Senior Claims WFM Lead: Forecasting & Capacity
$67.9k - $199.14kCVS Health
CVS Health in Annapolis, Maryland, seeks a workforce management expert to optimize claims operations. This role involves forecasting demand, staffing models, and resource optimization. Collaborating with senior leadership, you'll drive process improvements and deliver insights for operational decisions. Required qualifications include 7+ years of experience in workforce management and strong analytical skills. The position offers a competitive salary range from $67,900 to $199,144, along with comprehensive benefits. #J-18808-Ljbffr CVS Health
- ...analysis position in Annapolis, Maryland. This role involves performing in-depth financial and business-related research, preparing forecasts, and assessing financial reports. Ideal candidates will possess a Bachelor's degree or relevant experience and 7-10 years in...SeniorWork at office
- The Hispanic Alliance for Career Enhancement seeks a Workers Compensation Claims Team Lead to manage claims across MD, VA, DC, WV, and DE. The role requires a minimum of 5 years in claims management, with responsibilities including supervising teams and ensuring compliance...SeniorClaimsFlexible hours
$67.9k - $199.14k
...strategic ownership of Claims workforce management by... ...analytical expertise to forecast demand, develop capacity and staffing models,... ...Workforce Management (WFM), partnering closely with senior leadership and cross‑functional... ..., and scalability. Leads workforce planning...SeniorClaimsHourly payFull timeTemporary workRemote work$132.4k - $198.6k
The Hartford is seeking a remote Senior Staff Attorney to litigate cases in Maryland and the District of Columbia. This position targets... ..., managing cases independently, and closely collaborating with claims partners. The team emphasizes personal growth and outstanding customer...SeniorClaimsRemote job- ...analysis that transform our customers' capacity and capability in harvesting and harnessing... ...Analysis & Cost Management Analyze claims data, utilization reports, and trend analyses... .... Assist with long-range benefits forecasting and budgeting. Participate in benchmarking...SeniorClaimsTemporary workFor contractorsWork at officeLocal areaImmediate start
- Jobtailor is seeking a senior Paid Media lead in Maryland to manage end-to-end digital campaigns, emphasizing video ads across Google, Meta, and CTV. The role requires strategic testing, budget forecasting, and cross-functional collaboration to align with broader brand...Senior
$80k - $95k
...Senior Account Manager - Commercial Lines Hybrid Preferred: 1-2 days in Columbia, SC office... ...be required to work onsite in a hybrid capacity as there may be occasions when on-site presence... ..., policy administration, billing, claims, and coverage analysis. Manage policy expirations...SeniorClaimsFor contractorsRemote work- 6AM City, LLC is seeking a Senior Closeout Specialist in Maryland. The role involves reviewing specialized contracts, providing contract... ...contract closeouts. Responsibilities include preparing closeout documentation and negotiating claims as needed. #J-18808-Ljbffr...SeniorClaimsContract work
$23.16 - $35.88 per hour
Highmark Health seeks a Stop Loss Claims Analyst in Annapolis, Maryland. This role involves reviewing and processing various claims while maintaining client relationships and ensuring adherence to standards. The successful candidate will have 5 years of health insurance...SeniorClaimsHourly payWork at office- A leading insurance firm is looking for a Claims Adjuster in Maryland to manage claims and provide top-tier customer service. You'll investigate and resolve complex workers compensation claims while working remotely. Ideal candidates should have a minimum of 5 years of...SeniorClaimsRemote work
- ...Senior AI Engineer Anywhere Type: Contract Category: Data Industry: Insurance... ...AI engineering team to reimagine the claims lifecycle with AI and Generative AI. This... ...intelligent capabilities to expand our clients’ capacity and accelerate meaningful outcomes. We...SeniorClaimsHourly payContract workLocal areaRemote work
$90k - $100k
Ryder System, Inc. is seeking a Claims Analyst to handle complex bodily injury and property damage claims. The role involves investigating claims, directing defense strategies, and ensuring compliance with laws affecting claims. The ideal candidate will have a minimum...SeniorClaims- Engle Martin and Associates, LLC. seeks a Senior Casualty/Property Liability Adjuster to manage liability claims in the Washington DC/Baltimore area. This field‑based position involves evaluating coverage, determining liability, and ensuring compliance with legal requirements...SeniorClaims
$46.99k - $122.4k
...for a dedicated professional to manage complex health care fraud investigations. This full-time role involves preventing fraudulent claims, preparing cases for review, and cooperating with law enforcement. Applicants should have 3 years of experience in health care...SeniorClaimsFull time$94k - $160k
Prime Therapeutics is seeking a Sr. Data Solution Product Owner to lead product initiatives within pharmacy claims data. In this role, you will manage key discovery features, convert insights into actionable items, and guide your team towards effective deliverables. The...SeniorClaimsRemote job$113k - $132k
Cognizant is hiring a Senior Facets Configuration Analyst for a remote role in Annapolis, Maryland. This position involves configuring and validating healthcare claims on the Facets platform. Candidates should have experience in claims setup and a strong understanding of...SeniorClaimsRemote job- ...LLC seeks an experienced intelligence analyst to conduct all-source CI analysis, integrating information from multiple sources to forecast threats and provide warnings to U.S. interests. The role requires collaboration with DoD/IC processes, development of analytic products...Senior
$130.18k - $212.18k
Senior Manager, Specialty FinanceSkip to main contentGEICO uses cookies... ...cost dynamics* Plan and forecast - model capabilities and initiative... ...partners (e.g., Distribution, Claims, Reserving, Pricing Analytics)... ...Leadership & Development**Lead, mentor, and develop team members...SeniorClaimsHourly payWork experience placementWork at officeLocal area3 days per week- Humana Inc is seeking a Senior Encounter Data Management Professional in Annapolis, Maryland... ...Medicaid encounter management. This role leads a team, enhances submission accuracy, and... ...experience in Medicare and Medicaid claims, strong data analysis skills, and a proven...SeniorClaims
- ...minimum of 5 years in the field, and exceptional analytical and negotiation skills. Responsibilities include representing clients in claims, conducting legal research, and drafting necessary documents. The firm values professionalism and advocacy for workers' rights. #J-...SeniorClaimsPermanent employment
- Humana Inc. is seeking a Senior Medical Coding Professional, Inpatient to support payment integrity by reviewing inpatient claims for coding accuracy, DRG assignment, and compliance with official guidelines. You will report to the Manager, Payment Integrity. The role involves...SeniorClaimsRemote job
- A leading benefits consulting firm is seeking a Senior Account Executive in Maryland. The ideal candidate will have a Bachelor's degree and over 7 years of experience in client service and claims management. The role requires managing complex client accounts, delivering...SeniorClaimsWork at office
$18.5 - $42.35 per hour
CVS Health in Maryland seeks a Senior Coordinator for their Minute Clinic Accounts Receivable. This full-time position involves managing medical claims, ensuring compliance, and implementing process efficiencies. The ideal candidate will have a solid background in medical...SeniorClaimsHourly payFull time- Senior Tax Controversy Attorney Our Tax Controversy Practice represents individuals, businesses, and nonprofit organizations in disputes... ...hearings, trust fund recovery penalties, and innocent spouse claims. Interact with clients and government agencies in a professional...SeniorClaimsLocal area
$100k - $125k
A leading risk and claims administration company is seeking a Sr. Claims Specialist to manage complex claims in Annapolis, MD. The role involves analyzing professional liability claims, negotiating settlements, and coordinating legal defense. Candidates should possess a...SeniorClaimsRemote job$67.9k - $199.14k
...an exciting opportunity for a Senior Informatics Manager to join... ...team! In this role, you will lead and execute complex data analyses... ...medical and pharmacy claims, encounter, provider, and membership... ...development of data models, forecasting approaches, and performance...SeniorClaimsRemote jobHourly payFull timeTemporary workWork experience placementLocal area$100k - $231.54k
...Integrity Informatics is seeking a Lead Director - Revenue Integrity... ...analytics team. This senior‑level role will provide strategic... ...reporting frameworks using claims, encounters, pharmacy, and clinical... ..., predictive modeling, forecasting, trend analysis, and opportunity...ClaimsHourly payFull timeTemporary workLocal area$143.65k - $179.57k
...SOLV Energy seeks a Senior Relay Technician responsible for testing, commissioning, and troubleshooting within electrical substations and Battery Energy Storage Systems. This remote role requires extensive travel across job sites and expertise in protective relays and...SeniorRemote work- UKG (Ultimate Kronos Group) is looking for a Lead Presales Demo Solutions Technologist in Annapolis, Maryland. The role involves configuring and maintaining demo datasets for UKG Pro WFM, collaborating with presales and sales teams to enhance the demo experience. The ideal...
$62.9k - $139.3k
CGI Federal is seeking a Senior Logistician to provide expert-level logistics leadership for the U.S. Army’s Next Generation Command and Control (NGC2) program. You will manage logistics support, ensuring systems are supportable across all modernization phases. The ideal...Senior
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