriented professional to manage vendor receivables, MDF claims, and vendor-funded programs. You will work with Marketing, Finance... .... The role emphasizes accurate data reconciliation, strong analytical skills, and adherence to internal controls, with base pay in a...SeniorClaims
- ..., NY. The successful candidate will supervise billing staff, ensure compliance with Medicare regulations, and manage the claims processing workflow. Ideal candidates should possess 3-5 years of medical billing experience and 1-3 years in a supervisory role. Join a supportive...Claims
- MCLARENS LLC is seeking a highly skilled Global Third Party Claims Handler to manage claims across multiple jurisdictions, with a focus... ...7 years of experience in handling multi-line claims and strong analytical and leadership skills. Responsibilities include overseeing...Claims
$140k - $165k
...Senior Liability Trial Attorney Zurich is looking for a Sr. Liability Trial Attorney... ...injury cases. At Zurich North America Claims we acknowledge that work‑life balance... ...trial Must be well organized with good analytical skills, excellent oral and written communication...SeniorClaimsFull timeTemporary workWork at officeRemote workWork from homeVisa sponsorship- ...substantially, in part due to our industry leading success in Mergers and Acquisitions.... ...through HUB Gives Summary The Senior Claims Consultant , in a client-facing role, applies... ...and collaboratively with a team Strong analytical skills with the ability to identify coverage...SeniorClaimsTemporary workWork experience placementLocal area
HUB International
Florida, NY2 days ago - ...are searching for the best talent for a Senior Manager, Upstream Marketing, Enabling... ...investment decisions Translate clinical workflows, hospital IT/cybersecurity needs, and... ...initiatives, and align messaging with regulatory claims. Lead cross‑functional launch readiness with...SeniorClaims
- Jupiter Urgent Care Inc in New York is seeking a Lead Epic Analyst to oversee the applications and systems that support healthcare... ...leading a team of analysts to ensure smooth operations, implementing workflows, and maintaining effective communication across departments....Senior
$90k
Job Title: Epic Certified Hospital Claims & Remittance Senior Analyst (Senior Application Analyst) Location... ...troubleshoot complex Epic-supported workflows. You will serve as a subject matter... ...to keep systems current and reliable. Lead or support application/module projects...SeniorClaimsPermanent employmentLocal areaFlexible hours$91.85k
...Description Under general guidance, the Senior Workers’ Compensation Program Specialist leads the implementation and... ...of OCTA’s workers’ compensation claims program and provides oversight of... ...advanced claims expertise, data analytics, financial oversight, technology,...SeniorClaims- ## Remote Senior Claims Specialist - National Claim ServicesApplylocations: Remote - Florida: Remote - Texastime type: Full timeposted on... ...Underwriter) preferred.**FUNCTIONAL SKILLS*** Strong analytical and investigative skills to assess claim details and policy coverage...SeniorClaimsRemote jobFull timeContract workTemporary workWork experience placementWork at officeShift workDay shift
- ...CNA Insurance is seeking an experienced claims professional to manage a portfolio of commercial claims with moderate to high complexity. You will handle investigations, coverage verification, reserve setting, and timely communication with insureds and business partners...SeniorClaims
CNA Insurance
Florida, NY4 days ago - Brown & Brown in Maitland, FL is seeking a Senior Financial Operations Audit Analyst to lead audits across financial, operational, and compliance areas, while mentoring teammates and advancing data analytics capabilities. The role blends internal audit fundamentals with...Senior
$84.8k - $127.2k
...The Hartford is seeking a Consultant Claims to manage complex general liability claims. In this role, you will conduct investigations, analyze legal matters, and communicate with stakeholders. Candidates must have a Bachelor’s degree and at least five years of experience...SeniorClaimsThe Hartford
Florida, NY1 day ago- ...Argonaut Management Services, Inc is seeking a Senior Workers' Compensation Claims Adjuster for a temporary assignment. Candidates can work from anywhere in the U.S. with an estimated end date of October 9, 2026. The role involves handling complex claims and requires a...SeniorClaimsTemporary workRemote work
Argonaut Management Services, Inc
Florida, NY10 hours ago - ...experience helpful Strong organizational and analytical skills Proficient in Windows based... ...must be maintained Quality, insurance and claims experience helpful Mortgage servicing,... ...Loss Draft process Ability to prioritize workflow and work in a fast-paced environment Ability...ClaimsWork experience placement
Jobtailor
Florida, NY3 days ago $128k - $192k
...A leading insurance company is seeking a Senior Staff Attorney for insurance defense, fully remote from Florida. Responsibilities include providing top-quality... ...Doctorate, at least 7 years of experience in handling claims, and proven trial expertise. Competitive compensation...SeniorClaimsRemote workThe Hartford
Florida, NY1 day ago- All Jobs > Senior Underwriter Health Insurance Fully Remote • AZ, FL... .... Duties and Responsibilities Lead and oversee all underwriting... ...medical, pharmacy, and ancillary claims experience, utilization trends... ...modeling tools Strong analytical, communication, and relationship...SeniorClaimsWork at officeRemote workShift work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Senior Claims Analytics & Workflow Lead. Be the first to apply!
Related searches
- senior associate attorney Florida, NY
- senior developer Florida, NY
- senior aws cloud engineer Florida, NY
- remote senior salesforce administrator Florida, NY
- senior marketing operations manager Florida, NY
- senior manager tax Florida, NY
- senior property accountant Florida, NY
- senior tax Florida, NY
- senior helpdesk technician Florida, NY
- senior content marketing manager Florida, NY