Senior Claims Configuration & Quality Auditor
Personify Health
Personify Health is seeking a Senior Configuration Quality Audit Analyst to oversee end-to-end audits of complex claims configurations, ensuring accuracy against client requirements, contracts, and regulatory guidelines. You will translate SPDs and contracts into precise system rules, validate changes before go-live, and analyze claims for correct adjudication. The role emphasizes root-cause fixes, test strategy development, and cross-functional collaboration to improve automated processing. #J-18808-Ljbffr Personify Health
- ...consultant to lead implementations and advise on enrollment, billing, claims, and COB. The role requires deep product knowledge and the... ...design sessions with clients, while guiding architecture and configuration decisions. The remote role involves managing mid- to large-...SeniorClaimsRemote job
- Senior Configuration Quality Audit Analyst Because health is personal. That's why Personify Health created the first and only personalized health... ...people to lead healthier lives. Ready to make sure every claim gets it right? Why This Role Matters Every claim that runs...SeniorClaimsHourly pay
- Molina Healthcare is seeking a lead-level analyst to support configuration oversight for claims and provider databases, ensuring accurate data and adherence to state/federal requirements. The role involves auditing, reporting, and guiding implementation across the SDLC...SeniorClaims
- Verisk Analytics is seeking a Senior AI Governance Analyst to... ...Solutions — supports end-to-end claims handling with analytic and automation... ..., clarity, and data quality, including business purpose,... ...reporting fields.Support platform configuration, user acceptance testing,...SeniorClaimsWork at office
- ...Senior.NET Full Stack Developer Senior.NET Full Stack Developer with strong authentication... ...for databases and software configurations by providing data access and permissions... ...to track existing applications, pending claims, and related items. Develop nightly batch...SeniorClaimsNight shift
$144k - $195k
...requirement to as-built. The Role The Senior Software Engineer will build... ..., manufacturing, and quality records consistent, auditable... ..., service, data, deployment, configuration, and network—including in the... ...healthy skepticism about vendor claims. Familiarity with regulated...SeniorClaimsPermanent employmentWork experience placement- ...Senior Revenue Accountant-(Revenue Cycle) Patient Financial Services... ...validate underlying system configurations and financial reporting... ...findings.Support investigation into claims patterns, payor mix... ...changing environment and deliver quality outcomes.Ability to develop and...SeniorClaimsFull timeWork at officeLocal area
$166k - $195k
...countries, and more complexity. We're hiring a Senior Manager, Tax and Treasury to build and... ...services tax, and oversee tax engine configuration in partnership with Billing and Product... ...with transfer pricing, R&D tax credit claims, or IP structuring Familiarity with tax...SeniorClaimsContract workLocal areaRemote workFlexible hours$46.99k - $122.4k
...accountable and prioritize safety and quality in everything we do. Join us and be part... ...As a Healthcare Encounter Analyst - Senior for claim reconciliation in the State Medicaid Encounters... ...is not limited to, examining setups/configurations as well as comparing text files and...SeniorClaimsHourly payFull timeTemporary workWork experience placementLocal area$80k - $90k
...setup and filings through renewals and claims reimbursement, ensuring zero-error execution... ...legacy platforms, workflows, and quality standards, into a single, consistent operating... ...stop-loss data, workflows, and system configuration. Acting as a change agent across the broader...SeniorClaimsRemote jobLocal areaFlexible hours$165k - $195k
The mission of the Senior Director, Delivery & Support is to own implementation, configuration, and ongoing support of HCIM's product... ...build these functions into high-quality, predictable, and scalable... ...Hands-on experience with core claims administration platforms. Demonstrated...SeniorClaimsContract workWork at officeWork from home- ## Epic Senior Systems Analyst - Homecare Billing, Hospital Billing, Hospital ClaimsApplylocations... ...requirements into reliable Epic configuration, integrations, and reporting—supporting... ...support processes to enhance service quality and user experience**Minimum Qualifications...SeniorClaimsWork at officeShift work
- ...Senior Revenue Accountant-(Revenue Cycle) Patient Financial Services... ...validate underlying system configurations and financial reporting... ...Support investigation into claims patterns, payor mix evaluation... ...changing environment and deliver quality outcomes. ~ Ability to develop...SeniorClaimsFull timeWork at officeLocal area
- Beazley is seeking a Claims Manager- Cyber in the United States to independently manage end-to-end cyber claims from notification through closure. You will oversee a portfolio of medium to high severity claims and coordinate with brokers, insureds, and underwriting partners...SeniorClaims
- First American Financial Corp. is seeking a Claims Specialist Supervisor to lead a team of Claims Specialists in investigating, evaluating, and resolving title insurance claims. The role involves coaching, workload management, and escalation with Claims Counsel and leadership...SeniorClaims
$12k
Senior Manager, CS Upgrade Technical Delivery LeadSkip to main content#Senior... ..., integration, performance, quality, and operations requirements.... ...2003/2008 administration and configuration, JavaScript, XSLT, XML, HTML,... ...(Policy, Billing, claims, Reinsurance, third-party systems...SeniorClaimsWork experience placementWork at officeRemote workWork from homeFlexible hours$145k - $160k
...is responsible for guiding the team that configures, maintains, and optimizes our critical... ...maximizing team performance, ensuring the quality and integrity of all system builds, and... ...PB workflows, including charge router, claims, remittance and payment postingExperience...SeniorClaims- AgriSompo North America, Inc. is seeking a Senior Crop Insurance Adjuster to support MPCI, Private Products, and Named Peril claims. The position is based remotely in Texas with a preference for Amarillo or the Texas Panhandle region. You will collaborate across teams...SeniorClaimsRemote job
- MGM Resorts International is seeking a Senior Claims Analyst to lead investigations of complex third-party claims in a risk management setting. You will assess liability, damages, and settlements with professional judgment and guest-focused service. The role requires strong...SeniorClaims
- TransEleven Claims Managers (TCM) seeks a Senior Claims Counsel to manage a high-volume portfolio across PL/GL practice areas. The role is 100% remote after training at our Allen, TX offices and requires experience in insurance defense and liability claims. You will oversee...SeniorClaimsRemote job
- Selective Insurance seeks an experienced claims professional to handle Abuse/Molestation Liability Specialty Claims from intake through resolution. You will guide litigation strategy, manage budgets, and coordinate with insureds, defense counsel, and internal stakeholders...SeniorClaims
- Renown Health seeks a Senior Insurance and Claims Specialist to ensure compliant billing and accurate claim submissions, driving timely reimbursement and reducing denials. You will work with payors and the contracting team to resolve issues stemming from regulatory changes...SeniorClaims
- EY’s Forensics Insurance and Federal Claims Services practice seeks a senior leader to manage engagement teams delivering disaster recovery funding compliance for government and public sector clients, including FEMA, HUD CDBG-DR, and ARPA programs. The role requires building...SeniorClaimsWork at office
- ...including user access controls, permissions, and data security configurations.Perform coding and unit testing of all portal functionalities... ...using Microsoft SSRS to track existing applications, pending claims, and other key program metrics.Develop and maintain nightly batch...SeniorClaimsLocal areaWork from homeNight shift
- ...Employment Practices Liability Claims ProfessionalThis is not your average Claims role. When you think of a job handling insurance claims, you may think about storm damage or auto accidents. Or maybe a large stack of paper?A career in Employment Practices Liability exposes...SeniorClaimsWork experience placement
$100k
Selective Insurance seeks a Property Claims professional to handle large and complex Property and Inland Marine claims, typically $100,000 and above. Investigate, estimate damages, deploy experts, secure documentation, and settle within authority and standards. The role...SeniorClaims$65k - $95k
...knowledgeable and detail-oriented Medical Billing Accounts Receivable Senior Associate to join their Revenue Cycle Management team in Middle... ..., New York. This role involves following up with insurance claims, resolving issues, and preparing reports. The ideal candidate has...SeniorClaimsWork at office- ...Employment Practices Liability Claims Professional This is not your average Claims role. When you think of a job handling insurance claims, you may think about storm damage or auto accidents. Or maybe a large stack of paper? A career in Employment Practices Liability...SeniorClaimsWork experience placement
- ...MSIG USA is seeking an experienced claims adjuster to handle moderate to complex claims, conduct investigations, and settle claims fairly under MSMM guidelines. You will review coverage, set reserves, and coordinate with clients and underwriters to ensure timely service...SeniorClaims
- ...Gallagher Bassett is seeking a seasoned claims professional with 5+ years of experience to manage a full indemnity desk, including litigation, across Minnesota, South Dakota, and Wisconsin. This role supports fully remote work and focuses on empathetic, precise claims...SeniorClaimsRemote work
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