Senior Medical Director - AI for Claims & Payment Integrity
$211.55k - $317.33kLyric
A leading healthcare technology firm in the United States is seeking a Senior Medical Director. This pivotal role involves providing strategic oversight for development and improvement of pre-payment edits to ensure robust payment integrity. Candidates must be board-certified physicians with at least 10 years of clinical experience and 3 years as a Medical Director. The position offers a competitive salary range of $211,551 to $317,326 annually. Join us in shaping the future of healthcare with innovative AI solutions. #J-18808-Ljbffr
$216.42k - $324.63k
...Lyric, an AI-first healthcare technology company, is seeking a Clinical Ambassador... ...providing expertise on health plan payment policies. The ideal candidate has... ...Candidates should have an understanding of claims operations and payment integrity programs. #J-18808-Ljbffr...SeniorClaimsFull time$211.55k - $317.33k
...Senior Medical Director – Claims page is loaded## Senior Medical Director – Claimslocations: Remote - UStime type: Full... ...validation, and continuous improvement of pre-payment edits to ensure robust payment integrity. In this capacity, the Senior Medical Director...SeniorClaimsFull timeRemote workFlexible hours$178.3k - $407k
...better working world. AI & Data, Advanced Analytics - Health Sector – Senior Manager - Consulting... ...native data platforms via integrated intelligence frameworks... ...data (e.g. EHR, claims, ERP, financial, RWE, supply... ...Rewards package includes medical and dental coverage,...SeniorClaimsWork experience placementSummer holidayFlexible hours$150k - $165k
...Zachary Piper Solutions is seeking a Senior Integration Developer to support a federal partner in modernizing healthcare claims processing systems. This position focuses on developing... ...0 - $165,000 with full benefits including PTO, medical, dental, and 401K. #J-18808-Ljbffr...SeniorClaims$216.42k - $324.63k
...Lyric is an AI-first, platform-based healthcare... ...preventing inaccurate payments and reducing overall waste... ...-Payment Accuracy and Integrity and is HI-TRUST and... ...directly with medical directors, clinical operations executives... ...payment policies, claims editing methodologies,...SeniorClaimsFull time- ...Senior Software Data Engineer As a Senior Software Data Engineer... ...focussed on data and data integration. Strong skills; Python... ...) domains such as billing, claims, eligibility, payments, denials, or related workflows... ...openness to innovation including AI to explore better processes...SeniorClaimsTemporary workWork at officeRemote work
- ...Health, LLC is seeking a highly analytical Senior Claims Researcher to join the Claims Excellence... ...and support the implementation of AI auditing tools. With 5+ years in Medicare... ...utilize your technical skills to drive payment precision. Clover prioritizes employee well...SeniorClaimsRemote work
- ...A leading iGaming platform provider in the United States seeks a Senior System Analyst to enhance payment integrations. You will analyse and optimise payment flows, collaborate with stakeholders, and ensure clear requirements for engineering. The ideal candidate has over...Senior
- ...Hiring: Senior Business Systems Analyst — Payments Location:Seattle, WA We are looking for a Senior Business Systems Analyst with strong experience... ...teams, define payment workflows, support integrations, and drive AI/ML-powered payment initiatives. ✅ 6–10 years of BSA...Senior
$249.97k - $388.13k
...experienced and visionary Senior Director, Global Clinical Development... ...standards of scientific and medical integrity. The incumbent will be... ...information of any kind or for payment of money during the job application... ...processing fee, even if claimed you will be reimbursed,...SeniorClaimsTemporary workLocal areaFlexible hours- ...Engineer in the United States to revolutionize payments within the $1 trillion distribution... ...that process millions in transactions and integrate with ERPs. Ideal candidates have over 4... ...expertise. Enjoy end-to-end ownership in an AI-driven environment with flexible paid...SeniorFlexible hours
$150k - $165k
...Zachary Piper Solutions is seeking a Senior Integration Developer to support a federal partner focused on modernizing healthcare claims processing systems. This position requires... ...Full Benefits Package: PTO, Paid Holidays, Medical, Dental, Vision, 401K, Tuition...SeniorClaimsLocal area$180k - $225k
...Scratch The company is a leading AI-driven lending platform... ...are now building a brand-new Payments Team within Servicing — and we... ...About the Role We’re seeking a Senior Software Engineer to join our... ...the stack, own critical integrations, and set engineering standards...SeniorRemote work- ...policies, billing, and claims with an all-in-one core... ...Casualty (P&C) industry. As a Senior Implementation Analyst,... ...Leverage AI throughout the implementation... ...shared values of community, integrity, grit and impact. We... ...benefits including: medical, dental, vision, 401K (...SeniorClaimsRemote workFlexible hoursShift workNight shift
$176k
...the industry. Mission The Senior Data Engineer will be responsible... ...serves as the foundation for AI/ML and agentic applications... ...Experience: Direct experience with claims, clinical, RWE, provider,... .... We expect you to integrate AI into your daily work – from...SeniorClaimsFor contractorsWork experience placementWork at officeLocal areaRemote workFlexible hours- ...Parloa GmbH is seeking a Senior Agent Architect to transform customer service through AI solutions. The role requires expertise in NLP, prompt engineering, and system integrations. You will design AI workflows, support deployments, and ensure operational readiness....Senior
- ...platform combines the best of AI and human intelligence to... ...and external customer‑facing integrations. Responsibilities Play... ...offer employees a variety of medical, dental, and vision plans, designed... ....ai domain. Any outreach claiming to be from Cresta via other sources...SeniorClaimsWork at officeLocal areaRemote workWork from homeHome office
$102.5k - $187.9k
...Technical Consultant – Senior EY is a leader in serving... ...today, such as in claims, underwriting, policy and... ...truly globally integrated capabilities. Typical projects... ...package includes medical and dental coverage, pension... .... Enabled by data, AI and advanced technology...SeniorClaimsWork experience placementSummer holidayFlexible hours$123.4k - $176.3k
...Specialty Networks is an integrated, multi-specialty organization... ...analyzes data from electronic medical records (EMR), practice management... ...). Job Summary The Senior Data/AI Engineer is a senior... ...management (PM), pharmacy, claims, and clinical note data....SeniorClaimsTemporary workLocal areaImmediate startRemote workFlexible hours$223.8k - $313.1k
...a part of our caring community The Medical Director uses their medical background, experience... ...management organizations, hospitals/ Integrated Delivery Systems, health insurance, other... ...Dakota will be provided a bi-weekly payment for their internet expense. Humana will...ClaimsBi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome office$200.7k - $229.1k
Senior Manager, Product Management - Commercial Card & AI Decisioning (Business Cards & Payments) Senior Manager, Product Management (PXDP55) Product Management at Capital One is... ...both near term and long term value Integrated Problem Solving - Identifies and resolves...SeniorFull timePart timeLocal area- ...A leading automotive company seeks a Senior Security Software Engineer to drive the design and implementation of secure, scalable integration services. The role requires advanced skills in software security engineering, API development, and cloud technologies. The successful...Senior
- ...A global payments platform startup is seeking a Senior Engineer to join their early team. This role involves reviewing AI-generated backend code, owning production reliability, and making critical infrastructure decisions. Candidates should have over 5 years of backend...Senior
$113k - $132k
Cognizant seeks a Senior Facets Configuration Analyst to support the configuration of the Facets core claims platform remotely. This role involves configuring components for healthcare... ...$113K-$132K and includes benefits such as medical insurance and paid time off. #J-18808-...SeniorClaimsRemote job$223.8k - $313.1k
...part of our caring community The Medical Director relies on medical background and reviews health claims. The Medical Director work... ...oriented environment that emphasizes integrity, professionalism, and... ...will be provided a bi-weekly payment for their internet expense. Humana...ClaimsBi-weekly payFull timeTemporary workApprenticeshipWork at officeLocal areaRemote workWork from homeHome officeMonday to FridayWeekend work$111.2k - $126.9k
...Senior Associate, Product Management - Data Integrations (Business Cards & Payments) Business Cards & Payments (BC&P) | Build the Future. At BC&P, we bring a builder's mindset to work, just like the business owners we serve. Small businesses are a different kind...SeniorFull timePart timeLocal areaShift work$150k - $170k
...seeks a Solution Architect to act as the technical leader for integrating various platforms including Salesforce, Netsuite, and Workday.... ...of architectural experience in SaaS and a strong background in AI/ML. Responsibilities include designing technical solutions, leading...SeniorRemote work- ...A leading AI company is seeking a Senior Software Engineer for its integration team. The successful candidate will deliver new integrations and features using Ada’s API, enhancing customer experiences. With 7+ years in development, especially in distributed systems, candidates...SeniorRemote work
$205k - $270k
...platform combines the best of AI and human intelligence to help... ...frontend, and backend teams to integrate AI capabilities seamlessly... ...and in life: Comprehensive medical, dental, and vision coverage with... ...cresta.ai domain. Any outreach claiming to be from Cresta via other...SeniorClaimsContract workFor contractorsFor subcontractorWork at officeRemote workHome officeFlexible hours$160k - $185k
...financial infrastructure firm in the United States is seeking a Senior Software Engineer to build scalable and secure systems... ...collaborate with various teams, implementing modern AI tools while ensuring data integrity and system reliability. The position offers competitive...Senior
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