Senior Claims WFM Lead: Forecasting & Capacity
$67.9k - $199.14kCVS Health
CVS Health is seeking a workforce management professional in Pierre, South Dakota, to lead Claims operations. This role involves forecasting, capacity planning, and optimizing workforce utilization, with a focus on supporting performance outcomes and scalability. The ideal candidate should have at least 7 years of relevant experience and strong analytical skills. This position is eligible for a comprehensive benefits package and a salary range of $67,900 - $199,144 annually, depending on various factors. #J-18808-Ljbffr
$109.2k - $223.4k
...Oracle is seeking a US-based Senior Principal Energy Program Manager... ...President of Infrastructure Capacity and Planning. As an energy... ...reduction and renewable energy claims: Global Reporting Initiative... ...your potential at a company leading the way in AI and cloud solutions...SeniorClaimsContract workTemporary workFor contractorsFlexible hours$100k - $125k
...A leading risk management firm seeks a Sr. Claims Specialist to analyze complex professional liability claims and manage overall claims processes. You’ll negotiate settlements, coordinate legal defenses, and ensure high levels of client satisfaction. Ideal candidates will...SeniorClaimsRemote work$80k - $85k
A leading risk and claims management firm in South Dakota is seeking a Litigation Consultant to manage high-end cases involving serious injuries and complex legal disputes. The ideal candidate will have at least 10 years of litigation experience and must be skilled in communication...SeniorClaimsRemote work$22.3 - $35.2 per hour
...Lead Coordinator, Collections About Navista We believe in the power of community oncology to support patients through their journeys... ...accounts receivable team, ensuring accurate and timely processing of claims, including denials and the maximization of cash flow. This role...ClaimsHourly payTemporary workWork at officeLocal areaFlexible hours- ...Parexel is seeking a Senior Real-World Evidence (RWE) Analyst Programmer Join a high-impact team as a remote Sr. Real-World Evidence... ..., has hands-on experience with raw RWE data including both claims data and Flatiron EHR and can write SQL code from scratch. Clean...SeniorClaimsRemote workFlexible hours
$169.4k - $279.6k
...transforming our business and technology capabilities and paving the way for best-in-class solutions. As a Lead Architect, you will collaborate with senior Technology and Business leaders and apply your deep technical proficiency and visionary thinking to architect...ClaimsTemporary workWork experience placementLocal area$25 - $29 per hour
...and work from home! The Bankruptcy Team Lead will be responsible for monitoring residential... ...process, Motion for Reliefs, Proof of Claims, Transfer of Claims, Reaffirmations,... ...mortgage industry. • One year or more in senior or lead bankruptcy role or project management...ClaimsExtra incomeWork experience placementWork from home$230.72k - $345k
...Job Summary The Senior Director, Biostatistics, provides leadership, oversight, and technical... ...multiple therapeutic areas. This role leads and develops a high‐performing... ...other application processing fee, even if claimed you will be reimbursed, this is not Otsuka...SeniorClaimsTemporary workLocal areaFlexible hours$161.5k - $184.3k
...A leading financial services company is seeking a Senior Manager for their Client Development team. This role focuses on strategic interaction with top merchants, leveraging analytical skills to optimize business success. Candidates should have at least 8 years of experience...SeniorRemote work$96.11k - $143.75k
...Engineer position typically reports to a senior leader in the Packaging and Device Technology... ...and new assignments. Assist and or lead in the packaging development process,... ...other application processing fee, even if claimed you will be reimbursed, this is not Otsuka...SeniorClaimsTemporary workLocal areaFlexible hours$86.3k - $118.7k
...Become a part of our caring community The Senior Compliance Professional ensures adherence... ...experience in pharmacy operations and/or claims processing within a pharmacy setting.... ...industries. Strong communication skills to lead meetings and communicate with business...SeniorClaimsBi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeMonday to Friday$115.1k - $165.45k
...Innovation seeks an energetic, sales‑focused Lead Presales Demo Solutions Technologist to... ...support how UKG brings Workforce Management (WFM) solutions to market. The team is... ...implementation, solution consulting, or enablement capacity 3+ years of hands‑on experience with...$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... ...and offer advanced expertise to help teammates Experience in leading and managing all levels of staff relative to experience, tenure...ClaimsTemporary workCurrently hiringWork at officeRemote work3 days per week- ...Principal Data Scientist Job Responsibilities Lead the design and development of advanced statistical and machine learning models that improve claims outcomes, operational efficiency, and risk management. Serve as the technical authority for complex modeling initiatives...Claims
$100k - $125k
...Fortune Best Workplaces in Financial Services & Insurance Sr. Claims Specialist, Professional Liability | E&O, D&O, EPL | Remote Primary... ...candidate for this or other roles. Sedgwick is the world\’s leading risk and claims administration partner, which helps clients thrive...SeniorClaimsWork at officeLocal areaRemote workFlexible hours- ...Quality Control functions. Work with Project Manager to budget, forecast, and manage craft labor, equipment, materials, small tools,... ...characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 U.S.C. Sec. 1601 et seq., and federal...ClaimsFull timeContract workTemporary workPart timeFor contractorsFor subcontractorWork at officeRemote work
$99.3k - $150k
...Position Overview The Storage Mgmt. Lead is responsible for the design, implementation, and ongoing operations of enterprise storage... ...function, ensuring on‑premises and cloud‑based storage solutions meet capacity, performance, resilience, and security objectives. The Storage...Contract workWork at office$80k - $110k
...Stay for the culture. What You’ll Be Doing: About the Role The Senior Analyst, AI Transformation is a hands-on builder who designs and... ...reports and measures programmatically. Experience with healthcare claims data, and healthcare-specific data structures. Strong problem-...SeniorClaimsImmediate start- ...ownership of AI initiatives for a specific Line of Business or claims domain. This role partners directly with business stakeholders to... ...claims leadership, operational managers, and Business Transformation Leads to understand workflow bottlenecks, leakage drivers, customer...ClaimsRemote work
$24.5 - $26 per hour
...Come join our amazing team and work remote from home! The Default FHA Claims QA Analyst II will work under moderate supervision, responsible for reviewing FHA mortgage insurance claims for accuracy and submitting the claim form for filing. Performs all duties in accordance...ClaimsRemote workWork from home$50k - $55k
...Work® Fortune Best Workplaces in Financial Services & Insurance Claims Representative, Auto | Property Damage PRIMARY PURPOSE OF THE... ...right candidate for this or other roles. Sedgwick is the world’s leading risk and claims administration partner, which helps clients...ClaimsContract workWork at officeLocal areaFlexible hours$72.1k - $133.9k
...debit memos, agent error payouts, and HCP traveler reimbursements Claims & Research: Manage US rental car accident claims and assist... ...Analysis & Processing: Conduct monthly financial reviews comparing forecasted budgets against actual expenditures; calculate travel bonuses,...ClaimsWork at officeImmediate startFlexible hours$106.61k - $284.28k
...Manager, Frontline Support Engineering to lead our organization's efforts to... ...establishing the CVS Digital team. The Senior Manager is responsible for leading... ...driven insights to guide decisions, forecast demand, and manage capacity. o Present performance updates to...SeniorHourly payFull timeTemporary workWork experience placementLocal area$133.5k - $274.1k
...evaluate medical documentation for disability claims in a collaborative, team-oriented... ...medical knowledge to determine functional capacity through assessment of medical and other data... ...of Unum Group, a Fortune 500 company and leading provider of employee benefits to...ClaimsTemporary workWorldwideFlexible hours- ...business related research and analysis such as the preparation of forecasts and/or analysis of financial reports, records and trends;... ...reports, graphs and charts of data developed. Serve as a project lead for special projects within the department. Lead and document financial...Work at officeLocal area
$86.4k
...business related research and analysis such as the preparation of forecasts and/or analysis of financial reports, records and trends;... ...reports, graphs and charts of data developed. Serve as a project lead for special projects within the department. Lead and...For contractorsWork at officeLocal area$90k
...Job-Specific Essential Duties and Responsibilities: Provide senior-level engineering and operational support for enterprise VoIP and... ...supporting restoration efforts during incidents. Perform capacity planning and scalability analysis, leveraging performance and utilization...SeniorContract workRemote work- ...This dual PM/BA capability enables them to lead initiatives end-to-end—from problem... ...strategic objectives, budget, and delivery capacity. Own and actively manage the pipeline... ...and drive decisions across HR, IT, and senior leaders. Experience in roadmap and pipeline...SeniorWork at officeLocal areaRemote work2 days per week3 days per week
- A leading healthcare organization seeks an Inpatient Medical Coding Auditor to work remotely. The role involves reviewing inpatient hospital claims for correct reimbursement and managing provider disputes. Candidates should have RHIA, RHIT or CCS Certification and MS-DRG...ClaimsRemote work
- ...A national claims management company is seeking a Claims Examiner – Workers Compensation. This remote role involves analyzing and processing California workers compensation claims, negotiating settlements, and ensuring effective communication with clients. Candidates...ClaimsRemote workFlexible hours
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