Senior Director: Claims Adjudication Platform Modernization
CVS Health
CVS Health is seeking an IT Director in Richardson, Texas, to lead its Adjudication Team. This role includes overseeing a team of over 50 technology professionals while transforming the Claims Adjudication platform with innovative solutions and technologies. Candidates should have extensive IT experience, particularly with Java, modern web frameworks, and database management. The position plays a vital role in ensuring compliance with strategic programs and regulatory requirements while fostering a collaborative work environment. #J-18808-Ljbffr CVS Health
$144.2k
MainframeMaster is seeking a Lead Director for Software Development Engineering to lead its RxClaim Strategic Programs. This role... ...a large team, developing technology solutions for the adjudication platform, and setting IT strategy. Candidates should have 10+ years...PlatformFull time- Hyundai Capital America seeks a Sr. Manager to lead Insurance Technology Platforms, guiding delivery, modernization, and compliance across contract administration, claims, underwriting, and data processes. You will own platform roadmaps, manage performance, mentor technical...PlatformSeniorClaimsContract work
$196.73k - $258.21k
...Description Hi, we're Oscar. We're hiring a Senior Director, Escalated Provider Issue Resolution to... ...built around a full stack technology platform and a relentless focus on serving our... ...-disciplinary team, and partner across Claims, Network, Utilization Management,...PlatformSeniorClaimsFull timeWork at officeRemote work$116.88k - $148.13k
...transformation, process reimagination, platform modernization programs, AI, and internal/external... ...Programs, Policy renewals, Reinsurance, Claims and TPA.Broker Integration with Carriers... ...with clients, including clients at senior levels. Expresses himself/herself well...PlatformSeniorClaimsFull timeTemporary workWork experience placement$100k
We are seeking an experienced Senior Claims Analyst with deep expertise in hospital claims adjudication, stop loss reporting, high-cost/catastrophic claims, and DRG (... ...Excel required; SQL, Access, or claims analytics platforms a plus) ~ Excellent written and verbal...PlatformSeniorClaimsFull timeContract work$190.8k - $267.1k
...Machine Learning infrastructure. The Ads ML Platform team is at the core of this mission,... ...faster and build smarter. The Role: As the Senior Product Manager for the Ads ML Platform,... ...engineering velocity and supports the most modern ML architectures. You will be the bridge...PlatformSeniorFor contractorsWork experience placementWork at officeRemote workHome officeFlexible hours- ...mission-critical systems and operations while modernizing IT, optimizing data architectures, and... ...(RDS/Aurora), version upgrades, and platform migrations with minimal downtime.Lead database... ...websites, or through unsolicited emails claiming to be from the company. These emails may...PlatformSeniorClaimsMinimum wageFull timeWork experience placement
- ...Services, Application Modernization, and Industry-... ...expertise, proven software platforms, and innovative AI-driven... ...administration, claims, billing, analytics,... ...day.We are seeking a Senior Manager, Life & Annuities... ..., and compliant adjudication of claims.Manage and...PlatformSeniorClaimsMinimum wageFull time
$120k - $135k
...collaborative and strategic SharePoint Online Platform Leader to serve as the business and... ..., establish governance standards, drive modernization initiatives, and oversee managed... ...Marine America, Inc., TMNA Services, LLC, TM Claims Service, Inc. and First Insurance Company...PlatformSeniorClaimsWork at office3 days per week- ...team in a full-time role based in Richardson, TX. You will define architecture strategies and roadmaps, guiding modernization across enterprise mainframe platforms. The candidate will oversee scalable, secure designs leveraging COBOL, CICS, DB2, IMS, MQ and z/OS, and...PlatformSeniorFull time
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$144.2k - $288.4k
...Join the CVS Health Adjudication Team! This high-profile IT Director role is jointly responsible... ...the transformation, modernization and automation... ...its execution for the Claim adjudication platform. Major Responsibilities... ...interact with and influence senior management enterprise...PlatformClaimsHourly payFull timeTemporary workLocal area- JPMorganChase in Plano, Texas seeks a Senior Lead Software Engineer to drive modernization and delivery of trusted technology products within a secure, scalable... ...decisions and help shape critical data and backend platforms. You will lead AI-assisted development practices,...PlatformSenior
$248k - $397k
Role: Global Financial Services, Senior Director, Banking LeaderWho You AreYou are an accomplished... ..., payments, digital banking, and core modernization. As a trusted advisor, you understand... ..., operating model change, and platform transformation.* Maintain a utilization...PlatformSeniorTemporary workLocal area- ...with Engagement Managers (Directors), project team members,... ...transforming engineering teams and modernizing technology & data platforms. Our delivery models are... ...as core banking systems, claims processing engines,... ...entry-level employees to senior leaders, we believe there...PlatformClaimsLocal area
$298k
...best work.Job SummaryWe are seeking a Senior Director of AI Solutions to lead the design, engineering... ...orchestration across enterprise platforms. Establish reusable patterns for prompt... ...platforms including AWS, GCP, or Azure, and modern data stacks. Strong understanding of...PlatformSeniorFull timeWork at office$195.42k - $370.53k
...is currently seeking a Director Insurance IT M&A - Due... ...insurance technology platforms; identify key IT risks... ...corepolicy administration, claims, billing, underwriting... ...and collaborate with senior cross-functional teams... ..., IT architecture modernization,outsourcing of IT operations...PlatformClaimsH1bLocal area$99k - $232k
...of innovative solutions that modernize insurance operations. As a Manager... ...improve risk selection and claims resolution speed- Enhance... ...in solution architecture or senior technical delivery rolesWhat... ...architecture experience with cloud platforms (AWS/Azure/GCP), containers,...PlatformClaimsFull timeH1b- ...make unforgettable experiences. Role Summary: The Senior Food & Beverage Director of Beverages will be an essential part of the Food &... ...internal online-ordering systems or third-party mobile order platforms like Uber Eats, Door Dash, etc. is a plus ~ Proven...PlatformSeniorHourly payDaily paidFull timeContract workTemporary work
- ...Senior Recruiting ManagerHybrid (Tues-Thurs) in Plano, TXReports to Director of RecruitingOur client is a digital platform offering an easy and convenient way to access on-demand earnings early. Available at no cost to employers, our app-based on-demand pay solution helps...PlatformSenior
- ...000 people with proprietary assets and platforms, deep process and industry expertise, and... ...value stream from quoting through claims — will capture significant five-year transformation... ..., Majesco, Vitech V3locity, or legacy modernization implementation experienceFront-stage...PlatformClaimsFull timeLive inWork at officeLocal areaShift work
- Capital One Financial Corporation in Plano, TX seeks a Director, Client Development to lead strategies that drive growth and profitability for the Finance Program and Navigator Platform. You will engage dealership partners, translate market intel into product and pricing...PlatformSenior
$151k - $297k
...Leader who has partnered with senior leaders to drive complex,... ...change at scale. As the Senior Director, you will partner with the Chief... .... We have redefined the data platform for the AI era, enabling... ...market, helps organizations modernize legacy workloads, embrace innovation...PlatformSeniorWorldwideFlexible hours- Senior Director, Enterprise Architecture - PBM Modernization & TransformationThe Senior Director, Enterprise Architecture - PBM... ..., evolving legacy, monolithic platforms and point-to-point integrations... ...critical PBM domains, including claims processing, benefit administration...PlatformSeniorClaimsFull timeLocal areaWork from home
- Principal Senior Systems Engineer - HPE Networking (Mid-Telco Accounts... ...while helping organizations modernize IP, transport, data center,... ..., switching and security platforms (MX, PTX, QFX, EX and SRX) along... ...of any third party claiming to represent the company. Any...PlatformSeniorClaimsFull timeWork experience placementWork at officeLocal areaImmediate startRemote workWork from home
- Senior Director of eDiscovery Employment Type: Full Time, Executive Level Department: eDiscovery... ...issues within the eDiscovery platform. Maintain close working relationships... ...required. Ability to obtain a favorably adjudicated Public Trust Clearance. Preferred Qualifications...PlatformSeniorFull timeFlexible hoursNight shift
- ...day-to-day service needs – eligibility, claims, billing, compliance, and employee questions... ...? No More “Spreadsheet Olympics”: Our platform automates the grind – so you focus on strategy... ...Technologically savvy and eager to use modern tools to enhance service delivery...PlatformClaimsWork at office
- ...requisition load, partner directly with hiring managers (including senior leadership), operate autonomously, and are ready for iteration... ..., SC, TX, UT, VA, WA, WI.About Tapcheck:Tapcheck is a digital platform offering an easy and convenient way to access on-demand...PlatformSeniorWork at officeLocal areaRemote workShift work
$115.78k - $168.75k
...Responsibilities -Proactively handle professional liability claims primarily involving miscellaneous professional liability litigation... ...Fitness center discounts and free virtual fitness platform Employee assistance program Health & Wellness ~ Comprehensive...PlatformSeniorClaimsFull timeTemporary workLocal areaFlexible hours
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