Remote Senior Manager, Claims Quality Improvement
Centene Corp.
- Remote job
Centene Corp. seeks a Senior Manager, Claim Quality Improvement to spearhead high-impact quality initiatives across a complex claims operation. You will leverage data, technology, and automation to improve performance, strengthen controls, and drive measurable results while leading large teams through operational excellence and continuous improvement. Responsibilities include overseeing NCQA accreditation activities, providing leadership for quality management systems, and coordinating with #J-18808-Ljbffr Centene Corp.
$107.7k - $199.3k
We're seeking a Senior Manager, Claim Quality Improvement to lead high-impact quality initiatives across a complex claims operation. This leader will leverage... ...off plus holidays a flexible approach to work with remote, hybrid, field or office work schedules Actual pay will...Remote workSeniorClaimsFull timePart timeWork at officeFlexible hours$125.4k - $181.42k
Founded in 1977 as the Senior Care Action Network,... ...platform dedicated to improving care for older adults.... ...serve.The JobThe Senior Manager of Quality Assurance and... ...Operational areas, specifically Claims, Grievances and... ...SummaryLocation: Long Beach, CA; Remote, USType: Full timeRemote workSeniorClaimsFull timeFor contractors$146k - $194k
...requirements.ABOUT THE JOBAs the Senior Manager of Product Quality Engineering Manager you... ...to champion continuous improvement and failure mode... ...communication protocol, and remote management systems.Experience... ...questionable or fraudulent outreach claiming to be from Anduril, please...Remote workSeniorClaimsFull timeWork experience placementImmediate start- ...are classified as hybrid, onsite or remote. While the majority of our employees... ...but not limited to: Customer Service, Claims Processors, and Correspondence positions... ...Job The position is responsible for managing Quality Improvement activities as well as staff...Remote workClaimsFull timeContract workWork experience placementFlexible hours2 days per week1 day per week
$139.64k - $183.18k
...steps may take place by phone. For remote roles, and at our discretion,... ...you have.We’re looking for a Senior Quality Program Manager within our Continuous Improvement team who will own the programs... ...websites, through fake e-mails claiming to be from the company or through...Remote workSeniorClaimsFull timeWork at officeWorldwideFlexible hoursShift work- Francisco Partners is looking for a Supervisor of Quality Improvement in Tampa, Florida. This role involves... ...analytical skills and expertise in healthcare claims processing are essential. This position offers remote work flexibility with quarterly travel to the corporate...Remote jobClaimsWork at office
$67.81k - $89k
...Oscar. We're hiring a Senior Specialist, Process Improvement to join our Authorization... ..., build and manage project plans, document... ...Work Location: This is a remote position, open to candidates... ...marketplace, provider network, claims, healthcare quality, or provider data...Remote workSeniorClaimsFull timeTemporary workWork experience placementWork at officeShift work- ...Supervisor, Quality Improvement This role focuses on healthcare claims auditing, reimbursement methodologies, payment accuracy... ...This position is eligible for remote work, but quarterly travel will... ..., onboarding, performance management, and succession planning activities...Remote workClaimsWork at officeShift work
$76k - $100k
...Location Details: Remote Position Schedule / Shift... ...meaningful change and improving how work gets done? As a Senior Claims Process Improvement Specialist... ...to develop change management and implementation strategies... ...heritage of providing quality service and helping our...Remote workSeniorClaimsFull timeTemporary workPart timeLocal areaImmediate startWork from homeHome officeMonday to FridayFlexible hoursShift work$90k - $120k
...global benchmark for quality and integrity. Our... ...global Quality Management System in accordance... ...of continuous improvement within the regions... ...quality complaints and claims. Troubleshoot... .... Utilise remote SLIM / G6 access to... ...with the Group’s senior technical personnel...Remote workClaimsWork at officeLocal area$147.6k - $180.4k
...the right way.Owns deviation management governance to ensure... ...timely, compliant, and high-quality manner. Establishes standards... ...leadership experienceDemonstrated improvements in cycle time, investigation... ...employment offers from people claiming to work for or on behalf of...SeniorClaimsMinimum wageFull timeLocal areaFlexible hours- Crescendo Global invites applications for HealthRules Payor Senior Executive Tester to support end-to-end testing of healthcare claims, Cotiviti rule validation, and HRP configurations, with remote work from India. This role focuses on validating claim processing workflows...Remote jobSeniorClaimsPermanent employmentWork from home
- ...****@*****.*** Senior Product Manager - Portal Product (Remote)This role sits within the Portal... ...multiple capabilities to improve the overall customer and workforce... ...capability, with a particular focus on the claims experience forAbsence and Group...Remote workSeniorClaimsImmediate start
- Cognizant is seeking a Senior Healthcare QA Test Lead - Facets Claims to spearhead testing for payer systems, ensuring... ..., and project teams to drive high-quality software delivery. In this role,... ...testing teams, oversee defect management, and monitor risk and quality metrics...Remote jobSeniorClaims
- ...prohibited by the laws that govern its operations.Senior Manager, Quality Assurance and Compliance | North America Claims, Claims Shared Services-AXIS is seeking a... ...file review results into practical actions that improve claim outcomes.The successful Candidate will be...SeniorClaimsFull timeWork at office
$132.4k - $251.6k
...industry. We’re looking for a professional Quality Manager to join our team. The primary focus of... ...culture of accountability, continuous improvement, and operational excellence.Partner... ...role is designated as on-site, hybrid or remote.The salary range for this role is 132,4...Remote workSeniorContract workTemporary workWork experience placementWork at officeFlexible hours- HealthEdge is seeking a Test Manager with deep expertise in U.S. healthcare payer systems... ...will own test strategy, governance, and quality outcomes for implementations, migrations,... ...defining test plans, leading execution for claims, enrollment, and EDI transactions; driving...Remote jobSeniorClaims
- ...TypeContractRemote100% RemoteJob Title: Senior Data Scientist Position... .... This is a fully remote contract position... ...to PII/PHI exposure.Manage test datasets and... ...sharing and continuous improvement.Assist in designing and... ...healthcare systems, including claims processing, call...Remote workSeniorClaimsContract work
- ...Senior Analyst Location: Washington, DC (Remote Role) Duration: 12+ Months contract Domain: Healthcare Analyst... ...ability to find efficiencies and improve processes. • Proven ability to... ...organizations. • Understanding of claims adjudication, particularly in a health...Remote workSeniorClaimsContract work
$142.38k - $175.94k
...responsible for partnering with hiring managers and technical leaders to... ...key hiring metrics to improve processes, collaborate with cross... ...four weeks per year of fully remote work!... ...brex.com domain. Any outreach claiming to be from Brex via other sources...Remote workSeniorClaimsFull timeWork at officeWork from home- ...The Food Safety & Quality Assurance Director... ...audits, crisis management, and regulatory compliance... ...foodborne illness claims, foreign object... ...Operations to improve consistency and reduce... ...setting with Senior Level clients.... ...or to be performed Remotely, click here or copy...Remote workSeniorClaimsLocal areaFlexible hoursShift work
- ...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... ...California, SIP optionalLocation: This role is fully remote work.How you'll make an impactApply claims management...Remote workSeniorClaimsLocal area
$142.38k - $175.94k
...partnering with hiring managers and design leadership... ...key hiring metrics to improve recruiting effectiveness... ...per year of fully remote work. Responsibilities... ...portfolios, craft quality, systems thinking, and... ...domain. Any outreach claiming to be from Brex via other...Remote workSeniorClaimsFull timeWork at officeImmediate startWork from home- ...Therapeutics is hiring a Senior Clinical Pharmacy... ...for Medi-Cal Rx to work remotely in California. The role independently manages prior authorization requests... ..., benefits and claims using established criteria... ...and supports workflow improvements. You will educate providers...Remote jobSeniorClaims
- Providence is seeking a Senior Manager Quality - Remote to lead and improve Patient Access Services and revenue cycle operations across the enterprise. This role oversees process improvement, Epic enhancements, training and data interpretation while guiding HR management...Remote jobSenior
- Gallagher Bassett seeks an experienced claims professional to manage workers' compensation claims with a... ...England and is eligible for fully remote work. Candidates should have at least... ...emphasizes collaboration, process improvement, and timely claim handling. #J-1880...Remote jobSeniorClaims
- ...handle member interactions across quoting, policy service, and claims. You will own the end-to-end lifecycle, shape conversation... ...automated testing to deliver reliable agent behavior and measurable improvements in member satisfaction and efficiency. #J-18808-Ljbffr...Remote jobSeniorClaims
- UnitedHealth Group is seeking a Senior Inpatient Medical Coder/Acute Edits and Denials Claims Analyst to work remotely from anywhere in the U.S. You will correct CCIs, MUE Edits... ..., data abstraction, provider feedback to improve documentation, and collaboration across...Remote jobSeniorClaims
- Gallagher Bassett is seeking a Claims Adjuster to analyze and resolve complex workers... ...policies. A strong background in claims management and licensing is required, with a path... ...with precision, and contribute to process improvements while working in a #J-18808-Ljbffr...Remote jobSeniorClaims
- Oscar Health is seeking a Senior Director, Escalated Provider Issue... ...join our Network & Provider Management team. The role leads a... ...escalations, and governance to improve issue identification, routing... ...operating model, partner across Claims, Network, Utilization Management...Remote jobSeniorClaims
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Senior Manager, Claims Quality Improvement. Be the first to apply!
- director quality assurance regulatory affairs Kansas City, MO
- quality manager healthcare Kansas City, MO
- quality manager Kansas City, MO
- director of quality & patient safety Kansas City, MO
- director of quality improvement Kansas City, MO
- quality manager food Kansas City, MO
- quality supervisor Kansas City, MO
- senior manager quality engineering Kansas City, MO
- director global quality Kansas City, MO
- director quality assurance Kansas City, MO




