Senior Medical Claims & Benefits Specialist
$18.5 - $42.35 per hourCVS Health
CVS Health in Providence, RI is seeking a skilled individual to review and adjudicate complex medical claims, ensuring compliance with guidelines and regulations. Responsibilities include coaching team members and addressing escalated issues. Ideal candidates will have 18 months of experience in medical claim processing and excel in fast-paced environments. This full-time role offers a comprehensive benefits package, including medical, dental, and wellness programs, alongside a competitive pay ranging from $18.50 to $42.35 per hour. #J-18808-Ljbffr CVS Health
$18.5 - $42.35 per hour
...adjudicates complex, sensitive, and specialized medical claims in accordance with established plan... ...specified claims and those that exceed specialist adjudication authority or processing... ...geography and other relevant factors. Benefits This full‑time position is eligible for...SeniorMedicalRemote jobHourly payFull timeWork experience placementLocal area$100k
...the unique coverage and claims-handling needs of businesses... ...Inc. Job Title Senior Environmental Technical Claims Specialist Employment Details Employment... ...preferred. Salary and Benefits Colorado (outside... ...restrictions), family and medical leave, disability (mental...SeniorMedicalFull timeLocal areaWork from homeVisa sponsorship$23.16 per hour
...Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround... ...Party Administrators (TPAs) and Pharmacy Benefit Managers (PBMs) on behalf of self-funded... ...insurance claims 3 years of experience with medical terminology Preferred: 3 years of...SeniorMedicalFor contractorsWork at officeLocal area$100k - $125k
...Workplaces in Financial Services & Insurance Sr. Claims Specialist, Professional Liability | E&O, D&O, EPL |... ...role is $100,000 to $125,000. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability...SeniorMedicalWork at officeLocal areaRemote workFlexible hours$64.5k - $86.1k
Job Summary Senior Subrogation Specialist responsible for the technical evaluation, negotiation... ..., and Product Liability claims. Technology & Systems: Utilize... ...team and personal performance. Benefits Health coverage for medical, dental, vision 401(K) saving plans...SeniorMedicalWork at office$100k - $125k
...A leading claims administration firm is seeking a Sr. Claims Specialist to analyze and resolve complex professional liability claims. The ideal candidate will... ...competitive salary range of $100,000 to $125,000 along with a comprehensive benefits package. #J-18808-Ljbffr...SeniorRemote work- Entegris is seeking a Senior Specialist, Benefits, Leave & Disability to enhance employee experience across various programs. You'll handle administration of health and retirement programs while being the point of contact for inquiries. This role supports compliance and...SeniorRemote job
$15k
A leading insurance services provider is seeking an Experienced Surety Bond Desk Adjuster in Providence, Rhode Island, to handle claims and losses up to $15,000. The ideal candidate will manage claims through thorough investigations and evaluations, requiring a bachelor...Senior- A leading healthcare provider is seeking a knowledgeable claims analyst to review and process Stop Loss claims according to established standards. The successful candidate will build client relationships, educate clients, and analyze claim losses, ensuring compliance with...Senior
- ...Foreclosure Claims Specialist Once foreclosure representative completes the foreclosure steps, the file is then given to the claims department... ..., victim of domestic violence, family status/parenthood, medical condition, military or veteran status, national origin, pregnancy...MedicalFull timeLocal areaShift work
- ...Providence, RI is seeking an experienced Workers Compensation Claims Specialist II. The role involves managing various commercial line... ...position supports a hybrid working model, offering competitive pay and a comprehensive benefits package. #J-18808-Ljbffr Zurich NASenior
- ...organization in the financial services industry, is seeking a Senior Recruiter to join their team. As a Senior Recruiter, you will be... ...Upon completion of waiting period consultants are eligible for: Medical Dental Plan Vision Plan 401(k) Weekly Pay If this is a role...SeniorMedicalWeekly pay
$20 per hour
...Authorization and Insurance Verification Specialist in Providence, Rhode Island. The role... ...basic understanding of health insurance benefits. Compensation starts at $20/hour with a... ...comprehensive benefits package, including Medical, Dental, and 401(k). Join us to work in...Medical- ...A leading global clinical research organization is seeking a Senior Physician in Patient Safety to leverage medical expertise in clinical trials. Responsibilities include conducting medical reviews, collaborating with teams for compliance, mentoring junior physicians,...SeniorMedicalRemote workWork from homeFlexible hours
- ...policies. The ideal candidate has a Bachelor's degree, 3 years of HR experience, and strong communication skills. Benefits include comprehensive medical, dental, and financial packages, along with additional incentives. #J-18808-Ljbffr kozmetickesluzby.vecnakraska.sk...SeniorMedical
- ...Assistant General Counsel for Technology and Managed Services. This Senior Manager role involves providing legal advice, drafting... ...location and offers a comprehensive compensation package, including medical benefits and career development opportunities. J-18808-Ljbffr...SeniorMedicalRemote workFlexible hours
- ...challenges and opportunities to stretch yourself. As the Home Equity Senior Underwriter on the Wealth Team, you will be responsible for... ...status, victim of domestic violence, family status/parenthood, medical condition, military or veteran status, national origin,...SeniorMedicalWork at officeLocal areaMonday to Friday
$130.2k - $143.9k
...strategy, overseeing vendor engagement, and collaborating with stakeholders. A Bachelor’s degree is required alongside strategic and communication skills. Compensation ranges from $130,200 to $143,900 with benefits including medical, dental, and 401k. #J-18808-Ljbffr...SeniorMedicalRemote work- ...report per company standards required if traveling. Salary and Benefits The hiring salary range for this position will vary based on geographic... ...location, and business needs. Outstanding benefits with life, medical, dental, vision, and prescription drug coverage. Competitive...SeniorMedicalFull timeWork at officeLocal areaRemote work
- ...Dosimetrist to join their team in Providence, Rhode Island. In this role, you will collaborate closely with radiation oncologists and medical physicists to create and evaluate treatment plans using advanced software and imaging modalities. The ideal candidate will hold a...SeniorMedical
- ...directly with Athenahealth to connect them with people who are a strong fit for this role. Role Overview Title Senior Customer Insights Associate (Medical Coding, Project Mgmt, Healthcare) Job Overview This Senior Coding Associate role at athenaOne focuses on...SeniorMedical
$150k - $185k
...A leading managed services provider seeks a Senior Managed Services Engineer - AI & Copilot to support and design solutions... ...customer engagement. The estimated annual salary ranges from $150,000 to $185,000, with benefits including medical, vision, and 401K. #J-18808-Ljbffr...SeniorMedicalRemote work$91.95k - $196.68k
...Bachelor’s degree and at least 7 years of sales experience in financial services. This remote position allows for relocation to Texas, offering a competitive salary range of $91,950 - $196,680, and benefits including medical and tuition reimbursement. #J-18808-Ljbffr...SeniorMedicalRemote workRelocation$21.57 - $23.04 per hour
...step to Destination: Progress. As a claims administrative support specialist, you’ll play a vital role... ...may also interact with customers and medical providers by phone or in person when... ...earnings based on company performance Benefits 401(k) with dollar-for-dollar company...MedicalTemporary workH1bWork at officeMonday to FridayFlexible hours- ...a Bachelor's degree, with a Master's preferred. Responsibilities include strategic planning, financial management, and leadership development. Join our team to positively impact patient care in a collaborative environment. #J-18808-Ljbffr Care New England Medical GroupSeniorMedical
- Maximus is hiring a Senior Appeals Administrator in Providence, Rhode Island. In this role, you will ensure fair resolutions for medical review cases by analyzing data and serving as a subject matter expert for appeals processes. Ideal candidates will possess an Associate...SeniorMedicalRemote job
- Apex Clearing Corporation in Rhode Island is seeking a Senior Structural Engineer to join their fast-paced... ...structural analysis software. Apex offers competitive benefits, including company-subsidized medical and a 401k match. #J-18808-Ljbffr Apex Clearing CorporationSeniorMedical
- ...experienced attorney for its Providence, RI office, specializing in medical professional liability. The role promises a flexible work... ...writing, and oral advocacy skills. The firm offers a comprehensive benefits package and opportunities for professional growth. #J-18808-...SeniorMedicalWork at officeFlexible hours
- Travere Therapeutics is seeking a Senior Director, Medical Monitor & Safety Physician to oversee clinical and safety operations within nephrology... ...for rare diseases and enjoy a competitive salary package with comprehensive benefits. #J-18808-Ljbffr Travere TherapeuticsSeniorMedicalRemote job
$246k - $332k
...Scientific Communications. This role involves strategic oversight for scientific communication initiatives and ensuring alignment with medical objectives. Responsibilities include developing a multi-year communications plan and managing a team while collaborating closely...SeniorMedicalRemote job
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Senior Medical Claims & Benefits Specialist. Be the first to apply!
- medical specialist Providence, RI
- patient care technician pct Providence, RI
- patient care aide Providence, RI
- hca healthcare Providence, RI
- patient care assistant Providence, RI
- hca Providence, RI
- patient transport technician Providence, RI
- medical management specialist Providence, RI
- healthcare assistant Providence, RI
- patient care technician Providence, RI

