Claims Implementation Leader: Strategy & Delivery
Jobleads-US
Centene Corp. is seeking a senior leader to oversee the implementation of health plan products into Claims operations in the United States. You will ensure alignment with strategy, standardize the implementation processes, and manage regulatory and contract changes across new markets.
You will direct BRD approvals, help shape operating models, ensure budgets and timelines are met, and provide strategic guidance for New Health Plan Implementations.
#J-18808-Ljbffr Jobleads-USVacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Claims Implementation Leader: Strategy & Delivery in Kentucky vacancy
$144.2k - $288.4k
...Documentation & Care Delivery Products - Retail Health... ...technology product strategy and execution for core... ...business operational leaders to shape end-to-end technology... ...data sources (e.g., claims data, remote... ...management, and enterprise EHR implementation (specifically Epic)....ImplementationClaimsHourly payFull timeTemporary workLocal areaRemote work$189.2k - $372.9k
Position Summary Delivery Leader - Senior Manager Overview Industrial Data Operations... ...develop, and retainMove fluidly between strategy and execution — set the direction on... ...ability to operate across strategy and implementation — has set direction and has also...ImplementationLocal areaDeloitte
Louisville, KY5 days ago$144.2k - $288.4k
...Department: Healthcare Delivery Technology & Product... ...the technology product strategy and execution to drive... ...business operational leaders to shape end-to-end technology... ...data sources (e.g., claims data, remote... ...management, and enterprise EHR implementation (specifically Epic)....ImplementationClaimsHourly payFull timeContract workTemporary workLocal areaRemote work$144.2k - $288.4k
...The Lead Director, Solutions Delivery is responsible for leading the... ...commercialization, implementation, and execution of both standardized... ...Executive Director, Pharma Data Strategy & Solutions Delivery, this role serves as a critical leader and key execution partner responsible...ImplementationHourly payFull timeContract workTemporary workLocal area- ...direction and hands-on execution with proofs‑of‑concepts and pilots, coordinating with vendors and internal teams for timely delivery. The leader will configure AI platforms (e.g., Microsoft Copilot Studio) and ensure alignment with corporate architecture, delivering...Suggested
- ...experience transformation roadmap, integration strategy, security compliance, and AI-enabled... ...for Amazon Connect and Google GECX implementations. · Define architecture for Voice,... ...CRM, Member Services, Provider Services, Claims, Eligibility, and backend healthcare platforms...ImplementationClaimsContract work
METRIX IT SOLUTIONS INC
Louisville, KY2 days ago - ...leadership to set the vision and strategy to expand and provide... ...Professional Services Lead, Project Delivery Lead, Client Managers,... ...Drinking Water Market Sector Leader, we'll count on you to:... ...strategizing for growthLead the implementation of the DW MS strategic initiatives...ImplementationLocal area
HDR
Lexington, KY5 days ago - ...and peace of mind.This strategy sets the direction.Our... ...full implementation of all client work in... ...appropriate to ensure delivery of individual and team... ...qualificationSeen as a thought leader in their area of expertise... ...colleagues) enabling you to claim up to 2,500 for each...ImplementationClaimsRemote work
Armstrong Watson
Glasgow, KY2 days ago - ...’s first branded motor oil, staking our claim as a pioneer in the automotive and industrial... .... Follow up on open orders, delivery delays, and inventory needs; coordinate... ...reconciliation, process development, or process implementation. Inventory management, network design, logistics...ImplementationClaimsTemporary workWork experience placementFlexible hours
- ...Green, KY, United StatesWorkplace: On-siteSchedule: Full timePosted: 2026-09-21Closes: 2026-12-31Lead and execute implementation of integrated strategies, processes, and systems designed to increase workplace productivity and engagement. Attract, retain, engage and develop...ImplementationFull timePart timeWork experience placementLocal areaFlexible hours
Kroger
Bowling Green, KY3 days ago - ...Assist in the development, implementation, administration, and evaluation... ...relationships with business leaders across Operations,... ...functions to deliver people strategies that enable business performance... ...providers to manage renewals, claims administration, employee communications...ImplementationClaimsTemporary work
Ichor Systems
Orlando, KY8 hours ago - ...transactions. Advise business leaders on corporate, regulatory,... ...activities, and post-transaction implementation efforts. Provide guidance on... ...Manage litigation matters, claims, disputes, and relationships... ...requirements, and business strategy considerations. Assist with...ImplementationClaimsContract workRemote work
Larson Maddox
Winchester, KY1 day ago - Job DescriptionProcurement Category Leader - Erlanger, KYThis is an exempt level position... ...join our team and help drive sourcing strategy, supplier performance, supply assurance,... ...onboarding, and risk mitigationDevelop and implement sourcing initiatives that improve cost...ImplementationHourly payWorldwideFlexible hours
ADM
Erlanger, KY4 days ago - ...Provide assessment, planning, implementation, and evaluation of the... ...negotiating and coordinating the delivery of durable medical equipment... .... Devise cost‑effective strategies for medical care. Prepare... ...Ability to interface with claims staff, attorneys, physicians...ImplementationClaimsMinimum wageFull timeLocal areaRemote workFlexible hours
CorVel
Eastern, KY4 days ago $130k - $150k
...networks for the health plan. This leader ensures that provider... ...containment). The role combines strategy, operations, regulatory... ...legal, finance, compliance, claims, member services, and other stakeholders... ...cross functional teams for implementation.· Set goals, provide feedback...ImplementationClaimsContract workShift workBrightSpring
Louisville, KY4 days ago$248.39k
...an Energy and Power Discipline Leader. This is an exciting opportunity... ...in developing concepts, strategy, tactical processes, and be able to design and implement electrification integration into... ...support them. Strong project delivery skills. Experience leading complex...ImplementationWork experience placementH1bLocal areaCDM Smith
Owensboro, KY2 days ago- ...the design, development, and implementation of Bigbelly’s Quality... ...field failure rate, warranty claims). Drive reliability testing... ...programs to enhance quality, delivery, and cost for key mechanical... ...and supplier diversification strategies to reduce risk and strengthen...ImplementationClaims
Bigbelly
Eastern, KY22 hours ago $7.25 per hour
...break management as necessary. Devises strategies to minimize attrition & absenteeism.... ...Analytical Communicative Dental claims experience - added advantage Required... ...Excel'. Preferred:Min 1 year as Process leader/TE 2 years Undergraduate/Graduate of a...ClaimsHourly payFull timeLocal areaImmediate startWork from homeShift workWeekend workFirst Source LLC
Louisville, KY3 days ago- ...mortgages and the prosecution of municipal ordinances. Evaluate claims made against the City, ensure that all appropriate claims... ...major policy or procedure changes and coordinate intricate implementation strategies to comply with the requirements of law. Prepare ordinances,...ImplementationClaimsLocal area
CITIES LLC
Eastern, KY3 days ago - ...At IPG, we are more than just a global leader in packaging and protective solutions—we... ...improvements teams with method implementation and the alignment of projects with the... ...improvement activities with the corporate strategies, plans and objectives through close coordination...ImplementationWork at officeImmediate start
Intertape Polymer Group (IPG)
Bardstown, KY2 days ago - ...relations, HRIS accuracy, and policy implementation. The HR Generalist partners closely with department leaders and staff to maintain a... ...with enrollment, changes, claims questions, and annual open enrollment... ..., and communication strategies that strengthen rural hospital...ImplementationClaimsFull timeWork at office
Health Care Service Corporation
Eastern, KY4 days ago - ...clinical, epidemiological, and implementation science research. Projects... ...a wide range of healthcare delivery topics and offer meaningful... ...investigators on study design, analysis strategies, and interpretation of... ...electronic health records, claims, registry, and clinical...ImplementationClaims
Statistics Interest Group
Eastern, KY4 days ago $190k - $210k
...risk solutions that deliver high value strategies with improved outcomes. Our team is composed... ...across underwriting, technology, and claims who share a passion for driving the... ...business. Directs the development and implementation of strategic and operational objectives...ImplementationClaimsWork experience placementWork at officeFlexible hoursConverge
Eastern, KY4 days ago- ...complex areas such as IT audit testing strategy, SAP controls, ERP implementation risk, and remediation validation.... ...migration and implementation. This leader will help Internal Audit provide... ...Sedgwick is the world’s leading risk and claims administration partner, which helps...ImplementationClaimsLocal areaRemote work
Sedgwick
Frankfort, KY3 days ago - ...differentiation, pursuit strategy input, and client-... ...and direct technical leaders that help manage and execute... ..., problem solving, claims management and staff... ...learned” for project delivery, processes, trends, successes... ...performance and implementation of corrective actions....ImplementationClaimsLocal area
HDR
Lexington, KY5 days ago $70.5k - $111.4k
...development, safety, and change management strategies. This role fosters employee involvement... ...Ensures legal compliance and implementation of the Company’s human resources strategy... ...local workers' compensation, unemployment claims, and training programs in accordance with...ImplementationClaimsTemporary workLocal areaShift workRRD USA
Eastern, KY4 days ago- ...primary relationship leader for complex, large-group... ..., retention, renewal strategy, utilization and performance reviews, and delivery of a consistently professional... ...Analyze utilization, claims, service, and... ...experience. Support the implementation and transition of complex...ImplementationClaimsWork at office
Delta Dental
Eastern, KY22 hours ago - ..., and executes property product management strategies as assigned to him/her or staff under supervision... ...analysis and input from Legal, Sales, IT, Claims, Underwriting, Customer Service, and Actuarial departments Leads implementation of new states and lines of business as...ImplementationClaimsFull timeWork experience placementFlexible hours
One Alliance North America Insurance Company
Eastern, KY4 days ago $263k - $346.5k
...adoption, and regulatory strategy. You will work closely with peer leaders across Engineering,... ...product development and delivery. You will retain accountability... ...architecture, implementation, deployment, and operations... ...health records, claims, omics, wearables, and...ImplementationClaimsFlagship Pioneering
Kentucky1 day ago$236k - $310k
...from adverse business decisions, improper implementation of decision or lack of response to... ...institution and management to develop legal strategies and solutions, often in situations of... ...to obtain legal opinions or to handle claims and litigation against NIA member companies...ImplementationClaimsContract workWork at officeLocal areaNonprofits Insurance Alliance
Eastern, KY1 day ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Claims Implementation Leader: Strategy & Delivery. Be the first to apply!
