Remote Medicaid Claims Quality Supervisor
Partner's Healthcare
- Remote job
Mass General Brigham Health Plan is seeking a Supervisor, Medicaid Claims Review to lead a high-performing team focused on Medicaid claims quality, payment accuracy, and adjudication integrity. The role oversees daily inventory, analyzes denial trends, and partners with Configuration, Reimbursement Strategy, Pharmacy Operations, and Payment Integrity to strengthen outcomes. This position ensures claims are processed efficiently and in compliance with regulatory requirements, with opportunities #J-18808-Ljbffr Partner's Healthcare
- ...Health Plan Holding Company, Inc. seeks a Supervisor, Medicaid Claims Review to lead a high‑performing team focused on claims quality, payment accuracy, and adjudication integrity... ...in claims review, and strong leadership. Remote work eligibility, with standard hours 8:30...Remote jobMonday to Friday
- ...the day-to-day functions of the claims department, the full-time Claims Supervisor will provide technical and leadership... ...improvements while working remotely. Key responsibilities Manage claims... ...defined outcomes Experience with Medicaid, Marketplace, and/or Medicare...Remote workFull timeWork at office
- ...ethical standards. The Claims operations team at... ...satisfaction. The Claims Supervisor is responsible for direct... ...turnaroung times and quality benchmarks are... ...Knowledge of Medicare, Medicaid, and/or Commercial insurance... .... As this role is a remote role, you are required...Remote workContract workWork at officeLocal areaFlexible hours
- ...Vision Administrators seeks an experienced Claims Supervisor to oversee daily operations of the vision eye care claims team, ensuring Medicaid and Medicare adjudication is accurate... ...staff, review high‑dollar claims, and drive quality assurance and audits. #J-18808-Ljbffr...SuggestedWork at officeMonday to Friday
- Avēsis is seeking a Claims Supervisor to provide direct oversight of Claims staff, manage workflows... ...and adherence to contract standards. Remote role requiring 3+ years of claims... ...leadership capacity, plus knowledge of Medicare/Medicaid terminology. Competitive pay zones...Remote jobContract work
$54.2k - $77.4k
...is seeking an experienced Claims Data Entry Supervisor to support claims intake and... ..., monitor productivity and quality, coach and develop... ...Knowledge of Medi-Cal, Medicaid, healthcare claims, medical... ...West Sacramento, CA office. Remote or hybrid work is not available...Remote workFull timeWork at officeMonday to FridayFlexible hours$88.69k - $141.68k
...monitors the activities of assigned claims adjusters and other claims... ....Eligible for 52 day work remote bank.Duties and... ...duties as requested by their supervisor, or as become evident.CapabilitiesCollaborates... ...Focus (Leader) Decision Quality (Leader) Develops Talent (Leader...Remote workFull timeTemporary workLive inWork at officeWork from homeHome office- ...and doing it well. Whether you're managing claims, supporting clients, or improving... ...Location: This role is eligible for fully remote work.How you'll make an impactSupervise:... ...caseload sizes and complexities to deliver high-quality and efficient service.Promote Best...Remote workLocal area
$115k - $130k
...Network Adjusters is seeking an experienced Claims Supervisor to join our offices located in Denver,... ...Practices Implement and monitor quality control standards and QA/QC measures to... ...Denver, CO and Farmingdale, NY Remote opportunities may be available for experienced...Remote workFull timeTemporary workWork experience placementFlexible hours$98k - $126.5k
Job DescriptionThe Claims Supervisor, SIU will oversee the operation of a unit of SIU Investigators... ...:Direct and control the work of remote SIU Investigators and Analysts.Establish... ...goals for service, production and work quality.Plan unit workflow and monitor assignment...Remote workWork at office$73.35k - $113.25k
...The Workers' Compensation Claims Supervisor is responsible for supervising a team of direct reports, ensuring all quality, productivity and customer service criteria are met while... ...department and CorVel. This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES...Remote workMinimum wageFull timeWork at officeLocal areaFlexible hoursNight shift$54.2k - $77.4k
...career development. Summary The CX Quality Supervisor is responsible for monitoring and... ...may be considered. ~ Deep healthcare/Medicaid operations expertise, preferably in Provider... ...for this posting is 10/30/2026.” ~ Remote positions employees' Broadband Internet...Remote workFull timeHome officeFlexible hours$155k - $175k
...Job description: General Description: Seeking experienced claim professional to supervise our Litigation Managers who handle medical... ...plan Vision insurance Experience: ~ medical malpractice/long-term care: 5 years (Preferred) Work Location: Remote...Remote workFull timeWork experience placementWork at officeWork from homeHome office- A leading insurance firm is seeking a Workers’ Compensation Claims Supervisor to manage a team of Claims Representatives. The role is focused... ...oversight and support of complex claims management, offering remote opportunities for candidates in specific states. Ideal...Remote work
- ...Leading a liability claims team, the full-time General Liability Claims Supervisor will manage caseloads, promote best practices... ...development while working remotely. Key responsibilities Supervise... ...a claims team to deliver high-quality service on diverse caseloads Guide...Remote workFull time
$250k
...Job Description Job Description Claims Supervisor – New York Automobile & No-Fault Claims Location: Remote | Philadelphia, PA Bring your New York automobile claims... ...caseload distribution, productivity, and work quality; provide coverage when needed. Review claim...Remote work- ...doing it well. Whether you're managing claims, supporting clients, or improving... ...sizes and complexities to deliver high-quality and efficient service.Promote Best Practices... ...: Bachelor's Degree#LI-WG1#LI-Remote#LiabilityCompensation and benefitsAt Gallagher, we believe...Remote workLocal area
- Gallagher Bassett is seeking a senior leadership professional to supervise a Workers' Compensation claims team, guiding a diverse caseload with emphasis on efficiency and quality. This role requires jurisdictional experience in California and a strong licensing background....Remote job
- ...and doing it well. Whether you're managing claims, supporting clients, or improving... ...AnyLocation: This role is eligible for fully remote work. How you'll make an impactSupervise:... ...caseload sizes and complexities to deliver high-quality and efficient service.Promote Best...Remote workLocal area
$115k - $130k
...Network Adjusters is seeking an experienced Claims Supervisor to join our offices located in Denver,... ...Practices \n Implement and monitor quality control standards and QA/QC measures to... ...Denver, CO and Farmingdale, NY \n Remote opportunities may be available for...Remote workTemporary workWork experience placementFlexible hours$54.2k - $77.4k
...is seeking an experienced Claims Suspense Supervisor to support claims operations... ..., productivity, and quality. Monitor suspended claims... ...in healthcare operations, Medicaid/Medi-Cal, healthcare claims... ...position that will primarily work remotely, with occasional in-office...Remote workFull timeWork at officeMonday to FridayFlexible hours- ...operation since 1962 and are nationally recognized as a member of Ward's Top 50 and rated A++ by A.M.Best. Philadelphia Insurance Companies offers a hybrid work model with remote considerations for qualified candidates. #J-18808-Ljbffr Philadelphia Insurance CompaniesRemote job
- Philadelphia Insurance Companies is seeking a Claims Supervisor II for Commercial General Liability to... ..., adherence to procedures, and quality service. The role includes staff development... ...salary range and opportunities for remote consideration outside the primary region...Remote work
$75k - $90k
...Wisconsin families, farms, and businesses? As an Auto Claims Supervisor at Rural Mutual Insurance Company, you will... ...issues, and creating a consistent, high-quality claims experience for our customers. This is a remote position, but the candidate must reside in Wisconsin...Remote work$25 per hour
...Acquisition Specialist at The Hird services The Claim Supervisor is responsible for the oversight and... ...examiner productivity goals and claim quality metrics. This position requires a very... ...career development for staff Conduct remote and side by side monitoring of member...Remote workFull timeWork at officeFlexible hours- ...Zing Health Medicare Claims Operations Manager Zing Health is a tech-enabled insurance... ...are compliant with Centers for Medicare & Medicaid Services (CMS) regulations for Medicare.... ...and government agencies, ensuring adequate quality controls and participating with support...Remote work
$75k - $98k
Los Angeles | Remote/Hybrid/In-Office (In-Office Preferred) |Auto Insurance Claims Pay Range: $75,000- $98,000 Per Year. The exact starting compensation to be offered... ...individual to join our team as a Claims Supervisor. As a Claims Supervisor at Knight Insurance Group...Remote workWork at officeFlexible hours- The Liability Claims Supervisor is responsible for supervising a team of direct reports, ensuring all quality, productivity and customer service criteria are met while adhering to... ...department and of CorVel. This is a remote role. ESSENTIAL FUNCTIONS& RESPONSIBILITIES...Remote workMinimum wageFull timeWork at officeLocal areaFlexible hoursNight shift
- ...we support state agencies in streamlining Medicaid Enterprise Systems (MES) by delivering... ...efficiency and excellence. We are seeking a Claims Operations Manager to oversee and... ...operational efforts for internal and external quality assessments, audits and surveys. Lead...Work at officeWork from homeFlexible hours1 day per week
$70k - $95k
...you currently an experienced Casualty Claims Supervisor looking to join a growing company where... ...production, staff development and the quality of files assigned to the Unit. *Seeking... ...whether the position is in-office, hybrid or remote. #J-18808-Ljbffr First Chicago...Remote workFull timeTemporary workWork at officeLocal areaFlexible hours
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