Senior Claims Research & Analysis Manager (Remote)
Centene Management Company LLC
- Remote job
Centene Management Company LLC is seeking a Claims Analytics Manager to lead and mentor a team of Claims Business Analysts, delivering data-driven insights to improve processes and performance. The role emphasizes root cause analysis, solution development, and cross-functional project coordination, with remote work options for residents in Florida. Benefits are included with competitive compensation. #J-18808-Ljbffr Centene Management Company LLC
$116.3k - $186k
...you. LegalZoom supports a remote-friendly environment that gives... ...preferred. OverviewAs a Senior Market Research Manager, you will be part of our Product... ...-level skills in data analysis, cross-functional communication... ..., consideration, and claims research initiatives, translating...Remote workSeniorClaimsTemporary workWork experience placementWork at officeFlexible hours$117k - $130k
...for Health Information and Analysis (CHIA), we serve as stewards... ...balances in-person and remote work. Our hybrid approach allows... ...policy impact! We seek a Senior Research Manager to help lead and manage... ...databases, and the All-Payer Claims Database, and oversee related...Remote workSeniorClaimsFull timePart timeWork experience placementWork at officeFlexible hours2 days per week- ...motivated and experienced Senior Research Tax Credit (RTC)... ...team. Reporting to the Manager or Senior Manager, RTC... ...to support tax credit claims. ~ Become an expert... ...CRM and advanced data analysis tools. Why Join... ...Galleria area), 2 days remote for flexibility and work...Remote workSeniorClaimsWork at officeLocal areaFlexible hours
- ...Access Insights Sr. Manager, Medical Benefit ProductsApply: Remote: United States -... ...of patients as we research, manufacture, and deliver... ...Access Insights Senior Manager leads analytics... ...provide integrated analysis combining multiple... ...and pharmacy claims (ex. IQVIA LAAD, Claims...Remote workSeniorClaimsFull timeWork experience placementFlexible hours
- ...Managing high-severity, complex insurance claims, the full-time Senior Claims Consultant will focus on coverage analysis, policy interpretation, and strategic claim resolution for Employment... ...Professional Liability claims in a fully remote setting. Key Responsibilities...Remote workSeniorClaimsFull time
- ...Experienced in hospital claims adjudication, the full-time remote Senior Claims Analyst will analyze hospital bills and claims data to identify billing errors... ...5+ years of experience in hospital claims analysis and payment integrity Strong knowledge of DRG methodology...Remote workSeniorClaimsFull time
$90k - $115k
...is seeking an experienced Senior Commercial General Liability Claims Examiner to join their... ...will be responsible for managing moderate to complex Commercial... ..., including coverage analysis, investigation, litigation... ...offers the ability to work remotely. Key Responsibilities...Remote workSeniorClaims$81.2k - $121.8k
...expertise with field engagement and analysis of patents, technical... ...initiatives. Conduct approved research through visits, interviews,... ...sources and conflicting claims and states uncertainty. Engaging... ...~ This is an onsite job. One remote workday a week may be...Remote workSeniorClaimsFull timeTemporary workWork experience placementRelocation packageShift work- ...Handling a caseload of complex claims, the full-time Senior Claims Examiner will manage moderate to high complexity claims... ...ensure timely resolutions in a remote work environment. Key responsibilities... ...Strong knowledge of coverage analysis and interpretation of specialty...Remote workSeniorClaimsFull time
- ...business initiatives, the full-time Senior Business Process Analyst will... ...analytical tools to optimize claims operations, enhance process... ...Lead process analysis and optimization efforts, mapping... ...environments with strong stakeholder management skills Advanced proficiency...Remote workSeniorClaimsFull time
$150k - $200k
...Job Description Senior Actuary - Pricing (P&C Insurance | Remote (U.S.) \n \n We’re partnering... ...can translate complex analysis into clear strategic... ...Pricing, Underwriting, Claims, and Finance to align actuarial... ...\n ~ Comfortable managing competing priorities and...Remote workSeniorClaimsFlexible hours- ...a dynamic and knowledgeable Senior Accounting Support Services Analyst... ...clients, engineers, product managers, and senior staff to resolve... ...to work effectively in a remote, collaborative team environment... ...receive a suspicious offer claiming to be from Deltek, do not share...Remote workSeniorClaims
- ...establishing a Fraud Rapid Response Center, the remote Senior Healthcare Fraud Investigator will lead... ...including anomaly detection and network analysis Develop comprehensive healthcare fraud... ...fraud laws, including the False Claims Act and Anti-Kickback Statute Experience...Remote workSeniorClaims
- ...several professionals to its liability claims team and seeking a Liability... ...Practices Liability (EPL) experience to manage complex EPL claims in a fully remote, temp-to-hire role. This is an... ...defense counsel ~ Strong coverage analysis and policy interpretation skills...Remote workSeniorClaimsHourly payFull timeTemporary workMonday to Friday
$120k - $130k
...professionals to its liability claims team and seeking Claims Counsel / Senior Liability Claims Adjusters to manage complex, high-exposure... .... Key Details ~100% Remote (U.S.) ~ Competitive Compensation... ...Conduct detailed coverage analysis and policy interpretation...Remote workSeniorClaimsPermanent employmentFull time$115k - $150k
...uNRYAYValid through: 2027-08-20Title: Data Engineer / Senior Data Engineer - Healthcare DataLocation: 100% Remote - United States (CST/EST Hours)Salary Range: $115-... ...modern data technologies to improve how critical claims, enrollment and quality information is processed,...Remote workSeniorClaims$129.3k - $172.3k
...for a change with an in-house opportunity?The Senior Claims Counsel position with First American Title Insurance... ...for counsel to engage in complex legal analysis, craft creative solutions to difficult problems, manage their own caseload, oversee outside litigation...Remote workSeniorClaimsFull time- ...Casualty reserve analyses, the full-time Senior Actuary will ensure the accuracy and integrity... ...with cross-functional teams in a remote work environment. Key responsibilities:... ...performance and emerging risks, collaborating with Claims and Underwriting Contribute to team...Remote workSeniorClaimsFull time
- Eliassen Group is seeking a Senior Business Analyst to bridge business units and IT, translating... ...for technology solutions. The role emphasizes claims insurance with Guidewire Claims Center expertise and operates in a remote, contract-to-hire capacity. As a senior analyst...Remote jobSeniorClaimsContract work
- ...Senior Analyst Location: Washington, DC (Remote Role) Duration: 12+ Months contract Domain: Healthcare Analyst will analyze current health care... ...performance across organizations. • Understanding of claims adjudication, particularly in a health care environment...Remote workSeniorClaimsContract work
- ...Senior Project Manager – Major Projects Nationwide Projects | Remote Flexibility | High-Impact Leadership Role This isn’t just... .... Lead contract strategy, claims, and risk mitigation to... ...project scheduling, critical path analysis, and multi-project coordination...Remote workSeniorClaimsFull timeContract workLocal area
$80k - $100k
...days a week with one remote day preferred;... ...experience to serve as Senior Staff Attorney or... ...ability to help manage a growing civil... ...Evaluate legal claims, facts, evidence,... ...development, and legal research. Help manage litigation... ...strong legal analysis, sound judgment,...Remote workSeniorClaimsFull time- ...Focusing on identifying and resolving underpaid claims, the full-time Senior Revenue Cycle Analyst will research account details, evaluate reimbursement accuracy, and support appeals while working remotely. Key responsibilities: Research accounts using client systems...Remote workSeniorClaimsFull time
- ...welfare plans, the full-time Senior Benefits Administrator will manage self-insured medical plans, monitor claims performance, and ensure... ...regulations while working remotely. Key Responsibilities Monitor... ...particularly Workday Advanced skills in MS Excel for data analysis...Remote workSeniorClaimsFull time
$75k - $80k
# Senior Research ManagerHot JobDiscover Durham - Durham, NC 27701## OverviewSalary... ...for a Senior Research Manager to join our team and turn... ...:* **Economic Impact Analysis** + Serve as a practitioner... ...priorities. Fact-check data and claims across owned, earned and paid...SeniorClaimsFor contractorsWork at officeFlexible hoursNight shift3 days per week- ...Senior Product Manager Our client, a global services and media... ...Product Manager for their remote location.... ...to development, from research to implementation and... ...internal/external impact analysis on the: Product... ...~ Experience with claim rebilling, replacement...Remote workSeniorClaims
- ...seeking an experienced Senior Trial Attorney in... ...onsite; three days remote with travel for... ...on legal and factual analysis Conduct legal research and prepare pleadings... ...briefs, and discovery Manage all aspects of... ...effectively with clients, claims professionals,...Remote workSeniorClaimsFull timeWork at office
$90k - $100k
...Description: Seeking to add a General Liability Claims Adjuster who would have the ability to work remotely. Responsibilities include moderate to complex... ...Provide a comprehensive, complete, thorough analysis of coverage determination. Prepare detailed reports...Remote workSeniorClaimsContract workFlexible hours- ...imslegal.com for more. JOB SUMMARY: The Senior Research Manager (SRM) manages consumer survey research... ...(experience with R, SPSS, or other analysis software preferred). Write reports: write... ...LOCATION: This position is 100% remote and supports east to west coast time zones...Remote workSeniorTemporary workWork experience placementWorldwideFlexible hours
$90k - $115k
...Senior Claims Analytics & BI Analyst (Property & Casualty Insurance)... ...Performance | Executive Reporting | Remote Drive Better Claims... .... Support root cause analysis and performance investigations... ...or operational performance management. Ideal backgrounds include...Remote workSeniorClaimsFlexible hours
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