Health Plan Operations Consultant — Epic & Claims Expert
$130k - $170k100 Impact Advisors LLC
100 Impact Advisors LLC is seeking a Strategy & Operations Managing Consultant for Health Plan Operations to enhance healthcare outcomes by optimizing claims processing. This role requires collaboration with healthcare clients, ensuring seamless integration of operating systems, and leading teams. Ideal candidates will have 3–5 years' experience with Epic Tapestry/FACETS, strong organizational skills, and an understanding of healthcare market segments. The position offers a salary ranging from $130,000 to $170,000. #J-18808-Ljbffr 100 Impact Advisors LLC
$130k - $170k
Impact Advisors, LLC - Strategy & Operations Managing Consultant - Health Plan Operations Impact Advisors, LLC is a nationally... ...to optimize and support their claims processing operations by configuring, analyzing, and troubleshooting Epic Tapestry, FACETS, and other core...EpicClaimsHealth Insurance$91k - $210k
...recognized healthcare management consulting firm delivering Best in... ...Revenue Integrity Operations Excellence Epic Consultant to join our team... ...application to increase clean claim rate, reduce denial rates and... ..., including the electronic health record charge links to the...EpicClaims- ...The Epic Professional Billing (PB) Certified Build... ...cycle leadership, clinical operations, and IT teams to ensure... ...a large, multi-entity health system. Key... ...schedules, charge routing, claim configuration, edits, and... ...insurance, retirement plans, paid time off, and professional...EpicClaimsHealth InsurancePermanent employmentFull timeRemote work
$185.8k - $296.1k
...to our diverse team of experts and are looking to hire... ...exceptional underwriting, claims, and risk management... ...~ Proven ability to operate effectively in ambiguous... ...to employees, including health insurance coverage, an... ...match, retirement savings plan, paid holidays and paid...ClaimsHealth InsuranceTemporary work- ...healthcare solutions provider is seeking a Plan Design Specialist to work 100% remote.... ...Candidates should have at least 3 years of claims or plan building experience and a high... ...are essential. Benefits include multiple health plans, paid time off, and professional development...ClaimsHealth InsuranceRemote job
$750 per month
...within the Turquoise Health Customer Success... ...who already operates with a strategic mindset... ...management, or consulting experience with customers... ...Account Planning: Partner with the... ...payer contracting, claims workflows, reimbursement... ...with EHR systems (Epic, Cerner,...EpicClaimsHealth InsuranceRemote workWork from homeFlexible hours- ...ServiceNow. Payer & Provider HIPAA, Health Insurance Exchange, Medicare,... ...Eligibility & Enrollment, Health Plan Benefits, Electronic Medical Records, Claims, Data Marts, Data Warehouse, and Analytics... ...HIS Systems- Meditech and Epic, Managed Care System-Facets, ERP-...EpicClaimsHealth Insurance
- ...Adjuster in New York to investigate advanced automobile accident claims. Responsibilities include determining coverage and negotiating... ...experience with homeowner liability claims, and familiarity with EPIC is a plus. Applicants should be eager to grow their adjuster career...EpicClaims
$75.2k - $119k
...About Judi Health Judi Health is an enterprise... ...and health plans, including: Capital... ...consolidates all claim administration‑related... ...a subject matter expert through deep intellectual... ..., analytics, and operational needs into a... ...backlog refinement, epic planning, and...EpicClaimsHealth InsuranceWork experience placementLocal areaRemote workFlexible hours$65k - $85k
...across the United States. We operate offices across multiple... ...out‑of‑network surgical claims, and partner directly... ...receivable Experience with Epic EMR preferred M&D Capital... ...benefits package, including health, dental, vision, employee assistance plan, paid family leave, short...EpicClaimsTemporary workWork at officeFlexible hours- ...leader is seeking a Stop Loss Underwriter to evaluate, price, and manage risk for self-funded health plans. The role requires collaboration with sales, clinical, policy, and claims teams to ensure profitable underwriting. Candidates should have 2+ years of underwriting...ClaimsHealth Insurance
- ...Recovery Specialist to handle resolution of motor vehicle and health insurance claims. This remote role involves managing accounts, identifying... ...proficiency with claims collection, and preferred experience with EPIC software and Microsoft Office. Competitive benefits are...EpicClaimsHealth InsuranceRemote jobWork at office
- ...government payers on denied, underpaid, or otherwise unresolved claims and collecting insurance claim balances for the client. This position... ...'s or Bachelor's Degree preferred. Hands-on experience using Epic, Cerner, Invision, Soarian, McKesson, Allscripts, Meditech, and...EpicClaimsRemote work
- ...changes lives. As a management consulting and technology firm... ...collective of thinkers and experts shaping life-changing solutions... ...ZS. Strategy Insights & Planning Consultant - Health Plan ZS\'s Insights &... ...we live it. Within ZS, HPP operates like a mission-oriented start...Health InsuranceWork experience placementLocal areaWork from homeWorldwideFlexible hours
- ...ServiceNow. Payer & Provider - HIPAA, Health Insurance Exchange, Medicare,... ...Eligibility & Enrollment, Health Plan Benefits, Electronic Medical Records, Claims, Data Marts, Data Warehouse, and Analytics... .... HIS Systems - Meditech and Epic, Managed Care System - Facets, ERP...EpicClaimsHealth Insurance
- ...The Planet Group is seeking an Epic Resolute PB Analyst for a 6-month fully remote contract opportunity. The analyst will focus on supporting... ...include configuring charge capture workflows, managing claims, and developing reporting tools. Strong knowledge of professional...EpicClaimsContract workRemote work
- ...of the nation’s leading health care organizations and build... ...responsibilities of the Epic Tapestry system for the health plan and managed care... ...tapestry link, triplets, AP claims, and vendor contracts This... ...translate administrative and operating requirements specific to...EpicClaimsHealth InsuranceRemote jobContract workWork experience placementWork at officeFlexible hours
$105.3k - $184.4k
AXA XL is seeking a Senior Claims Specialist in New York City. This professional will manage complex insurance claims, specifically in the area of Lawyers Professional Liability. Responsibilities include evaluating claims, determining case strategies, and maintaining communication...Claims- Direct Jobs in Georgia is seeking a Rev Cycle Specialist II to handle complex account follow-up and claims resolution. The ideal candidate will have at least 3 years of billing experience and a high school diploma. Responsibilities include reviewing insurance claims, account...Claims
$28 - $34 per hour
...Claims Advocate page is loaded## Claims Advocatelocations: 3 Sylvan... ...provided by the Claims Lead.* Update EPIC with all claim details,... ...dimension of your life, from your health and finances to your family... ...Immediate vesting in a 401(k) plan; Health Savings Account (HSA)...EpicClaimsHealth InsuranceImmediate startFlexible hours$65k - $95k
...providers thrive through expert revenue cycle management,... ...familiarity with the full claims lifecycle. Key... ...receivable Experience with Epic EMR preferred This position... ...benefits package, including health, dental, vision, employee assistance plan, paid family leave, short...EpicClaimsTemporary workWork at officeFlexible hours- Ryan Specialty, LLC is seeking a Contract Loss Adjuster to play a critical role in our claims operations. The ideal candidate will conduct field inspections, evaluate crop damage, and ensure compliance with MPCI program guidelines. Responsibilities include collecting data...ClaimsContract work
$21 - $24 per hour
...In current position, utilizing EPIC as billing system * 1+ years... ...underpaid, or unresolved insurance claims. This position requires a... ...Auditing Industries Hospitals and Health Care, Public Health, and... ...community knowledge in a new way. Experts add insights directly into...EpicClaimsHealth InsuranceContract workRemote workMonday to Friday$130k - $150k
...About Snapsheet Snapsheet is claims technology the way it should be... ...to define, groom, and execute epics & features that drive the most... ...Choose from 2 robust medical plans through Blue Cross Blue Shield... ...enroll in our high‑deductible health plan. Offer two dental plans...EpicClaimsHealth InsuranceFull timeTemporary workCasual workLocal areaRemote workVisa sponsorshipWork visaFlexible hours- ...Specialist, MVA, is responsible for resolving motor vehicle and health insurance claims from a variety of hospital providers, including facility and... ...EOBs and appealing underpayments preferred. Experience with EPIC software preferred Experience with Microsoft Word and Excel...EpicClaimsHealth InsuranceTemporary workRemote workWork from home
- ...highly skilled professionals assist with claims processing and submission, denials management... ...+ years experience in a CBO environment. Epic experience required. Qualifications... ...level Employment type Contract Job function Health Care Provider Industries Hospitals and...EpicClaimsContract workInterim roleRemote work
- ...Medical Biller is responsible for proactively managing insurance claim follow-up activities to ensure timely and accurate reimbursement... ...with in-house systems or EMR/EHR platforms, especially EPIC, is preferred. Strong organizational skills and attention to detail...EpicClaimsRemote workFlexible hours1 day per week
$22 - $28 per hour
...’re currently seeking a Claims Processor who will be responsible... ...claims, following health plan policies and procedures, consulting with team members, care... .... Become an in-house expert on all claims-related matters... ...Support teams. Identify operational issues and elevate them...ClaimsHealth InsuranceHourly payRemote work- ...Application Development in New York. This position involves configuring and maintaining EMR and billing applications to ensure efficient claims processing. The ideal candidate will have at least 2 years of relevant IT experience, strong analytical, problem-solving, and...EpicClaims
- ...Logan Health is seeking a Medical Billing & Collections Specialist for a remote, full-time position. The specialist will ensure the accuracy of claim submissions and handle various billing responsibilities. The role requires 1+ year of experience in a medical setting,...ClaimsFull timeRemote work
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