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
$190k - $275k
...collaboration - among underwriting, claims, and shared services teams -... ...underwriting leader to head our E&S Binding team. As the leader... ...flexibility to work one day remotely. Core in office days are Tuesday... ...reimbursement. Full-time and eligible part-time employees also enjoy...Remote workClaimsFull timePart timeSeasonal workWork at officeLocal area$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$165k - $175k
...Description Description: Head of Revenue Cycle Management... ...Vascular/Vein, & OBL) Location: Remote Reports to: Director of Finance... ...processes, optimize clean claim rates, and navigate the specific... ...• Implement robust patient eligibility verification at the point of scheduling...Remote workClaimsContract workWork at officeLocal area- ... 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
$190.3k - $285.5k
Head of Disability & Voluntary Benefits Claims Operations (Finance) Job Classification: Operations - Insurance Operations Location: Open to remote or hybrid candidates within the U.S. Candidates should... ...of the purchase period). Eligibility to participate in a discretionary...Remote workClaimsPart timeWork at office$240k - $290k
...innovation. Experience #LifeatRealChem. Head of Creative Studio & AI-Enabled... ...Operating Model: Work with ops lead to optimize the creative... ...precision, consistency, claim sensitivity, review readiness,... ...Some positions offer hybrid or remote flexibility, while others require...Remote workClaimsWork experience placementWork at officeLocal area2 days per week- ...- Major League Volleyball Head Athletic Trainer Northern California... ...' compensation reporting, claim communication, authorization,... ...athletic training program and eligibility under all current professional... ...for flexible scheduling and remote opportunities This position...Remote workClaimsTemporary workFor contractorsSeasonal workLive inImmediate startFlexible hoursAfternoon 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
$9k
Job Title: Head Women’s Flag Football Coach Department: Athletics Reports To:... ...-office. NOTE: This position is not eligible for any type of regular remote or teleworking arrangement. LEGAL AND... ...Church and reserves the right to claim exemption from certain provisions of...Remote workClaimsSeasonal workWork at officeWeekend workAfternoon shift- A growing insurance company in Austin, Texas is seeking a Claims Eligibility Specialist - Clinical to review and manage long term care claims. Candidates should have at least 5 years of experience in claims management and possess a bachelor's degree in a relevant field...Remote jobClaims
- ...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
- ...AMERICA INC is seeking a strategic, data-driven Head of Revenue Cycle Management to oversee the... ...expanding multi-specialty practice. This remote role offers direct visibility to executive... ...who can scale processes, optimize clean claim rates, and navigate complex regulatory...Remote jobClaims
- ...is a leading provider of long-term care claims processing and is seeking a qualified candidate... ...determine initial and ongoing claimant eligibility. You will review medical records, verify... ...to plan language and regulations. Remote work options may be available; Associates...Remote jobClaims
$188k - $235k
...each quarter. ~ Work from home stipend to help you succeed in a remote environment. The annual salary hiring range for this... ...communications will always come from the @gong.io domain. Any outreach claiming to be from Gong via other sources should be ignored. Gong is...Remote workClaimsWork from homeFlexible hours- 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
- 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
$150k - $250k
...integrated operating model. About the Role We are looking for a senior claims executive to lead Corgi's claims organization. You will own... ...professionals and support staff working from our offices and in remote locations across the country. This is a leadership role with...Remote workClaimsFull timeLocal areaImmediate start$180k - $220k
...to any organization. Who You Are As the Head of Channel-East, you will own the strategy... ...partners are equipped to handle warranty claims, RMAs and technical support tiering What... ...a channel team Location This is a remote position open to candidates based in the...Remote workClaimsWork from homeFlexible hoursNight shift- Location: London; New York or Remote U.S On-Site/Remote| Full-time Compensation: $150K -... ...Administrator (TPA) that is redefining how claims operations are managed globally. Backed... ...client is seeking an ambitious, hands‑on Head of Claims to lead, redesign, and scale their...Remote workClaimsFull timeWork at officeVisa sponsorshipSkilled worker visa
- ...Description About Lucent Health Lucent Health combines top-tier claims management with a compassionate, human-focused, data-driven... ...changing environments Summary : The Billing/Benefits Eligibility Specialist is a key part of the department’s successful...Remote jobClaimsWork at office
- CLAIMS ELIGIBILITY SPECIALIST - CLINICAL (Full Time, Hourly, Non-Exempt) Looking to join a growing company dedicated to helping others? We offer... ...a difference in the lives of others! We are also open to remote candidates! About Continental General: The Continental General...Remote workClaimsHourly payFull timeTemporary workWork at office
$16 - $19 per hour
...experienced in insurance verification, claim follow-up, and resolving payer issues? Do... ...matters? Join GetixHealth as an Insurance Eligibility & Follow-Up Specialist and help ensure... ...Potential Start Date: 9/14/2026 Location: Remote (Must pass an internet speed test/ we...Remote workClaimsHourly payFull timeTemporary workWork experience placementWork at officeMonday to FridayFlexible hours- Burrell Behavioral Health in Kirksville, MO is seeking an Insurance Billing Specialist to prepare, review, and submit insurance claims for private payers, audit claims for accuracy, and maintain comprehensive billing records. This role involves monitoring reimbursements...Remote jobClaims
$103.6k - $177.8k
...protections, carrier events, tracking signals, or claims processes.Carrier and network risk:... ...into controls—such as risk rules, eligibility changes, claims logic, holds and review... ...department/team performance, and market factors.Remote roles are not eligible for U.S. visa...Remote workClaimsImmediate startVisa sponsorship- 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
- Creative Ops Lead — Brand, Content Systems & AI Workflows Remote · Contractor · Long‑term opportunity New ERA Digital Marketing helps painting contractors across... ...owns: truth taste founder voice brand meaning claims proof offers positioning final public-facing...Remote workClaimsFor contractorsLocal area
- Radiologist - 100% Remote Join Cleveland Clinic’s Division of Diagnostic Radiology as we... ...We are seeking Board Certified or Board Eligible Radiologists to work remotely,... ...requests for payment or personal details claiming to come from reputable organizations. Please...Remote jobClaimsFreelanceRelocation packageFlexible hoursAfternoon shift
- ...Role Overview As an Eligibility & Benefits Specialist , you will be responsible for or verifying... ...patient financial experience, reduce claim denials, and support efficient revenue... ...~ Experience working successfully in a remote work environment with the ability to...Remote workClaimsFull time
$17 - $21 per hour
...SCAN Health Plan Eligibility Coordinator - SCAN Temp Founded in 1977 as the Senior Care... ...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 work$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
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