Remote Senior Claims Program Manager, Health Plan
SCAN
SCAN is seeking a Program Manager - Claims to lead complex, high-dollar claims operations across multiple states. You will drive triage, policy interpretation, and cross-functional collaboration to resolve escalations and improve cost efficiency.
Candidates bring 5+ years in healthcare claims, strong leadership, and expert knowledge of Medicaid/Medicare policies, with a track record in process improvement and data-driven decision making.
#J-18808-Ljbffr$106.2k - $153.71k
Founded in 1977 as the Senior Care Action Network,... ...SCAN is a nonprofit health organization serving... ...we serve.The JobThe Program Manager - Claims is accountable for claims... .... Support staffing plans and resource allocation... ...: Long Beach, CA; Remote, USType: Full timeRemote workHealth InsuranceFull timeFor contractorsWork at officeLocal area$59.81k - $129.59k
...Molina Healthcare of Kentucky is hiring a Program Manager, Health Plan Payment Integrity (Claims & Recovery). This position is remote. Highly Qualified Candidates Will Have the Following - Managed care experience Strong Medicaid experience, Medicare, Marketplace...Remote workHealth InsuranceFull timeTemporary workWork at office$69.45k - $135.42k
...behalf of a partner company, which manages all applications and next steps. Our partner is looking for a Program Manager, Health Plan Payment Integrity (Claims & Recovery) based in the United... ...measurable results. This is a full-time remote position in a highly regulated,...Remote workHealth InsuranceFull timeTemporary workWork at office$140.8k - $202.4k
...Omada Health is on a mission to bend the curve of chronic disease... .... Job overview: The Senior Program Manager, Health Coaching reports to... ...Coaching’s strategy and business planning and data driven continuous-... ...purchasing plan (ESPP) ~ Remote first work from home culture...Remote workSeniorHealth InsuranceFull timeLocal areaWork from homeFlexible hours- ...Navitus Health Solutions seeks a Sr. Account Manager to lead and own operational execution for strategic client accounts... ...-functionally to advise clients on plan design and optimize benefits while... ..., with opportunities for travel and remote collaboration. #J-18808-LjbffrRemote workSeniorHealth Insurance
- ...Mosaic Health, LLC. is seeking a Senior Manager, Claims Health Plan Readiness to lead regulatory compliance and CMS audits for health plans. The role oversees... ...controls and improve performance. The position is fully remote, aligns with Pacific Time business hours, and...Remote workSeniorHealth Insurance
$130.16k - $195.24k
Senior Manager, Claims Health Plan Readiness# Millennium Physician Group Careers## Senior Manager, Claims Health... ...Summary**Work Location: Fully remote. This position requires working standard... ...cross-functional operational programs.· **Extensive knowledge of CMS requirements...Remote workSeniorHealth InsuranceFull timeTemporary work$119.49k - $187.77k
...Senior Implementation Manager, Health Plans Get AI-powered advice on this job and more exclusive features. Base pay range $119,490.00/yr - $187,770.00/... ...PTO plan* Parental leave* 401(k) Flexible working hours Remote‑first company Paid company holidays Free digital...Remote workSeniorHealth InsuranceFull timeFlexible hours$52.19 - $82.39 per hour
...Description Providence is seeking a Senior Claims Manager - Employment Practice Liability ("EPL") for this remote position. The purpose of this... ...0 clinics and a full range of health and social services across... ...a retirement 401(k) Savings Plan with employer matching, health...Remote workSeniorHealth InsuranceFull timeLocal areaShift work$110.5k - $150k
...our ability to pay claims accurately and on... ...and providers. The Senior Manager, Claims... ...desired Knowledge of health insurance claims processing... ...development #LI-remote Salary range: $110... ...dental and vision plan with low or no premium... ...Parental leave program 401K program And...Remote workSeniorHealth InsuranceFull timeContract workInternship$73k - $130k
...about this role: The Claims Compliance Program Manager will oversee and... ...the Claims Compliance Senior Program Manager, you... ...of corrective action plans. Identify opportunities... ...performance #LI-remote Salary range: $73,00... ...Employer sponsored health, dental and vision plan...Remote workHealth InsuranceFull timeContract workWork experience placementInternship$125.4k - $181.42k
Founded in 1977 as the Senior Care Action Network,... ..., SCAN is a nonprofit health organization serving more... ....The JobThe Senior Program Manager - Market Performance supports... ...into operational plans, ensuring consistent... ...SummaryLocation: Long Beach, CA; Remote, USType: Full timeRemote workSeniorHealth InsuranceFull timeFor contractorsWork at office- ...bills. Summary of role: As a Claims Manager, you will be responsible for... ...oversight and management of health claims processing for our... ...claims on behalf of the employer plan and members benefits and will... ...to work from home ~ Remote available for a strong fit...Remote workHealth InsuranceWork at officeWork from home
- ...AMSURG is seeking a Manager, Contracting – Health Plan Relations (West Region) to support managed care contracting, payer negotiations, and contract research for the West Region. This remote role requires coordinating with Directors and Vice President, Contracting to...Remote workHealth InsuranceContract work
$61.6k
...service platform. Our claims and risk... ...Forster’s Accident & Health division (A&H) has... ...individual to join the Program Claims team supporting... ...SBU). This Program Manager will work as part of... ...) for review by Senior Level ManagementOn... ...matchEmployee Stock Purchase plan with employer...Remote workTemporary work- : The Senior Manager, Health Plan Performance (HPP) will play a pivotal role in advancing key business... ...join a collaborative, inclusive and remote-first culture - you've come to the right... ...of service Educational Assistant Program and Clinical Employee Reimbursement Program...Remote workSeniorHealth InsuranceFull timeContract workFlexible hours
- ...About You: Manage strategic roadmap, project governance, schedules... ...Partner across Omada teams to drive programs end-to-end and resolve issues... ...cash bonus, equity, and ESPP. Remote-first culture with flexible... ...off, generous parental leave, health/dental/vision insurance, 401k,...Remote workSeniorHealth InsuranceFlexible hours
- ...About The Role The Claims Manager is responsible for providing strategic... ...objectives. This is a remote position requiring... ...management. Develop training programs and support onboarding for new... ...go beyond the basics. From health plan administration and eligibility...Remote workHealth InsuranceWork at officeFlexible hours
- ...As an Account Manager on our Health Plans Team, you will manage a strategic book of business within our existing health plan and insurance company clients. You will demonstrate the value of our platforms and partnerships to strengthen current relationships and expand our...SeniorHealth InsuranceContract workWork from home
$97.6k - $146.4k
...also offer a company-paid health care concierge service... ...navigate our health plan to make the best decisions... ...• Employee Recognition Program - convert your... ...offers benefits to help you manage daily responsibilities•... ...Lansing MI - West Road; Remote - MichiganType: Full timeRemote workSeniorHealth InsuranceFull timeContract workFor contractorsWork experience placementLocal area$164.7k - $266k
...intelligent agreement management, Docusign unleashes business... ...What you'll do As Senior Program Manager, you will... ...between in-office and remote work. Access to an office... ...for a company bonus plan, which is calculated... ...foster care placementFull Health Benefits Plans:...Remote workSeniorHealth InsurancePermanent employmentFull timeContract workWork at officeLocal area2 days per week$120k - $130k
...offer a company-paid health care concierge... ...navigate our health plan to make the best decisions... ...Recognition Program - convert your recognition... ...to help you manage daily responsibilities... ...join our team as a Senior Program Manager!... ...notice.SummaryLocation: Remote - Pennsylvania;...Remote workSeniorHealth InsuranceFull timeContract workFor contractorsWork experience placementLocal area$89.17k - $142.68k
...The Sr. Behavioral Health Program Manager State Health Plan (SHP) owns the SHP Behavioral... ...UM CM Navigation Appeals Claims and Customer Service; and... ...you flexibility to work remotely with intentional in-person... ...be reported to: . Required Experience: Senior IC...Remote workSeniorHealth InsuranceFull timeWork at officeLocal areaFlexible hours2 days per week- ...Requisition 1 Job Details The Compliance Program Manager is responsible for overseeing compliance... ...the development of corrective action plans. The manager conducts routine... ...Administration Healthcare Administration Public Health Compliance Risk Management or a related...Health InsuranceDaily paidFull timeTemporary workPart timeFlexible hoursShift work
- ...backed by Frist Cressey, Morgan Health, and Andreessen Horowitz.... ...scope and ownership. We work remotely within the US, with a strong preference... .... This Role: Health plans are central to Aradigm’s... ...with our data team. Draft and manage RFP and diligence responses, coordinating...Remote workSeniorHealth Insurance
$11,000 per month
...12 Class Title: SENIOR PUBLIC SERVICE ADMIN... ...) Skill Option: Health and Human Services... ...Services, Bureau of Managed Care is seeking to hire... ...Senior Manager, MCO Plan Performance, HCI & Duals Programs. This role assists... ...many program areas. (Remote work may be an option...Remote workSeniorHealth InsuranceFull timeContract workWork at officeImmediate startMonday to FridayFlexible hoursNight shiftWeekend workAfternoon shift2 days per week$114.2k - $199.9k
...strategic and detail-oriented Senior Ethics & Compliance Programs Manager to lead the design,... ...Strategic thinking and long-term planning capability Problem-... ...location. We also offer health plans, including flexible... ...Work personas (flexible, remote, or required in office)...Remote workSeniorHealth InsuranceFull timeWork at officeImmediate startFlexible hours- ...AdvertisingDetails: ACO MANAGEMENT SERVICES LLC;... ...Day; Prominence Health; Fully remote; 40; USD $81,436.... ...Job Summary: The Senior Manager of... ...Prominence Health Plan's commercial and... ...components of the job: Program Delivery Bid and... ...actuarial support, claims processing), with...Remote workHealth InsuranceWork at officeLocal area
$110k - $160k
...Zurich Canada.If you have claims experience, including experience managing and directing work... ...currently looking for a Senior Claims Manager, Casualty... ....• Support the business planning process for the functional... ...and offer a comprehensive health and benefits plan with varying...SeniorHealth InsuranceWork at officeLocal areaWorldwide3 days per week- ...DescriptionProSidian is a Management and Operations... ...a DOE - NNSA Program Manager - Nuclear... ...- Washington, DC (Remote) to support requirements... ..., DC (Remote) | Senior Consultant - Full-... ...: Your good health and well-being are... ...month towards the plan you elect. Contributions...Remote workSeniorHealth InsuranceFull timeTemporary workFor contractorsWork at officeFlexible hours
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