Director, Claims Implementation & Strategy - Remote
Centene Management Company LLC
- Remote job
Centene is seeking an experienced Project Manager to oversee the implementation of products and plans into Claims business units, ensuring alignment with strategies and goals. You will direct standard models for the claims implementation approach and oversee all Claims and Configuration Operations during the implementation phase. The role requires 7+ years of project management experience, with 5+ years in Government Programs Managed Care and a Bachelor's degree in a related field; a Master's #J-18808-Ljbffr Centene Management Company LLC
$150k - $195k
...Location: San Diego, USA- Remote Be a part of a global team... ...Summary: The Associate Director, Labeling Strategy is responsible for developing... ...development, negotiation, implementation, and maintenance of... ...product strategy, product claims and information in the CCDS...Remote workImplementationClaimsTemporary workLocal area$134.6k - $230.8k
...Connecting. Growing together.The Director, Provider AI Innovation and Strategy leads the end-to-end... ...development and implementation, managing delivery outcomes... ...the flexibility to work remotely * from anywhere within the... ...that use clinical, claims, operational, financial,...Remote workImplementationClaimsMinimum wageFull timeWork experience placementWork at officeLocal area$122k - $203k
...leader who can connect strategy to execution,... ...capabilities, and practical implementation. You will guide clients... ...production.The Associate Director will oversee cross-... ...across domains such as:Claims and encounters, eligibility... ...SummaryLocation: US - Remote (Any location); US -...Remote workImplementationClaimsFull timeFlexible hours- ...states. We developed proprietary claims technology, expanded our... .... We are seeking a Director of Claims & Stop-Loss Transformation... ...Transformation Strategy & Future-State Design Evaluate... ...transformation strategies, and implementation roadmaps aligned with Reflect...Remote workImplementationClaimsContract workWork at office
$140k
...Director, Revenue Cycle Management Remote (U.S.) Full-time Reports to: Chief Operating... ...charge capture, coding, claim submission, denial... ...cycle lead on the Healthie implementation. Ensure clinical documentation... ...to both develop the strategy and execute it....Remote workImplementationClaimsFull timeContract workWork at office- ...opportunity: Wellmark’s Director of Provider Network... ...Contracting, Network Payment Strategy, Provider Relations,... ...areas to design and implement contracting and... ...Moines office with 2 days remote option (Mon/Fri). As a... ...and clinical outcomes, claims data, and trends to...Remote workImplementationClaimsPermanent employmentFull timeContract workWork experience placementH1bWork at officeMonday to Friday
- ...Director Of Revenue Cycle The Director of Revenue Cycle provides... ...access, billing, coding, claims, denials management, accounts... .... The Director develops and implements strategies to maximize third-party revenue... ...and managing contracted or remote resources. Ability to...Remote workImplementationClaimsContract workShift work
$113k
...BPO Associate Director NTT DATA Services is seeking... ...life insurance claims experience including prior... ...Ability to develop and implement comprehensive operational... ...execute operational strategies aligned with organizational... ...check. Remote Working and Technology...Remote workImplementationClaimsPermanent employmentTemporary workWork at officeImmediate startRelocationFlexible hours- ...network design Direct freight strategy for specialized cargo (... ...dwell time, inventory accuracy, claims ratio, and carrier... ...strategy - WMS/TMS evaluation and implementation, CRM, deal desk tooling, and... ...and paid holidays ~ Fully remote and flexible work environment...Remote workImplementationClaimsContract workFor contractorsFlexible hours
$107.91k - $137.59k
...Description Director of Revenue Cycle Full-Time... ...required (75% onsite and up to 25% remote) Exempt (Salaried): $107,... ...functions. • Develop and implement strategies to improve reimbursement, reduce... ...reimbursement outcomes. • Oversee claims management activities,...Remote workImplementationClaimsFull timeContract workPart timeWork at officeLocal area$90k - $115k
...Location: Los Angeles, CA | Remote (work from home), with onsite... ...administration, unemployment claims, job information changes and... ...matters Proactively assess, implement, and develop policies, processes... ...execution of ongoing people strategy projects Analyze metrics and...Remote workImplementationClaimsLocal areaWork from homeFlexible hoursShift work$122k - $177k
...POSITION SUMMARY : The Director of Telecommunications... ...contact center strategy that supports clinical... ...such as member services, claims, provider relations, and... ...Time Location: Remote ESSENTIAL RESPONSIBILITIES... ...Lead the design and implementation of next-generation...Remote workImplementationClaimsFull timeContract workFixed term contractFlexible hours- ...experience Benefits Manager who can turn our benefits strategy into programs employees can easily use and trust... ...including plan design, stop loss selection, and implementation timeline. Build and maintain funding and claims exposure models in partnership with Finance;...Remote workImplementationClaims
$115k - $130k
...design, stop-loss selection, implementation planning, and financial risk... ...Build and maintain funding and claims exposure models with Finance... ...enrollment process, including strategy, timelines, vendor... ...holidays.Paid parental leave.Remote work environment.Opportunities...Remote workImplementationClaims- ...guidance on workforce strategy, workforce development... ...Boulevard, with occasional remote work allowed upon... ...programs to Holding Line HR Directors to increase qualified... ...to:Development and implementation of all employee... ...Corporation's risk and claims activities including but...Remote workImplementationClaimsContract workTemporary workCasual workWork at officeLocal areaFlexible hours
$84.12k - $102.46k
...organization and ensure people strategies align with the needs... ...to develop and implement HR strategies aligned... ...effectiveness. Support the HR Director with the development... ...managing unemployment claims, while partnering with... ..., OR (onsite only, remote work not available)....Remote workImplementationClaimsLocal area- ...at the right time. The Director of Epidemiology &... ...signatures. Research Design & Implementation: Oversee the end-to-... ..., and ASCO. Client Strategy & Partnership: Partner... ...real-world data (EHR, claims, and/or genomic data)... ...position. Additionally, for remote roles open to...Remote workImplementationClaims
- ...Director of Human Resources With headquarters in... ...accountable for developing, implementing, and leading human... ...employee communications strategy that contributes to an... ..., labor trends (e.g., remote vs. in office, gig vs.... ...workers' compensation claims and coordinate work...Remote workImplementationClaimsFull timeWork at officeLocal area
$73k - $111k
...Subject matter expert in pest control strategies for specified market segment/s and LOBs... ...developing, and supporting Operations with implementation of best of breed service delivery... ...Performance Indicators ESR Rate Claims Rate Escalation Rate, time(days) on...Remote workImplementationClaimsFull timePart timeWork at officeLocal areaImmediate startFlexible hours$92k - $103k
...in delivering TAAF's People strategy and employee experience. This... ...' compensation, unemployment claims, and other employment compliance... ...requirements and support the implementation and communication of policies... ...New York City office Remote Days: Mondays and Fridays offer...Remote workImplementationClaimsPermanent employmentWork at officeWork from homeMonday to FridayAfternoon shift- ...Senior Manager / Associate Director, Gross-to-Net (GTN) &... ...product with limited claims history Execute... ...Commercial Operations & Strategy on the revenue... ...accrual models Support implementation and maintenance of ERP... ...permitted by law. For remote-based positions, this...Remote workImplementationClaimsFull timeLocal area
$100k - $115k
**Human Resources Director** **Human Resources** **Rochester... ...NY - Hybrid (Onsite + Remote)** **Exempt, Full-Time... ..., and ensures that HR strategies translate into... ...resource allocation, and implementation follow-through in... ...audits, employment-related claims, and agency complaints...Remote workImplementationClaimsFull timeLocal area$90k - $110k
...workforce effectiveness, talent strategies, organizational development,... ...Assist in the development, implementation, and maintenance of... ...Develop responses to unemployment claims and other employment-related... ...policies. Candidates applying for remote work based in Washington...Remote workImplementationClaimsPermanent employmentFull timeLocal areaMonday to Friday$114.08k - $218.03k
...Product Manager Senior (Claims / Text messaging) - REMOTE Digital/Technical Product... .... Designs and drives implementation of multi-platform technology... .... Develops the product strategy, vision, and goals and justifies... ...of the USAA Board of Directors. The above description...Remote workImplementationClaimsFull timeH1b$170k - $180k
Most companies claim to have the best people. We say... ...per week, with 1 day remote. To be considered, you... ...Category/Supplier Director to enhance business success... ..., develop data-driven strategies, and strengthen... ...profitability Develop and implement strategic initiatives...Remote workImplementationClaimsOngoing contractContract workSummer workLocal area$75 - $100 per hour
...the engagement. ~Location: Remote, anywhere in the U.S. ~... ...proposals, plan design options, claims experience, and cost drivers... ...finalized renewals and any remaining implementation items. Required... ...Page reflects an organic growth strategy supported by a highly entrepreneurial...Remote workImplementationClaimsTemporary workImmediate start$110k - $130k
...works closely with the CHRO on strategy and high-risk matters and is... ...discrimination or harassment claims, or matters requiring outside... .... Compliance & Risk Implement and monitor the company’s HR... ...supporting a multi-state or remote-heavy workforce. Experience...Remote workImplementationClaims$150.7k - $185.6k
We are looking for a DIRECTOR OF PROVIDER CONTRACTING... ...members to embrace and implement culture initiatives.... ...that advance company strategies and goals and collaborates... ...operations including claims, grievance and appeals... ...of ‘In-Office’ and ‘Remote.’ We are not able to...Remote workImplementationClaimsContract workTemporary workWork experience placementWork at officeLocal areaFlexible hours$96k - $120k
...this role, you'll shape benefit strategy, manage key vendor... ...to system changes or new plan implementations More about you :... ...connectivity is required to support any remote/hybrid employee functionality... ...in which individuals falsely claim to represent Sonova or recruitment...Remote workImplementationClaimsTemporary workWork at officeFlexible hours$166k - $343k
...role has been designated as ‘Remote/Teleworker’, which means you... ...solution alignment through initial implementation and operational handoff,... ...Teamwork, Customer Experience Strategy, Customer Interactions,... ...credentials of any hiring agency that claims to be working with HPE for...Remote workImplementationClaimsWork experience placementWork from home
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