Senior Medical Claims Leader — Hybrid (Risk & Cost)
Surgery Partners, Inc.
Surgery Partners, Inc. is looking for a Senior Claims Manager to oversee malpractice claims and ensure timely handling of claims from intake to closure. This hybrid position is based in Brentwood, TN, requiring on-site work Monday through Wednesday. The ideal candidate will have 5-10 years of experience in medical malpractice claims management, a bachelor's degree in a related field, and strong analytical skills. Responsibilities include managing insurer communications, conducting evaluations, and generating reports to reduce future claims exposure. #J-18808-Ljbffr Surgery Partners, Inc.
- ...healthcare provider is seeking a Medical Malpractice/Professional Liability Claims Program Manager for their Brentwood... ...rolling diary of claims, working with risk managers, and ensuring timely... ...handling. The opportunity offers a hybrid schedule with competitive compensation...RiskMedicalClaimsWork at office
- ...Financial/Actuarial Senior Analyst you will... ...including medical, dental, life, disability... ...alongside leaders in the industry.... ...analysis, design, cost avoidance, risk and funding strategies... ...and reliable claim reporting and financial... ...work in a ”hybrid” style, with a mix...SeniorRiskMedicalClaimsTemporary workWork at officeLocal areaRemote workFlexible hours
- ...Services business. As a Senior Product Cost Estimator, you will... ...exposure to internal leaders and external customers... ...business acumen through risk identification, deal... ...Evendale Ohio or can be hybrid or remote US Only.... ...Healthcare benefits include medical, dental, vision, and...SeniorRiskMedicalRemote work
$90k - $140k
Inside Auto Claims Service Leader (Hybrid- Nashville, TN)Skip to main contentThis website... ...identifies and manages risk while eliminating barriers... ...provisions of the Family and Medical Leave Act (FMLA) and... ...reimbursement to help offset internet costs.When working from home, you...RiskMedicalClaimsFull timeContract workCasual workWork at officeRemote workWork from homeWork visaMonday to Friday- Hanover Insurance Company is looking for a Senior Sales Underwriter for the Middle Market department in Nashville... ...experience and strong sales skills. We offer a hybrid work model with comprehensive benefits, including medical, dental, and a 401K with company match. #J-18808...SeniorMedicalFull time
- ...HealthRules Payer claims system Implementation... ..., benefits, and medical management (GuidingCare... ...that issues and risks are managed and mitigated... ...high-quality and cost-effective... ...with project sponsor, leaders, and team members from... ...Waterfall, Agile, SaFe, Hybrid). Perks...SeniorRiskMedicalClaimsFull timeLive outRemote workFlexible hours
$23.16 per hour
...and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with established... ...payment request. Refers the claim to the cost containment and RxOps departments for... ...insurance claims 3 years of experience with medical terminology Preferred: 3 years of...SeniorRiskMedicalClaimsFor contractorsWork at officeLocal area- ...department is seeking a Senior Sales Underwriter... ...role. This is a Hybrid position. Position... ...s customers manage risk. Demonstrates a thorough... ..., reinsurance costs and branding). Prepares... ...utilize Claims, Risk Solutions and... ...Benefits include: Medical, dental, vision, life...SeniorRiskMedicalClaimsFull timeTemporary workLocal areaWork from home
$130.9k - $218.1k
...As a Business Analytics Senior Manager, you’ll lead a... ...approaches for understanding medical cost trends, provider... ...cost drivers, trends, risks, and affordability opportunities... ...partner to senior leaders by proactively... ...and knowledge of medical claim coding and provider reimbursement...SeniorRiskMedicalClaimsRemote jobWork from home- ...engage in activities tied to risk selection and customer service... ...distribution network. The Senior Production Underwriter is responsible... ...business. Monitor premiums, costs and claims ratios per contract and take... ...available. Competitive Medical, Dental, Vision, Disability and...SeniorRiskMedicalClaimsContract workRemote workNight shift
$93.6k - $154.5k
...commercial excellence. This senior role within our... ..., biotechnology, medical device... ...Senior Managers manage risk and helping ensure... ..., prescription and claims databases, etc.) Experience... ...in passionate leaders with a strong vision... ...and leader‑enabled hybrid model. Our expectation...SeniorRiskMedicalClaimsSummer holidayFlexible hours- ...Senior Vice President, Benefits About the Company Global risk management firm helping clients navigate complex risks with creative... ...strategic risk analytics claims advocacy bermuda market... ...Significant experience in the medical stop loss, self-funding, or benefits...SeniorRiskMedicalClaims
- NACBA in Nashville, TN is looking for a Medical Underwriting Leader responsible for managing risk evaluation for the MedPremier/Boon medical product portfolio. The role involves overseeing a team, ensuring competitive proposals, and collaborating with actuarial teams. The...SeniorRiskMedicalFull time
$90k - $140k
...performance and execute required claim processes with expertise. The... ...identify and manage risk. Develop, maintain, and analyze... ...with occasional Saturday work; Hybrid schedule: 3 days in office (Mon... ...orientation, marital status, medical condition, military or veteran...RiskMedicalClaimsFull timeCasual workWork at officeRemote workWork visaMonday to Friday- ...Financial/Actuarial Senior Analyst ~202603... ...including medical, dental, life, disability... ...alongside leaders in the industry.... ...analysis, design, cost avoidance, risk and funding strategies... ...and reliable claim reporting and financial... ...work in a ”hybrid” style, with a mix...SeniorRiskMedicalClaimsFull timeTemporary workWork at officeLocal areaRemote workVisa sponsorshipWork visaFlexible hours
$94.3k - $109.5k
...elevate care, control costs, and support long-... ...into the future. Senior Strategic Finance Analyst... ...and prospective risk contracts,... ...month (PMPM) revenue, medical expense trends, and... ...team to interpret claims data, identify cost... ...business operations leaders to measure performance...SeniorRiskMedicalClaimsTemporary work$67.9k - $182.55k
...community at a time. A Brief Overview Leads medical underwriting strategy and execution... ...Supplemental Health Large Group division, managing risk evaluation and financial performance for... ...reporting on earned premium and incurred claims. Approves medical underwriting...SeniorRiskMedicalClaimsHourly payFull timeTemporary workLocal area- ...that per our policy on hybrid/virtual work, candidates... ...members for high risk complications and coordinates... ..., to insure cost effective and efficient... ...permissible. Interfaces with Medical Directors, Physician Advisors... ...with providers, claims or service issues. Directs...RiskMedicalClaimsContract workTemporary workWork at office
$100k - $125k
...respected, physician-led medical group practicing in 400... ...audits, monitors high‑risk billing areas (e.g., E/... .... About the Role The Senior Manager, Compliance &... ...a strategic compliance leader and subject‑matter expert... ...requirements False Claims Act requirements Stark...SeniorRiskMedicalClaimsLocal areaImmediate startRemote workFlexible hoursShift work$67.9k - $199.14k
...strategic ownership of Claims workforce... ...closely with senior leadership and... ...may be remote or hybrid anywhere in the... ..., staffing risk, and operational... ...matter expertise to leaders and... ...service, quality, cost, and compliance... ...position include medical, dental, and vision...SeniorRiskClaimsHourly payFull timeTemporary workRemote work$165k - $200k
...experience and proprietary risk modeling capabilities... ..., TN office on a hybrid basis. What You Will Do... ...cross-functional teams and senior management. Demonstrated... ...differ based on the cost of labor in that location... ...lactation and related medical conditions), national origin...RiskMedicalWork at office- Responsibilities (This role has a hybrid schedule with 3... ...careers. As a leader in acute care and... ...for motivated Medical Malpractice/Professional Liability Claims Program Manager to... ...given time. Work with Risk and Defense counsel... ...claim ensuring cost control of the attorney...RiskMedicalClaimsWork at officeLocal areaRemote workFlexible hours
- Senior Accounts Receivable Representative TeamHealth Location: Louisville, TN (Hybrid) Employment Type: Full Time Posted 8 months, 2 weeks ago... .... Minimum two years previous medical billing experience with emphasis on research and claim denials in Accounts Receivable...SeniorMedicalClaimsFull time
- ...Health combines top-tier claims management with a... ...participants to make smarter, cost-saving healthcare... ...analysis to identify trends, risks, and opportunities.... ...analysis to departmental leaders for real-time decisions... ...childbirth and related medical conditions), gender...RiskMedicalClaims
$80k - $105k
Fortitude Re in Nashville, TN is seeking a Sr. Actuarial Analyst to join their Life Enterprise Risk Management team. This hybrid role involves performing valuations, financial reporting, and assisting with the Actuarial Development Program (ADP). The ideal candidate holds...SeniorRisk$69.6k - $92.4k
...Responsibilities Manages an inventory of claims to evaluate compensability/... ..., GA office which offers a hybrid work environment (4 days in... ...in Business Administration, Risk Management and Insurance,... ...time employees have access to medical, dental, and vision coverage,...SeniorRiskClaimsFull timePart timeSeasonal workWork at officeRemote work$50k - $55k
...experience and proprietary risk modeling capabilities... ...Fortitude Re. The Senior Specialist, Consumer Affairs... ..., TN office on a hybrid basis. What You Will Do... ...may differ based on the cost of labor in that location... ...lactation and related medical conditions), national origin...SeniorRiskMedicalFull timeWork at officeRemote workWork from home$130k - $190k
...business-minded legal leader to serve as the... ...quickly while managing risk. You'll partner... ...direct exposure to senior leadership and the... ...escalations, employment claims, pre-litigation... ...Health Coverage: Medical, dental, and vision... ...the position, and cost of labor. Annual...SeniorRiskMedicalClaimsContract workTemporary workWork at officeLocal areaRemote workFlexible hours$72.5k - $108.8k
...Description Sun Life embraces a hybrid work model that balances... .... Our team members and leaders are expected to foster... ...week. The Opportunity The Senior Manager, Life & Disability Claims is part of the Claims Management... ...and ensuring the accurate risk management of disability...SeniorRiskClaimsContract workWork at officeLocal areaFlexible hours2 days per week$92k - $126.5k
...management of subcontract-related risks. Prepares bidder lists,... ...Subcontractor risk and assist with any claims or disputes. Works... .... Supervises the work of less senior subcontract administrators who... ...future. Employees have access to medical, dental, vision, and basic life...SeniorRiskMedicalClaimsFull timeFor subcontractor
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