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- ...Job Description Job Title: Senior Product Manager – API Integrations... ...networks, third-party platforms, and regulatory agencies.... ...requirements (e.g., provider access, claims integration, eligibility... ...response. · Prior involvement in modernizing legacy systems or leading...PlatformSeniorClaims
$200k - $230k
...and customer focus to the business. Senior Preconstruction Director - PHX, IAD, DFW Does the thought of... ...only do we celebrate success across our platform, we celebrate the very teams that... ...candidate possesses a deep understanding of modern data center design drivers, cost...PlatformSeniorContract workTemporary workFor contractorsCasual workImmediate startFlexible hours- Bank of America is seeking a seasoned leader to drive large-scale data platform modernization efforts. This role involves overseeing strategy, execution, and compliance for complex data initiatives while ensuring operational excellence. The ideal candidate has over 10...PlatformSenior
- Harnham is hiring a Senior Data Engineer in Richardson, TX, to build a modern analytics platform from the ground up. You will design scalable ingestion pipelines, transformation frameworks, and cloud-native data architectures enabling analytics, reporting, and AI across...PlatformSenior
- Motion Recruitment is seeking a Senior Software Engineer in Richardson, TX, to support a high-scale workforce management platform. This hybrid role involves enhancing a large Java... ...with Angular, and a passion for modernizing business-critical systems. Join a team working...PlatformSenior
- Kelly Services is seeking a Senior Software Engineer in Richardson, TX for a hybrid role focused on a Java-based platform. The position emphasizes modernizing a monolithic application and integrating AI into development processes. Ideal candidates have strong Java experience...PlatformSeniorPermanent employment
$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- Kelly Services is hiring a Senior Software Engineer (Java) in Richardson, TX on a hybrid... ...to a large-scale workforce management platform, focusing on backend Java services, frontend... ...workflows. The role emphasizes modernizing from Java 8 to Java 21, system design, and...PlatformSenior
$200k - $250k
...Engineering Management: Manage the core Claims processing system, taking full ownership... ...Support—to continuously enhance the Claims platform and automate efficient processes to... ...Provider domain; familiarity with claims adjudication, partner integrations, and healthcare payments...PlatformSeniorClaimsWork at officeFlexible hours2 days per week- ...or an alternative application process. DIRECTOR, FRONT-END REVENUE CYCLE MANAGEMENT Full... ...equity backed surgical hospital and ASC platform operating 10+ facilities across Texas and... ...Readiness Build pre‑bill audit gates that block claims missing op note completeness, implant...PlatformClaimsPermanent employmentFull timeContract work
$201.02k - $372.25k
...We are currently seeking a Senior Director, AI Insurance Solutions Product... ...the broader AI Solutions Platform portfolio. The leader will translate... ..., including underwriting, claims, policy administration,... ...support, and customer service modernization. Recommend roadmap...PlatformSeniorClaimsFull timeTemporary workRemote workFlexible hoursShift work$176k - $220k
Collective Health in Plano, TX, is looking for an Engineering Manager to oversee the Claims processing system and guide technical teams in AI-driven development. The ideal candidate holds a Master's or Bachelor's degree in Computer Science and has 12+ years of software...PlatformSeniorClaims- Capital One is seeking a Director, Technical Program Management to lead critical technical programs in Plano, Texas. You will leverage your technical acumen to drive strategies and execute complex programs aligned with Capital One’s goals. Ideal candidates have significant...PlatformSenior
- ...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
- ...digital products, with at least 3 years in a senior or lead role • Proven track record of... ...impact • Deep understanding of modern product practices including continuous discovery... ...systems, or customer engagement platforms • Understanding of digital commerce, subscription...PlatformSenior
- Vertex Solutions Inc. is seeking a Technical Project Manager to lead the planning, execution, and delivery of software development platform initiatives. The ideal candidate will have extensive experience in project management, particularly within the Employee Benefits...PlatformSenior
- ...together to 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 success...PlatformSeniorHourly payDaily paidContract workTemporary work
- ...payments closer to invisible with a proprietary platform that supports and strengthens the... ...risks associated with the payments. The Senior Risk Analyst will also be responsible for... ...decisions. Investigates complex dispute claims Create reports, summaries, presentations,...PlatformSeniorClaimsWork at office
- ...integrations, API‑driven solutions, or platform‑based products. Experience developing roadmaps... ...’re also leading the way in technology modernization, helping financial institutions evolve... ...any kind, pursuing any discrimination claim, or cooperating in related investigations...PlatformClaimsH1bWork at officeLocal areaRemote work
$80k - $95k
...Senior Account Manager - Commercial Lines Hybrid Preferred: 1-2 days in Columbia, SC office... ..., policy administration, billing, claims, and coverage analysis. Manage policy expirations... ...management systems and carrier/vendor platforms, ensuring data accuracy and completeness....PlatformSeniorClaimsFor contractorsRemote work- ...meet the needs of more companies, teams, and innovators in this way. The Role: We are seeking a Senior Technical Product Manager to own and evolve core platform and API capabilities that underpin our products and partner integrations. This role sits at the...PlatformSeniorWork at officeLocal areaRemote work
$298k
...best work. Job Summary We are seeking a Senior Director of AI Solutions to lead the design,... ...workflow 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$80k - $100k
...Senior Account Manager - Commercial Lines Fully Remote: Eastern or Central Time Zones |... ...requests, policy administration, billing, claims, and coverage analysis. Policy Management... ...agency management systems and carrier/vendor platforms, ensuring data accuracy and completeness....PlatformSeniorClaimsFor contractorsRemote work- ...continuous evolution of the enterprise HR technology ecosystem. This leader owns the HR technology portfolio end to end, ensuring platforms, data, integrations, and digital capabilities not only enable business objectives but actively elevate the team member experience...PlatformSenior
$200.7k - $229.1k
Are you interested in leading programs that deliver on critical business goals and build large scale products & platforms? At Capital One, we’re changing banking for good. We were founded on the belief that no one should be locked out of the financial system. We’re dedicated...PlatformSeniorFull timePart timeH1bLocal area$114.08k - $218.03k
...Our Digital/Technical Product Manager Senior facilitates the discovery, delivery, and... ...Designs and drives implementation of multi-platform technology and digital solutions.... ...at the discretion of the USAA Board of Directors. The above description reflects the details...PlatformSeniorH1bWork at officeRemote workRelocation packageFlexible hours- ...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
- Billee Technologies in Dallas is searching for a Senior Backend .NET Developer to enhance and maintain its billing platform. This role involves working with a legacy .NET 4.8 system and a modern .NET 8 API layer, emphasizing production stability and feature development....PlatformSenior
- ...This role focuses on maintaining and improving our legacy .NET platform while contributing to the development of a new .NET 8 API... ...troubleshoot and enhance production applications. Join us to lead the modernization of our utility billing platform! #J-18808-Ljbffr Billee...PlatformSenior
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