Senior Claims Manager: Marketplace, Medicaid & Medicare
340B Health
340B Health in Houston, Texas is seeking a Claims Manager responsible for overseeing the resolution of claims, including initial submissions and adjustments for Marketplace, Medicaid, and Medicare programs. The role involves leading teams, ensuring quality outcomes, managing reporting requirements, and developing staff training initiatives. Ideal candidates should possess strong communication and leadership abilities along with experience in claims management and auditing practices. Understanding of payment practices and relevant policies is essential. #J-18808-Ljbffr 340B Health
$80k - $100k
The Academy of Managed Care Pharmacy in Houston, Texas, is seeking a Manager, Claims to oversee the timely resolution of claims, including adjustments and audits in marketplace and Medicaid. The ideal candidate will demonstrate strong leadership skills, manage claims-related...Senior$80k - $100k
Nahse in Houston, Texas, is looking for a Manager, Claims to oversee the claims processing and auditing for Medicare and Medicaid. The role requires a strong leader who can manage a team, ensure timely resolutions of claims, and implement training programs for staff. The...Senior- A healthcare organization in Houston is seeking a Claims Manager to oversee the payment of claims, manage auditing processes... ...ideal candidate will have extensive experience with Medicare Advantage, Medicaid, and Marketplace billing, along with strong analytical and leadership...Suggested
- ...Healthcare is seeking a qualified candidate in Houston, Texas, for a senior position providing support for government contracts related... ...developing and administering contracts for programs like Medicaid and Medicare, and ensuring compliance with regulatory requirements....SeniorWork at office
- Starr Companies in Houston, Texas, is seeking an Excess Claims Manager to handle excess claims across the United States. This role requires a minimum of 7 years of experience in claims management, particularly under NY Labor Law. Successful candidates will demonstrate...SeniorWork at office
- ...The Senior Claims Manager will lead all claims and dispute-resolution activities for a major EPC-executed power plant project. This role oversees the identification, development, negotiation, and resolution of complex contractual claims across engineering, procurement,...SeniorContract workFor contractorsFor subcontractorWork at office
- A regional port authority in Houston is seeking a Claims Services Manager to oversee property and casualty claims and provide risk management support. The ideal candidate will have a bachelor’s degree in a relevant field and at least 6 years of related experience. Responsibilities...Senior
$168k - $277k
...DetailsTime Type: Full time Worker Type: Employee Complex Claims Manager QIMA USA Location: USA -New Orleans, LA; Houston, TX... ...acumen as a key public interface to develop QBE's profile in the marketplace Devise, control, communicate and monitor and QBE claims...Full timePart timeWork experience placementWork at officeWork from home- ...In collaboration with the Enterprise Risk Management Director, adjudicates property and casualty liability claims on behalf of the Port's insured and self-insured... ...financial and loss data summary for annual insurance marketplace renewals of the Port's property and casualty...For contractorsWork at officeLocal area
$168k - $277k
...Complex Claims Manager QIMA USA Location: USA – New Orleans, LA; Houston, TX; Miami, Florida; Atlanta, GA Work Arrangement: Hybrid... ...as a key public interface to develop QBE's profile in the marketplace Devise, control, communicate and monitor QBE claims reserving...Full timePart timeWork experience placementWork at officeWork from home- ...Medicaid/MMIS Subject Matter Expert Act as a Medicaid/MMIS SME across claims, eligibility, enrollment, and provider modules Lead requirements gathering, business... ...state Medicaid regulations Support defect management, and production support Identify process...SeniorRemote job
$145k
...about doing the right thing and doing it well. Whether you're managing claims, supporting clients, or improving processes, you’ll play a... ...Location: This role is eligible for fully remote work The Senior Claims Specialist within GB Specialty is responsible for managing...SeniorFull timeLive outWork at officeLocal areaRemote workFlexible hours$87.4k - $253k
...growth strategy, program definition and management, and consultative, collaborative problem... ...The Financial Services Strategy Manager/Senior Manager applies deep business strategy development... ...Elevate our brand and presence in the marketplace (conference participation, thought...SeniorLive inWork at officeLocal area- ...professional development (LOMA testing) and a company-wide wellness program. Scope and Purpose: ManhattanLife is seeking a Claims Manager. As an Insurance Claims Manager, you will oversee the daily operations of a team that processes benefits payable under several...Contract workWork experience placementWork at officeImmediate startFlexible hours
$250k
...filled in Houston, Philadelphia, Chicago, Atlanta, Los Angeles or Scottsdale. Job Duties Providing management oversight to Third Party Administrators DBA claims personnel by monitoring the claims online using the Third Party Administrators claim systems....Worldwide$72k - $80k
...utility, and infrastructure projects across the United States. Our Compliance team protects the business and our customers by managing claims, mitigating risk, and reinforcing operational accountability. The Role We're looking for a Claims Manager to oversee and...Full timeFor contractorsWork at officeLocal areaRemote work- ...Job Overview: The Workers Compensation Claims Manager is responsible for the oversight and positive performance of the Company's Third Party... ...managing a Third-Party Administrator (TPA) or serving as a senior-level adjuster within a TPA ~ Strong analytical skills with...Work experience placementWork at office
- ...Holidays Dental insurance Health insurance Paid time off Vision insurance Job Summary We are seeking an experienced Corporate Manager - Auto Claims to join our team. In this role, you will optimize the operational systems and processes of the company, maximizing...
- ...Senior Director, Quality Ratings & Network Performance About the Company Established organization... ...Finance Specialties health insurance managed care services medical management medicare and medicaid About the Role The Company is seeking a...Senior
- ...passion and drive to join our team. There's no shortage of opportunities as we continue to expand.**Responsibilities:The Excess Claims Manager will be responsible for handling excess claims throughout the United States involving Starr insureds. The claims require prompt...Work at officeWorldwide
- Sonic Automotive in Houston is seeking a Warranty Admin Manager to oversee warranty claim processes, ensuring compliance and maximum reimbursement from OEMs. The role requires 3+ years of dealership experience, strong knowledge in warranty policies, and proficiency in systems...Full time
- ...Remote Senior Analyst (Data & Operations)Paychexis looking for a Data Analyst to become... ...Health Insurance and Centers for Medicare & Medicaid programs. If you can use data to tell... ...level support with data gathering, data management, and data analysis. The successful candidate...SeniorWork at officeRemote work
$135k - $150k
A global commercial insurance leader is seeking a Senior Underwriter to drive growth on a $600M property book. The ideal candidate will have at least 5 years of underwriting experience, strong analytical skills, and the ability to make sound decisions on complex property...Senior$85.86k
A leading insurance company is seeking a Property and Casualty Underwriter to manage accounts and drive new business opportunities. This role involves assessing risks, determining coverage, and maintaining broker relationships. Ideal candidates possess a Bachelor's degree...Senior$122.7k - $317.2k
...Technology Strategy | Enterprise Architecture Senior Manager FS / Insurance Industry We Are: We are Advisory. Our vision is to become the world's leading advisors in harnessing technology and innovation as a force to reinvent and improve every business. Our mission...SeniorLive inWork at officeLocal area- McGriff in Houston, Texas is seeking a Senior Claim Representative to manage claims and maintain accurate records. You will need two years of experience in oil and gas insurance or claims, along with an Adjustors license. Ideal candidates will possess strong communication...Senior
- A renowned legal firm in Houston seeks a Senior Litigation Paralegal with over 5 years of insurance defense experience. This pivotal role involves overseeing the litigation process, drafting essential legal documents, and maintaining organized case files. Candidates must...SeniorImmediate start
$146.7k - $335.1k
.... Join EY and help to build a better working world. FAAS - Senior Manager When our clients are facing complex finance and controllership... ...risk management knowledge A deep understanding of the marketplace, as well as commonly used terminology, processes and tools...SeniorSummer holidayFlexible hours- A major insurance company is seeking an Underwriting Specialist or Executive Underwriter to join their team in Houston, Texas. You will analyze and underwrite complex energy property insurance, enhance customer experiences, and build strong broker relationships. The role...Senior
$45.39k - $88.51k
JOB SUMMARY Provides senior level support for government contracts activities.... ...state and/or federal governments for Medicaid, Medicare, Marketplace, and other government-sponsored... ...compliance. Organizational and time-management skills, and ability to manage simultaneous...SeniorContract workWork experience placementWork at office
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Senior Claims Manager: Marketplace, Medicaid & Medicare. Be the first to apply!
- claims supervisor Houston, TX
- senior development executive Houston, TX
- senior technical manager Houston, TX
- senior procurement specialist Houston, TX
- senior communications specialist Houston, TX
- senior manager data science Houston, TX
- senior platform engineer Houston, TX
- senior procurement Houston, TX
- senior director product management Houston, TX
- senior cost manager Houston, TX

