Sr Manager/Associate Director - GenAI(Healthcare Claims) - Chicago
Tiger Analytics, LLC
Tiger Analytics is pioneering what AI and analytics can do to solve some of the toughest problems faced by organizations globally. We develop bespoke solutions powered by data and technology for several Fortune 100 companies. We have offices in multiple cities across the US, UK, India, and Singapore, and a substantial remote global workforce. If you are passionate about working on business problems that can be solved using structured and unstructured data on a large scale, Tiger Analytics would like to talk to you. Now hiring for multiple opportunities in Technology Consulting and Solution Delivery. Responsibilities Requirement gathering - Work closely with clients and business SMEs to analyze pain points in the Medicare and Medicaid processes (with greater focus on claims management) and provide detailed information on business procedures, industry regulations, and user needs. Evaluation and recommendation of use-cases - Evaluate and recommend AI, analytics, software, and engineering use cases to address client challenges with regards to complex business logics and user workflows. Solution design - Provide critical insights and guidance to project teams, ensuring that the solution accurately reflects the complexities and nuances of Medicare and Medicaid domain (specifically focused on claims management), when developing products, systems, or processes. Partner with analytics and technology consulting teams to share insights on key processes, personas, and tools, ensuring alignment on effective solutions. Validation and Review - Assess project deliverables, design documents, and test cases to ensure they align with domain knowledge and industry best practices. Training and Knowledge management - Educate project teams on Medicare/Medicaid domain-specific concepts, jargon, and industry standards. Support the development of capability assets (including documents, demos) for the Medicare & Medicaid LOB within Tiger’s Consulting, DS, and Engineering Practice. 10-12 years of deep domain consulting experience. Extensive understanding of US healthcare claims and Medicare and Medicaid industry and its specific regulations. Chatbot/GenAI solution implementation for claims configuration Handling MBR, QBR, estimation process involving budget, Production support. Excellent analytical skills to identify potential issues and propose solutions by effectively conveying technical information to diverse teams. Excellent problem solving and critical thinking skills with diligence. Experience with managing stakeholder expectations to ensure effective communication and program success. Ability to stay updated on industry trends and emerging technologies. Masters/Bachelor of Science/Engineering, MBA preferred. Healthcare certifications preferred. Significant career development opportunities exist as the company grows. The position offers a unique opportunity to be part of a small, fast-growing, challenging, and entrepreneurial environment, with a high degree of individual responsibility. Tiger Analytics provides equal employment opportunities to applicants and employees without regard to race, color, religion, age, sex, sexual orientation, gender identity/expression, pregnancy, national origin, ancestry, marital status, protected veteran status, disability status, or any other basis as protected by federal, state, or local law. #J-18808-Ljbffr Tiger Analytics, LLC
$90k - $100k
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Senior Human Resources Manager - Chicago, IL Aramark Healthcare+ is seeking candidates for a Senior Human Resources Manager position in Chicago, IL. The... ...disciplinary action. Prepare material for employment tribunal claims. Keep all managers in the region up to date with legal...SeniorClaimsFlexible hours- ...Hematology Clinical Account Manager/ Sr. Clinical Account Manager - Chicago South The Clinical Account Manager... ...products as lead by the Regional Sales Director. In this strategic role, the CAM... ...use of Sobi products to healthcare professionals in accordance with...SeniorLocal areaRemote workRelocationNight shift
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Family Guidance Centers, Inc in Chicago is seeking a Human Resources Coordinator to manage employee benefits programs. This entry-level role requires a high school... ...orientations, and assisting employees with claims. The position offers a flexible work schedule Monday...ClaimsHourly payMonday to FridayFlexible hours$140k
...you. The Position Our client is seeking to fill a Sr. Deputy Human Resources role to be based in the Chicago, IL market. The position is responsible for developing... ...with the overall business strategy. Oversee and manage the full employee life cycle, including recruitment...Senior$140k - $235k
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$128k - $174k
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A leading insurance provider is seeking a Senior Manager for Claims Analytics & Decision Support in Chicago, IL. This hybrid role involves financial analysis and decision-making support for the Auto Claims organization. The ideal candidate should have strong analytical...SeniorClaims- ...need great people to join our team. The Associate Market Clinical Director will directly supervise, performance manage and train Clinical Directors within in his/... ...teams in quality improvement and/or medical/healthcare leadership activities preferred. ~ Preferred...Work at officeLocal area
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$80k - $105k
## Manager - Hospital BillingApplyremote type: Remotelocations: Chicago - 550 Van Burentime type: Full timeposted on: Posted Todayjob... ...markets they serve. We help healthcare organizations build innovation... ...to ensure timely and accurate claim submission and follow-up.*...ClaimsPermanent employmentLocal area$69k - $115k
Swiss Re in Chicago is seeking a claims professional to manage financial lines claims and deliver exceptional client experiences. You will collaborate with various teams while handling responsibilities from claim initiation to resolution. The ideal candidate has experience...SeniorClaimsWork at office3 days per week- Senior Director, Construction Defect We are partnered... ...lead the construction claims team within the wider... ...experience (must have managed managers previously) be... ...position is based out of Chicago and the salary and... ...experience level. #J-18808-Ljbffr Oliver James Associates Ltd.SeniorClaimsRemote workFlexible hours
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$70k - $72k
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