Configuration Delivery Lead, Claims Operations
Blue Cross & Blue Shield of NC
Blue Cross NC is seeking an experienced configuration leadership professional to oversee staff delivering system configuration solutions that support the enterprise strategy. You will lead the analysis, development, and implementation of initiatives to modify and re‑engineer processes and systems for improved performance and user efficiency. In this role, you will manage performance, mentor staff, ensure change control compliance, coordinate with IT and business operations on upgrades, and guide #J-18808-Ljbffr Blue Cross and Blue Shield of North Carolina
- ...provider system. Position Summary The Claims Analyst is responsible for the analysis... ...by a nurse or physician. Review implant configurations for coding and unit accuracy. Manage all... ...Service, or applicable healthcare operations. 5+ years claim processing experience and...OperationsClaimsFull timeWork at office
- ...nationwide community of providers, operations specialists, and thought... ...performance, and direct the configuration and modification of computer... ...events, orders, results, and claims data. Athena Health, Marketplace... ...workflows where applicable. Lead FHIR‑based integration...OperationsClaimsTemporary workFlexible hours
- ...and shock, EMI/EMC, contamination), and lead integrated analyses with the provider, including... ...Oversee definition of the payload operations concept and integrate into the mission... ...New Glenn safety processes Plan payload delivery, receiving, ground processing, and launch...OperationsContract work
- ...Semans - State Farm Agent, you are vital to our daily business operations and customers’ success. You grow our agency through meaningful... ...customers with policy changes and inquiries. Process insurance claims and follow up with customers on claim status. Coordinate with underwriters...OperationsClaimsFlexible hours
- ...Specialist do? A medical billing and coding specialist processes and codes healthcare claims to ensure accurate billing and insurance reimbursement, supporting the financial operations of healthcare facilities. Highlights : Complete in as short as a few weeks to a...OperationsClaims
- ...engagement Collaborating with product, delivery, and technical teams to tailor... ...propositions for underwriting, claims, risk, and customer experience Leading client presentations, demos, and proposals... ...stakeholders, including IT, operations, and C-level executives Executing...OperationsClaimsContract work
- ...and real support. Whether we’re helping someone navigate a claim or personalize a plan, we believe in doing meaningful work... ...that promote office growth. Support day-to-day business operations, including lead follow-up and scheduling. Communicate product information...OperationsClaimsWork at officeLocal area
- ...for Brandi Mark State Farm, you are vital to our daily business operations and customers’ success. You grow our agency through meaningful... ...availability, eligibility, coverages, policy changes, transfers, claim submissions, and billing clarification Promote successful and...OperationsClaimsHourly pay
$33.63 - $50.45 per hour
...Whether you're directly caring for patients, supporting our clinical operations, or working to ensure our administrative functions run... ...'ll also be cared for, too. While many organizations make this claim, we back it up with action. We take workforce feedback seriously...OperationsClaimsHourly payDaily paidFull timePart timeLocal areaShift work$24 - $28 per hour
...regulatory inquiries, and also provides other support in the legal operations of the company. This position is classified as non‑exempt under... ...worked in excess of 40 hours in a given work week. The Legal Claims group is part of the company’s Legal Department and serves as...OperationsClaimsImmediate start- ...career opportunity to work with an industry-leading independent Insurance Agency. We are... ..., coverages, policy changes, transfers, claim submissions, and billing clarification Maintain... ...procedures, coverages, and industry operations to effectively secure new business and...OperationsClaimsFull timeWork experience placementWork at officeRelocation package
$75k - $85k
...office. Legal assistants are responsible for managing day-to-day operations of the law firm and ensuring the firm remains in compliance... ...obtain coverage and negotiate medical bills Reviewing policies, claims and other records to determine insurance coverage eligibility under...OperationsClaimsFull timeWork at office- ...licensing, regulatory documentation, product claims reviews, MoCRA requirements, packaging... ...Development, Marketing, Packaging, Operations, Supply Chain, International, Education,... ...responsibilities Regulatory Project Management Lead cross-functional regulatory and...OperationsClaimsWork at officeMonday to Friday
- ...Human Resources Specialist at Christ Fellowship oversees core HR operations, including payroll processing, benefits administration,... ...the insurance broker and mediate benefit‑related inquiries or claims issues for staff. Manage leave administration (FMLA, short/long...OperationsClaimsHourly payFull timeTemporary workWork experience placementFlexible hours
- ...services. In this role, you will conduct detailed retrospective claims reviews, provide expert-level coding analysis, and support cross-functional teams including medical directors, claims operations, and quality management. This position is ideal for a highly analytical...OperationsClaimsFull timeWork at officeRemote workWork from homeHome office
- ..., inventory performance, and operational efficiency. This role provides... ...corporate growth objectives. Lead logistics transformation... ...intermodal, drayage, and final-mile delivery services. Develop... ...transit time, on-time delivery, claims, and service reliability. Identify...OperationsClaimsContract work
- ...prompt; identify issues in logic, messaging, audience targeting, claims/compliance risk, structure, and style; fact-check statements... ...experience with AI data training/annotation, content QA, editorial operations, or style-guide governance is strongly preferred. Key...OperationsClaimsHourly payContract workPart timeFor contractorsImmediate startRemote work
$17 - $24.26 per hour
...responsibilities include assisting and coaching pharmacy technicians in the operation of the pharmacy systems and ensures compliance to the company’s... .... Maintains knowledge of asset protection techniques, creates claims for order errors and damaged goods. Maintains a safe and clean...OperationsClaimsHourly payFull timeWork at officeImmediate startFlexible hoursWeekend workAfternoon shift- ...responsible and accountable for initiating and leading the development of actuarial studies,... ...across several functions, including claim trend analyses, experience studies, medical... ...as well as ad hoc financial operations reporting, provider network analysis, and...OperationsClaimsContract work
- ...property managers streamline operations, reduce manual work, and... ...discovery, data migration, configuration, training, and financial cut... ...configuration decisions they need Lead the client Be the client's... ...professional services or billable delivery, where sloppy scope hit the...Operations
- ...closely with Implementation Managers to support the successful delivery of client implementation projects. This role serves as a... ...activities across cross-functional teams, including Data Operations, Configuration, Development, and Product teams.* Gather and document...OperationsWork experience placementFlexible hours
- ...experienced and highly organized Manager of Clinical Appeals to lead our clinical appeals operations across commercial and government payers. This role is... ...to ensuring timely and effective resolution of denied claims, supporting revenue recovery efforts, and maintaining...OperationsClaimsRemote work
- ...authorizations, and healthcare revenue cycle operations. The Documentation Coordinator will... ...Facilitate rapid resolution of critical claim barriers. Operational Coordination... ...spans the spectrum of healthcare, with leading businesses and products in diagnostics,...OperationsClaimsTemporary workWork at officeFlexible hours
- ...collaborates with organizational leaders on operational planning, financial performance, access,... ...affecting patient care or safety. Leads the development, review, and implementation... ...support regulatory compliance, accurate claims, appropriate reimbursement, and...OperationsClaimsWork at officeFlexible hours
- ...Lead Operations. Strengthen Compliance. Build the Systems Behind Exceptional Care. At Agape... ...operational resources support safe service delivery Partner with clinical leadership to... ..., documentation-to-bill readiness, claims, denials, appeals, accounts receivable,...OperationsClaimsWork at officeMonday to Friday
$19 - $23 per hour
...reasonable accommodation; including, but not limited to: Configure,implementand administer a robust claims quality and auditingprogram Establish best practice... ...and guidelines applicable to Health Plan operations Experience: 2 years’ experience with complex claims...OperationsClaimsHourly payFull time- ...strategy, prepare answers to statements of claim or complaints, engage in discovery and... ...senior management on litigation matters. Leads the work of others and may train, coach... ...banking, finance, and securities industry operations. Advanced principles of financial...OperationsClaimsWork experience placementWork at office
- ...responsible for developing, implementing, and leading the organization's quality management... ..., supplier quality, manufacturing operations, and customer experience. This role ensures... ...reduce scrap, rework, defects, and warranty claims. Lead quality containment and...OperationsClaimsZero hours contract
- ...risk and structural warranty programs. We operate using a proprietary Training Resource for... ...and trade contractor accounts. Lead renewals, coverage reviews, and policy strategy... ...loss trends using AMS dashboards. Support claims coordination and risk mitigation strategies...OperationsClaimsFor contractorsFor subcontractor
- ...BeneCard PBF is seeking a detail-oriented Clinical Operations Associate to support clinical and operational processes related to pharmacy... ...clinical expertise. Our business model operates on a customized claim processing system offering unlimited capability and flexibility...OperationsClaimsTemporary workWork at officeMonday to FridayFlexible hours
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