Remote CA Medical Claims Research Lead
Gainwell Technologies LLC
- Remote job
Gainwell Technologies LLC is seeking a Medical Claims Research Analyst Lead to guide the Research Analyst team in resolving complex claims research, provider inquiries, and operational issues. The role partners with internal departments, providers, clients, and external stakeholders to ensure timely, accurate, and compliant outcomes. The ideal candidate will show strong leadership, analytical, communication, and problem-solving skills, acting as a subject matter expert for escalations and #J-18808-Ljbffr Gainwell Technologies LLC
$35.9k - $51.3k
...Medi-Cal Conlan Team Lead to support... ...member reimbursement claims. You will serve as... ...workflow coordination, research, reporting, and problem... ...provider services, medical reimbursement, or... ...that is primarily remote with occasional in-... ...our West Sacramento, CA office. You must...Remote workMedicalClaimsFull timeWork at officeFlexible hours- ...join a global leader in claims management and make a... ...Love Working With Us ð Remote Position Great Leadership... ...a Team Manager - WC (CA) with a passion for... ...innovate. Our industry-leading team pioneers new solutions... ...* offered include: - Medical, Dental and Vision Plans...Remote workMedicalClaimsFull timeWork at office
- ...Health Economics & Outcomes Research (HEOR) Lead to own the economic evidence... ...analysis. This is a remote US role. Requirements... ...~ Fluency interpreting claims-derived cost and utilization... ...pregnancy, childbirth, or related medical conditions), gender identity...Remote workMedicalClaimsFull timeWork at officeLocal areaFlexible hours
$35.9k - $51.3k
...transaction issues involving claim submissions, claim acknowledgments... ...resolution guidance. Research provider and submitter calls/... ...Training will be delivered remotely This position will be posted... ..., childbirth, or related medical condition), age, sexual orientation...Remote workMedicalClaimsFull timeWork at officeFlexible hours$70k - $80k
...flexibility, learning, and career development. Summary The Medical Claims Research Analyst Lead serves as a functional lead for the Research Analyst... ...resolve inquiries. What you should expect in this role - Remote position; must reside in California. - Occasional...Remote jobMedicalClaimsFull timeFlexible hours$27 - $30 per hour
Collectors is the leading creator of innovative technology... ...place by phone. For remote roles, and at our... ...onsite from our Santa Ana, CA office.Onsite Requirement... ...eligible to enroll in Medical, Dental, and VisionAdditional... ..., through fake e-mails claiming to be from the company...Remote workMedicalClaimsHourly payFull timeWork at officeWorldwideFlexible hoursShift work$167.5k - $209.3k
...Lead Sales Development Representative Job Overview This role is based out of the... ...telecommunications; aerospace; defense & military; medical & healthcare; oil & gas/marine; and... ...by individuals or organizations falsely claiming to represent TE Connectivity. Please be...Remote jobMedicalClaimsWorldwideAfternoon shift$70.3k
...Fraud, Waste and Abuse Research Analyst at Gainwell, you... ..., you investigate leads, conducting in-depth investigative... ...in relation to claiming, utilization of subject... ...system data needed for medical consultant review, prioritizing... ...this role Primarily remote work environment with...Remote workMedicalClaimsFull timeWork at officeWork from homeFlexible hours$212k - $240k
...Real World Evidence team in Medical Affairs, with a dotted line into... ...onsite or it can be 100% remote Responsibilities Develop harmonized... ...disparate sources (EHRs, claims, cancer & death registries,... ...advancements in observational research methods and their...Remote jobMedicalClaimsFull timeFlexible hours2 days per week- ...National Interstate Insurance Company is seeking a CA Workers Comp Claims Adjuster who can work remotely in the USA. The role involves managing claims, investigating... ...-time schedule with competitive benefits including medical, dental, vision, PTO, paid holidays, 401(k) #J-1880...Remote jobMedicalClaimsFull time
$63.4k - $95k
...Claims Examiner Workers Compensation I CA Experienced Required I Remote By joining Sedgwick, you'll be part of something truly meaningful... ...benefits offering including medical, dental vision, 401K on day... .... Sedgwick is the world's leading risk and claims administration...Remote workMedicalClaimsFlexible hours- ...Standard 40 NBO OR, WA, or CA Pharmacist License... ...required a few times per year REMOTE - M-F Managed Care... ...will collaborate with medical directors, nurse case managers... ...pharmacy and medical claims; interacting with,... ...in the presentation of research findings, professional...Remote workMedicalClaimsZero hours contractLocal areaWeekend work
- ...Job Description Position Summary The Medical Section Lead is the operational leader of the... ...within a veteran-focused disability claims organization, overseeing daily operations... ...area is strongly preferred. Telehealth/remote candidates may be considered if based...Remote workMedicalClaims
$116.3k - $186k
...LegalZoom supports a remote-friendly... ...TX, Sherman Oaks, CA, or Mountain View,... ...OverviewAs a Senior Market Research Manager, you will be... ...consideration, and claims research initiatives... ...partnersProven ability to lead large-scale... ...receive a full range of medical, financial, and...Remote workMedicalClaimsTemporary workWork experience placementWork at officeFlexible hours$37.5k - $53.5k
...seeking an experienced Fulfillment Team Lead to support operations for California’s... ...position at our West Sacramento, CA office. Remote or hybrid work is not available for this... ...including pregnancy, childbirth, or related medical condition), age, sexual orientation,...Remote workMedicalFull timeWork at officeMonday to FridayFlexible hours$63.4k - $95k
...Financial Services & Insurance Claims Examiner Workers Compensation I CA experienced required I Remote Are you looking for an... ...of a rapidly growing, industry-leading global company known for its excellence... ...benefits offering including medical, dental vision, 401K on day...Remote workMedicalClaimsFull timeFlexible hours- ...seeking an experienced Epic Billing Claims professional to serve as a Lead Application Analyst supporting our Epic... ...direct supervisory functions.This REMOTE Lead Application Analyst - Epic... ...package including but not limited to medical, dental, vision plans, life insurance...Remote workMedicalClaimsTemporary workRelocation package
$290k
...FAR.AI is a non-profit AI research institute working to ensure... ...papers , and convened leading AI safety events . Our work... ...Paid Bereavement, Family, Medical and Pregnancy Disability... ...contractor. Location : Both remote and in-person (Berkeley, CA or Singapore) are possible...Remote workMedicalFull timeFor contractorsWork at officeWork from homeVisa sponsorship$170k - $190k
...Proactively generate and qualify new leads within client procurement and... ...time off, options for private medical, dental, and vison plans, and... ...positions offer hybrid or remote flexibility, while others... ...payments to any unverified sources claiming to be connected to Real...Remote workMedicalClaimsWork experience placementWork at officeLocal area2 days per week- Litigation Attorney - Insurance Defense | Remote (with SoCal Appearances Required)About... ...throughout Southern CaliforniaReview medical records, claim files, and litigation... ...substantive law & motion workConduct legal research and prepare case evaluations and analysisManage...Remote workMedicalClaims
$148k - $194.3k
...Raleigh or Boston) or Remote (up to 20% onsite presence... ...Integrated Insights Leads from early asset and late... ..., Commercial teams, Medical Affairs, Market Access,... ...local data-driven insights research and data analytics... ...with real world data (Claims data, EMR, IQVIA, -omics...Remote workMedicalClaimsPermanent employmentWork at officeLocal area$80k - $105k
...Best Workplaces in Financial Services & Insurance Remote Workers Compensation Claims Examiner | CA Jurisdiction Are you looking for an opportunity to join... ...and comprehensive benefits offering including medical, dental vision, 401K on day one. WORK ENVIRONMENT...Remote workMedicalClaimsFull timeWork from homeFlexible hours- GeneDx is seeking a Clinical Billing Integrity Lead Analyst to oversee payer policy adherence and medical necessity reviews for claims and prior authorizations. You will... ...and improve reimbursement accuracy. Fully remote role with a focus on integrating new processes...Remote jobMedicalClaims
$92k - $143.57k
...Right-of-Way (ROW) Program Lead to support a strategic... ..., including:Property research and due diligenceRoute... ...supportConstruction support and damage claims managementProperty... ...have access to medical, dental, vision, and... ...Jacobs offices/projects and remote locations enabling them...Remote workMedicalClaimsFull timeContract workFor contractorsFor subcontractorWork at officeLocal area- Mosaic Life Care is seeking a PFS Medical Billing Specialist Lead for remote employment, eligible for candidates in Alabama, Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Minnesota, Missouri, Mississippi, Nebraska, North Carolina, Oklahoma, Texas,...Remote jobMedicalClaims
$160.3k - $297.7k
...Description Summary#LI-Remote The AD, Access & Reimbursement... ...CV is in Thousand Oaks, CA geography. This is a... ...networks, academic medical institutions, large multi... ...access and reimbursement lead in business-to-business... ...education (as needed), claims processing, reimbursement...Remote workMedicalClaimsFull timeWork at officeLocal area$99k - $124k
...Benefits & Perks Hybrid-Remote Flexibility -Work from... ...Comprehensive Benefits - Medical, dental, and vision... ...here. What You'll DoThe Lead Data Analyst, Partner Analytics... ...clinical initiatives. Research, hypothesize and... ...particularly in healthcare claims & lab data....Remote workMedicalClaimsWork at officeWork from homeFlexible hours- Aspire General Insurance Company is hiring a Claims Supervisor for their fully remote team. The role involves supervising Claims Representatives and ensuring... ...foundation in claims management. Benefits include medical, dental, vision, and a 401k plan. The position requires...Remote jobMedicalClaims
- DaMar Staffing is seeking a Lead Pfs Medical Billing Specialist to provide senior-level leadership in patient financial services and medical billing. You will mentor teams, ensure accurate claim submission, and drive compliance while addressing complex payer issues and...Remote jobMedicalClaims
$85k - $125k
...purpose-built AI work together – which is why we handle every step of pre-lit, from intake and claim opening to medical records, lien management, and demands, with humans leading every case. We're backed by Sequoia, Redpoint, and the founders & CEOs of generational...Remote workMedicalClaimsWork at officeFlexible hours
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