Remote Senior Manager, Medical Claims Policy & Config
Brighton Health Plan Solutions
- Remote job
Brighton Health Plan Solutions is seeking a Senior Manager of Medical and Clinical Claim Policy and Configuration to lead policy content and system configuration across Medical Management, Claims, IT, and Legal. This remote, full-time role requires shaping policies, maintaining CES configurations, and guiding policy updates with regulatory alignment. You will collaborate with multiple business units to implement policies, manage claim policy web content, and develop analyses for CPT/HCPCS/ICD #J-18808-Ljbffr Brighton Health Plan Solutions
$125k - $140k
...140,000,Category: Claims & UnderwritingCompany... ...**This is a fully remote position in the... ...OverviewThis is a senior position for a highly... ...LTC claim and medical impairment knowledge... ...relationship management skills, and the ability... ...claim guidelines, policy provisions, treaty...Remote workSeniorPolicyMedicalClaimsTemporary workWork experience placementShift work$141.59k - $176.99k
...Description Summary:The Senior Preconstruction Project Manager is responsible for... ...in San Diego, CA or remote to start with... ...according to Company policy Organize regular meetings... ...) Avoid or mitigate claims and conflict... ...families) are eligible for medical, dental, vision, basic...Remote workSeniorPolicyMedicalClaimsFull timeContract workFor subcontractorWork at office$75k - $85k
Employee Benefits Senior Account Manager We are seeking an Employee... ...to marketing, claims, and administration;... ...: Ensure accuracy of policy data within agency management... ...up to two days remote, alternating 5‑day &... ...benefits, including Medical, Dental, Vision, and...Remote workSeniorPolicyMedicalClaimsFull timeWork experience placementFlexible hours- This is a Full-Time , Remote position with occasional... ...areas including change management, recruitment and selection... ..., training and policy/procedure interpretation... ...Workers' Compensation Claims, LOA and ADA).Maintain... ...is essential.Fresenius Medical Care maintains a drug-free...Remote workSeniorPolicyMedicalClaimsFull timeTemporary work
$125.4k - $181.42k
Founded in 1977 as the Senior Care Action... ...care for the most medically and socially complex... ...The JobThe Senior Manager of Quality Assurance... ..., specifically Claims, Grievances and Appeals... ...to evolving policies and procedures.Supervises... ...: Long Beach, CA; Remote, USType: Full timeRemote workSeniorPolicyMedicalClaimsFull timeFor contractors- ...information Job Title Senior Benefits Manager Date Friday,... ...of high-cost claims to ensure accurate forecasting... ...implement program, policy, and procedural... ...motivating, and mentoring remote or distributed teams.... ...managing RBP medical plans, including navigating...Remote workSeniorPolicyMedicalClaimsWork at officeLocal areaShift work
$77.1k - $120.5k
...supports employees working remotely, hybrid, or in-office.... ...for expertly managing the internal service process... ...contract and claims history review.) Participate... ...specializations, policies or products. Perform... ...addition to a full range of medical, financial, and/or...Remote workSeniorPolicyMedicalClaimsFull timeContract workFor contractorsSeasonal workWork at officeLocal areaFlexible hours$164.8k - $216.3k
...experienced and results‑driven Senior Project Manager with a minimum of 10... ...order management, claims resolution, and... ...Employees have access to medical, dental, vision, and... ...Paid Time Off (PPTO) policy for full-time... ...offices/projects and remote locations enabling them...Remote workSeniorPolicyMedicalClaimsFull timeContract workFor contractorsFor subcontractor- ...Frida is looking for a Senior Sales Manager to join our Sales... ...partner. This is a remote role, but must be located... ...: Comprehensive medical, vision, and dental plan... ...laws. Privacy Policy By applying for this... ...suspicious outreach claiming to represent Fridababy...Remote jobSeniorPolicyMedicalClaimsFull timeTemporary workWork at officeLocal areaImmediate start
$129.3k - $172.3k
...an in-house opportunity?The Senior Claims Counsel position with First American... ...to difficult problems, manage their own caseload, oversee outside... ...loss under the title policy, assess defenses for the insured... ...benefits package including medical, dental, vision, 401k, PTO/paid...Remote workSeniorPolicyMedicalClaimsFull time$72.8k - $130k
...Growing together. The Senior Account Manager has geographic... ...pmLocation: This role is remote in Wichita, KS and requires... ..., and total medical cost goals per business... ...problems, to include claims and member support servicesMaintains... ...Group's Telecommuter Policy.Pay is based on...Remote workSeniorPolicyMedicalClaimsMinimum wageFull timeWork experience placementWork at officeLocal areaMonday to Friday$171.5k - $235k
...Sr. Product Marketing Manager - AI Protect to join our... ...and make sharp, arguable claims — then back them up —... ...buyers think and buy#LI-Remote #LI-DS9Zscaler’s salary... ..., and Zscaler policies, including those related... ...including pregnancy or related medical conditions), age,...Remote workSeniorPolicyMedicalClaimsFull timeWork at officeLocal areaNight shift- ...Position Description The Senior Project Manager leads the project team and... ...and enforces the safety policies and procedures and addresses... ...-builts, change orders and claims. Works to beat the labor... ...great benefits. We provide medical, dental and vision on the first...Remote workSeniorPolicyMedicalClaimsContract workFor subcontractorWorldwideRelocationWeekend work
- ...of the largest global medical technology companies in... ...commercial acumen, partner management discipline, product... ...positioning, value propositions, claims, and competitive... ...and work-life balance. Remote or field-based... ...Workplace Accommodations Policy, requests for accommodation...Remote workSeniorPolicyMedicalClaimsFull timeWork at office
$150k - $185k
...of work.Job Title:Senior Contracts ManagerReporting... ...Senior Contracts Manager, Original... ...site, hybrid, and remote work schedules will... ...develop and oversee policies and procedures to... ...potential supplier claims, disputes and... ...coverage including medical, dental, vision, life...Remote workSeniorPolicyMedicalClaimsFull timeContract workRelocation packageFlexible hours$49.88k - $62.35k
...benefits configuration; and, claims analysis, auditing,... ...Benefits : ~ Medical, Dental, Vision, Pharmacy... ...to pharmacy benefits management required. #... ...and interpret various policies, technical publications... ...connection required to support remote or hybrid work. Must...Remote workPolicyMedicalClaimsHourly payFull timeContract workWork at officeFlexible hoursAfternoon shift- Selective Insurance is seeking a Claims Litigation Specialist for a remote position. Investigate,... ...and contractual issues. Manage defense counsel to ensure... ...compliance with company policies from start to finish. You... ...reports, coordinate medical examinations when needed,...Remote jobSeniorPolicyMedicalClaims
- ...Senior Capture Manager MCI is one of the fastest-growing tech... ...by both on-site and remote agents, leveraging advanced... ...Act (ADA), it is the policy of MCI and its... ...ancestry, color, family or medical care leave, gender... ...Process Outsourcing (BPO), Claims Processing,...Remote workSeniorPolicyMedicalClaimsTemporary workLocal area
- ...of the largest global medical technology companies in... ...drive conversionBuild and manage Marketo programs:... ...equip DMEs with compliant claims documentation, prior authorization... ...and work-life balance. Remote or field-based... ...Accommodations Policy, requests for accommodation...Remote workSeniorPolicyMedicalClaimsFull timeWork experience placementWork at office
$200k - $235k
...LITIGATORS! APPLY NOW!SENIOR ASSOCIATE ATTORNEY - SPECIALTY... ...(Los Angeles, Irvine)REMOTE (everyday besides... ..., errors and omissions claims involving attorneys, agents... ...policies and draft detailed coverage... ...EligibilityComprehensive Benefits Package: Medical, dental, vision,...Remote workSeniorPolicyMedicalClaimsWork at officeFlexible hours$200k - $235k
...LITIGATORS! APPLY NOW!SENIOR ASSOCIATE ATTORNEY - SPECIALTY... ...(Los Angeles, Irvine)REMOTE (everyday besides... ..., errors and omissions claims involving attorneys, agents... ...policies and draft detailed coverage... ...EligibilityComprehensive Benefits Package: Medical, dental, vision,...Remote workSeniorPolicyMedicalClaimsWork at officeFlexible hours$115.2k - $194.4k
...used under license. Claim based on GitLab data... ...this role The Senior Lifecycle Marketing Manager is responsible for strategizing... ...of our roles are remote, however some roles... .... Privacy Policy: Please review our... ...information (including family medical history), discharge...Remote workSeniorPolicyMedicalClaimsFull timeFlexible hours$150k - $175k
...Senior HR Business Partner Industry: Industrial... ...on Site, 1 day Remote with regular... ...position is eligible for medical, dental, vision,... ..., performance management, compliance, workers... ...and company policies. Build strong relationships... ...workplace injury claims, documentation,...Remote workSeniorPolicyMedicalClaimsFull timeLocal areaMonday to FridayShift work$95k
...Acera Senior Account Executive Solventum... ...world impact by: Managing and growing sales... ...'s driver policy, insurance requirements... ...of experience in medical device, pharmaceutical... ...location: ~ Remote: Raleigh/Durham, NC... ...schemes that falsely claim to represent...Remote workSeniorPolicyMedicalClaimsRelocation package$132.4k - $198.6k
...well beyond coverages and policies. Working here means... ...partnering closely with Claims and directly advising insureds. This Remote position is an ideal fit... ...tools: Leverage case management and approved technology... ...rewards you can feel: Medical, dental, vision, life;...Remote workSeniorPolicyMedicalClaimsTemporary workWork at officeLocal areaWork from home- ...Nurse Case Manager Do you believe great outcomes happen... ..., employers, and claims professionals. You will coordinate medical treatment plans, monitor... ...ongoing telephonic and remote case management activities... ...applicable regulations, company policies, confidentiality...Remote workSeniorPolicyMedicalClaims16 hoursTemporary workApprenticeshipFlexible hours
- ...Description Title: Senior Account Executive,... ..., TX; Hybrid or remote About: At... ...proactively consult and manage complex and... ...implement processes and policies to improve overall... ...complicated claim-related matters, assist... ...lines (i.e. medical, dental, life, AD&...Remote workSeniorPolicyMedicalClaimsLocal areaImmediate start
$80k - $90k
...integrity, pharmacy benefits and care management. There are many companies with a... ...of stop-loss operations, from policy setup and filings through renewals and claims reimbursement, ensuring zero-... ...000 - $90,000 USD Comprehensive medical, dental, vision, and life insurance...Remote jobSeniorPolicyMedicalClaimsLocal areaFlexible hours- ...individuals and businesses manage risk with... ...the life of every policy. At WSR, our clients... ...Commercial Lines Senior Account Manager... ...manner Coordinate claims reporting and follow... ...for fully remote arrangements for the... ...benefits, including medical, telehealth, dental...Remote workSeniorPolicyMedicalClaimsTemporary workWork at officeFlexible hours
$110.5k - $173k
...As Pharmacy Benefits Senior Manager, you will own pharmacy... ...A $2.4M gene therapy claim lands in Q1. What should... ...layer, in the clinical policy, and in the client... ..., Clinical, Data, the medical plan vendors, and the... ...00-173,000 a year #LI-REMOTE The pay range listed for...Remote workSeniorPolicyMedicalClaimsFull timeContract workInternship
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Senior Manager, Medical Claims Policy & Config. Be the first to apply!
- pet manager New York, NY
- seasonal manager New York, NY
- pharma manager New York, NY
- senior manager legal New York, NY
- caregiver manager New York, NY
- childcare manager New York, NY
- heavy equipment manager New York, NY
- analysis manager New York, NY
- range manager New York, NY
- infection control manager New York, NY




