Strategic Ops Leader - Health Enrollments & Claims
bcbsnc
BCBSNC is seeking a Senior Manager of Operations to oversee multiple functions including membership, enrollment, system support, customer service, claims, and fulfillment. You will ensure efficiency and productivity while delivering analytics services across customer segments. You will lead the Operations Center of Excellence, drive process improvements, and collaborate with cross-functional teams to optimize end-to-end member experiences and data integrity. #J-18808-Ljbffr bcbsnc
- Blue Cross NC is seeking a Senior Manager of Operations to oversee multiple functions including membership, enrollment, system support, customer service, claims and fulfillment. The role focuses on efficiency, analytics, and a superior member experience through timely,...Claims
$168.98k - $218.68k
...continue to fight against the world’s biggest health challenges, and our mission requires... ...believe every employee deserves a great leader. People Leaders are the cornerstone to the... ...Model N, specialty pharmacy dispense data, claims/RWD, and high-value-per-patient...ClaimsFull timeContract workFor contractorsLocal area- UNC Health in Chapel Hill is seeking an Associate Dean of Human Resources to lead the School... ...and align it with UNC Health Care's strategic objectives. You will provide strategic... ...executive team, and oversee a team of HR leaders across recruiting, employee relations, compensation...Suggested
- ...families in the Raleigh area. The role emphasizes collaboration with department heads and the Office of Admissions to streamline applications and enrollment processes, including events and reporting. Evening and weekend work will be required. #J-18808-Ljbffr Meredith CollegeSuggestedWork at officeAfternoon shift
- Sobi is seeking a Senior Medical Director to lead strategic medical affairs for US immunology products. You will provide scientific leadership, develop engagement plans with KOLs, and oversee US Phase IV studies and publication strategy. You will collaborate with Regulatory...Suggested
- UNC Health is seeking an Engagement Manager, Strategic Planning to lead high-impact strategy engagements across regions and service lines. You will work with system leaders to develop hypotheses, perform analyses, and deliver data-driven recommendations aligned with organizational...
- Pendo is seeking a Marketing Ops leader who owns the operational foundation of the Marketing organization: process design, planning cycles, and a strategic partnership with Marketing leadership to unlock AI-enabled improvements. You stay deeply embedded in Marketing, map...
- Rhaonline in Raleigh, NC seeks a Director of Accounting and Financial Operations to lead financial operations and ensure compliance with HUD regulations. This senior executive will manage financial reporting, budgeting, and accounting for several programs while mentoring...
- ...wellness strategy, overseeing self-insured plans and an integrated leave program. The role directs open enrollment, renewals, system updates, compliance, and strategic plan design enhancements to strengthen the employee experience and cost-effectiveness. The position...
- Coast to Mountains Preparatory Academy is seeking an executive leader to drive academic excellence, enrollment growth, and innovative programs. You will shape the strategic direction in collaboration with school leadership and marketing to ensure sustainable growth and...
- Guardian Service seeks a Senior Strategy & Operations Associate to partner with senior leadership on strategic priorities and high-growth initiatives. This role blends analysis, problem framing, and translating insights into actionable plans across growth, acquisitions,...
- UNC Health in Raleigh, NC is seeking a Director of Operations to lead programs ensuring optimal clinical and financial outcomes. The role oversees multiple initiatives and aligns them with UNC Health's strategy, communicating objectives to hospital leadership. Responsibilities...
- ...for a Corporate Development Principal - Remote. You will lead strategic alliances, perform market assessments, and drive growth initiatives... ...Distribution and Club Strategy, collaborating with Legal, Claims, Marketing, Finance, Technology, and Operations to bring opportunities...ClaimsRemote job
- ...Kind Behavioral Health is a leading provider of Applied Behavior Analysis services in... ...Experience with insurance verification, claims processing, and accounts receivable Knowledge... ...to relevant stakeholders Payor Claims Enrollment (EFT & ERA enrollments) Complete...ClaimsWork at officeLocal areaFlexible hours
$73.5k - $84k
...a significant impact on the health and well-being of people across... ...and Workers' Compensation claims. Actively interact with and... ...the condition. As the world's leader in the production and distribution... ...around the globe, we are strategically positioned to coordinate...ClaimsContract workLocal areaWorldwideFlexible hours$22.84 - $29.57 per hour
## Claims Adjuster Trainee - North CarolinaApplyremote type: In Officelocations: NC - Winston... .... We offer home, auto and accident and health insurance, as well as other specialty... ...Effective July 1, 2014, under Indiana House Enrolled Act (HEA) 1242, it is against public...ClaimsHourly payContract workTraineeshipWork at officeWork from homeVisa sponsorshipWork visa$86.4k - $129.6k
...Team Leader Claims - CH08AE We’re determined to make a difference and are proud to be an insurance company that goes well beyond coverages... ...business including industry and marketplace trends, strategic direction of the organization Use critical thinking skills...ClaimsTemporary workCurrently hiringWork at officeRemote work3 days per week$130k - $160k
...providing new solutions to transform human health. Our incredible customers undertake life-... ....Cell Culture Commercial Modality Leader Central USLocation: Remote within territory... ...leader who combines scientific knowledge, strategic thinking, and customer focus to drive business...Full timeRemote workWork from homeWorldwideFlexible hours- ## Area Leader - Night ShiftPostulerlocations: Claremont, NCposted on: Offre publiée il... ...offer scams involving individuals *falsely claiming* to represent our company.Our company... ...part of our Social Ambition 2030 and a strategic pillar of our Company culture, Prysmian...ClaimsLocal areaShift workNight shiftRotating shift
$26.49 - $40.99 per hour
...needs. We offer home, auto and accident and health insurance, as well as other specialty... ...trailers, and Motorcycle material damage claims leading to the proper disposition. This role... ...July 1, 2014, under Indiana House Enrolled Act (HEA) 1242, it is against public policy...ClaimsWork at officeWork from homeVisa sponsorshipWork visa$26.49 - $40.99 per hour
...needs. We offer home, auto and accident and health insurance, as well as other specialty... ...trailers, and Motorcycle material damage claims leading to the proper disposition. This role... ...July 1, 2014, under Indiana House Enrolled Act (HEA) 1242, it is against public policy...ClaimsWork at officeWork from homeVisa sponsorshipWork visa$55.6k - $99.3k
...Global Operations (Global Ops) focuses on creating... ...innovation. In the role of Unit Leader, you will manage a team... ...and/or Absence claims within authorized... ...to and from partners. Strategic-thinking skills and the... ...for physical and mental health, financial wellness, and...ClaimsTemporary workWork at officeLocal areaWorldwide- Beacon Roofing Supply, Inc. in Garner, North Carolina, is seeking an individual for operational leadership who can assume branch manager responsibilities. The role emphasizes fostering a safety-oriented culture and ensuring compliance with financial regulations. Qualifications...
$107.9k - $172.64k
..., preventing, and correcting health care fraud, waste, and abuse.... ...peers to support tactical and strategic initiatives. Contribute to... ...as needed. Collaborate with leaders who manage vendor relationships... ...of complex healthcare claims data to identify emerging fraud...ClaimsWork at officeLocal areaRemote workFlexible hours2 days per week- ...Cross NC is seeking a Healthcare Consulting Advisor to interpret claims and health outcomes data, uncover patterns, and drive data‑driven decisions. You will develop executive summaries, dashboards, and strategic reports, translating complex concepts into clear language for...Claims
- ...Encounters Submission to partner with complex payer customers as a strategic SME. You will drive product value realization, strengthen... ...translating client needs around encounter submissions workflows, claims integration, risk adjustment, and CMS regulatory #J-18808-Ljbffr...Claims
$124.6k - $255.9k
...you passionate about shaping the future of health? Deloitte’s Center for Health Solutions (DCHS) is seeking a Senior Research Leader to drive innovative thought leadership,... ...sector, ensuring alignment with Deloitte’s strategic priorities and emerging industry challenges...- Transitions LifeCare in Raleigh, NC is seeking a full-time nursing leader to coordinate and supervise hospice nursing staff, ensuring day-... ...and demonstrated supervisory experience in hospice or home health settings. The position schedules Monday-Friday 8:00am-5:00pm with...Full timeMonday to Friday
- ...forecasting, and cross-functional analytics, partnering with Commercial leadership, data teams, and stakeholders to drive ROI and strategic decisions. The role requires SQL, Python or R, and visualization tools expertise, plus strong business acumen and storytelling to...
- Alliance Health in Morrisville, NC seeks an experienced Compensation Manager to manage compensation structures and job classifications. The ideal candidate will have a degree in Human Resources and four years of experience, including leadership roles. This position involves...Remote job
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