Lead Stop Loss Claims Operations & Transformation
Personify Health
Personify Health is seeking a Sr. Manager, Stop Loss Claims Operations to lead the strategy, transformation, and financial outcomes of the Stop Loss function. The role blends operational excellence with strong vendor and carrier negotiations, designed for a leader who can scale processes and improve reimbursement results. Remote flexibility is offered, with on-site work required for Tempe, AZ within commuting distance. #J-18808-Ljbffr Personify Health
Vacancy posted 4 days ago
Similar jobs that could be interesting for youBased on the Lead Stop Loss Claims Operations & Transformation in Tempe, AZ vacancy
- DoorDash is seeking a Manager, Insurance Claims Operations to lead the next generation of claims operations from Tempe, AZ on a hybrid schedule... ...AI-enabled solutions, automation, and process redesign to transform the global claims organization while collaborating with...OperationsTransformationClaims
- Carvana in Tempe is seeking a Warranty Administration Lead to own the back-office warranty claims process across 7 dealership sites. You will submit claims to OEMs (primarily Stellantis), track status from submission to payment, and ensure documentation meets OEM compliance...OperationsClaims
- ...innovative insurance programs and operational strategies that support... ...scale globally, Insurance Claims Operations is evolving through... ..., automation, and digital transformation. Our organization is reimagining... ...Claims Operations to help lead the next generation of...OperationsTransformationClaimsWork at officeLocal areaRemote workWorldwide
$134.6k - $230.8k
...Architecture for Agentic AI Claims Automation will serve as the... ...architecture, data science, and operations teams. They will ensure... ...direction for major Claims GCO transformation initiatives, ensuring business... ...productivityEvaluate new technologies and lead pilot efforts to assess...OperationsTransformationClaimsMinimum wageFull timeWork experience placementWork at officeLocal areaRemote work$114.1k - $268.18k
...Advisory practice is at the forefront of transformation, offering excellent opportunities for... ..., a world-class training facility, and leading market tools, we help our people continue... ...resources; Govern firewall security operations through Tufin and related platforms, ensuring...OperationsTransformationH1bLocal area- ...place.About this role:Wells Fargo is seeking a Lead Technology Risk Officer. The Technology Risk Officer operates within Technology Risk Management (TRM), part of... ..., cloud adoption, Frontier AI, modernization, transformation, and external market developments on enterprise...OperationsTransformationFull timeWork experience placementRelocation package
- ...Healthcare unit is dedicated to transforming the healthcare industry by... ...connected ecosystems, optimizing operations, and delivering superior care... ...• Medicare Advantage Claims and Provider operation, CMS Audits... .... • Demonstrated ability to lead cross-functional teams, work...OperationsTransformationClaimsFull timeTemporary workRelocation
- ...the team and position The Warranty Administration Lead owns the back-office warranty claims process across all 7 of our dealership sites. This critical... ...Tracking: Track claim status through the full operational lifecycle—including submission, review, approval, and...OperationsClaimsFull timeWeekend work
Carvana
Tempe, AZ20 days ago - ...technician positions have undergone an exciting transformation, moving from a transaction-based... ...coaches pharmacy technicians in the operation of pharmacy systems and cashiers in the... ...Processes (corrects and resubmits) manual claims for third party program prescription...OperationsTransformationClaimsApprenticeshipWork experience placementLocal areaImmediate startFlexible hoursAfternoon shift
Walgreens Boots Alliance
Tempe, AZ21 hours ago $196.73k - $258.21k
...This role will build and scale the operating model for escalated provider issue resolution, lead a multi-disciplinary team, and partner across Claims, Network, Utilization Management, Payment... ...escalation management, operational transformation, or service model design in a...OperationsTransformationClaimsWork at officeFlexible hoursOscar Health
Tempe, AZ10 days ago- Vensure Employer Solutions is seeking a Risk Operations Supervisor to lead day-to-day activities across underwriting, loss control, and workers' compensation claims. You will supervise staff, optimize workloads, and ensure compliant, efficient processes in a fast-paced...OperationsClaims
- Opportunity OverviewThe Senior Team Leader, Mutual Fund Operations is responsible for leading a highly complex, high-risk operational function... ...strengthening vendor partnerships, and advancing automation and transformation initiatives that improve scalability, efficiency, and...OperationsTransformationTemporary workWork at officeFlexible hours
$139k - $239k
...this role:Wells Fargo is seeking a Senior Lead Product Manager to lead the strategy,... ..., underwriting, risk management, and transformation. This role will partner with Credit, Risk... ...implementations that improve operational efficiency, scalability, and competitive...OperationsTransformationFull timeWork experience placement- About this role:Wells Fargo is seeking a Lead Product Manager to own and advance strategic fraud risk capabilities within... ...Fraud Management Product organization, part of Fraud & Claims Management in Global Operations.This role sits at the intersection of business,...OperationsClaimsFull timeWork experience placementWork at officeVisa sponsorship3 days per week
$139k - $239k
...this role:Wells Fargo is seeking a Sr. Lead Technology Business Systems Consultant... ...This role sits within the Infrastructure, Operations & Reliability (IOR) organization and... ...financial management, executive reporting, and transformation initiatives across a highly matrixed...OperationsTransformationFull timeWork experience placement- ...Support team is seeking a Team Leader to lead approximately 20 associates who support... ...ensure timely, effective resolution Operate with sound business judgment in a risk-... ...and firm initiatives, including transformation efforts, process improvements, and talent...OperationsTransformationTemporary workWork at officeHome officeFlexible hours
Edward Jones
Tempe, AZ2 days ago $22 - $30 per hour
...assigned area of responsibility by handling claims and returns zoning the area arranging and... ...providing funds for proper register operation creating and interpreting financial analysis... ...and compliance issues and problems Leads and participates in teams by using and sharing...OperationsClaimsHourly payMinimum wageFull timeTemporary workPart timeWork at officeComfort Systems USA
Gilbert, AZ3 days ago$100k - $158k
...environment? As an experienced Oracle Payroll Lead -Senior Consultant, you will have the... ...and clear documentation.* Produce operational artifacts: runbooks, support playbooks,... ...focused on improvement, optimization, and transformation of processes including implementing...OperationsTransformationFlexible hours$38 - $45 per hour
...Our client is deep into a multi-year technology transformation, modernizing core operations onto a leading Guidewire platform, and they're looking for a Guidewire... ..., from quoting and binding through downstream claims impacts Functional knowledge of coverages and business...OperationsTransformationClaimsContract workLocal areaRemote workVisa sponsorshipIrvine Technology Corporation
Gilbert, AZ27 days ago- ...in their lives. Behind every claim is a patient and a family who... ...career paths. If you want to lead a team, grow fast, and help... ..., and collaborating with Operation, Insurance Relations, Patient Experience and Support & Transformation, you help deliver First Pass...OperationsTransformationClaimsFull timeWork at officeShift workNight shift
Falck Patient Financial Services
Mesa, AZ3 days ago $35.63 per hour
...including the maintenance of operational procedures they use to... ...TEKsystems Global Services We’re a leading provider of business and... ...services. We accelerate business transformation for our customers. Our... ...Business Analyst, Logistics Claims Management and Operations Phoenix...OperationsTransformationClaimsFull timeTemporary workFlexible hoursTEKsystems
Chandler, AZ21 hours ago- ...of businesses streamline and grow their operations with custom strategies that benefit both... ...out more by visiting .Position SummaryThe Loss Control Specialist provides loss control... ...significant losses, review accident and claim reports, and serve as a liaison between clients...OperationsClaimsContract workTemporary workWork experience placementWork at officeRemote workWork from homeFlexible hours
- ...qualified talent, technical innovation, and operational excellence. Our mission is simple: to... ...Insurance Specialist to own and lead the insurance claims process from post-inspection through... ...for commercial projects or large-loss restoration. Existing relationships or...OperationsClaimsFull timeFor contractorsCasual workWork at officeAfternoon shift
Occidental Roofing, LLC
Tempe, AZ3 days ago $117k - $175.1k
...Identity, Fraud Strategies, Claims, Digital Self-Service, Data,... ...across and down successfully, transformation and change management at... ...projects within the department, leading them to negotiate decision... ...across business, technology, operations, risk, and leadership teams...OperationsTransformationClaimsWork at officeShift workDay shift$28 - $30 per hour
...Job Description Job Title: Painter Team Lead Job Description The Painter Team... ...a safe, organized, and efficient paint operation in an industrial environment. Responsibilities... ...contribute to a green industry transformation and participate in the evolving data center...OperationsTransformationWeekly payContract workTemporary workWork at officeMonday to FridayMonday to ThursdayShift workDay shiftAfternoon shiftAerotek
Gilbert, AZ3 days ago$41.18k - $64.88k
...and communicate Pre and Post Service cases between operation, account management, sales, health services, stop loss, finance, clients, brokers, facilities and... ...complex issues relating to benefit information, claims adjudication, eligibility verification, prior authorization...OperationsClaimsFull timeLocal areaRemote workMonday to FridayNight shiftWeekend work$51.37k - $86.68k
...business needs. The Opportunity As a dedicated Claims Auto Adjuster - Non-Injury you will... ...Identifies coverage concerns, reviews prior loss history, determines, and creates Special... ...surges and catastrophe (CAT) response operations as needed, including mandatory on-call dates...OperationsClaimsH1bWork at officeRemote workRelocation packageFlexible hoursAfternoon shift3 days per weekUSAA
Tempe, AZ8 hours ago$63.09k - $83.54k
.... It is at the core of how we operate and the reason for our success... ...Responsibilities Our Claim Specialists are committed to helping... ...personal injury Auto Total Loss: Settles auto claims where a... ...benefits like industry leading training programs, top-notch tuition...OperationsClaimsWork experience placementWork at officeLocal areaWork from homeFlexible hoursState Farm
Tempe, AZ3 days ago- ...Regional Operational Excellence Leader Isola, a regional leader in materials science,... ...Operational Excellence Leader to support our transformation journey and drive sustainable... ...practices across all supported sites. Lead and facilitate cross-site Kaizen and Gemba...OperationsTransformationLocal area
Isola Group
Chandler, AZ21 hours ago $21 per hour
...into departments such as IT, Claims, Prior Authorization,... ...any day of the week within operating hours of 5:00 AM - 10:00 PM... ...TEKsystems We're partners in transformation. We help clients activate ideas... ...TEKsystems Global Services We’re a leading provider of business and...OperationsTransformationClaimsPermanent employmentContract workTemporary workMonday to FridayShift work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Lead Stop Loss Claims Operations & Transformation. Be the first to apply!
Related searches
- healthcare claims Tempe, AZ
- medical claims auditor Tempe, AZ
- pharmacy claims Tempe, AZ
- veterans claims Tempe, AZ
- claims processing Tempe, AZ
- claims associate Tempe, AZ
- senior operations technician Tempe, AZ
- administrative & business operations Tempe, AZ
- sales operations Tempe, AZ
- banking operations Tempe, AZ