Remote Plan Design Specialist - Claims Systems Expert
Imagine360, LLC
New York, NY
- Remote job
A healthcare solutions provider is seeking a Plan Design Specialist to work 100% remote. The role involves constructing and implementing plan documents, resolving inquiries about plan language, and participating in quality assurance processes. Candidates should have at least 3 years of claims or plan building experience and a high school diploma. Strong organizational skills, as well as written and verbal communication proficiency, are essential. Benefits include multiple health plans, paid time off, and professional development opportunities. #J-18808-Ljbffr Imagine360, LLC
Vacancy posted 4 days ago
Similar jobs that could be interesting for youBased on the Remote Plan Design Specialist - Claims Systems Expert in New York, NY vacancy
$700 - $750 per month
...engineering firm is seeking a highly skilled Fire Sprinkler System Designer to create detailed SP drawings and ensure compliance with NYC... ...teams and staying updated on industry trends. This full-time remote position offers a salary of USD 700-750 monthly. #J-18808-Ljbffr...Remote workFull timeRemote VA
New York, NY19 hours ago- A game development company seeks a Godot Game Engine Expert to design and optimize gameplay systems remotely. Successful candidates will possess deep expertise in Godot, a track record of shipping games, and strong collaboration skills in a remote team. The role involves...Remote job
- ...unique opportunity to apply your Insurance expertise toward shaping advanced AI systems that replicate real-world workflows across insurance models, policy pricing, risk assessment, and claims operations. We welcome actuaries, underwriters, claims analysts, risk modelers...Remote workClaimsCurrently hiringWeekday work
Weekday
United States3 days ago - ...Medicaid Subject Matter Expert This position is a Medicaid Subject Matter Expert for... ...significant expertise of Medicaid Enterprise System modules and data warehousing or decision... ...or correct within the system, related to claims, provider, and recipient data. Roles...Remote workClaims
Vergence Group
United States3 days ago - CVS Health Corporation is seeking a Testing Subject Matter Expert (SME) for Aetna Claim Adjudication System (ACAS) Benefits. This full-time remote role requires expertise in executing benefits testing, identifying defects, and collaborating with various teams. The ideal...Remote jobClaimsFull time
- ...is seeking a Medical Billing & Collections Specialist for a remote, full-time position. The specialist will ensure the accuracy of claim submissions and handle various billing... ...in a medical setting, proficiency in EMR systems, and strong knowledge of billing and insurance...Remote jobClaimsFull time
- ...setting to review and audit claims, supportprogram... ...vulnerable populations Remote work - enjoy the convenience... ...records, treatment plans, and supporting... ...rationale in electronic systems, generating authorization... ...required, work at Department-designated locations. The primary...Remote workClaimsFull timeTemporary workWork at officeWork from home
The CKHobbie Group
Pittsburgh, PA3 days ago - ...setting to review and audit claims, supportprogram... ...vulnerable populations Remote work - enjoy the convenience... ...indicators, and plans of care to determine eligibility... ...in electronic systems, generating authorization... ..., work at Department-designated locations. The primary...Remote workClaimsFull timeTemporary workWork at office
The CKHobbie Group
Harrisburg, PA3 days ago - ...preparing, reviewing, and submitting medical claims to ensure timely reimbursement and... ...billing experience, knowledge of coding systems, and proficiency in electronic claim submission... ...a flexible work environment, either remote or hybrid, according to the company needs...Remote jobClaimsFlexible hours
$100 per hour
Position Insurance Expert Type Hourly contract Compensation $55-$100 per hour Location Remote Commitment Part‑time (15-25 hours per... .... Stress‑test models across claims scenarios, reserve adequacy,... ...Support benchmarking of AI systems in actuarial science and insurance...Remote jobClaimsHourly payContract workPart timeFlexible hours- ...Product Support Expert Ideal - French Language Not everyone can claim to feed the world, but it is part... ...for AGCO systems, including warranty processes... ...Health care and wellness plans Dental and vision plans... ...colleagues from Canada (Remote) We value inclusion and...Remote workClaimsWork at officeLocal areaWorldwideFlexible hours
AGCO
Hesston, KS3 days ago $65k - $150k
...Veeva Systems is a mission‑driven organization and pioneer in industry... ...Data Management Product Expert team, you will play a key role... ...roadmap strategy and release planning. Collaborate with Product teams... ...teams, both in‑person and remote. Strong analytical skills and...Remote workWork at officeLocal areaWork from homeFlexible hoursVeeva Systems
Boston, MA1 day ago- ...health insurance professionals to engage with AI labs, focusing on improving AI systems for coverage and plan management. The roles involve evaluating outputs related to claims, benefit design, and more. Ideal candidates will have 3+ years of experience in health plans...Remote jobClaims
- ...insurance professionals, including benefits administrators and claims managers, to enhance AI systems in coverage determination and management. Successful... ...your ability to analyze and provide feedback on AI outputs related to health plan workflows. #J-18808-Ljbffr MercorRemote jobClaims
$100 - $120 per hour
...UK, Canada, France, Portugal (remote) We are seeking a highly... ...and detail-oriented Insurance Claims Management AI Expert to join our growing team. This... ...responsibilities will include designing, implementing, and optimizing intelligent systems across claims intake, investigation...Remote workClaimsHourly payContract workPart timeWeekday work- ...PhD-level Engineering experts to support projects focused... ...conversational AI systems. In this role, you will... ...Fact-check engineering claims using reliable public sources... ...or engineering systems design Experience with AI... ...applications Fully remote with flexible working hours...Remote jobClaimsWeekly payFlexible hours
- ...experienced health insurance professionals to enhance AI systems’ decision-making in coverage and plan designs. The role involves evaluating AI-generated outputs,... ...have over 3 years of experience in roles such as claims processing, underwriting, and compliance, and will...Remote jobClaims
- ...health insurance professionals to enhance AI systems related to coverage determination, utilization management, and plan design. This role includes responsibilities like reviewing... ...candidates have 3+ years of experience in claims processing or regulatory compliance and...Remote jobClaimsHourly pay
- Mercor is seeking experienced health insurance professionals to evaluate AI systems related to coverage determination and claims management. Candidates with 3+ years of experience in health plans or benefits administration are ideal. This project is task-based with the...Remote jobClaims
$70 - $100 per hour
...Domain Expert - Sales We are especially... ...the CRM as the system of record for... ...Mutual action plans and close plans... ..., an approval claimed in chat but... ...Sandler, Winning by Design, Command of the... ...or CPQ-specialist credentials, or... ...Work Fully remote, contract-based...Remote workClaimsHourly payContract workLive inFlexible hours$100 - $120 per hour
...Canada, France, Portugal (remote) We are seeking a... ...Policy Administration AI Expert to join our team and help... .... Key Responsibilities Design, develop, and implement... .... Build intelligent systems for document processing... ...underwriting principles and claims impact on policy...Remote workClaimsHourly payContract workPart timeWeekday work- Apex Systems in Atlanta, Georgia is looking for a Senior Epic PB/Claims Analyst to join their outpatient team. The role involves building and configuring Epic Professional... ...workflows. This position offers a flexible, remote-first work environment with occasional travel...Remote jobClaimsFlexible hours
- ...in Arlington, VA seeks a Zero Trust (ZT) Endpoint & Connected Systems SME to serve as a senior technical advisor. The role requires expertise... ...like Microsoft Intune. This hybrid role involves both remote and occasional onsite work. A valid Secret Clearance is mandatory...Remote workCasual work
Zermount, Inc.
Arlington, VA1 day ago - ...delivery into one seamless system. Our vision is to make... ...experience, reducing claims costs while generating... ...with our data scientists, designers, engineers and product... .... The Insurance Expert role in Spain The role... ...working hubs or a full-remote experience with home office...Remote workClaimsPermanent employmentLive inWork at officeHome officeFlexible hours
- ...MedPOINT Management as a Health Plan Benefits Specialist, where you'll play a vital... ...benefit inquiries and claims accurately. Collaborate with... ...detailed records in our systems. Support team initiatives... ...licenses are a plus. This is a remote position. #J-18808-Ljbffr...Remote workClaimsWork at office
- ...healthcare organization is seeking a Revenue Cycle EDI Systems Analyst to optimize billing and claims management processes. The candidate should have at... ...regulations and enhancing revenue cycle performance. Remote work is available with occasional travel, and the position...Remote workClaims
CenterWell
Atlanta, GA2 days ago $111.18k - $172.34k
...Realty Income Corporation is seeking a Senior Systems Analyst specializing in Yardi for its San Diego office. The role entails supporting... ...advancing our ERP platform, with a hybrid work model allowing remote work opportunities. Qualified candidates should have over 5...Remote workWork at officeRealty Income
California, MO19 hours ago- ...NCDIT - System Administrator- Expert Location: Hybrid – 3700 Wake Forest Rd and WFH Duration: Long Term This is a hybrid position, and... ..., Tanium, AGPM), Infrastructure Configuration Management, Remote Endpoint Management Support, Project Management, Process and...Remote workFor contractorsWork at officeWork from home
My3Tech Inc
Wake Forest, NC20 hours ago - ...Subject Matter Expert (Classified Satellite System for Department of War) Employment... ...Detrick, MD, Fort Meade, MD and remote Job Description:... ...partnership with the government to plan and deploy complex, IT-... ..., engineering design support, circuit status reporting...Remote workTemporary workFor contractorsWork at officeLocal area
Competitive Range Solutions LLC
Maryland3 days ago $1,150 - $1,450 per month
...professionals — benefits administrators, underwriters, claims managers, actuaries, and compliance specialists — to improve AI systems' reasoning around coverage determination, utilization management, and plan design. Contributors will apply their expertise in areas such...Remote jobClaimsHourly pay
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Plan Design Specialist - Claims Systems Expert. Be the first to apply!
Related searches
- senior planner New York, NY
- operations planning specialist New York, NY
- facilities planner New York, NY
- retirement plan specialist New York, NY
- workforce planner New York, NY
- case planner New York, NY
- medical planner New York, NY
- resource planner New York, NY
- corporate meeting planner New York, NY
- operations planner New York, NY