Remote AI-Driven Director of Claim Payment Accuracy
$150k - $195kClover Health
Clover Health is seeking an AI-forward Director of Claim Payment Accuracy responsible for architecting the strategic roadmap for claim payment precision. In this high-impact leadership role, you will oversee the quality of claim payments and maintain clinical and reimbursement policies. The ideal candidate will possess over 8 years of healthcare leadership experience, demonstrate expertise in Medicare Advantage, and apply AI technologies to enhance operational precision. This role offers a competitive salary of $150,000 - $195,000 USD, along with a range of benefits aimed at promoting employee well-being and professional growth. #J-18808-Ljbffr
- ...Bluespine-Payment Accuracy and Concept Lead (AI-Driven) Location: Remote, US Remote Description Bluespine is an innovative new startup in the health-IT domain. By... ...precision by tailoring assessments to each unique medical claim, considering the relevant provider, payer, and...Remote workClaimsContract work
$150k - $195k
...Clover Health, LLC is seeking an AI-forward Director of Claim Payment Accuracy to lead the strategic roadmap for claim payment precision. This high-impact role involves ensuring quality oversight of claim payments and maintaining clinical policies aligned with CMS regulations...Remote workClaimsContract work- ...highly analytical Senior Claims Researcher to join the... ...to ensure claims accuracy. You will collaborate with... ...the implementation of AI auditing tools. With 5+... ...technical skills to drive payment precision. Clover prioritizes... ...benefits, a remote-first culture, and professional...Remote workClaims
- ...Team8 Inc. is seeking a Payment Accuracy and Concept Lead to develop audit concepts in healthcare... ...medical billing errors and fraudulent claims while collaborating with Medical Coders... ...-insured companies. This position is remote within the United States. #J-18808-Ljbffr...Remote workClaims
$112.7k - $193.2k
...seeking an Associate Director - AI Transformation to... ...focused on improving claim adjudication efficiency, payment integrity, and operational accuracy. The Associate Director... ...logic into AI-driven workflows, decision... ...flexibility to work remotely * from anywhere within...Remote workClaimsMinimum wageFull timeContract workWork experience placementWork at officeLocal area$24.2 - $36.3 per hour
...Lyric is an AI-first, platform-based healthcare... ...preventing inaccurate payments and reducing overall waste... ...in KLAS for Pre-Payment Accuracy and Integrity and is HI... ...and recover improper claim payments. This role performs... ...high-volume, SLA-driven operations teams. Creative...Remote workClaimsFull timeContract workVisa sponsorship- ...Sr. Director, Global IT Networking This role has... ...automation, telemetry, and AI-driven network management.... ...segmentation, and secure remote access. ~ Strong... ...of any third party claiming to represent the company... ...information or make any payments and report the...Remote workClaimsWork experience placementWork at officeLocal areaImmediate startWorldwide2 days per week
- ...The Senior Director of Payments Solutions is a highly visible and... ...solution to handle non-claims based payment types... ...collaborative, inclusive and remote‑first culture – youve... ...culture that is driven by a passion for tackling... ...intelligence (AI), to help organize and...Remote workClaimsContract workFlexible hours
- ...For roles that are 100% remote or hybrid, you must... ...AmeriHealth Caritas is a mission-driven organization with more... ...: The Payment Integrity Analyst is responsible... ...that will target claim overpayment scenarios for... ...deadlines with a high level of accuracy Performs analysis on...Remote workClaimsContract workWork experience placementFlexible hours
$165k - $205k
...powered by Lattice OS, an AI-powered operating... ...deficiencies. Drive Data-Driven Test Evaluations:... ...Prior experience in remote, austere, or tactical operational... ...attempt to extract payment or sensitive personal... ...or fraudulent outreach claiming to be from Anduril, please...Remote workClaimsFull timeWork experience placementImmediate start$148k - $160k
...grow within a purpose driven environment. This is what... ...) and we are open to remote (US). Key Responsibilities... ...leveraging agentic AI. ~ Strong technical... ...processing, automated claims workflows, or revenue analytics... ...to improve billing accuracy, reimbursement outcomes...Remote workClaimsWork at office- ...Working full-time in a remote capacity, a Payment Accuracy Specialist will audit client data, identify recoverable claims, and ensure compliance with billing regulations while utilizing various audit tools and maintaining productivity standards. Key responsibilities...Remote workClaimsFull timeWork at office
- ...healthcare recovery team, the full-time Senior Payment Accuracy Specialist will develop and implement... ...mentor audit staff while working in a remote environment. Key responsibilities... ...for quality control by reviewing auditor claims and ensuring adherence to expected...Remote workClaimsFull time
$167.54k - $203.01k
...Summary: The Associate Director, Commercial AI Product Owner is... ...pharmaceutical data (claims, APLD, specialty pharmacy... ...(MTA), and AI-driven next-best-action frameworks... .... Employees in remote-by-design or lab-based... ...We will never request payments, financial information...Remote workClaimsHourly payFull timeTemporary workPart timeFor contractorsSummer workLive inWork at officeLocal areaFlexible hoursShift work$37.75 - $40.25 per hour
...looking for a Senior Payment Accuracy Specialist in United States... ...audit expertise, data-driven analysis, and... ...development to improve claims accuracy and recoverable... ...support benefits. Fully remote work setup with... ...Jobgether works: We use an AI-powered matching process...Remote workClaimsHourly payFull timeHome office$182k - $346k
...Director Of Discovery Ai Partnerships AbbVie's mission is to discover... ...ideal for a mission-driven leader who is... ...security numbers, or payment of any kind) during the... ...offer or communication claiming to be from AbbVie, please... ...be performed remotely. Employees who are site...Remote workClaimsWork at officeImmediate startMonday to Friday$140k - $180k
...Senior Director, Credentialing (Remote in U.S.) Full-Time Remote, US 3 days ago... ...to detail and accuracy Strong analytical thinking... ...funded HRA will process payments for your in-network claims Generous paid time off... ...Council (USGBC) is a mission-driven nonprofit dedicated to...Remote workClaimsFull timeWork at officeWorldwideHome officeMonday to Friday$150k - $170k
...deliver nutrition‑driven healthcare at scale... .... We are hiring a Director of Revenue Cycle... ...accountable for high‑accuracy collections... ...resolve systemic payment issues and negotiate... ...processes for improved claims collections and... ...0,000 plus bonus. Remote, USA. Benefits and...Remote workClaimsContract workLocal areaImmediate startFlexible hours- ...Software company that provides revenue and payment cycle management and connects payers,... ...system. They are looking to hire a Payment Accuracy Advisor for an 12-month contract opportunity... ...Team, to understand the customers' claim system(s), payment policies, and integration...Remote workClaimsFull timeContract work
$134.6k - $230.8k
...together The Director - Automations &... ...to optimize claims processing,... ...flexibility to work remotely * from anywhere... ..., enhance accuracy, and improve turnaround... ...workflows, and payment integrity... ...(RPA), AI, Machine Learning... ...implementation of AI-driven solutions at...Remote workClaimsMinimum wageFull timeWork experience placementWork at officeLocal area- ...end-to-end Enterprise AI engine - uniting data... ...real. As Senior Director, Multimodal AI &... ...electronic health records and claims, and longitudinal... ...Organisational Capability in AI-Driven Precision Medicine... ...unable to accommodate remote or travel constructs for...Remote workClaimsTemporary workWork at officeFlexible hours3 days per week
- ...artificial intelligence-driven solutions and services... ..., and abuse and ensure payment integrity. Codoxo helps... ...on our proven Forensic AI Engine, which uses patented... ...performs medical claim audits to identify overpaid... ...excellent quality, accuracy, and high productivity...Remote workClaimsContract workWork experience placementWork at officeLocal areaWork from homeHome office
$160k - $250k
...~ Expertise in integrating AI into various business functions... ...and fostering a culture of data-driven innovation is crucial; and... ...between in-person collaboration and remote working. Please feel free to... ...multinational services, and seamless claims handling. Allianz Commercial...Remote workClaimsPermanent employmentFull timeContract workLocal areaWorldwideVisa sponsorshipWork visaFlexible hoursShift work- ...Clover Health is seeking a Senior Claims Researcher responsible for ensuring claims accuracy and executing detailed audits.... ...and the ability to use advanced AI tools for auditing. A key contributor... ...a competitive salary and a remote-first culture, Clover is committed...Remote workClaims
$174.5k - $274.23k
...Description Join Takeda as a Director, Predictive Analytics and AI out of our Cambridge, MA... ..., and drive AI/ML & data‑driven decision making for business... ...(e.g., IQVIA, Veeva, SP, claims, digital marketing) and... ...with Takeda's Hybrid and Remote Work policy. Takeda Compensation...Remote workClaimsMinimum wageFull timeTemporary workWork at officeLocal areaNight shift$69.38k - $92.28k
...Payment Integrity Analyst - Data Mining & Savings Reporting... ...Remotelocations: US NY Remote: US VT Remotetime type:... ...accurate, compliant claims payment across our... ...level of precision and accuracy in handling critical data... ...company—we’re a mission-driven organization committed...Remote workClaimsLocal area- ...SUMMARY The State and Local Tax Director is responsible for owning and... ..., extensions, and estimated payments, refund claims, and related filings, ensuring accuracy and timeliness. Manage a... ...ability to operate effectively in a remote work environment, including...Remote workClaimsFull timePart timeLocal area
$95k - $121k
...hiring a Concept Development Analyst (CDA) to optimize claim selection processes utilizing AI methodologies. As a CDA, you will work closely with AI... ...expertise in coding and billing to enhance healthcare payment integrity outcomes. The ideal candidate will have at least...Remote workClaims- ...leading cross-functional teams to enhance merchant experiences in payments. The ideal candidate will have over 5 years of relevant... ...focus on enhancing user experiences through collaboration and data-driven approaches. Competitive compensation includes potential bonuses...Immediate start
- ...Principal Technical Product Manager for the AI Health Cloud, you will define and lead the... ...the multi-year product vision for AI-driven healthcare analytics, workflow automation,... ...EMR, clinical documentation, FHIR), payers (claims, eligibility), and pharmacy systems (Rx claims...Remote workClaimsWork from homeFlexible hours
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