Lead Director, Medicare Rework Reduction & Claims (Remote)
$100k - $231.54kCVS Health Corporation
- Remote job
CVS Health Corporation is seeking a Lead Director, Medicare Rework Reduction to enhance the effectiveness of Medicare claims operations. This role emphasizes leadership in reducing rework and improving operational performance. Ideal candidates will have 10-15 years of experience in Medicare claims, proven leadership skills, and the capability to manage high-volume teams effectively. A competitive salary range of $100,000 to $231,540 is offered, along with comprehensive benefits. #J-18808-Ljbffr CVS Health Corporation
- GEICO is seeking a Director, Assistant General Counsel - Litigation to lead a team providing critical legal support to our Claims organization. This role involves managing litigation, crafting... ...hybrid role fosters both on-site and remote capabilities. #J-18808-Ljbffr GEICORemote workClaims
$100k - $231.54k
.... This position can be remote or hybrid depending on... ...team. Responsibilities Lead operational reporting efforts... ...clinical and medical directors to identify, assess and... ...data in Commercial, Medicare and Medicaid. Analyze data... ...working with claims data, including detailed...Remote workClaimsFull timeWork at officeLocal area$154.4k - $242.55k
...worldwide. Join Takeda as Associate Director, Global Labeling Lead where you will be responsible for the... ...overall product strategy, product claims and information in the CCDS and to ensure... ...position is currently classified as "remote" following Takeda's Hybrid and Remote...Remote workClaimsMinimum wageFull timeTemporary workLocal areaWorldwide$144.06k - $205.8k
...Lead, Data Quality, Operations & Governance About Astellas Astellas is a global... ...HCP/HCO, affiliations, sales performance, claims, and field execution or engagement data.... ...position is based in Northbrook, Illinois. Remote work from anywhere in the US is available...Remote workClaimsWork at officeWork from homeWorldwide$112.7k - $193.2k
...seeking an Associate Director - AI Transformation to lead business analysis... ...focused on improving claim adjudication efficiency... ...You can work remotely from anywhere within... ...Payment Integrity, Rework Automation, Reverse... ...accuracy, and rework reduction. Support stakeholder...Remote jobClaimsFull timeContract workWork experience placementWork at officeLocal area- ...United States - Fully Remote Travel Travel: Ability... ...proven track record of leading organizations through the... ...measured by a demonstrable reduction in case cycle times and... ...Management Intake & Claims Verification Funnel... ...Identify root causes of rework in file preparation and...Remote workClaimsShift work
- ...Technical Team Manager Technical Claims Manager – MCL Division: Davies Property Claims Department: Team MCL Location: Home... ...and ensuring our service stands out in the market. What You'll Lead & Deliver Team Leadership — Build a motivated, engaged,...Remote workClaimsLocal areaWork from homeFlexible hoursShift work
- ...insurance Senior Director - RCM ONSITE... ...patients to lead healthier and happier... ...benefits tailored for remote professionals. ~... ...payors, Medicare, Medicaid, and MCOs... ...Improve clean claim rates and minimize... ...Metrics (KPIs) Reduction in Days in AR Net...Remote workClaimsContract workRelocation package
$80k - $90k
Clever Care Health Plan, located in Huntington Beach, CA, is seeking a Claims Supervisor to oversee claims processing and staff management. You'll lead the claims processing team, ensure adherence to CMS regulations, and foster professional development among staff. Required...Remote jobClaims$216k - $252k
...building. The Role: Reporting to the Senior Director, Thought Leader Strategy & Partnerships,... ...become a preferred industry partner. Co-lead and execute Commercial Advisory Boards in... ...sites and/or individual(s) or entities claiming to be employees of such companies. Those...Remote workClaimsSummer workWork at officeLocal area- ...Provider Contracting Professional to lead the negotiation and execution of contracts... ...providers in Indiana Medicaid and Medicare. This fully remote role requires strong network management... ...relations, particularly with Medicare claims, and the capacity to manage multiple priorities...Remote jobClaims
$137k - $235.75k
Job Overview Associate Director, North America Regulatory Leader - responsible... ...based in Spring House, PA; remote work options may be considered... ...management activities. Lead and facilitate North American... ...Review labeling content to ensure claims are supported by appropriate...Remote workClaimsLocal area- ...an experienced professional to lead analytics and machine learning projects... ...fraud, waste, and abuse in Medicare programs. The ideal candidate... ...experience in Medicaid and healthcare claims analysis. The position offers flexibility with remote work options and aims to apply...Remote jobClaims
- ...Director Of Revenue Cycle Management Coding Operations... ...priorities to achieve leading practice performance are... ...This position is fully remote. Responsibilities... ...leading practice clean claim creation and submission... ..., as appropriate, cost reduction opportunities Meets budget...Remote workClaimsTemporary work
$194k - $237k
...Position Summary: The Associate Director, Medical Review & Training... ...decks, publications, etc) Lead medical review of promotional... ...materials to ensure claims are scientifically valid, balanced... ...processes, including cycle time reduction, decision transparency, and stakeholder...Remote workClaimsFull timeFlexible hours- ...The Lead Configuration Manager Subject Matter Expert (SME) must be able to meet the key... ...criteria below: # Location: Initially remote support with hybrid support in Suitland,... ...improve compliance, efficiency, and cost reduction through shared licenses, Authority to Operate...Remote workTemporary workWork at officeLocal area
$132.66k - $173.53k
...MN Job Type: Full-time Remote Employment: Flexible/Hybrid... ...Description The Public Works Director serves as the department head... ...they are not covered under Medicare. The IRS limit applies to the... ...funds must be used by the claims deadline. FSA Medical/Health...Remote workClaimsFull timeContract workTemporary workPart timeWork experience placementWork at officeLocal areaFlexible hours$153.72k - $230.58k
Job Description Director Pre Appeals Management-HSO Appeals... ...Street-Full-Time-Days -Remote The Director, Pre... ...Competencies : Proven ability to lead cross-functional teams... ...determination, or claims workflows Fintech/IT:... ...Measurable reduction in clinical submission...Remote jobClaimsFull timeContract workTraineeshipWork at officeLocal area- ...world parks. Join Our Flash Team as a Lead, Technical Product Manager (OS)! We’re... ...platform scalability. Location: Remote, USA Travel: 5% What Youll... ...timelines Advocate for technical debt reduction and long-term platform improvements...Remote workFlexible hours
$107.5k - $188.4k
...Lead Technical Product Manager – Agentic AI is an impactful individual... ...end-to-end. Reporting to the Director of Innovation, you will... ...Experience managing distributed or remote development teams... ...of ready stories and minimal rework Shipped agentic capabilities...Remote workWork at office$225k - $300k
...technology systems. You will lead the technical vision and execution... ...directly influence risk reduction, operational efficiency, and digital... ...into legal workflows such as claims, contracts, and risk... ...assistance programs Fully remote flexibility within the contiguous...Remote jobClaimsFull timeContract work- ...A/R Resolution Specialist Lead The A/R Resolution Specialist... ...as a subject matter expert in claims follow-up, denial management,... ...Rate Timely Follow-Up Rate Rework / Correction Rate Productivity... ...Working Conditions Remote or office-based environment...Remote workClaimsWork at office
- ...approach to R&DThe Associate Director, Epidemiology (HPV)... ...YOU the opportunity to lead key activities to... ...real-world data sources (claims, electronic health records... ...hybrid, with a mix of remote and 3 days a week on-site... ...visit the Centers for Medicare and Medicaid Services (...Remote workClaimsLocal area3 days per week
$117.6k - $161.7k
...of our caring community Lead, Enterprise Data... ...quality outcomes, risk reduction, and time to resolution... ...such as member, provider, claims, clinical, financial, operational... ...position follows a remote work style however the... ...life for people with Medicare and Medicaid, families,...Remote workClaimsBi-weekly payWeekly payFull timeTemporary workWork at officeWork from homeHome office- ...enabling them to meet their carbon reduction and sustainability targets.... ...: Job will require travel to remote locations in South Africa.... ...64 | ****@*****.*** | DIRECTORS: B. DAMES | C. HAW | D.... ...the Employer's interest in any claims (contractual disputes, warranty...Remote workClaimsContract workFor contractorsFor subcontractor
$110k - $140k
...guidance from Centers for Medicare & Medicaid Services (... ...where possible. Lead or co-lead development... ...., Coding Insights and Claims Insights) using billing... ...operationalized in prepay. Reduction in false positives /... ...candidate is selected. #LI-JB1 #LI-Remote #seniorRemote workClaimsWork at officeImmediate startHome office- The HR Director is responsible for leading the day-to‑day execution of all HR operations... ...casework, including intake, claim management, follow‑ups,... ...proactive safety and cost‑reduction strategies Recruiting Operations... ...escalations This is a remote, salaried exempt positio n...Remote workClaimsLocal area
$96k - $192k
...inventing modern air conditioning in 1902, we lead with purpose: enhancing the lives we live... ...warranty-related issues, registering claims, handling training issues and supporting... ...drive quality improvements, warranty ppm reductions and warranty spend. Requirements...Remote workClaimsTemporary workWork at officeLocal area- Overview Technical Program Manager and Metrics Lead - Full Time Management Hybrid - Arlington, VA, US Location: Remote (In the U.S) Hybrid - Arlington, VA... ...initiatives focused on automation, self‑service, and reduction of operational friction. Identify process gaps...Remote workFull timeContract workTemporary workMonday to FridayFlexible hours
$257k - $335k
Director, Medical Science Liaison / Regional Medical Lead - Cardiovascular Remote About Us Kardigan is a heart health company working to make cardiovascular disease preventable... ...STATEMENT: According to the Paperwork Reduction Act of 1995 no persons are required to respond...Remote workContract workFor contractorsFor subcontractorInterim roleWork at officeShift work
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