TPA Operations Leader: Claims, Compliance & Delivery
Wipro
Wipro seeks a senior leader to head TPA Operations, owning end-to-end health insurance claims delivery, payment integrity, and provider data management. The role demands strategic regulatory foresight, internal controls, and proactive client partnership across multiple lines of business. The ideal candidate brings 10–15 years in payor operations with at least 5 in senior leadership, and a track record of improving efficiency and compliance within a TPA environment. Competitive benefits apply. #J-18808-Ljbffr Wipro
- Elevance Health is seeking a senior leader to oversee blended Digital Operations and strategic delivery across government and commercial claims platforms. You will drive digitization... ...-end processes, and partner with IT, Compliance, Audit, and operations to deliver measurable...Claims
$109.62k - $126.79k
...is seeking a talented Edifecs Platform Operations Lead Location: Remote Department:... ...ensuring operational stability, scalability, compliance, and strategic alignment Provide... ...following transactions: ~ X.12 medical claims (837, 834, 277, etc) ~270/271 and 278...ClaimsFull timeRemote work- ...United StatesThe Regional Construction Operations Leader will be based in either Tampa or... ...across Business Development, Design-Build Delivery, Engineering, Procurement, and Construction... ...and motor vehicle records search, in compliance with any applicable laws and...SuggestedFull timePart timeWork experience placementWork at officeRelocationVisa sponsorshipFlexible hours
- ...Branch Manager to oversee warehouse personnel and manage daily operations. The ideal candidate will possess strong leadership skills and... ...schedules, monitoring project progress, and ensuring safety compliance. The role offers health benefits, paid time off, and opportunities...Suggested
$141k - $220k
OverviewLMI seeks a Transportation Operations Specialist to plan and execute domestic and... ...packaging requirements, documentation, and delivery milestones for domestic and... ...systems, and other regulated cargo in compliance with applicable Department of Defense,...SuggestedContract work- ...Team The Innovation & Delivery Transformation team is... ..., formulary compliance, and gross-to-net performance... ...commercial organizations operate. Sitting at the... ...collaborate with the practice leaders in market access... ...copay), script-level claims (e.g., IQVIA LAAD, Symphony...ClaimsContract workLocal area
- SafePoint Insurance seeks a Senior Claims Examiner located in Florida for a fully remote role. You will handle daily residential and... ...guiding them from first notice of loss to resolution while ensuring compliance with state requirements and company guidelines. The ideal...ClaimsRemote job
- ...seeking a Senior Laboratory Manager to join our Tampa laboratory. The role directs daily operations, manages staffing, trains supervisors, and ensures quality and regulatory compliance while meeting client service metrics. Ideal candidates hold a Florida Clinical...
- ...Knight LLP is seeking a Human Resources Manager based in Tampa, FL to oversee the firm's HR operations. This role blends tactical execution with leadership and focuses on compliance, employee support, and process improvement. The ideal candidate should have a Bachelor’s...
- ...is seeking a detail-oriented, organized leader to oversee departmental planning and drive... .... You will ensure productivity, compliance with rules, and effective performance management... ...The role requires strong experience in operations management, leadership, and cross-...
- ...in Tampa, FL, is seeking a General Manager to oversee airport operations including ground handling, passenger services, maintenance, and... ..., and government agencies to ensure safety and regulatory compliance while driving profitability. The role requires leadership across...
- ...is seeking a Laboratory Coordinator to oversee laboratory management, operations, and collaborative scientific projects. The role combines hands-on research with leadership, mentorship, compliance oversight, and operational excellence to advance discoveries that improve...
- ...management, professional liability insurance, claims, litigation support, or policy... ...involving material legal, financial, insurance, operational, or reputational riskReview and assess... ...liability, insurance, claims history, delivery method, and other relevant risk considerationsAssist...ClaimsFull timeContract workWork at officeFlexible hours
- ...Health Center Manager to lead the daily operations of a Tampa clinic, ensuring high-quality... ...with VBC metrics, and champion regulatory compliance and safety. The role emphasizes team... ...development, and collaboration with regional leaders to optimize clinical and financial...
- ChenMed in Tampa seeks a Center Clinical Manager to lead day-to-day back-office operations, drive clinical quality, compliance, and patient experience. You will supervise Care Promoters and Pharmacy/Medication Technicians while guiding staffing and performance management...
- Burlington Stores, Inc. in Tampa, FL is seeking an Operations Service Manager to lead Customer Service and Cashier teams, oversee receiving, and drive store performance with a focus on policy compliance, asset protection, and customer satisfaction. You will act as Manager...
- AMIkids, Inc. is seeking an Insurance and Claims Specialist to provide administrative and analytical support for insurance programs, claims management and related litigation matters. You will assist with claims administration, renewals, budgeting, and coordination with...ClaimsWork at office
- ...seeking a Restaurant Manager to lead both front and back of house operations in a busy dining environment. You will deliver exceptional service, manage staff performance, monitor costs, and ensure compliance with sanitation standards. The ideal candidate has proven...
$124k - $155k
...Manager seat within its dedicated operations hub in Tampa to lead a six... ...close to the work, not HR leaders looking to go purely strategic... ...professional services HR or another compliance heavy environment If you... ...-1 reporting, unemployment claims, and onboarding and...ClaimsFull time3 days per week- PDQ Restaurants is seeking an Operations Coordinator (OC) to support restaurant leadership in driving operational performance and excellence... ...conducting audits, facilitating training, and ensuring compliance with PDQ standards across various locations. The ideal candidate...
- ...involves investigating state liability claims, coordinating with contract adjusters and... ...maintaining claim reserves, and ensuring compliance with applicable laws and procedures. Key... ...) Florida Adjuster license (preferred) #J-18808-Ljbffr Business and Financial OperationsClaimsContract work
- ...industry? Old Republic Title is seeking a Claims Counsel to evaluate, manage, and resolve... ...for a stable and respected industry leader. Whether your background includes real estate... ...to support business objectives.Maintain compliance with applicable federal, state, and...ClaimsWork at officeLocal area
$210k - $290k
Harness is the AI Software Delivery Platform company, led by technologist and entrepreneur... ..., application security, reliability, compliance, and cost optimization. Harness brings AI... ...postings, unsolicited emails, or messages claiming to be from our recruiters or hiring...ClaimsLocal areaImmediate startFlexible hoursShift work- ...setting and to assist in loading trucks. The Operations Manager position supports purchasing... ...time, ensuring that drivers are in compliance with Federal DOT regulations Strategic... ...transportation requirements - organize delivery routes and determine proper placement of...Work at officeNight shift
- Blackstone Medical Services is a leader in healthcare services, specializing... ...service to our clients while ensuring compliance and efficiency in all operations. Position Summary The Medical... ...services. This role ensures accurate claim submission, proper follow-up with insurance...Claims
- ...seeking an experienced Restaurant Manager to oversee daily operations, ensure guest satisfaction, and lead the team with... ...inventory and cost controls, and ensure health, safety and compliance. A hands-on leader with strong communication and wine/beer/spirits knowledge...
- ...is seeking a dynamic Manager responsible for daily restaurant operations, focusing on customer experience, leadership, and high standards... ...will handle staffing, respond to guest feedback, and ensure compliance with safety protocols. Ideal candidates should have at least one...Flexible hours
- ...meetings Answer coverage and policy-related questions; assist with claims and troubleshoot coverage or billing issues Assist clients... ...Handle personal and medical information confidentially and in compliance with HIPAA laws Intermediate to advanced computer literacy,...ClaimsPart time
$105.4k - $207.8k
...transform the digital customer and Claim Adjustors experience. This is... ...data and AI governance and compliance requirements, ensuring fixes,... ...-level employees to senior leaders, we believe there’s always... ...Engineering and Product | Delivery ManagementSame job available...ClaimsLocal area- ...negotiate and settle complex property insurance claims presented by or against our members. You... ...and negotiate equitable settlement in compliance with all state regulatory requirements.... ...surges and catastrophe (CAT) response operations as needed, including mandatory on-call...ClaimsAfternoon shift
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