Lead Core Operations — Claims & Enrollment
$14.76 - $31.97 per hourMolina Healthcare
Molina Healthcare is seeking a passionate professional to provide lead support for core operations activities including claims processing and provider services. The role involves managing escalations, staffing coordination, and quality improvement efforts within the team. Candidates should have at least 4 years of health care operations experience and excellent communication skills. The position offers a competitive salary between $14.76 and $31.97 per hour, with a comprehensive benefits package. #J-18808-Ljbffr Molina Healthcare
- ...are seeking an experienced Healthcare Lead Business Analyst with strong payer?... ...business analysis activities across claims, benefits, enrollment, and payment lifecycle initiatives,... ...regulations (HIPAA, CMS, ACA) and payer operational guidelines. Participate in Agile/...OperationsClaims
$150k - $200k
...Oversee full-cycle payroll operations, including U.S. (multi-state... ...reporting and analysis. Lead benefits administration, including open enrollment, employee inquiries, and claims management. Maintain accuracy... ...and benefits systems. Core Competencies 8+ years of experience...OperationsClaimsWork experience placementLocal area$220k - $240k
...helping multifamily owners and operators mitigate leasing risk while... ...Fast 500. The Role The Lead Product Manager, Payments , will... ...not fully integrated into our core product and accounting systems... ...-level billing and invoicing, claims payouts, partner payment...OperationsClaimsTemporary workWork at officeFlexible hours$81.1k - $117.47k
...The Manager, Enrollment & Billing is responsible for overseeing... ...and implementation of operating policies & procedures... ..., roster, etc.) to our core enrollment and... ...Manages and develops Team Leads to be effective leaders... ...production billing, enrollment, claims, call center...OperationsClaimsTemporary workWork experience placementLocal area$150k
...Payer Strategy & Partnerships Lead! This is someone who thrives... ...California, and building the operational infrastructure that helps these... ...credentialing requirements, claims processes, and payment... ...with Candid Health on EDI/EFT enrollments, and managing internal and external...OperationsClaimsContract workTemporary workRemote work- ...Health Pivotal Health is the leading technology platform that helps... ...efficiently dispute underpaid claims, reduce administrative burden,... ...solutions that enable providers to operate with clarity, control, and... ...we primarily hire around our core hubs-Los Angeles and New York-...OperationsClaimsRemote workFlexible hours
- Liability Claims Team Lead | Remote Are you looking for an opportunity to join a global industry... ...AN IDEAL CANDIDATE? To supervise the operation of multiple teams of examiners and technical... ...embody our caring counts model and core values that include empathy, accountability...OperationsClaimsRemote jobContract workWork at officeFlexible hours
- MaziCTools is seeking an Enrollment Technician Ii to ensure timely enrollment of members in Carefirst Member Enrollment Structures.... ...of relevant experience in membership enrollment, billing, or claims operations. Skills in Microsoft Excel and effective communication are...OperationsClaims
- ...Pharmacy & Surgical is seeking an experienced Lead Pharmacy Technician to join our growing... ...Bronx. This role supports daily pharmacy operations, including prescription processing,... ...insurance billing, and resolving common claim rejections. • Assist pharmacists with prescription...OperationsClaims
$163.6k - $245.4k
## Core Trade Structuring Lead - SVPApplyremote type: Hybridlocations: New York New York United Statestime type: Full timeposted on: Posted Todayjob... ...and documentation, rather than sales origination or operational processing. It requires strong technical expertise, sound...OperationsFull time- A telehealth navigation company is seeking a Credentialing & Enrollment Lead to own the multi-state provider enrollment strategy. This role will directly impact payer relationships and enrollment operations. Ideal candidates will have experience in multi-state telehealth...Operations
$36 - $38 per hour
Opportunity Overview Cohere’s Service Operations team is responsible for... ...of using the platform. The Lead RN Reviewer in Service Operations... ...data with post-service claims validation, we’re creating a transparent... ...kind, caring, and embody our core values and principles. We...OperationsClaimsRemote jobHourly payFlexible hours- Berklee College of Music is seeking an Admissions and Enrollment Manager to oversee and manage the admissions process for all program specializations at Berklee NYC. The ideal candidate will possess college-level admissions experience along with strong interpersonal, organizational...Operations
- The Port Authority of NY & NJ seeks a Benefits Operations and Systems Supervisor to lead benefits initiatives and manage a cross-functional team. This role involves overseeing projects like open enrollment, vendor coordination, and benefits administration processes. The...OperationsRemote work
$66.3k
A leading dermatology practice in New York is seeking a Revenue Cycle Systems Manager to... ...eClinicalWorks, ensuring efficient billing and claims processing. This role requires strong... ..., EDI transactions, and revenue cycle operations. The ideal candidate will have excellent...OperationsClaims- Essen Medical Associates is looking for an Enrollment Team Manager to oversee the enrollment... ...requirements. The ideal candidate will lead a high-performing team, develop strategies... ...substantial experience in healthcare operations are required. #J-18808-Ljbffr Essen Medical...Operations
$74.49k - $86.74k
...Responsibilities include maintaining documentation, administering enrollment technologies, and supervising staff. Applicants should have a... ...'s degree and four years of experience in student records operations. The position offers a hybrid work schedule with a salary range...OperationsWork at office- A leading operations management firm is seeking a Remote Operations Supervisor to manage a team and ensure efficiency in workflow. Candidates... ...background in operations, particularly in healthcare benefits or claims processing. Responsibilities include developing policies,...OperationsClaimsRemote job
$72k - $77k
Assistant Director of Academic Advising, UPO Operations Position Title: Assistant Director of Academic Advising, UPO Operations The Undergraduate... ...and processes that support undergraduate student admission, enrollment, persistence, and degree completion. The Assistant Director...OperationsWork at office$60k - $70k
Liberty Dental Plan is seeking a Claims Supervisor to lead and support the claims staff in Tustin, CA. This position involves overseeing daily operations to ensure performance and adherence to service levels while fostering an engaging team environment. The ideal candidate...OperationsClaims- ...with IT departments, not for independent operators running $2M-$50M books of business out of... ...re looking for a Founding Strategy & Ops Lead to own every touchpoint between the company... ...-office works — AP, AR, carrier vetting, claims — well enough to step in and cover when...OperationsClaimsWork at officeHome office
$115k - $175k
...Description At Commure, we're building the AI Operating System for healthcare, the foundation... ...autonomous RCM processing billions in claims, all on a single AI-native platform integrated... ...You'll ship production AI directly into core revenue cycle operations, with LLM-...OperationsClaimsWork at officeImmediate start- ...looking for a Billing Supervisor Assistant to lead the Account Resolution Representatives.... ...oversee billing procedures to resolve claims effectively. The ideal candidate has a strong... ...background in healthcare revenue cycle operations and must demonstrate leadership skills....OperationsClaimsRemote job
- ...seeking a District Billing Management Specialist to oversee billing operations at the Oklahoma State Department of Health. This full-time role... ...’ experience in healthcare. Responsibilities include managing claims, addressing coding concerns, and producing KPI reports in a...OperationsClaimsFull time
- What we're looking for We're looking for a Credentialing & Enrollment Lead who can own our multi-state provider enrollment strategy end-to... ...around. We're a telehealth-first Medicare navigation company operating through a PC-MSO structure across multiple states. We've...OperationsFull timeContract workPart timeLive in
$159.19k - $199.01k
AMIDA CARE INC. is seeking a Senior Director of Claims and Vendor Management in New York, NY. The role involves overseeing claims operations and vendor management while ensuring compliance with regulations. Ideal candidates must have a Bachelor’s degree and at least 5...OperationsClaims$53.4k - $85.6k
Overview Team Lead, Enrollment (Remote) SQL Preferred - R10532 at CareSource. The Team Lead, Enrollment manages the day-to-day operational activities for setup and maintenance of membership records and payment reconciliation activities. Responsibilities Oversees the Enrollment...OperationsRemote jobFull timeWork experience placementWork at office$176.4k - $286.8k
Plaid is seeking a Fraud and Abuse Operations Lead in New York City, responsible for investigating fraud claims and managing incident responses. The ideal candidate will have deep knowledge of fraud typologies and strong data analysis skills. This role will involve safeguarding...OperationsClaims- Aspire General Insurance Company is hiring a Claims Supervisor for their fully remote team. The role involves supervising Claims Representatives... ...ensuring high quality service standards while managing claims operations and processes. Candidates should have at least three years of...OperationsClaimsRemote job
- Reserv Claims Analysis, LLC is looking for an experienced Customer Experience Team Leader to manage a team responsible for motor claim... ...customer experience. You will coach team members, oversee operations, and collaborate with claims leadership to improve service quality...OperationsClaimsRemote job
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