Senior Claims Strategist: High-Dollar Healthcare Adjudication
Personify Health
Personify Health in Tempe, AZ seeks a detail-oriented claims specialist to adjudicate high-dollar and dialysis-related claims. You will review complex healthcare and stop-loss claims, ensuring accuracy and compliance across multiple systems, while maintaining timely processing and client satisfaction. The role focuses on regulatory adherence, plan documentation validation, and collaboration with clients, vendors, and internal teams. #J-18808-Ljbffr Personify Health
$22 - $25 per hour
...Claims Adjudication SpecialistHigh-dollar claims, dialysis claims, and stop loss claims carry real weight — for the... ...this location weekly.Adjudicate high-dollar and specialty claims: Review, analyze, and process complex healthcare, dialysis, and stop loss claims with...SeniorClaimsHourly payWork at office$98.4k - $147.6k
...Medtronic is a global leader in healthcare technology with a Mission to... ...In this exciting role as a Senior Quality Engineer you will have... ...team that enable high product quality via Process and... ...receive a suspicious message claiming to be from Medtronic, do not...SeniorClaimsFull timeH1bWork at officeLocal areaImmediate startFlexible hours$103.2k - $154.8k
...Medtronic is a global leader in healthcare technology with a Mission to... ...the extraordinary. The Senior Process Engineer will be responsible... ...solutions that enable high-yield wafer scale manufacturing... ...receive a suspicious message claiming to be from Medtronic, do not...SeniorClaimsFull timeH1bWork at officeLocal areaImmediate startFlexible hours$147.2k - $220.8k
...start here. Medtronic is a global leader in healthcare technology with a Mission to alleviate... ...growth, and impact.A Day in the LifeThe Senior Program Manager, Officer Digital... ...legitimate. If you receive a suspicious message claiming to be from Medtronic, do not respond,...SeniorClaimsFull timeH1bWork at officeLocal areaImmediate startFlexible hours$121k - $135k
...Senior Data Engineer - Healthcare Data & Business Intelligence Position: Senior Data Engineer Employment... ...of the position will also include claims scrubbing, EDI, and data optimization... ...and NextGen Practice Management is highly desirable . Demonstrated experience...SeniorClaimsFull timeWork at officeLocal area- About the job Senior Health Benefits Consultant Experience level: Mid-senior Experience... ...clinical programs. Consultants perform at a high level of proficiency doing analytical... ...analyze complex data to include demography, claims experience, financial performance, cost-...SeniorClaimsWork experience placementWork at officeRelocation package
- ...Responsibilities Ready to make sure every claim gets it right? Why This Role... ...plans, fee schedules, and adjudication rules are set up right,... ...: Bachelor's degree in Healthcare Administration, Business, Information... ...with strong commitment to high-quality, on-time delivery...SeniorClaimsHourly pay
- ...Liability Manager. This role involves managing general liability claims, collaborating with carriers, and influencing strategic outcomes... ...and a chance to shape risk and claims programs in a lower volume, high impact environment. #J-18808-Ljbffr Crest Insurance GroupClaims
- Oscar is seeking a Senior Director, Escalated Provider Issue Resolution to lead a multi-disciplinary... ...focuses on strategic provider accounts, high-complexity escalations, root-cause... ...model for escalated issues, partner with Claims, Network, Utilization Management, and...SeniorClaims
- Personify Health is seeking a claims configuration and audit specialist to ensure accurate setup of client plans and contracts. You... ...claims, identify root causes, and propose fixes to improve auto-adjudication rates while supporting cross-functional system updates and...SeniorClaims
- A leading benefits consulting firm is seeking a Senior Health Benefits Consultant to enhance their group health benefits consulting services. This role requires extensive experience in health benefits, strong project management skills, and proficiency with Microsoft Office...SeniorWork at office
$80k - $115k
Senior Implementation Strategist, Next Education Workforce Campus: Tempe JR121798 End Date: June 10, 2026 Minimum Qualifications: Bachelor's degree... ...ability to move work forward Track record of delivering high‑quality work on time and with attention to detail...Senior- ...how change happens across the home office. In this role, you’ll design and lead end-to-end change and communication strategies for high-impact initiatives, partnering with leaders to align efforts and mitigate risks. You’ll craft compelling, multi‑channel messaging that...SeniorTemporary workWork at officeHome officeFlexible hours
- ...Overview As a Senior Cost Manager at Linesight, you will work with highly experienced, culturally diverse, and passionate teams nurturing a strong social dynamic... ...of final accounts, including the handling of any claims to ensure the client gets best value from works undertaken...SeniorClaimsContract work
- ...Tempe, AZ About Basata At Basata, we’re rethinking the way healthcare practices get work done. Our AI-powered tools help automate the... ...practices. This is not a support role. It's a consultative, high-accountability position for someone who can speak the language...Full time
$128.8k - $193.2k
...start here. Medtronic is a global leader in healthcare technology with a Mission to alleviate... ...for developing and transferring highly stable, cost-effective, and scalable microelectronic... .... If you receive a suspicious message claiming to be from Medtronic, do not respond,...ClaimsFull timeH1bWork at officeLocal areaImmediate startFlexible hours$110.7k - $379.2k
...Language Models (SLMs), Healthcare AI Three hundred... ...and paperwork, claims that misfire,... ...policy and criteria, adjudicated outcomes, and clinical... ...performance-per-dollar. Evaluation,... ...workflows, and a high bar for reliability... ...level employees to senior leaders, we believe...ClaimsLocal areaVisa sponsorship$58 per hour
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading... ...Pharmacist who can provide a high level of service and attention... ...reviews of prescription claims to meet strategic initiatives... ...medication clinical edits for claims adjudication and enhanced drug utilization...ClaimsHourly payLong term contractPermanent employmentPrivate practiceImmediate startFlexible hours- ...tax solutions. Join a diverse team helping high-profile clients understand, analyze, and... ...as a firm.KPMG is currently seeking a Senior Associate, KPMG Law to join our practice.... ...management (all or some processes), and claims support and managementSeek opportunities...SeniorClaimsContract workWork at officeLocal area
$91.7k - $163.7k
...experience in software development, ensuring high-quality solutions that meet business... ...Qualifications: 3+ years of experience in clinical or healthcare-related projects2+ years of experience... ...of Facets Trizetto, with a focus on claims and provider setup CPC or other coding...SeniorClaimsMinimum wageFull timeWork experience placementLocal areaRemote work- ...with Purpose. Partner with Impact. The Senior Employee Relations Partner serves as a... ...recurring issues. Manage unemployment claims, including timely responses to requests for... ...with HRBPs and Legal on complex or high-risk matters, with HRBPs leading strategic...SeniorClaimsWork at officeLocal area
$67.4k - $90k
...Senior Buyer Our Sensors Division in Tempe, AZ is seeking a Senior Buyer to join our... ...Challenge Lead procurement efforts for high-value, technical, or strategic... ...Resolve supplier-related issues including claims, rejections, over/under shipments, engineering...SeniorClaimsContract work- A healthcare solutions provider in Arizona is seeking a Follow Up Insurance Collector to handle health insurance claims. The role involves prioritizing matters, processing claims, data entry, and communicating with insurance payors. Candidates must have 4+ years of experience...ClaimsHourly payRelocation package
- ...About the job Claims Analyst Company Overview: Confident Staff Solutions is a leading staffing agency in the healthcare industry, specializing in providing top talent to healthcare... ...their goals by connecting them with highly skilled and qualified professionals....Claims
$128.8k - $193.2k
...start here. Medtronic is a global leader in healthcare technology with a Mission to alleviate... ...for developing and transferring highly stable, cost-effective, and scalable microelectronic... ...If you receive a suspicious message claiming to be from Medtronic, do not respond,...ClaimsFull timeH1bWork at officeLocal areaImmediate startFlexible hours$22.5 per hour
...verification and prescription claims processing. This is an... ...a collaborative, fast-paced healthcare environment. Locations: Tempe... ...requirementsRequired Qualifications:High School Diploma or equivalentActive... ...problem-solving skillsClaims adjudication and secondary billingMedicaid...ClaimsPermanent employmentTemporary workRemote workMonday to Friday- DoorDash is seeking a Manager, Insurance Claims Operations to lead strategic initiatives that improve scalability and performance of our claims organization. In this hybrid role based in Tempe, AZ, you will partner with Engineering, Product, Legal, Data Science, Actuarial...SeniorClaims
- ...Senior Systems Engineer The Senior Systems Engineer is a senior-level role responsible... ...deployment models across all sites. Ensure high availability, scalability, and resilience... ...created as a result of the Alaska Native Claims Settlement Act. ASRC's family of...SeniorClaimsContract workWork at officeRemote work
- Position: Senior Manager, Enterprise Risk & Insurance - Full Time/Exempt Department: Accounting... ...The Arizona Cardinals are seeking a highly experienced Senior Manager, Enterprise... ...insurance company, contractual risk transfer, claims administration, construction risk...SeniorClaimsFull timeContract workFor contractorsH1bWork visaFlexible hoursWeekend workAfternoon shift
$20 - $27 per hour
...Job Type: Temporary Assignment A reputable healthcare organization in the Mesa area is... ...resolving outstanding accounts, researching claim issues, and ensuring timely reimbursements... ...organizational skills.Ability to manage a high-volume workload while maintaining accuracy...ClaimsHourly payTemporary workWork at office
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