Senior Claims Lead - TPA & Medicaid Data (Remote)
$68.8k - $94kLE10 Public Consulting Group LLC (Education)
- Remote job
LE10 Public Consulting Group LLC (Education) is seeking a TPA Claiming Lead responsible for directing claims management within the School-Based Services. You will lead the TPA Claiming Operations Team, ensuring fidelity and efficiency while optimizing TPA claiming work. The ideal candidate has 6+ years of claiming experience and strong knowledge of Medicaid policies. Compensation ranges from $68,800 to $94,000, with benefits including medical, dental, 401(k), and paid time off. #J-18808-Ljbffr LE10 Public Consulting Group LLC (Education)
- A leading public sector solutions firm is seeking a TPA Claiming Lead to oversee claims management within the Education sector.... ...relationships. The role requires strong data analysis skills, effective... ...and a thorough understanding of Medicaid policies. This position supports...Remote jobDataClaims
- A leading public sector solutions firm in Raleigh is seeking a TPA Claiming Lead to manage claims operations and develop a consistent... ..., and a deep understanding of Medicaid policies. The successful candidate... ..., ensure accuracy of claims data, and collaborate closely with...Remote jobDataClaims
$68.8k - $94k
A leading public sector solutions firm is seeking a TPA Claiming Lead in Washington, DC to manage claims operations within the education sector. The role involves... ..., leading a team, and ensuring compliance with Medicaid policies. Candidates should have 6+ years of claiming...Remote jobDataClaims$68.8k - $94k
A leading public sector solutions provider is seeking a TPA Claiming Lead in Boston, MA. This role involves overseeing claims management... ...team, ensuring adherence to Medicaid policies, and providing... ...background in claims analysis, data management, and project management...Remote jobDataClaims$68.8k - $94k
A consulting firm is seeking a TPA Claiming Lead in Albany, NY to lead claims management... ...ideal candidate will have strong data analysis, communication, and... ...claims management, particularly in Medicaid, is preferred. This position is remote with a compensation range of $68,...Remote jobDataClaims$68.8k - $94k
A public sector solutions firm is seeking a TPA Claiming Lead in Oklahoma City. You will lead claims management efforts and collaborate across... ...experience, strong leadership capabilities, and excellent data analysis skills. The position requires effective communication...Remote jobDataClaims$68.8k - $94k
A public sector solutions firm located in Providence, RI, is looking for a TPA Claiming Lead to oversee claims management within the School-Based Services sector. The candidate will ensure efficiency and compliance in TPA claiming processes, supervise staff, and work closely...Remote jobDataClaims$68.8k - $94k
A leading public sector solutions firm is seeking a TPA Claiming Lead to oversee claims management and ensure the accuracy of TPA processes. This role requires at... ...stakeholders. The TPA Claiming Lead will work remotely and will need to understand both federal and state...Remote jobDataClaims- ...seeking an experienced professional to lead analytics and machine learning... ...of 5 years’ experience in Medicaid and healthcare claims analysis. The position offers flexibility with remote work options and aims to apply advanced data analysis techniques for impactful...Remote jobDataSeniorClaims
$120k - $150k
...Senior Casualty Claims Specialist – TPA Oversight Everest Insurance Company is seeking an... ...working 3 days in office, 2 remote. Responsibilities... ...identify and use relevant data and metrics to best manage... ...everyone. Pursue better. Lead by example. Own our outcomes...Remote workDataSeniorClaimsWork at officeImmediate start- UnitedHealth Group in Eden Prairie, MN is seeking a Senior Developer, Visualizations. You will design and deliver data visualization solutions, focusing on scalable... ...include maintaining Power BI dashboards and analyzing claims data. Must have 2+ years in Power BI and SQL,...Remote jobDataSeniorClaimsFlexible hours
- ...Senior Medicaid BI / Reporting Business Analyst Location: Remote - U.S. About Us : Known for "Delighting... ...recognized as a leading provider of both technical... ...requirements, perform data analysis, validate reporting... ...MES), MMIS, pharmacy, claims, provider, or...Remote workDataSeniorClaims
$95k - $130k
A leading insurance provider is seeking an Accident and Health Senior Claims Specialist in Red Bank, New Jersey. This role requires senior claims handling expertise across... ...complex claims, and analyzing claims data. The ideal candidate has substantial experience...DataSeniorClaims$120k - $150k
Everest Insurance is looking for a Senior Casualty Claims Specialist to join their TPA Oversight - Casualty Claims team. This hybrid role requires candidates to work in the office 3 days a week and remotely 2 days. The ideal applicant should have 6-8 years of claims handling...Remote workSeniorClaimsWork at office3 days per week$83.25k - $155.51k
...support payment integrity activities aimed at improving financial performance and regulatory compliance. You will lead operational initiatives, analyze claims data, and collaborate with various teams to drive efficiency in processes. The ideal candidate will have extensive...DataSeniorClaims$70.96k - $92.15k
...Senior Business Analyst We are seeking a Senior... ...Business Analyst to support Medicaid pharmacy claims and MMIS initiatives.... ...Lead requirements gathering... ...HIPAA, and healthcare data exchange requirements.... ...working conditions: Remote work: Work in a way that...Remote workDataSeniorClaimsWork at officeLocal areaWork from homeFlexible hours$153.6k - $192k
...Our teams span Software, Data, Security, and IT, and... ...execution. As a Senior GRC Engineer, you will... ...weeks per year of fully remote work! Responsibilities... ...producing documentation and leading training sessions Evangelize... ...domain. Any outreach claiming to be from Brex via...Remote workDataSeniorClaimsWork at officeImmediate startWork from home3 days per week- ...Collects, organizes, analyzes, pertinent data, generates models and provides appropriate... ...and uneven or difficult terrain in a remote environment. Work Environment This position... ...established pursuant to the Alaska Native Claims Settlement Act (85 Stat. 668; 43 U.S.C. 1...Remote workDataSeniorClaimsContract workWork at officeLong distance
- ...and businesses consume data and we relentlessly innovate... ...and our industry-leading portfolio of products that... ...Job Description The Senior Consumer Insights Lead... ...and prioritizing power claims, and working closely... ...Colorado, New York or remote jobs that can be performed...Remote workDataSeniorClaimsTemporary workFlexible hoursShift work
- Senior/Lead Data Analyst - CX Strategy & Insights Location: Anywhere Type: Contract | Category... ...: Financial Services | Workplace Type: Remote Reference ID: JN -052026-107074 Date... ...client journeys such as Account Access, Claims, Client, and Card. Connect digital behavior...Remote workDataSeniorClaimsContract workLocal area
$90k - $125k
...days in the office; and 1 day remote where it makes sense to do so.... ...FCAS-who's ready to take the lead on a wide range of actuarial work... ...(e.g., rate changes, claims trends) Supporting teams across... ...claims, reinsurance, finance, data/IT, and risk More Than Just...Remote workDataSeniorClaimsFull timeWork at officeWorldwide$155k - $190k
...Conduct scheduling activities while leading, managing, and supervising... ...current, and future schedule data for As Built vs. Planned... ...defend against or initiate a claim. The salary range for this position... ...occasionally works in an office or remote setting. The noise in the work...Remote workDataSeniorClaimsPermanent employmentContract workTemporary workFor contractorsWork at officeLong distance$100.14k - $150k
...are currently seeking a Medicaid Enterprise Architect to... ...will assist the (Lead) Medicaid Enterprise Architect... ...business, application, data, integration,... ...engagement. The position is remote, with the possibility of... ...plan data management, claims and encounter data....Remote workDataClaimsTemporary workFlexible hours$80k - $125k
...riding the AI wave - we're leading it for the P&C and L&AH... ...of insurance. Senior Lead Software Analyst,... ...focused on resolving complex data and production issues... .... "Majesco is a remote-first workplace; however... ...Business Processing, Billing, Claims, Product Modeling,...Remote workDataSeniorClaimsTemporary workWork experience placementLocal areaFlexible hoursShift work$132.6k - $213.4k
Overview This is a remote, home office based role in the USA. The ideal... ...relations matters that lead to establishing a discipline that... ...employee relations, employee claims, and immigration coordination... ...reporting, audit, compliance, and data integrity initiatives...Remote jobDataSeniorClaimsWork at officeHome office- ...Description Job Description Medicaid Business / QA Analyst ~7–12+ Month Contract | Remote | No ThirdParty Firms | Medicaid... ...matter expert (SME) for Medicaid data and processes while performing... ...program knowledge—eligibility, claims, encounters, provider enrollment...Remote workDataClaimsContract work
$74.9k
...position you will interact internally with: Underwriting, Actuarial, Claims, Compliance, IT, and externally with Occupational Accident’s... ...premiums, expenses, losses, and commissions. Analyze financial data and provide insights to support decision‑making, strategic...Remote jobDataSeniorClaimsFlexible hours$120k - $150k
Title Senior Casualty Claims Specialist - TPA Oversight Company Everest Insurance Company Job Category Claims... ...requires working in office 3 days and remotely 2 days. Responsibilities Ensure... ...Ability to identify and use relevant data and metrics to manage claims Collaborative...Remote workDataSeniorClaimsWork at officeImmediate start$68.8k - $94k
Position Overview The TPA Claiming Lead will lead all efforts of the TPA Claiming... ...and integrating claims, data and project management to... ...Understand Federal, State, and local Medicaid policies and lead continuous... ...and government agencies. Remote office setting; overtime and...Remote workDataClaimsH1bWork at officeLocal area- TPA Supplemental Products Team Lead (Health Insurance) Join to apply for the TPA Supplemental... ...products insurance claims to ensure that claims are... ...accuracy and authenticity of data between claims systems, eligibility... ...Office). Work Schedule & Remote Work Full-time, remote...Remote workDataClaimsFull timeWork at officeWork from homeHome office
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