Claims Technology Implementation Lead
Alaffia Health
Alaffia Health is seeking an Implementation Lead to own end-to-end delivery for new Payment Integrity clients, from solution handoff through configuration, data integration, and go-live. You will engage with client technical and clinical stakeholders and help establish scalable implementation methodologies as the company grows. The role requires deep expertise in claims data, DRG/CPT/HCPCS, and interoperability with SaaS platforms for health plans. #J-18808-Ljbffr Alaffia Health
- ...Develop agentic AI solution roadmap concepts, implementation considerations, governance needs, and... ...Experience in healthcare payer, claims, member experience, G&A, audit, or regulatory... ...Experience with agentic AI. Experience leading AI governance initiatives. Experience...ImplementationClaims
$139k - $165k
...intelligence to reduce crime. We’re using technology for good. Our mission is clear: reduce... ...is achievable. In partnership with our leading retail partners, we need people with... ...‑on leader to spearhead the successful implementation of this technology in thousands of retail...ImplementationFlexible hoursWeekend work- ...negotiate vendor, marketing, technology, supply, and services agreements... ...~ Partner with marketing and lead generation teams to oversee... ...consumer disputes, warranty claims, mechanic's lien matters, and... ..., licensing transitions, and implementation of legal processes. Risk...ImplementationClaimsContract workFor contractors
- ...reporting requirements and tax filings. Lead month-end and year-end close processes, including... ...for multi-payment and contingency-based claim engagements. Maintain and refine the... ...actual results on a monthly basis. Implement and administer milestone- and project-based...ImplementationClaimsTemporary workWork at officeLocal area
- ...GENERAL JOB PURPOSE AND SCOPE Implement supply chain and procurement strategy and policies Make sure that the production teams adhere to... ...by your teams Resolve the vendor or contractor grievances and claims against suppliers Analyze the market in order to find new suppliers...ImplementationClaimsFor contractorsLocal area
$184.5k
...company powered by passionate people, trusted partnerships, and leading technology, we connect travelers, partners, and advertisers through... ...platform capabilities and constraints into practical implementation plans. Experience and Qualifications: Bachelor's degree in...Implementation- ...-4) Key Responsibilities Quality Engineering Lead the design, development, and implementation of Bigbelly’s Quality Management System, documentation... ..., supplier defect rate, field failure rate, warranty claims). Drive reliability testing and design-for-...ImplementationClaims
- ...Karoo Health is a cardiovascular technology company building an operating... ...company connects clinical, claims, pharmacy, and patient data... ...care. What You’ll Do Lead Clinical Care Delivery... ...care team. Partner on the implementation and adoption of new clinical...ImplementationClaimsRemote work
- ...OKRs, dashboards, and execution cadence Build onboarding & implementation playbooks Oversee risk adjustment operations (MA/ACA/Medicaid... ...cost, quality, and turnaround time Oversee clinical, claims & EMR data pipelines Drive adoption of AI in operations with...ImplementationClaims
- ...contractual advice, manage changes and claims, and support the successful commercial delivery... ...include but are not limited to: Lead the day-to-day management and administration... .... Support the development and implementation of contract management processes and procedures...ImplementationClaimsContract workFor contractorsRemote workWorldwide
- ...owns the benefits portfolio end to end and leads the Total Rewards Partner. It reports to... ...to service standards. Analyze cost, claims, and utilization trends to identify design... ...process, including tool selection, implementation, and controls. Experience building compensation...ImplementationClaims
- ...Analyst to ensure comprehensive documentation of business requirements and to identify all functional considerations before project implementation. The role includes coordinating with clients and internal teams, translating requirements into functional specs, and supporting...ImplementationClaims
- ...Group, part of The Baldwin Group, is a leading insurance broker and advisor that provides... ...leadership in the design, development, implementation, administration, and communication of all... ....* Analyzes and reports on relevant claims data for larger accounts, spotting trends...ImplementationClaimsContract work
- ...mortgages and the prosecution of municipal ordinances. Evaluate claims made against the City, ensure that all appropriate claims are... ...major policy or procedure changes and coordinate intricate implementation strategies to comply with the requirements of law. Prepare ordinances...ImplementationClaimsLocal area
- ...format. We are an AI-native technology company transforming how brands... ...consumers. We are backed by leading investors and already work... .... You can read a model implementation and modify it, not just call... ...eval numbers meant what you claimed. Comfort with GPU-level reasoning...ImplementationClaims
$125k - $160k
...riding the AI wave – we’re leading it for the P&C, L&AH, and Pension... ...at scale. With 1400 plus implementations and more than 375 customers... ...intelligent insurance and retirement technology, Majesco is where that work... ...as organizations modernize claims, disability and leave,...ImplementationClaimsTemporary workWork experience placementRemote workWorldwideFlexible hoursShift work$24 - $26 per hour
...research, and work basic outstanding insurance claims in pursuit of resolving unpaid claims.... ...and complete projects assigned by team lead or manager to fulfill clients’... ...deadlines* Maintain the effectiveness and implementation of the MEDHOST Quality Management System...ImplementationClaimsHourly payWork at officeRemote workFlexible hours- ...operational, and risk-related legal matters Lead the drafting, review, negotiation, and... ...objectives Oversee and manage claims, disputes, subpoenas, and litigation matters... ...Drive the development and implementation of best practices, standard contract templates...ImplementationClaimsContract workFor subcontractorLocal area
- ...benefit carriers and vendors to resolve enrollment, eligibility, claims, billing, and data-feed issues. Review benefit invoices... ...benefits. Coordinate benefit plan changes and new vendor implementations. Develop employee communications and educational materials...ImplementationClaimsHourly payWork at office
- PURPOSE AND SCOPE The Real Estate Data, Digital & Technology Lead is responsible for defining and executing the global data and digital strategy... ...AND RESPONSIBILITIES Data Strategy & Governance Define and implement the global data strategy for real estate, facilities,...ImplementationWork experience placementWorldwide
$121.87k - $164.88k
**Position Summary** The Lead Data Architect will lead the design... ...(notably underwriting, claims, actuarial, finance, and enterprise... ...closely with business and technology teams to ensure data is accurate... ...-based ingestion patterns.* Implement data quality rules,...ImplementationClaims$5,000 per month
...Management will help build and lead this new function, with responsibility for insurance, claims, operational risk, and... ...related advisors to evaluate and implement appropriate uses of the captive... ..., and tracking tools Technologically savvy and willing to use available...ImplementationClaimsTemporary workFor subcontractorWork at officeLocal areaRemote workWork from homeFlexible hours- ...Document project progress including implementation, timelines, issues, risks and successes... ...Experience with federal projects ~ Experience leading Fire Safety or Electrical Power Systems... ...closeout, inspections, commissioning, claims management, scope management, strategic...ImplementationClaimsContract workFor contractorsFor subcontractor
- ...forefront. As a Safety Manager, you will be responsible for leading, developing, and implementing comprehensive health and safety programs while ensuring... ...System (SMS) and manages workers’ compensation claims to support timely and effective resolution. Develops, implements...ImplementationClaimsFor contractorsWork at officeLocal area
$185 per hour
...Enzo Health is a healthcare technology company transforming home health operations through... ...QA reviewer scrubbing charts before a claim goes out, and the agency owner who wants... ...our Forward Deployed Clinicians and Implementation team, who see every workflow break in the...ImplementationClaims- ...through development, validation, implementation, and monitoring. The... ...evaluates externally developed AI technologies for safety and suitability... ...with IMTs AI Governance Lead and other appropriate stakeholders... ...clinical, operational, claims, electronic health record, or...ImplementationClaims
- ...Senior Human Resources Manager to lead our HR function. We believe... ...organizational and technology changes that support sustainable... ...and oversee the evaluation, implementation, and optimization of HRIS, payroll... ...workers' compensation, employment claims, and internal audits....ImplementationClaims
$125k - $160k
..., ensuring high-quality delivery and client satisfaction Lead projects involving the design and management of absence,... ...leave, life, and AD&D programs Apply deep expertise across claims, underwriting, implementation, and ongoing plan management Oversee vendor procurement,...ImplementationClaimsTemporary workLocal areaVisa sponsorshipWork visaFlexible hours$250k - $300k
...makes “on track” a verifiable claim rather than a status update.... ...largest, most complex enterprise implementations, then build out how project... ...to them. Build and Lead the PM Organization Hire, develop... ...using secure video-conferencing technology. Ask candidates to cash checks...ImplementationClaimsRemote workFlexible hours- ...a recipe others start from, an executable check behind every claim in our docs, a client manifest that makes the impact of any platform... ...a client build on us with AI in the loop: SDKs and reference implementations, a CLI and machine-readable docs a client can hand to their...ImplementationClaimsRemote workFlexible hours
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