Claims Systems Leader — Hybrid (Global Healthcare)
Socket.dev
Blue Cross Blue Shield Global SolutionsSM (BCBS Global SolutionsSM) seeks a Manager, Claims Systems to lead the team responsible for claims administration systems, ensuring stability and timely processing. You will guide system configurations and collaborate with Enrollment, IT, Product, Finance, and vendors. The role emphasizes ownership of product enablement, regulatory alignment, and risk-driven improvements to support accurate adjudication and payments across all products. #J-18808-Ljbffr Socket.dev
$130k - $209k
Job TitleSr Global Product Manager, MCT Clinical SystemsJob DescriptionSr... ...Telemetry (MCT) clinical systems product strategy for that... ...product and feature definition, claims roadmaps, pricing, and launch... ...has access to the quality healthcare that we all deserve. Do the work...ClaimsFull timeWork experience placementWork at officeLocal areaImmediate startWork visaRelocation package3 days per week$253k - $309k
...Senior Director, Global Publications Lead... ...Field Medical, Health Systems) and external stakeholders (e.g., healthcare professionals).... ...delegate) and is a hybrid role (three days per... ...with thought leaders, journal editors,... ...offers from people claiming to work for or on...ClaimsFull timeFreelanceWork at officeLocal areaFlexible hoursNight shift3 days per week- ...At Blue Cross Blue Shield Global SolutionsSM (BCBS Global SolutionsSM... ...to access and pay for healthcare abroad. By combining digital... ...possibilities. The Manager, Claims Systems is responsible for the... ...coverage Other Great Perks ~ Hybrid work model ~ Work abroad...Claims
- Blue Cross Blue Shield Global SolutionsSM is hiring a Fraud, Waste & Abuse Negotiation Specialist to execute enhanced claim control strategies. You will evaluate claim submissions for... ...-building across departments, with a hybrid work model and opportunities for travel...Claims
$110k - $135k
212° Titans is seeking a Lead Global Payroll professional to oversee payroll processing across multiple countries for approximately 500... ...position offers a competitive salary range of $110K-$135K and a hybrid work schedule, fostering both collaboration and flexibility. #J...Suggested- ...IP Litigation Attorney to lead patent-related disputes within a global high‑tech environment. The role reports to the Director of IP Litigation... ...and is located in Reston, VA or King of Prussia, PA, on a hybrid schedule with an expectation to work from an office about 2 days...Work at office2 days per week
$23.23 per hour
...Claims Adjuster At Blue Cross Blue Shield Global Solutions℠ (BCBS Global Solutions℠), we make it easy for people and... ...to access and pay for healthcare abroad. By combining digital innovation... ...identifying overpayments, underpayments, system configuration issues and...ClaimsWork at officeRemote work- ...are At Blue Cross Blue Shield Global SolutionsSM (BCBS Global... ...organizations to access and pay for healthcare abroad. By combining digital... ...execution of our enhanced claim control strategies. The specialist... ...coverage Other Great Perks: Hybrid work model Work abroad...Claims
$213k - $260k
...Safety & Aggregate Reporting, the Director, Global Clinical Safety Scientist will play a... ...of responses to safety inquiries from healthcare professionals and regulatory agenciesCollaborate... ...employment offers from people claiming to work for or on behalf of Madrigal, we...ClaimsMinimum wageFull timeLocal areaFlexible hours- BCBS Global Solutions is hiring a Fraud, Waste & Abuse Negotiation Specialist to execute enhanced claim control strategies and reduce unnecessary medical spending. You will evaluate claims for fraud, waste, or abuse using tools and sound judgement, negotiating with providers...Claims
- Esler Companies is seeking a detail-oriented Claims & Risk Analyst to manage workers' compensation, auto, general liability and other claims in a hybrid role. You will ensure regulatory compliance, coordinate with vendors and insurance carriers, and transform claims data...Claims
- ...Job Title Hybrid Locations: Alpharetta, GA; Charlotte, NC; Chicago, IL; Colorado Springs, CO; Conshohocken, PA; Dallas, TX; Denver,... ...with 3+ years within the space of Property and Casualty insurance claims. Experience with iterative and agile methodologies, with working...Claims
$71.2k - $239.2k
...located. This role is hybrid and will require going... ...s complex and evolving healthcare landscape. Analytic Services... ...develop data analyses systems, and identify trends in... ...physician and patient claims; IQVIA data preferred.... ...IQVIA is a leading global provider of clinical research...ClaimsFull timePart timeWork experience placementWork at officeImmediate startWorldwide- Sovereign Insurance Group is looking for a Claims Specialist to manage claims from start to finish. This role involves working closely... ...skills. Benefits include health insurance, a 401K plan, and opportunities for hybrid working. #J-18808-Ljbffr Sovereign Insurance GroupClaimsWork at office
$100k - $190.5k
...partners to advance our global market strategy, and... ...actuarial opportunity on CNA's Healthcare Reserving team. In this... ...and Actuarial senior leaders. You will serve as a... ....This position works a hybrid work schedule at one of... ...monitors reserving and claim trends for Healthcare &...ClaimsFull timeWork experience placementWork at office- ...data to transform how healthcare and life sciences generate... ..., an industry leader in advanced imaging and... ...Coordinate internal QA, system testing, integration testing... ...services data, claims data, specialty pharmacy... ...1,300 clinical sites globally, TeraRecon - a ConcertAI...ClaimsLocal area
$134.5k - $190.5k
...partners to advance our global market strategy, and... ...across a diverse range of healthcare segments, including... ...partners and senior actuarial leaders, you will develop... ...position works a flexible, hybrid schedule from a CNA... ...profitability/reserving and claim trends for Healthcare...ClaimsFull timeWork experience placementFlexible hours- This is a hybrid position requiring the team member to be onsite... ...West’s indelible mark on the healthcare industry has just begun. A name... ...closely with the Director, Global Risk and Insurance to support... ...and support for financial and claims administration duties as may...ClaimsLocal areaWorldwideRelocation3 days per week
$110k - $137k
...Job Overview We are building a world class Global Trade Services (GTS) organization, and... ...: TEL) is a global industrial technology leader creating a safer, sustainable, productive... ...by individuals or organizations falsely claiming to represent TE Connectivity. Please be advised...ClaimsLocal area- Jobtailor is seeking a Governance Lead for Global Logistics Compliance in a on-site role in the United States. You will guide compliance workflows, ensure alignment to enterprise standards, and partner with platform owners to manage access, data standards, and controls...
- A leading healthcare provider in King of Prussia, PA is seeking a Sr. Application Analyst for Workday HCM. In this role, you will lead the... .... This position offers competitive compensation, benefits, and a hybrid working model. #J-18808-Ljbffr Universal Health Services
- A leading healthcare organization in King of Prussia is seeking a Sr. Application Analyst - Workday to lead configurations and strategy for... ...HCM platform. You will partner with HR and IT teams to enhance system capabilities and ensure operational efficiency. Ideal...Flexible hours
- RLI Insurance Company in Bala Cynwyd, Pennsylvania, is seeking a qualified candidate to handle claims proactively. This role requires strong communication skills and a background in managing Directors & Officers, Fiduciary, and Employment Practice Liability claims. The...Claims
- ...DoTired of those billable hours? Are you ready to join a diverse team of attorneys with full responsibility for your own title insurance claims? Do you want to be the decision maker rather than just an advisor? Are you seeking a change, or maybe you have just been waiting...ClaimsFull time
$144k - $176k
...data management documentation.• Lead EDC system setup, user acceptance testing (UAT), and... ...leading data management for Phase II or III global studies.• Familiarity with adaptive trial... ...employment offers from people claiming to work for or on behalf of Madrigal, we...ClaimsMinimum wageFull timeWork at officeLocal areaFlexible hours- The Infrastructure Platform Leader is responsible for the reliability... ...supporting the company’s global operations — spanning cloud, data... ...reliability engineering, ensuring that systems meet the performance, security... ....Oversee operations of hybrid computing environments across...
$340k - $415k
...of the Medical Affairs global team and serves as... ...Affairs Strategy and is hybrid from the Conshohocken,... .... Partner with senior leaders across Global Medical... ...knowledge of the changing US healthcare environment· Excellent... ...offers from people claiming to work for or on...ClaimsMinimum wageFull timeLocal areaFlexible hours3 days per week- ...the curve. As a family‑owned global technology leader, we take pride in being the... ...: Precious Metals, Healthcare, Semiconductor & Electronics... ...customers and suppliers to solve claims related to invoices,... ...Computer proficiency in an ERP system such as SAP as well as MS Outlook...ClaimsPermanent employment
- ...Blue Cross Blue Shield Global SolutionsSM (BCBS Global... ...to access and pay for healthcare abroad. By combining digital... ...a strategic clinical leader who thrives on building... ..., Customer Service, Claims, Global Networks, Product... ...Other Great Perks: ~ Hybrid work model ~ Work...Claims
$78.73k - $96.49k
## Finance Systems AnalystApplylocations: PA - Conshohocken - Officetime type: Full timeposted... ...technologies and will partner with global team members to enable better ways of working... ...employment offers from people claiming to work for or on behalf of Madrigal, we...ClaimsMinimum wageFull timeLocal areaFlexible hours
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