Senior Claims WFM Lead: Forecasting & Capacity
CVS Health
CVS Health in Saint Paul, MN seeks an experienced professional to manage Claims workforce operations. This role involves analyzing staffing needs, optimizing workforce utilization, and collaborating across departments. Candidates should have a strong background in operational analytics and workforce management tools, with at least 7 years of relevant experience. The position can be remote or hybrid, offering competitive pay and comprehensive benefits including health coverage, paid time off, and retirement options. #J-18808-Ljbffr
$67.9k - $199.14k
...Plymouth, MN, is seeking a strategic leader for Claims Workforce Management. The position involves demand forecasting, staffing analysis, and operational planning, ensuring... ...claims operations while partnering with senior leadership. Candidates should have a minimum of...SeniorClaimsRemote work$126.2k - $264.1k
...Oracle is seeking a US-based Senior Principal Energy Program Manager... ...President of Infrastructure Capacity and Planning. As an energy... ...reduction and renewable energy claims: Global Reporting Initiative... ...your potential at a company leading the way in AI and cloud solutions...SeniorClaimsContract workTemporary workFor contractorsFlexible hours$140k
...accepting applications for a Senior Scheduling Manager to... ...portfolio to optimize capacity, consistency, and... ...construction principles and lead enterprise adoption of... ...analysis, milestone forecasting, and schedule risk assessment. Support claims, change management, and...SeniorClaimsContract workWork experience placementFor subcontractorWork at officeFlexible hours$22.3 - $35.2 per hour
...Lead Coordinator, Collections About Navista We believe in the power of community oncology to support patients through their journeys... ...accounts receivable team, ensuring accurate and timely processing of claims, including denials and the maximization of cash flow. This role...ClaimsHourly payTemporary workWork at officeLocal areaFlexible hours$79.4k - $136.4k
...A federal IT services provider in Minnesota is seeking a Database Team Lead to oversee enterprise database platforms critical to business applications and analytics. The role requires 8+ years of experience and a Bachelor's degree in IT. Key responsibilities include leading...Senior$143.65k - $179.57k
...SOLV Energy is seeking a Senior Relay Technician to lead and execute testing, commissioning, and troubleshooting of protective relays and control systems within electrical substations and Battery Energy Storage Systems (BESS). The role requires strong troubleshooting skills...SeniorRemote work$23.16 per hour
...Company: Highmark Inc. Job Description: This job reviews, evaluates, and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround and quality standards. Responsible for building positive client relationships, providing...SeniorClaimsFor contractorsWork at officeLocal area- ...Jacobs is where you belong. We’re looking for a driven and talented Senior Planner/Scheduler in either Grand Rapids/Detroit Michigan or... ...value engineering analysis experience regarding schedules. • Claims analysis and change order experience. • Experience with EVM (Earned...SeniorClaimsLocal area
- ...Parexel is seeking a Senior Real-World Evidence (RWE) Analyst Programmer Join a high-impact team as a remote Sr. Real-World Evidence... ..., has hands-on experience with raw RWE data including both claims data and Flatiron EHR and can write SQL code from scratch. Clean...SeniorClaimsRemote workFlexible hours
$18.5 - $38.82 per hour
...and monitoring the quality and effectiveness of work processes in claim processing and customer service that impact customer... ...recommendations regarding training needs, quality controls, and procedures to senior management. Takes direction to execute techniques, processes,...SeniorClaimsFull timeWork experience placementLocal area$110k - $215k
.... Establishes and executes effective and efficient producer and client visits (with appropriate business units – Risk Engineering, Claims and Marketing Representatives) in order to maintain and increase new business. Enhances technical expertise in the area of Industrial...SeniorClaimsInterim roleWork at officeLocal area$169.4k - $279.6k
...transforming our business and technology capabilities and paving the way for best-in-class solutions. As a Lead Architect, you will collaborate with senior Technology and Business leaders and apply your deep technical proficiency and visionary thinking to architect...ClaimsTemporary workWork experience placementLocal area$101.18k - $119.78k
...products and services designed to meet the unique coverage and claims‑handling needs of businesses. The Argo entities are wholly‑owned... ...Clearbrook Group Holdings Inc. Job Description Business Title(s) Senior Environmental Claims Adjuster Employment Type Full-Time FLSA Status...SeniorClaimsFull timeLocal areaRemote work$139k - $157k
...decision-making through our leading AI-infused scenario planning... ...what's next - together! Senior Solution Consultant - Presales... ...just cost control-they need forecasting automation, cross-functional... ..., emails and correspondence, claiming they are representatives of Anaplan...SeniorClaims$110k - $150k
...Brown & Brown is Seeking a Senior Benefits Consultant to join our... ...contact in the consulting capacity, to administer client benefit... ...resource, financial strategy lead and client escalations. Monitor... ...analysis of activity and large claim detail. Prepare expert level...SeniorClaimsHourly payWork experience placement$123.6k - $187k
...where you belong. Position We’re looking for a driven and talented Senior Planner/Scheduler in either Grand Rapids/Detroit Michigan or... ...and value engineering analysis experience regarding schedules. Claims analysis and change order experience. Experience with EVM (Earned...SeniorClaimsFull timeLocal areaRemote work$120.4k - $198.7k
...expertise and outstanding client service. We handle litigation arising from claims asserted against policyholders or the company and take cases from inception through trial and appeal. As an Associate Senior Counsel with Travelers you will be responsible for high quality,...SeniorClaimsWork at officeLocal areaFlexible hours$110k - $145k
...improvements. Job expectations include applying expert judgment, leading strategic initiatives, and influencing benefit outcomes across... ...activities being executed. Participation with vendor audits, claims reviews, annual meetings, development of business requirement documents...SeniorClaimsWork at officeShift workDay shift$120k - $150k
...Overview Molex is seeking an innovative Senior Mechanical Engineer to join our R&D team.... ...responsible for the conceptualization of industry‑leading fiber optic systems in rapidly growing... ..., ensuring technical accuracy of claims and descriptions. Interface with cross‑functional...SeniorClaimsFlexible hours$105.1k - $135.09k
...Within Advanced Therapy Solutions (ATS), the Senior Manager, Value & Access Solutions plays a... ...RWE and Analytics & Insights teams with claims, reimbursement, and health economics data... ..., metrics, or models Works on or may lead complex projects of large scope...SeniorClaimsTemporary workLocal areaImmediate startFlexible hoursShift work- ...those to physicians. Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and... ...Otherwise, earns PTCB certification as condition of promotion to senior technician. Attends training and completes PPLs requested by...SeniorClaimsWork experience placementLocal areaImmediate startFlexible hoursAfternoon shift
$100k
...designed to meet the unique coverage and claims-handling needs of businesses. The Argo entities... ...Inc. Job Description Business Title(s): Senior Construction Defect Technical Claims... ...Construction Technical Claims Specialist Team Lead to join our team and work from any of the...SeniorClaimsFull timeLocal areaRemote work$20.5 - $27.5 per hour
...those to physicians. Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and... ...other clerical duties, as assigned by the Pharmacy Manager. Leads Pharmacy Department inventory management activities, such as, ordering...SeniorClaimsHourly payWork experience placementLocal areaImmediate startFlexible hoursAfternoon shift$19.55 - $20.9 per hour
...on-site at Children's Minnesota - St Paul Hospital** The Senior Patient Access Specialist is responsible for performing admitting... ...Collections) and billing processes to assist with a clean claim rate including pre-registration of patient accounts prior to the...SeniorClaimsWork at office- ...enhancements. Performance & Reporting: Maintain accurate pipeline, forecast, and account activity in CRM systems; consistently meet or... ...for strategic book management ~ Previous experience with claims processing and adjustment management. ~ Familiarity Third Party...SeniorClaimsTemporary workRemote workFree visa
$81.6k - $122.4k
...future of medical innovation. As a Senior Manufacturing Supervisor at... ..., you'll ensure operational capacity meets today's demands and tomorrow... ...a team Ethical acumen and lead by example approach Able to... ...receive a suspicious message claiming to be from Medtronic, do not...SeniorClaimsH1bWork at officeLocal areaImmediate startWorldwideFlexible hoursDay shift$81.7k - $135k
...Tax - Sales and Use Lookback Review COE - Senior Will you shape the future or will... ...Lookback Review COE is a national team which leads large multi-state, sales and use tax... ...Prepare and defend sales and use tax refund claims Participation on a motivated team of professionals...SeniorClaimsSummer holidayImmediate startFlexible hours- ...discrepancies with 830/Delfor accumulative forecasts Monitor and maintain accuracy of... ...Oversee inventory balance, investigate claims, and ensure proper stock levels of finished... ...center calendars to support resource and capacity planning Review employee work calendars...ClaimsWork at officeShift work
- ...lifestyle support. 9amHealth was founded in 2021 and is backed by leading healthcare investors like Define Ventures, SemperVirens, 7Wire... ...services, including familiarity with healthcare-specific data (claims, clinical, eligibility, pharmacy, outcomes measurement)....SeniorClaimsRemote workWork from homeFlexible hours
$145k - $175k
Job Title: Senior Data Engineer Department: Product Development About the Role: Join our dynamic team of talented engineers with a... ...designing, building and maintaining data pipelines for healthcare claims and clinical data, ensuring data quality, scalability and...SeniorClaimsImmediate startRemote workWork from homeFlexible hours
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