Senior Encounter Claims Specialist (Medicaid)
CVS Health
CVS Health is seeking a Senior Claim Benefit Specialist (Encounter Corrections Analyst) to research, review, and adjudicate complex encounters across Medicaid plans. You will ensure accurate processing in the claims system, drive timely resolution, and support multiple markets in a fast-paced environment. The role requires medical claims processing experience, strong analytical skills, and proficiency with MS Office. #J-18808-Ljbffr CVS Health
Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Senior Encounter Claims Specialist (Medicaid) in Phoenix, AZ vacancy
$18.5 - $35.29 per hour
...family and one community at a time. Position Summary The Senior Claim Benefit Specialist (Encounter Corrections Analyst) researches, reviews, and... ...processing experience and may involve supporting multiple Medicaid plans. Specialists correct encounters accurately and efficiently...SeniorHourly payFull timeLocal area- CVS Health in the United States is seeking an experienced medical claims processor to adjudicate complex encounters and support multiple Medicaid plans. The role requires strong analytical skills and the ability to work in a fast-paced production environment. The position...SeniorFull time
$80k - $95k
...client, a well-established organization within the Property & Casualty insurance industry, is seeking an experienced Senior Auto Bodily Injury Claims Specialist to join their growing claims team. The ideal candidate will have a strong background in handling attorney...SeniorFull timeWork at officeRemote workFlexible hours- Marsh is seeking a Sr. Government Health Actuary to join our Government Healthcare Consulting team. You will lead Medicaid-focused actuarial work, manage client engagements, and help design strategies and pricing with a technology-enabled approach. You will draft client...Senior
- King's Insurance Staffing is seeking an experienced Workers’ Compensation Claims Representative to support claims across Arizona. You will manage indemnity and medical-only files, including higher-exposure litigated cases, from investigation through resolution. The ideal...SeniorRemote job
- Amerisure in Phoenix, AZ is seeking a Senior Workers’ Compensation Claims Adjuster to provide quality investigation and analysis of medium complexity/severity claims, including litigated files. You will build relationships with agents, policyholders and employees to advance...Senior
- Liberty Mutual Insurance seeks a Workers' Compensation Claims Specialist in the West Region to review, analyze, and process moderately complex to complex claims within authority limits. You will determine liability, evaluate losses, negotiate settlements, and support the...SeniorRemote work
- Marsh seeks a Senior Medical Consultant II - Behavioral Health Clinician to join the Government Health Consulting (GHC) team. This hybrid role supports state Medicaid/CHIP programs, offering leadership on complex projects, strategic design, and policy implementation. The...Senior
- ...client engagements, influence strategy and cost analyses, and guide junior staff. The role emphasizes actuarial leadership across Medicaid programs and collaboration with a broad team in a technology-enabled environment. We offer a comprehensive rewards package and hybrid...Senior
- UnitedHealthcare is seeking a Senior Clinical Quality of Care RN for Arizona-based remote work with up to 40% in-office collaboration... ...The role focuses on quality of care investigations for Arizona Medicaid and Medicare members, with travel up to 25% in-state to coordinate...SeniorRemote jobWork at office
- ...Delivery Leader to oversee the development, maintenance, testing, and implementation of a large-scale healthcare system for State Medicaid clients. This role provides delivery leadership across multiple teams and ensures high-quality, compliant solutions for a COTS product...SeniorRemote job
- Centene Corp. is seeking a senior data leader to oversee the Supplemental Data organization, guiding a managers team and coordinating cross-functional efforts across Medicaid, Medicare and Marketplace data initiatives. You will drive data process improvements, mentor senior...Senior
- CVS Health in Arizona is seeking a Claims Adjudicator to review and adjudicate complex medical claims in line with processing guidelines. You will act as a subject matter expert, coaching others and guiding on escalated issues to ensure a positive member experience. The...SeniorRemote jobFull time
- UnitedHealth Group in Arizona is seeking a Senior Clinical Quality of Care RN to conduct QOC investigations and manage regulatory IAD processes. The role supports Medicaid/Medicare members with Arizona-based remote work and up to 25% travel, with 40% in-office as needed...SeniorRemote jobWork at office
- Marsh is seeking a Senior Medical Consultant II - Behavioral Health Clinician to join its Government Health Consulting team. The role... ...case-by-case basis. You will lead multi-disciplinary teams on Medicaid/CHIP programs, deliver client-ready documents, and drive strategic...SeniorWork at officeRemote work
$18.5 - $42.35 per hour
...Reviews and adjudicates complex, sensitive, and specialized medical claims in accordance with established plan processing guidelines.... ...Responsibilities Reviews pre‑specified claims and those that exceed specialist adjudication authority or processing expertise. Applies...SeniorRemote jobHourly payFull timeWork experience placementLocal area- Amerisure is seeking a Senior Commercial Auto & General Liability Adjuster in the Phoenix area. The role focuses on investigating medium‑complexity claims, determining coverage, evaluating liability and damages, and negotiating settlements with agents, policyholders and...Senior
- Kindred Resource Group is looking for an experienced Workers' Compensation Claims Examiner in Phoenix, Arizona. This hybrid role requires managing complex WC claims from injury report to resolution. The ideal candidate has a minimum of three years of experience with strong...Senior
- Berkshire Hathaway GUARD Insurance Companies is seeking a Complex Liability Adjuster to handle a caseload of 115-130 complex CGL and BOP claims, including litigated files. You will oversee claims from investigation through resolution, assess coverage and liability, and...Senior
- TRISTAR is seeking an experienced Claims Examiner to manage indemnity claims from inception to resolution under established guidelines. The role requires strong interaction with clients, claimants, and partners while handling a high-volume caseload of complex workers’...Senior
- ...industries. We have operated since 1962 and are nationally recognized. We are expanding our PIP Team with nationwide consideration for a Senior Claims Examiner - PIP. A typical day includes analyzing claims, setting reserves, and communicating with all parties. Travel for...SeniorRemote job
- Chubb is seeking a Commercial Auto Claims Adjuster in Phoenix, AZ to handle auto claims including property damage and liability, with emphasis on timely investigations and accurate reserves. The role supports in-person and remote work and requires 2-4 years of Commercial...SeniorRemote jobFull time
- Canon Recruiting Group in Phoenix, AZ, seeks an experienced Workers’ Compensation Claims Examiner III to manage indemnity claims from inception to resolution in a hybrid Full-Time role. The ideal candidate will have strong knowledge of Arizona workers’ compensation regulations...SeniorFull time
- ...Written Premium and maintain $1.21 billion in surplus.Amerisure is currently recruiting for a Senior Commercial Auto & General Liability Adjuster with experience with handling claims that deal with risk transfer, subcontractors, and general contractors. This role will be...SeniorFor contractorsFor subcontractorWork at officeLocal areaFlexible hoursNight shift2 days per week
- ## Senior Claims AssistantApply: Scottsdale, AZ: Atlanta, GA: Alpharetta, GA: Full time: Posted Today: JR4485**Join Starr, a global leader in commercial insurance with over a century of expertise. We empower our employees to innovate, make impactful decisions, and build...SeniorFull timeWorldwide
- Chubb seeks an experienced Auto Claims Adjuster in the United States with locations in Phoenix, AZ and Alpharetta, GA. You will manage auto claims including property damage, liability inquiries, rental management, and related coverages, while ensuring fair claims practices...SeniorContract work
- Work Schedule:Hybrid — 2 Days In-Office Per Week Employment:Full-Time Level:Experienced (3+ Years WC Claims) ABOUT THE ROLE We are seeking an experienced Workers' Compensation Claims Examiner to join our growing team in Phoenix, Arizona. In this key role, you will independently...SeniorFull timeWork at officeRemote work2 days per week
- ...resolution. Establish accurate and timely reserves. Recognize and pursue recovery. Adhere to all statutory and regulatory fair claims practices. Recognize and identify potential fraudulent claims. Effectively manage the use, work product and expenses of outside vendors...SeniorContract workLocal area
- In this role, the person will be primarily responsible for handling Commercial Auto Claims, including property damage, property damage liability, rental management, and/or other applicable coverages. POSITION RESPONSIBILITIES: Analyze first reports and promptly contact...SeniorFull timeContract workTemporary workLocal areaRemote workNight shiftWeekend work
- ...more secure world. Overview: We are seeking an experienced Auto Claims Adjuster who will be responsible for managing auto claims, including... ...situations, while also recognizing when to seek guidance from senior team members. Attention to Detail: A meticulous approach to...SeniorFull timeContract workTemporary workLocal areaFlexible hours
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Senior Encounter Claims Specialist (Medicaid). Be the first to apply!
Related searches
- claims assistant Phoenix, AZ
- claim examiner Phoenix, AZ
- medical claims analyst Phoenix, AZ
- remote medical claims processor Phoenix, AZ
- senior claims specialist Phoenix, AZ
- claims assistant workers compensation Phoenix, AZ
- medical insurance claims specialist Phoenix, AZ
- claims analyst Phoenix, AZ
- claims processor Phoenix, AZ
- life insurance claim analyst Phoenix, AZ

