Healthcare Claims Team Lead - Hybrid, Data-Driven Coach
Gainwell Technologies
Gainwell Technologies is seeking a Claims Service Supervisor to oversee a healthcare claims processing team, ensuring accurate adjudication and regulatory compliance. You will provide leadership, coaching, and quality oversight while driving continuous improvements and service excellence. The role is hybrid, primarily work-from-home with occasional in-office work. Expect collaboration with multiple departments, adherence to SLAs, and regular performance evaluations. #J-18808-Ljbffr Gainwell Technologies
$60k - $82.04k
...companies need great teams to propel... ...Summary As a Claims Service... ...operations of healthcare claims processing... ...leadership, coaching, quality... ...Supervise and lead a team of healthcare... ...performance data to identify... ..., metrics-driven claims environment... ...as needed. Hybrid role is...DataClaimsFull timeCasual workWork at officeWork from homeMonday to FridayFlexible hours- WelbeHealth is seeking a Principal Data Analyst (Healthcare Economics) to lead data-driven insights that improve participant outcomes and cost efficiency. You will translate claims and utilization data into actionable analytics, partnering with clinical and operational...DataClaims
- A leading healthcare insurer is looking for a Senior DevOps Analyst to enhance operations and streamline the... ...with stakeholders and development teams. This is a full-time position based in California, offering a hybrid work environment and the opportunity to engage...DataFull time
- ...Clinical Manager with BCBA credentials to lead ABA teams, develop individualized treatment plans,... ...collaboration with families and providers, data-driven progress, and maintaining compliant documentation and certifications. Hybrid work model with caregiver and client...Data
- ...Compliance Specialist to join the Compliance Risk Management team. This hybrid role supports multiple U.S. locations and focuses on... ...candidate has substantial experience in compliance risk management, data-driven analysis, root-cause investigations, and strong #J-18808-...Data
$75k - $110k
...Sky. When you join our team, you’ll work across our... ...Decision Sciences to use data to power decision-making... ...of the Peacock business Lead ad hoc analyses to answer... ...promotes a culture of data-driven decision-making across... ...or subscription) a plus Hybrid: This position has been...DataWork at office3 days per week$80k - $120k
...mission to improve the healthcare experience for... ...built tools, and a team-based model of care... ...collaborative, purpose-driven group that’s... ...analyzes, and synthesizes data from various... ...actuarial role is the lead in partnering with... ...with Cozeva, internal claims and Power BI,...DataClaimsLocal area- ...and its to help healthcare providers get... ...vehicle accident claims, workers'... ...success is our team. Our teammates... ...building a results driven environment where... ...a team within leads operations focused... ...standards Coaching & Development... ...daily operations Data-driven mindset...DataClaimsPermanent employmentRemote workShift work
- ...Lyra Lyra Health is the leading provider of mental... ...reduction in overall healthcare claims costs. Lyra is transforming... ..., physicians, and coaches across the US. With... ...participate in team meetings, contribute... ...comprehensive member care. Data‑Driven Practice and...DataClaimsRemote jobContract workFor contractors
$92.3k - $153.9k
...McKesson is an impact-driven, Fortune 10 company that touches virtually every aspect of healthcare. We are known for delivering insights... ...Investigation, Prior Authorization,Claims Assistance, and Appeals) and... ...expectation. This trended data is also reported quarterly to...DataClaimsWork at officeRemote work$90.82k - $145.31k
...Opportunity We are a mission driven community-based... ...the future of healthcare where you'll be an... ...Financial Compliance team, helping to strive... ..., manage insurance claims and maintain... ...for the department. Leads the annual renewals... ...business units, compiling data for applications...DataClaimsFull timeContract workTemporary workWork at officeLocal areaRemote workFlexible hoursWeekend workAfternoon shift2 days per week$80k - $120k
...mission to improve the healthcare experience for... ...built tools, and a team-based model of care... ...collaborative, purpose-driven group that’s... ...analyzes, and synthesizes data from various... ...actuarial role is the lead in partnering with... ...with Cozeva, internal claims and Power BI,...DataClaimsLocal area$46.99k - $122.4k
...Position Summary As a Healthcare Encounter Analyst - Senior for claim reconciliation in... ...integrity of the data within those files.... ...innovative solutions are driven from this research... ...people and leading conference calls, when... ...of our CVS Health team, you will be empowered...DataClaimsHourly payFull timeTemporary workWork experience placementLocal area- ...Estimating, Risk Analysis, Claims avoidance and Mitigation... ...is in Pomona, CA. Hybrid-Remote (Tuesday and Wednesday... ...contact for the project team ensuring effective... ...and team coordination. Lead planning, monitoring, and... ...Updates project documentation data in files and multiple...DataClaimsFor contractorsWork at officeRemote workRelocation
- ...with independence. The role focuses on administering the new PAGA employer cure process and resolving claims efficiently. The position is based in Sacramento, with a potential hybrid telework schedule at the supervisor's discretion. #J-18808-Ljbffr State of CaliforniaClaimsRemote work
$39.18 - $56.73 per hour
Progressive Insurance in California is looking for a claims specialist to manage large-loss injury claims. You will... ...professionals to resolve complex claims and support your team while having the flexibility of a hybrid work model. The ideal candidate will have 6+ years of...ClaimsHourly pay$123.09k - $184.8k
...Digital Member Experience team is reimagining our... ...experience and leading the transformation of the healthcare industry. The Product... ...requirements documentation, data analytics, member... ...initiatives across claims, benefits, and other... ...products preferred Hybrid This role requires...DataClaimsFull timeTemporary workPart timeWork at officeLocal areaWork from homeHome office2 days per week$33 - $39 per hour
A leading insurance provider is seeking a Workers Comp Adjuster in California. Responsibilities include investigating claims, reviewing medical bills, and ensuring timely payments. The ideal candidate... ...and advancement opportunities in a hybrid work environment. #J-18808-Ljbffr...Claims$104k - $143k
...The Market Finance Lead is a necessary financial... ...financial results, claims experience, use... ...performance data to identify opportunities... ...Qualifications 3 or more years healthcare economics or value... ...managing a team Knowledge of... ...To Ensure Home Or Hybrid Home/Office Employees...DataClaimsBi-weekly payFull timeContract workTemporary workApprenticeshipWork at officeWork from homeHome office- ...of People Magic | Builder of Teams, Cultures, & Jedi Councils |... ...Talent Whisperer | HR Innovator | Data-Driven Dreamer Why Levin &... ...caseload of workers’ compensation claims from inception to resolution.... ...Angeles office with a flexible hybrid schedule Life at Levin &...DataClaimsCasual workWork at officeFlexible hours
- Xeris Pharmaceuticals, Inc. is seeking an Area Business Specialist to lead territory sales and engagement with healthcare providers. The role requires a strategic, data-driven approach to identify undiagnosed or untreated patients and drive timely therapy initiation within...Data
- ...United States seeks a senior finance professional to lead automated financial reporting initiatives,... ...processes, and manage client engagements. You will guide teams on financial systems, coach staff, and drive data-driven decisions while ensuring internal controls and...Data
- Stanford Health Care seeks a Lead Reporting Analyst to design, develop, and maintain patient... ...SHC leaders, clinicians, and service-line teams to deliver self-service dashboards,... ..., and advanced analyses on a modern cloud data platform (Databricks lakehouse) using Tableau...Data
- A leading outdoor apparel brand is seeking an Affiliate Marketing Manager to lead the growth of their... ...marketing, strong negotiation skills, data analysis proficiency, and is passionate about sustainability. This hybrid position allows for flexible work arrangements...DataWork at officeFlexible hours
- MercerWell Senior Lead Consultant is a hybrid role within MercerWell Practice at Mercer. The position requires in-office availability at least three... ...engagements, oversee delivery, strategy, procurements, and data analytics, and drive revenue growth with new and existing...DataWork at office3 days per week
$200k - $235k
...235,000.00 Annually Healthcare is increasingly unaffordable... ...for building and leading UHSM’s first internal clinical... ..., policies, and team supporting end-to-end utilization... ...escalations. Use data to identify process... ...utilization trends, claims data, clinical review data...DataClaimsFull time- About us Foodsmart is the leading Foodcare platform in the U.S., built to deliver nutrition-driven healthcare at scale. Powered by a national network of Registered... ...Happen - You act with urgency, use data, and hold high standards. One Team - You collaborate with respect and...DataPart time
- ...a dedicated Physician Services Advisor to join our Riverside team. The hybrid role supports internal service lines for a network of physicians... ...across departments to resolve access, coding, and claims issues while traveling up to 75% within the region. #J-18808...ClaimsWork at office
$35 - $45 per hour
...and the interdisciplinary care team to identify documentation... ...monitoring administrative and clinical claims documentation to support... ...requirements, and applicable healthcare laws. Support regulatory and... ...documentation, and quality-improvement data. Promote a culture of...DataClaimsHourly pay$153k - $229k
...What you'll be doing: Lead the strategy,... ...equip global sales teams to effectively articulate... ...into clear, value-driven business narratives... ...methodologies. Data-driven mindset with... ...ecosystems. Where We Work Hybrid: In this role, our... ...falsely claim to represent Zendesk...DataClaimsWork at officeLocal areaRemote workWorldwideHome office
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