Head of Claims & Eligibility Ops (Remote)
Liviniti
- Remote job
Liviniti seeks a Senior Director of Claims and Eligibility Operations to provide strategic leadership across Claims Adjudication, QA, and Eligibility Operations. This executive role oversees performance, quality, and regulatory compliance, partnering with technology on platform priorities and automation initiatives. The role requires deep PBM experience, strong data-driven leadership, and the ability to operate in a remote-capable, enterprise setting with cross-functional collaboration. #J-18808-Ljbffr Liviniti
- ...As Head of Government Contracts at Impulse... ...may be considered for remote work. Responsibilities Serve... ...performance issues, modifications, claims, disputes, and terminations... ...full-time hires, you may also be eligible for long-term incentives, in...Remote workClaimsPermanent employmentFull timeContract workFor contractorsWork experience placementFor subcontractorShift work
$9k
...Job Title: Head Women's Flag Football Coach Department: Athletics Reports... ...-office. NOTE: This position is not eligible for any type of regular remote or teleworking arrangement. LEGAL... ...Church and reserves the right to claim exemption from certain provisions of...Remote workClaimsSeasonal workWork at officeWeekend workAfternoon shift- ...YAMU Media is looking for a Head of Creatives based in the United... ...specific, credible, verifiable claims High-production commercials... ...of employment, you will be eligible for commission , adding an additional... ...web development. We are fully remote and operate on EST hours. To...Remote workClaimsDaily paidFreelanceLocal areaImmediate start
$188k - $235k
...best work of your career.Gong is seeking a Head ofCompensationto help lead the strategy,... ...home stipend to help you succeed in a remote environment.The annual salary hiring range... ...come from the @gong.io domain. Any outreach claiming to be from Gong via other sources should...Remote workClaimsWork from homeFlexible hours- ...health record system, and to obtain benefits and eligibility information from insurers to ensure successful claim payments. The role emphasizes exceptional service... ...environment, with a hybrid schedule (2 days in the office, 3 days remote). #J-18808-Ljbffr Reliable RespiratoryRemote workClaimsWork at office
- ...within health services. You will support prior authorizations, claims processing, and triage of tasks while maintaining high... ...compliance, and customer service. This role offers hybrid work with eligibility for remote work in approved states. #J-18808-Ljbffr WPS Health...Remote jobClaims
- An established insurance client in Austin is seeking a Remote Long Term Care Claims Eligibility Specialist. This position requires 5+ years of claims management experience and a certification/licensure as LVN, LPN, or LSW. Responsibilities include investigating claims,...Remote jobClaimsFlexible hours
- ...review applications and supporting documents, input data into the claim processing system, and support complex and routine disability... ...with external providers and IMRF departments to determine eligibility and benefit amounts. The position emphasizes independent processing...Remote jobClaims
- Boomerang Healthcare’s Manager, Eligibility and Benefits role at Walnut Creek, CA is a senior administrative position overseeing eligibility... ...clinical specialties. You will standardize workflows, reduce claim denials, and ensure accurate patient liability is determined before...Remote jobClaims
$180k - $220k
...available: 1 Source: Rhombus, Inc. Web Site: Onsite / Remote: Work at home all of the time Who You Are As the Head of Channel-East, you will own the strategy and... ...Ensure partners are equipped to handle warranty claims, RMAs and technical support tiering What You'll Bring...Remote workClaimsFull timeWork from homeFlexible hoursNight shift$355.95k - $395.5k
...Thursday. As a perk, we also have up to four weeks per year of fully remote work! Responsibilities: Hire, develop, and manage a... ...reach out via LinkedIn or email with a brex.com domain. Any outreach claiming to be from Brex via other sources should be ignored....Remote workClaimsFull timeWork at officeWork from home$110.89k - $170.04k
...may take place by phone. For remote roles, and at our discretion,... ...you have.We're looking for a Head of Treasury to operate the treasury... ..., and skill set. This role is eligible for an annual performance... ...websites, through fake e-mails claiming to be from the company or through...Remote workClaimsFull timeTemporary workWork at officeWorldwideFlexible hoursShift work- ...accommodation or an alternative application process. Billing & Eligibility Specialist - Nashville - Hybrid/Remote 7 days ago Requisition ID: 1700 About Lucent Health Lucent Health combines top-tier claims management with a compassionate, human-focused, data-driven...Remote jobClaimsWork at office
$160k - $200k
...You own collections, denial rate, clean claim rate, and days in A/R, and are responsible... ...leakage at the source—across intake, eligibility, authorization, documentation, and coding... ...candidates open to relocation), but are open to remote candidates for this role as well....Remote workClaimsContract workRelocationFlexible hoursShift work- Overview The HT Group has partnered with an established insurance client in Austin, TX looking for a Remote Long Term Care Claims Eligibility Specialist who is experienced, detail-oriented, and customer-focused to review and manage claims of varying complexity. This is...Remote jobClaimsWeekly payTemporary workWork at officeFlexible hours
- ...bargaining agreements (CBAs), trust documents, eligibility rules, and regulatory requirements. The... .... This position is a fully remote role, with occasional travel required for... ...individuals, organizations, and internet sites claiming to represent Brighton Health Plan...Remote workClaimsFull timeLocal areaFlexible hours
- ...Business Ops Specialist Northern Virginia/Washington, DC Metro Area Start Your... ...years Location: While this role is primarily remote, candidates must reside within a... ...about the legitimacy of a communication claiming to represent Via Logic, please verify the...Remote workClaimsFull timeContract workLocal area
$87.36k - $104k
The Manager of Eligibility & Benefits directs the daily operations of the insurance verification... ...entry, and eliminating front-end office claim denials. Additionally, the manager... ...or on the date of service. *This is a remote role What you will do: Supervise, train...Remote workClaimsWork at office$35.36k - $43.68k
...communities we serve. The Job The Eligibility Coordinator - SCAN Temp will maintain... ...correcting or updating data received on daily claims error report, unassigned PCP list and... ...to $21.00 per hour Work Mode: Mostly Remote Medical Benefits Paid Sick Time...Remote workClaimsHourly payTemporary workFor contractors- ...will import charges, code diagnoses and procedures, and follow up with insurers to resolve claims while maintaining patient account accuracy. The role supports a hybrid/remote option after six months at management discretion, with a focus on accuracy, timely submissions...Remote jobClaims
- ...Specialist to verify all patient benefits, load insurance details, and coordinate between payers and providers. You will run test claims, identify authorizations, and enroll patients in copay programs, ensuring accurate coverage data for each prescription. Preferred candidates...Remote jobClaims
- ...information in the EHR and obtain benefits verification to support claim payments. The role requires strong attention to detail and... ...office locations, as this is a hybrid position with two days in the office and three days remote. #J-18808-Ljbffr Reliable RespiratoryRemote workClaimsWork at office
- Selective Insurance is seeking a Manager, Complex Claims to lead a team of Complex Claims Specialists across multiple offices, including Scottsdale, AZ. The role focuses on directing claims workflow, ensuring timely settlements, and maintaining budgetary controls while...Remote jobClaims
- ...seeking a Clinical Coding expert to conduct retrospective medical claims review for inpatient and outpatient services. This role supports... ..., ensuring accurate DRG assignment and coding determinations. Remote work is available with a Department of Defense background check...Remote jobClaims
- A leading operations management firm is seeking a Remote Operations Supervisor to manage a team and ensure efficiency in workflow. Candidates... ...in operations, particularly in healthcare benefits or claims processing. Responsibilities include developing policies, mentoring...Remote jobClaims
$200k - $210k
...efficiency and simplicity to claims. Founded by insurtech veterans... ...Candidates must reside in an eligible U.S. state throughout employment... ...Operations Partner with People Ops to assist with corporate... ...this role is: 200,000 - 210,000 USD per year (Remote (Atlanta, GA) )Remote workClaimsContract work$60.01k - $69.99k
...Working Title: BEHAVIORAL HEALTH CONSULTANT OPS - 60933458 Pay Plan: Temp... ...meet the minimum qualifications. ~ If claiming Right to First Interview, candidate MUST... ...on or after October 1, 1962, will not be eligible for hire or promotion into an authorized...Remote workClaimsHourly payTemporary workInternshipWork at officeLocal area- ...efficiency and simplicity to claims. Founded by insurtech veterans... ...Candidates must reside in an eligible U.S. state throughout employment... ...needs across Product, Claims, and Ops. Identify and drive... ...transparency, and empowerment in a remote-first environment At...Remote workClaimsShift work
- Auto-Owners Insurance is seeking a Field Claims Representative to work in the Oakland area with a focus on property claims across an assigned territory. The role involves field investigations, evaluating coverage and losses, and coordinating with agents and insureds to...Remote jobClaims
- ...our Specialty Infusion Pharmacy and work Remotely (USA). Join us in Simplifying Complex... ...Mountain Time. Experience running test claims and calculating HCPC codes required.... ...including but not limited to verifying patient eligibility, test claim adjudication, coordination...Remote jobClaimsFull timeContract workImmediate start
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