Senior Managed Care Claims Analyst — Adjudication & Insights
Novacore
Novacore is seeking a Senior Claims Analyst in Managed Care to evaluate and adjudicate reinsurance claims on HMO reinsurance, provider stoploss and medical excess contracts. The ideal candidate is analytical, resourceful and self-motivated, with strong communication skills and a proactive approach to advancing projects. Join Carbon Stop Loss Solutions, part of Novacore’s Healthcare Segment, to deliver best-in-class risk solutions, support underwriting and claims processes, and partner with #J-18808-Ljbffr Novacore
$88.9k - $155.5k
...solutions across the GPO/Spend Management organization.... ...accuracy, and consistency. Deliver insights and recommendations to clients... ...performance, and deliver better care. Headquartered in Irving, Texas... ...surgery centers, home health, and senior living. #J-18808-Ljbffr...SeniorContract workFor contractors- ...We’re a team of fast-paced fixers, empathetic experts, and outcomes drivers — people who care deeply about doing the right thing and doing it well. Whether you're managing claims, supporting clients, or improving processes, you’ll play a vital role in helping businesses...SeniorLocal areaRemote work
- ...We’re a team of fast-paced fixers, empathetic experts, and outcomes drivers - people who care deeply about doing the right thing and doing it well. Whether you're managing claims, supporting clients, or improving processes, you’ll play a vital role in helping businesses...SeniorLocal areaRemote work
- ...team that’s transforming commercial insurance — we want to meet you. Claims Analyst, Managed Care The Managed Care Claims Analyst is a healthcare claims professional who will evaluate and adjudicate reinsurance claims on HMO reinsurance, provider stoploss and medical excess...SuggestedWork at office
- ALSAC is seeking a Senior Advisor, Marketing Insights in Memphis to lead high-impact research initiatives that shape marketing, brand, and fundraising strategies. You will manage the full lifecycle from study design to actionable recommendations, partnering with executives...Senior
- Embrace Pet Insurance is seeking a Senior Manager, Data Analytics to lead the enterprise analytics function and serve as the internal analytics... ...team, partner with executives to turn data into actionable insights, and help shape enterprise reporting strategy while advancing...Senior
$165k - $195k
The mission of the Senior Director, Delivery... ...tracking, queue management, and status reporting... ...projects, “hyper-care”, and ongoing... ...configuration, and adjudication design. Operate at... ...time. Carry client insights back into the business... ...with core claims administration platforms...SeniorContract workWork at officeWork from home- ...company in Hoboken, NJ is seeking an exceptional market researcher. This role involves managing large-scale data-driven projects, executing social media outreach, and presenting data insights to various departments. The ideal candidate is data-driven, detail-oriented, and...Senior
- ...leading healthcare organization seeks a Consulting Actuary to deliver actuarial services, lead pricing strategies, and evaluate care management models. The ideal candidate will have a Bachelor's degree or higher, membership in the American Academy of Actuaries, and at...Senior
- Lurie Children’s Hospital seeks a Managed Care Contractor to negotiate SCAs for transplants and general hospital services, including Out... ...contract performance, improve processes, and provide data-driven insights to leadership on financial outcomes. #J-18808-Ljbffr Lurie...SeniorContract workFor contractors
- ...across datasets to quantify campaign performance and inform media planning and buying. You will manage a team, guide KPI development, build data strategies, and present insights to clients. This role blends strategic thinking with hands-on analytics, requiring proficiency...Senior
- Overview:SageSure is seeking a Senior Manager, People Analytics and Insights to build and scale a modern analytics capability within the People function. This role reports to the Director, People Strategy and Operations. This role is responsible for establishing foundational...SeniorLive in
- ...direction of the Director of Business Services, the Hospital Claims Analyst will perform accurate/timely filing of initial insurance... ...all realms of insurance billing, including but not limited to managed care and commercial. Exhibits a thorough knowledge of hospital billing...Contract workWork experience placementWork at officeLocal area
- ...the Clean Energy Revolution Become a Senior Workers' Compensation Claims Adjuster at Southern California... ...team and contribute to a culture of care and recovery . As a Senior Workers'... ...build the future? Responsibilities Manages a complex workers' compensation claim...SeniorPermanent employmentImmediate startRemote workRelocation
- ...Are you a senior marketing professional who thrives on turning client... ...for a Senior Marketing Manager with 5 or more years of relevant... ...providing updates, surfacing insights, and offering tactical recommendations... ...problem solvers who care deeply about our clients and community...SeniorWork at officeFlexible hours
$70k
...leading administrator of long-term care insurance services is looking... ...for the insurance industry, managing over 1.3 million long-term... ...clients with unique risk management insight built upon our proprietary long-term care databases. The Senior Underwriter will examine,...SeniorRemote work$11k
...power >$85 billion in new home loans. We care about collaboration, open... ...The Opportunity We're looking for a Senior Technical Product Manager who thrives on complexity, moves fast... ...signal, and turn it into actionable insights grounded in direct user exposure. Data...SeniorRemote workFlexible hours$75k - $80k
...Black feminist future rooted in care, equity, community safety, and... ..., and highly motivated Senior Community Organizer to join us... ...engagement data, and use these insights to strengthen retention and organizing... ...cross‑functionally, they manage organizing projects, create member...SeniorFull timeShift work- ...Prudential is seeking a Senior Disability Claims Examiner to work virtually, managing a portfolio of Short-Term Disability claims and guiding employee leave experiences for a major client. You will communicate across channels, document conversations, and develop clear...SeniorTemporary work
- Job SummaryAs a Senior Associate and AI Product Owner of Financial Insights in our Asset & Wealth Management Finance team, you will identify, design, and deliver AI-powered solutions... ...benefits include comprehensive health care coverage, on-site health and wellness centers...SeniorWork at office
$104k - $171.7k
Who Are We? Taking care of our customers, our communities and each other. That’s the Travelers... ...open until 11/20/26. What Will You Do? Manage the profitability, growth, and retention... ...a Must Have? Four years of underwriting, claim, operations, risk assessment, actuarial,...SeniorLocal area- ...Title: HR Business Partner/Senior HR Business Partner Employee Classification... ...-based culture where We Care about each other and those we... ...departments through change management and process improvements. The... ...strategic planning. Provide insights that enhance workforce...SeniorWork at officeLocal areaMonday to Friday
- ...application process. Senior Actuarial Analyst Full Time US 1 Attachments... ...to value-based care for people who have long... ...supplemental care management services and proprietary... ...provide strategic insights that influence payer... ...multiple data sources (claims, eligibility, pharmacy...SeniorFull timeContract workLocal areaRemote work
- ...are known for delivering insights, products, and services that make quality care more accessible and... ...healthcare supply chain management solutions, retail pharmacy... ...McKesson is seeking a Senior Director, Agentic... ...Performance & Quality Analyst and Responsible AI partners...Senior
- ...Des Peres, MO Work Arrangement: On-site Position Overview The Senior Claims Specialist investigates, evaluates, and resolves a wide range... ...or damage claims across multiple lines of business. This role manages more complex and sensitive claims, requiring sound judgment, strong...SeniorPermanent employmentContract workTemporary workWork at officeShift work
- ...Urology seeks a Sr. Physician Assistant to deliver exemplary patient care. The PA will review histories, evaluate in clinic and via... ...perform exams, review labs and imaging, formulate treatment plans, manage prescriptions, and educate patients under attending urologists....Senior
$72.8k - $78.2k
The Senior Philanthropy Program Officer plays a strategic role in driving... ...growth by cultivating, managing, and expanding a portfolio of... ...in cancer research and patient care. We are united in our mission... ...Prepare detailed reports to provide insights and inform strategic decision-...SeniorLocal areaRemote workAfternoon shift$85k - $110k
...alternative application process. Senior Corporate Trainer FullTime... ...sales leadership, product management, marketing, clinical, and customer... ...company messaging, clinical insights, sales process, CRM usage,... ...infection control, improve patient care, and help practices stay...SeniorFull timeVisa sponsorshipRelocation package- Rotor-Wing Pilot Talent Acquisition- Senior Manager Hybrid: Dallas, TX/St. Louis, MO/Sacramento... ...pilots—advancing our mission of delivering care at a moment's notice. This leader will... ...recruiting metrics and data to draw insights, report on pipeline health, and make data...SeniorImmediate startRelocation
$85k - $110k
...principles that guide every decision we make. The Senior Claims Adjuster will play a critical role in delivering quality claim file management and an industry-leading customer claims... ...knowledge and experience in claim adjudication, medical, and litigation management. Advanced...SeniorWork experience placementRemote work
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