Remote Senior Claims Process Improvement Lead
Humana
- Remote job
Humana is seeking a Senior Process Improvement Professional to analyze and improve TRICARE claims processing and to partner with the East Contract claims processing subcontractor. You will gather data, measure impact, and guide the implementation of new processes while minimizing disruption and maximizing efficiency. This remote role requires strong analytical skills, healthcare knowledge, and the ability to communicate complex technical details to senior leadership. #J-18808-Ljbffr Humana
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- ...AbbVie Inc. is seeking a Senior Manager, Process Excellence within Regulatory... ...functionally to drive process improvements for inspection-readiness... ...integrations. The position requires leading cross-functional... ...(3 days in office, 2 days remote) from Lake County, #J-188...Remote workProcess improvementSeniorWork at office
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$30 per hour
...Senior Program Manager We are seeking a Senior Program Manager to lead high-impact sub-programs within large-scale... ...and continuous improvement in program practices... ...Healthcare payer, PBM, or claims experience (nice to have... ...) Experience in process improvement initiatives...Remote workProcess improvementSeniorClaimsWork at office- ...through OptumCare, is seeking a Senior Provider Relations Advocate for remote work across the United States. The... ...root causes, and driving process improvements to enhance the provider experience... ...The ideal candidate has a solid claims background, strong analytical and...Remote jobProcess improvementSeniorClaims
- ...seeks an Analyst Team Lead for the Payer Pod in Accounts... ...Receivable. This senior resource provides SME... ...requirements, and claims resolution, while mentoring... ...and driving process improvements. The role emphasizes leadership... ...with flexible remote hours. #J-18808-Ljbffr...Remote jobProcess improvementSeniorClaimsFlexible hours
$142.38k - $195.49k
...and analyze key hiring metrics to improve processes, collaborate with cross-functional... ...up to four weeks per year of fully remote work!ResponsibilitiesLead sourcing and outreach efforts for... ...with a brex.com domain. Any outreach claiming to be from Brex via other sources...Remote workProcess improvementSeniorClaimsWork at officeWork from home- ...your opportunity to lead with purpose. At... ...receivable performance, improve revenue outcomes,... ...the systems and processes that enable better... ...OverviewAs the Senior Revenue Financial... ...demographics, billing codes, claims status, and... ...is primarily remote - onsite work may...Remote workProcess improvementSeniorClaimsWork at office
- Tailored Brands, Inc. is seeking a Senior Leaves Specialist to support... .... You will manage new LOA claims, run reports, and coordinate... ...for legal compliance, drive process improvements, conduct LOA audits, and... ...Dublin, CA hybrid work and remote options available. #J-18808...Remote workProcess improvementSeniorClaims
- ...is seeking a highly capable Senior HR Generalist to own and... ...Compliance Own and continuously improve HR processes across the full employee... ...’ Compensation Compliance & Claims Management Manage workers... ...Support both on-site and remote employee populations Maintain...Remote workProcess improvementSeniorClaimsFor contractorsLocal area
- Providence Swedish is seeking a claims specialist to remotely prepare, edit and submit insurance claims to Medicare, Medicaid, L&I, VA, and... ...system, and help identify recurring errors for process improvements. The role requires medical terminology or coding training...Remote jobProcess improvementSeniorClaims
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...Growing togetherThis Senior Actuarial Analyst will... ...the actuarial pricing process from beginning to end.... ...tasked with analyzing claims experience, trends, state... ...flexibility to work remotely * from anywhere within... ...opportunities for process improvements and support...Remote workProcess improvementSeniorClaimsMinimum wageFull timeWork experience placementWork at officeLocal area$143.2k - $196.9k
At Solventum, we improve lives by helping healthcare professionals... ...Make in this Role As a Process Excellence Lead, AP you will have the... ...preferred Work location: ~ Remote - USA Travel: May... ...recruitment schemes that falsely claim to represent Solventum and seek...Remote workProcess improvementClaimsFull timeH1bRelocation packageFlexible hours$118.8k - $198.6k
...'ll have the flexibility of remote work, the support of an established... ..., clear legal advice to claims partners and insureds;... ...training and contributing to process improvements. Experience• Staff Attorney:... ...or comparable experience.• Senior Staff Attorney: 5+ years of...Remote workProcess improvementSeniorClaimsFull timeTemporary workFlexible hours- ...Veracyte seeks an experienced Senior Clinical Reimbursement... ...mentor junior staff, and drive process improvements across the clinical reimbursement operations team. This remote position requires advanced clinical... ...utilization management, and claims adjudication Deep...Remote workProcess improvementSeniorClaims
- ...OVERVIEW As a Senior Quality Engineer your... ...driving continuous improvement across manufacturing processes. The role partners... ...Responsibilities Lead cross-functional teams... ...scrap, warranty claims, internal defects, and... ...Waukesha, Wisconsin Remote / Hybrid: No...Remote workProcess improvementSeniorClaimsPermanent employmentFull timeFor contractorsWork at officeRelocation
- ...Brown is seeking a Senior Employee Benefits... ...Analyst serves as a lead analytical... ...renewal analyses, RFP processes, and carrier evaluations... ...financial and claims data into meaningful... ...to process improvements, standardization efforts... ...SummaryLocation: Remote - FloridaType: Full...Remote workProcess improvementSeniorClaimsFull time
- ...of 4 days in office, 1 remote day per week. Also... ...Position Summary The Senior Claims Consultant serves as a... ...strategic initiatives that improve claims outcomes and... ...Risk function through process improvement, operational... ...Catastrophe & Property Claims Lead the review and...Remote workProcess improvementSeniorClaimsFull timeWork at office1 day per week
$110.8k - $166.2k
...operational excellence and leading transformative... ...Employee Benefits Process Optimization team... ...business. As a Senior Process... ...hybrid, and fully remote roles, helps us attract... ...drive continuous improvement and operational efficiency... ...across Claims, Actuarial, Finance...Remote workProcess improvementSeniorClaimsPermanent employmentFull timeTemporary workWork experience placementWork at office3 days per week$126.55k - $158.2k
...leaders.What you’ll doAs a Senior Technical Sourcer, you will... ...strategies and continuously improving sourcing processes and tools.Where you’ll... ...four weeks per year of fully remote work!ResponsibilitiesLead end... ...brex.com domain. Any outreach claiming to be from Brex via other...Remote workProcess improvementSeniorClaimsWork at officeImmediate startWork from home$115.9k - $165.6k
...unleashes the power of leading-edge technologies to help improve the health and well... ...are seeking a Senior Manager to lead service... ...for Medicaid Claims, Business Policy Administration... ...across claims processing, business policy... ...in this roleFully Remote Opportunity - Work...Remote workProcess improvementSeniorClaimsFull timeFlexible hours$86.97k - $130.46k
...Senior Payroll Analyst Lyric is the trusted leader... ...milliseconds across real-time claims workflows. Lyric... ...platform to reduce waste, improve efficiency, and support... ...cross-functional process improvements that enhance... ...subject matter expert and lead payroll-impacting...Remote workProcess improvementSeniorClaimsFull timeLocal areaVisa sponsorship- ...Single Billing Office, Claims, Contracts, and... ...and Revenue Cycle processes.Division... ...minimal supervision, lead the planning, design... ...and define process improvement options.Participate... ...*Requirements for Senior Level:Bachelor's degree... ...hybrid or mobile/remote work mode are at...Remote workProcess improvementSeniorClaimsWork at office
$153k - $178k
...protect humankind.*LEAD WITH HEART:... ...making.Summary:The Senior IT Change Management... ...infrastructure, and processes in a regulated GxP... ...migrations, and process improvements.• Ensure alignment... ...week onsite) or Remote.Compensation:The... ...or internet sites claiming to represent...Remote workProcess improvementSeniorClaims3 days per week$120k - $180k
...Job Description: The Senior Actuary, Reserving performs... ...Actuary partners with Claims, Finance, Underwriting... ...supports continued improvement in reserving practices... ...Reserving Process Perform and contribute... ...schedules and hybrid/remote options for eligible positions...Remote workProcess improvementSeniorClaimsTemporary workWork at officeHome officeFlexible hours$107.9k - $172.64k
Job DescriptionThe Senior Data Modeler... ...users.Standards & Process: Facilitates model... ...the payer industry.Leading and mentoring - Provide... ...inputs on process improvements and maturing the... ...flexibility to work remotely with intentional... ...and internet sites claiming to represent Blue...Remote workProcess improvementSeniorClaimsFull timeWork experience placementWork at officeLocal areaFlexible hours2 days per week$79.56k - $115.72k
...departments to streamline revenue cycle processes and reduce discrepancies in claims and reimbursements. Essential... ...trends, variances, and areas for improvement. -Collaborates with... ...Additional Job Details (if applicable) Remote Type Remote Work Location...Remote workProcess improvementSeniorClaimsShift work$85k - $115k
...Designation: Fully Remote Business Unit... ...closely with the Senior Implementation Manager... ...Leave Operations, Claims, Data Exchange, Premium... ...documents, process flows, case setup... ...absence implementations.Lead or participate in... ...process improvement initiatives.Develop...Remote workProcess improvementSeniorClaimsLocal area
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