Configuration Delivery Lead for Claims Ops
Blue Cross and Blue Shield of North Carolina
Blue Cross NC is seeking a Senior Configuration Lead to oversee staff delivering system configuration solutions aligned with the enterprise strategy. You will lead analysis, development, and implementation of initiatives to modify and re-engineer processes and systems for improved performance and user efficiency. The role includes supervising a team, ensuring effective resource management, and providing direction using advanced configuration knowledge across multiple systems. #J-18808-Ljbffr Blue Cross and Blue Shield of North Carolina
- ...measurable business value.You are equally comfortable:Leading cross-functional delivery teams through complex implementationsDesigning scalable... ...Voice, ASRS).Develop detailed solution specifications, configuration approaches, integration designs, and technical documentation...SuggestedFull timeWork experience placementLive inWork at officeLocal area
- Accenture helps the world's leading enterprises reinvent by building their digital core... ...Membership Administration Consulting Delivery Lead, your primary responsibilities may... ...operations (Group Set Up/Case Install, Benefit Configuration, Enrollment Processing, Invoice...SuggestedFull timeLive inWork at officeLocal area
$179.3k - $200.4k
...in a collaborative environment? As an experienced RCM Senior Delivery Lead, you will have the ability to share new ideas and collaborate... ...Revenue Cycle Management (RCM) services, including Billing and Claims Submission, A/R Follow-up, Denials Management, Payment Posting...ClaimsLocal areaRemote workVisa sponsorship$119.77k - $140.9k
...from Day One.Job DescriptionWorkday Center of Excellence (CoE) Delivery Lead We are seeking an experienced and visionary Workday CoE... ...strategic objectives.Establish and enforce Workday governance, configuration standards, delivery methodologies, and operational best...SuggestedFull timeLocal area3 days per week$250k - $350k
...Faith Attorney to join our growing California law firm and help lead our insurance litigation practice. This is a unique... ...-stakes disputes involving: Insurance bad faith and wrongful claim denials Fire losses, property damage, and catastrophic insurance...Claims$200k - $300k
...negotiations, and trial. Experience in plaintiff-side personal injury litigation, jury trials, insurance disputes, property damage claims, or bad faith litigation is valued. Attorneys whose primary background is personal injury or general civil litigation are...ClaimsFlexible hours- ...Position: W2 Workday Test Lead / Workday Testing Consultant (Payroll, Benefits, Compensation... ...(BP) changes. Validate Workday configuration updates and ensure downstream impacts... ...suspicious message, email, or phone call claiming to be from PTR Global do not respond or...ClaimsFull timeContract workLocal areaRelocation
- ...Data Analyst requires: Experience understanding claim adjudication for member and provider reimbursements. Experience... ...Facets platform using Claims, Provider, Network, Product Benefit Configuration Knowledge of Medicare and Medicaid programs Data Analyst...Claims
- ...implement the right solutions. Join Accenture and help transform leading organizations and communities around the world. The sheer scale... ..., preconfigured solutions, accelerators, and AI enabled delivery models, Accenture Mid-market brings together teams across our global...Full timeWork experience placementLive inWork at officeLocal area
- ...together, a vital expression of a brand’s voice and purpose. We help leading brands create and deliver the right content for the right... ...work:Works in a highly client-facing role to lead the end-to-end delivery lifecycle of complex, global and large-scale Service technology...Full timeLive inWork at officeLocal area
- Lead the delivery of network services across the account. Services include firewalls, route/switch, DNS and load balancing. Serve as the primary escalation point for network-related delivery issues, proactively managing risks and driving resolution. Oversee the design,...Remote work
- ...Relay Technician serves as the technical lead for protection and control systems,... ...schematics, logic diagrams, and system configurations. Ensure proper calibration and performance... ...recruiting agencies, and will not recognize claim to any unsolicited resumes or candidate...Claims
$59 - $60 per hour
...experience with health plans or medical claims Senior Medical Data Analyst requires:... ...Claims Processing, Medical Plan Benefit Configuration (Facets platform a plus) HYBRID - 2 to... ...Medical-Surgical products Serve as the lead subject matter expert for Government/...ClaimsWork experience placement$22 - $26 per hour
Come join our amazing team and work remote from home! The Default QA FHA Claims Analyst I will, under moderate supervision, responsible for reviewing FHA Part A mortgage insurance claims for accuracy and submitting the claim form for filing. Performs all duties in accordance...ClaimsRemote workWork from home- ...Master with 8+ years of Salesforce platform delivery experience, including Health Cloud,... ...candidate must have proven experience leading Agile teams in fast-paced Salesforce implementation... ...of Salesforce release cycles, configuration, customization, integrations, and...
- Data Analyst OperationsServe as a Data Analyst on the Business Configuration team, responsible for the structure, and benefit plan set up... ...required.At least 5 years of experience working within a core claims administration system.Good analytical and problem-solving skillsA...Claims
- ...May Be a Fit Insurance defense litigation, including bodily injury, property damage, premises liability, and general liability claims. Managing discovery, depositions, motion practice, and litigation strategy. Working with insurance carriers, claims...ClaimsImmediate start
- ...states. We developed proprietary claims technology, expanded our... ...members. We are seeking a Lead IT Systems Engineer to modernize... ...Engineering: Design, configure, and optimize Jira and Jira Service... ..., efficiency, and service delivery. Employee Onboarding Automation...ClaimsRemote job
$105.4k - $207.8k
...Deloitte Consulting's Innovation & Delivery Transformation (I&DT)... ...case can be reused with light configuration, when it needs substantial extension... ...and data standards (e.g., claims, remittances, EMR data, HL7,... ...client-facing materials, lead technical discovery conversations...ClaimsLocal area- ...Join our dynamic team at the Cincinnati Service Center where you'll play a crucial role in ensuring the smooth processing of medical claims. Work in a hybrid environment with remote work on Mondays and Fridays, and in-office collaboration on Tuesdays, Wednesdays, and...ClaimsWork experience placementWork at officeRemote workMonday to Friday
- ...Associate Location: Cincinnati, Ohio (Hybrid/Remote) Duration: 6 months Handle end-to-end disability case management Perform claim adjudication based on medical and policy data Review and interpret disability plans and insurance policies Coordinate with...ClaimsTemporary workWork at officeRemote work
- ...professional services company with leading capabilities in digital,... ...Lead who has personally configured or led configuration of EPP Capabilities... ...Tapestry certification in Claims, E&E, Benefits Engine, CRM,... ...expertise and global delivery capability. Our broad range of...ClaimsFull timeWork experience placementLive inWork at officeLocal area
$116.8k - $160k
...that embodies our leadership principles.About The RoleYou will be leading a team of IT professionals with various skill sets to provide... ...packaging, those packages into cars, trucks, and airplanes for delivery to front doors around the world. We are committed to developing...WorldwideFlexible hours- ...global professional services company with leading capabilities in digital, cloud and... ...practitioner role for someone who has built and configured ITSM solutions across multiple tooling... ...needed to make multi-provider service delivery work in practiceDesign and re-engineer ITSM...Full timeContract workWork experience placementLive inWork at officeLocal area
$60k - $80k
...customer accounts and update information in the database. Assist customers with policy changes and inquiries. Process insurance claims and follow up with customers on claim status. Coordinate with underwriters to ensure timely policy issuance. Qualifications:...ClaimsFor contractorsWork at office$94.4k - $293.8k
...channel.WHAT'S IN IT FOR YOU?Lead the product data foundation that... ...— including ingredient claims, usage occasions, consumer benefit... ...multi-channel syndication configuration.Preferred Qualifications:Strong... ...managing cross-functional delivery teams spanning commerce, marketing...ClaimsFull timeLive inWork at officeLocal area- A leading claims adjusting firm in Kentucky is seeking a Licensed Insurance Claims Adjuster to join their team. This role involves helping clients recover from disasters while enjoying flexibility and competitive pay. Candidates should have handled at least 100 claims...ClaimsFlexible hours
- ...What does a Medical Billing and Coding Specialist do? A medical billing and coding specialist processes and codes healthcare claims to ensure accurate billing and insurance reimbursement, supporting the financial operations of healthcare facilities. Highlights...Claims
$60k - $70k
...join a growing legal team. This position is ideal for someone with hands-on experience managing bodily injury and personal injury claims who is comfortable handling a high-volume caseload and communicating directly with clients, insurance carriers, and medical providers...ClaimsFlexible hours- ...United States without the need for current or future sponsorship.The Claims Director provides leadership and strategic oversight for Mid‑... ...’s most complex and highest exposure casualty claims. This role leads a team of experienced claims professionals handling...ClaimsFull timePart time
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