Remote TPA Claims Lead - Medicaid & Data
Public Consulting Group
A leading public sector solutions firm in Raleigh is seeking a TPA Claiming Lead to manage claims operations and develop a consistent claiming program. This role requires over 6 years of experience, leadership skills, and a deep understanding of Medicaid policies. The successful candidate will direct a team, ensure accuracy of claims data, and collaborate closely with various functional areas. This position offers a competitive salary range and comprehensive benefits in a supportive work environment. #J-18808-Ljbffr
$68.8k - $94k
...A leading consulting firm is seeking a TPA Claiming Lead in Denver, Colorado. This role involves overseeing claims management... ..., efficiency, and compliance with Medicaid policies. The ideal candidate will... ...abilities, and proficiency in data analysis. The position offers a...Remote workDataClaims- ...A leading public sector solutions firm in Boise is seeking a TPA Claiming Lead to oversee claiming operations. This role focuses on managing claims accuracy, leading... ...supporting junior staff, and ensuring adherence to Medicaid policies. Competitive compensation package...Remote workDataClaims
- ...A leading public sector solutions firm is seeking a TPA Claiming Lead to oversee and optimize claims management... ...-Based Services. This remote position requires a... ...experience and expertise in Medicaid policies. The... ...preferred along with robust data and communication skills...Remote workDataClaims
$68.8k - $94k
A leading public sector solutions provider is seeking a TPA Claiming Lead in Boston, MA. This role involves overseeing claims management... ...team, ensuring adherence to Medicaid policies, and providing... ...background in claims analysis, data management, and project management...Remote workDataClaims$68.8k - $94k
...A leading public sector solutions firm is seeking a TPA Claiming Lead in Washington, DC to manage claims operations within the education sector. The role involves... ..., leading a team, and ensuring compliance with Medicaid policies. Candidates should have 6+ years of claiming...Remote workDataClaims$68.8k - $94k
...A consulting firm is seeking a TPA Claiming Lead in Albany, NY to lead claims management... ...ideal candidate will have strong data analysis, communication, and... ...claims management, particularly in Medicaid, is preferred. This position is remote with a compensation range of $68,...Remote workDataClaims$68.8k - $94k
...in public sector solutions is seeking a TPA Claiming Lead to oversee claims management within... ...abilities, and a solid understanding of Medicaid policies. This role involves training junior... ...with various teams. The position is remote and offers a competitive salary range of...Remote workDataClaims$68.8k - $94k
...A leading solutions implementation firm in the United States seeks a TPA Claiming Lead to oversee claims management for school-based... ...strong leadership and data management skills to ensure... ..., particularly with Medicaid policies. This remote position offers competitive...Remote workDataClaims$68.8k - $94k
...A public sector solutions firm is seeking a TPA Claiming Lead in Nashville, Tennessee. This role involves leading the TPA claiming operations... ...leadership qualities, and a detailed understanding of Medicaid policies. This position includes responsibilities such as analyzing...Remote workDataClaims$68.8k - $94k
A consulting firm in the public sector is hiring a TPA Claiming Lead in Santa Fe, New Mexico. This role involves leading the TPA Claiming Operations... ...6 years of relevant claiming experience and possess strong data analysis and leadership skills. The position includes...Remote workDataClaims$68.8k - $94k
...A public sector solutions firm is seeking a TPA Claiming Lead in Oklahoma City. You will lead claims management efforts and collaborate across... ...experience, strong leadership capabilities, and excellent data analysis skills. The position requires effective communication...Remote workDataClaims$68.8k - $94k
...A public sector solutions firm located in Providence, RI, is looking for a TPA Claiming Lead to oversee claims management within the School-Based Services sector. The candidate will ensure efficiency and compliance in TPA claiming processes, supervise staff, and work closely...Remote workDataClaims$68.8k - $94k
...A leading public sector solutions firm is seeking a TPA Claiming Lead in Tallahassee, Florida. The successful candidate will direct claims management and enhance collaboration within operational teams. Responsibilities include analyzing claims, providing leadership, and...Remote workDataClaims$68.8k - $94k
...A leading public sector solutions firm is seeking a TPA Claiming Lead to oversee claims management and ensure the accuracy of TPA processes. This role requires... ...various stakeholders. The TPA Claiming Lead will work remotely and will need to understand both federal and...Remote workDataClaims- A leading public sector solutions firm in Virginia is seeking a TPA Claiming Lead to manage claims operations within educational sectors. The ideal candidate will possess extensive experience in claims evaluation, data management, and team leadership. They will oversee...Remote workDataClaims
- ...TPA Supplemental Products Team Lead (Health Insurance) Join to apply for the TPA Supplemental... ...products insurance claims to ensure that claims are... ...accuracy and authenticity of data between claims systems, eligibility... ...Office). Work Schedule & Remote Work Full-time, remote...Remote workDataClaimsFull timeWork at officeWork from homeHome office
$68.8k - $94k
...Group LLC (PCG) is a leading public sector solutions... ...Learning Solutions Data Systems IT Solutions... ...Recovery Services The TPA Claiming Lead will lead all efforts... ..., State, and local Medicaid policies as they pertain... ...Office Setting- Remote The above is intended...Remote workDataClaimsFor contractorsH1bWork at officeLocal area$50k - $55k
...Healthcare Claims Call Center Team Lead - Washington, DC (On-site) Great companies... ...healthcare claims issues, Medicaid-related inquiries, and... ...update records, and maintain data integrity within claims and... ...5:00 PM, in-office with no remote flexibility Opportunity to...Remote workDataClaimsFull timeWork at officeMonday to FridayFlexible hours$83.25k - $155.51k
...DESCRIPTION Job Summary Provides lead level analyst support for... ...integrity (PI) and provider claims accuracy. Makes recommendations... ...ensure Centers for Medicare and Medicaid Services (CMS) and state... ...provider inquiries. Analyze data to identify and develop new recovery...Remote workDataClaimsTemporary workWork experience placementWork at office$59.81k - $129.59k
...DESCRIPTION Job Summary Provides lead level analyst support for... ...maintenance of critical information on claims databases, synchronizing operational and claims systems data and application of business... ...care organization supporting Medicaid, Medicare, and/or Marketplace...Remote workDataClaimsWork experience placementWork at office- ...care domain experience and should have good knowledge of Medicaid and Medicare. Should have hands-on experience on claims processing and adjudication processes. Must have good experience in reference code/data sets required in claims adjudication. Must have...Remote workDataClaims
$147.6k - $196.8k
...economists, sociologists, data scientists, and public... ...and save lives by leading rigorous research and evaluation... ...Centers for Medicare & Medicaid Services (CMS) and the... ...the position may work remotely within the United... ...underlying data sources (claims, administrative, practicebased...Remote workDataClaimsFull timeFixed term contractWork experience placementH1bWork at officeLocal area$147.6k - $196.8k
...economists, sociologists, data scientists, and public... ...and save lives by leading rigorous research and evaluation... ...Centers for Medicare & Medicaid Services (CMS) and the... ...the position may work remotely within the United... ...underlying data sources (claims, administrative, practice...Remote workDataClaimsFull timeFixed term contractWork experience placementH1bWork at officeLocal area$135k - $145k
...deep domain expertise in the Medicaid markets, specifically... ...to solve for client needs Leading internal conversations to support... ...patterns Pay & Perks Fully remote opportunity with about 5%... ...pre-service authorization data with post-service claims validation, we’re creating...Remote workDataClaimsFlexible hours- Humana Inc is looking for an Encounter Data Management Professional to ensure data integrity for claims errors. This professional will develop business... ...and reconciliation of encounters to Medicaid/Medicare. The role is remote, with occasional travel to Humana's offices...Remote jobDataClaims
- ...Assurance Manager Key Responsibilities # Lead end-to-end testing strategy, planning, and execution for Medicaid/MMIS applications # Design and review test plans, test cases, test data, and test scenarios across modules (claims, eligibility, enrollment, provider) #...Remote workDataClaims
- ...implementing/maintenance of commercial payer solution and/or Medicaid system # Must have good experience with claims processing concepts, along with the member... ...to validate Test scenarios and test plans, test data. Should be able to Review requirements, documentation...Remote workDataClaims
- ...implementation and maintenance of critical information on claims databases, synchronizing operational and claims systems data and application of business rules as they apply... ...in a managed care organization supporting Medicaid, Medicare and/or Marketplace programs. •...Remote workDataClaimsWork at office
$100k - $231.54k
This position can be remote or hybrid depending on candidates... ...needed to identify data sources and processes... ...this role, you will: Lead the operational... ...Commercial, Medicare and Medicaid Analyzes data, healthcare... ...Experience working with claims data, including detailed...Remote workDataClaimsHourly payFull timeTemporary workWork at officeLocal area$100.14k - $150k
NTT DATA North America is hiring a Medicaid Scope & Scheduling Analyst for their Chicago team. This remote role involves coordinating scope and schedule for project deliverables, maintaining an integrated schedule, and working with various stakeholders. The position requires...Remote workData
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