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.
- Surgery Partners, Inc is hiring a Senior Claims Manager based in Nashville, TN for a hybrid position. This role involves managing malpractice claims, overseeing... ...ideal candidate will have 5-10 years of experience in medical malpractice claims and a Bachelor's degree...SeniorRiskMedicalClaims
- HUMBLE VASCULAR SURGICAL CENTER INC is seeking a Senior Claims Manager for a hybrid role based in Brentwood, TN. You will oversee the handling of malpractice... ...Ideal candidates will have 5-10 years of experience in medical malpractice claims, strong analytical skills, and...SeniorRiskMedicalClaims
- ...Insurance Group is seeking a Senior Trial Attorney to join... ..., partnering with claims professionals and insured... ...to deliver strategic, cost-effective outcomes and... ...representation. This is a hybrid position requiring... ...you need to succeed. Medical, dental, vision, life,...SeniorMedicalClaimsTemporary workWork at officeWork from homeFlexible hoursShift work3 days per week
$90k - $140k
...being an industry leader in pricing sophistication... ...execute required claim processes with... ...identifies and manages risk while eliminating... ...Work Arrangement: Hybrid schedule - 3 days in... ...of the Family and Medical Leave Act (FMLA) and... ...help offset internet costs. When working from...RiskMedicalClaimsFull timeContract workWork at officeRemote workWork from homeWork visaMonday to Friday$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- 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
- Hanover Insurance Group, Inc. is looking for a Senior Sales Underwriter in Nashville, Tennessee. This full-time, hybrid role involves identifying and underwriting Middle... ...client trust. Comprehensive benefits include medical, dental, and a 401K plan. #J-18808-Ljbffr Hanover...SeniorMedicalFull time
$169k - $238k
Senior Project / Construction Manager - US Projects (... ...accountability for safety, quality, cost, and schedule, while... ...of contracts, risks, and changes. Develop... ...contract terms, changes, and claims with customers and... ...and a full range of medical, retirement, and other...SeniorRiskMedicalClaimsRemote jobContract workFor subcontractorWork at office$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
- ...Senior Vice President of Litigation & Risk Management About the Company National healthcare organization providing medical, dental, and behavioral health services to underserved populations... ...multidisciplinary team that handles litigation, claims, insurance, and enterprise risk,...SeniorRiskMedicalClaims
$86.3k - $118.7k
...caring community The Senior Compliance... ...minimize compliance risk exposure for Humana... ...Humana operational leaders and external business... ...operations and/or claims processing within a... ...To ensure Home or Hybrid Home/Office employees... ...benefits, Humana provides medical, dental and vision...SeniorRiskMedicalClaimsBi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeMonday to Friday$78k
...Goodlettsville, TN, is seeking an experienced Claims professional to manage complex litigation... ...with expertise in heavy litigation and medical claim evaluations. You will take... ...counsel and external partners to minimize risk and ensure strong outcomes. The base compensation...SeniorRiskMedicalClaimsRemote job$138.1k - $315.6k
...commercial excellence. This senior role within our... ..., biotechnology, medical device... ...progress, managing risk and ensuring key stakeholders... ..., prescription and claims databases, etc.) Experience... ...in passionate leaders with a strong... ...and leader‑enabled hybrid model. Our expectation...SeniorRiskMedicalClaimsSummer holidayFlexible hours$102.17k - $178.78k
CDM Smith is looking for a Senior Estimator in Nashville, Tennessee, who will prepare and analyze construction... ..., has 8 years of experience, and is skilled in cost control and communication. The position offers hybrid work options for successful candidates, with a competitive...Senior$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$101k - $151.5k
...Sun Life embraces a hybrid work model that... ...Our team members and leaders are expected to foster... ...health, mitigating risk, and supporting... ...like Clinical 360 cost containment measures... ...and Risk solutions claims organization Lead strategic... ...plus High level of medical expertise and...RiskMedicalClaimsWork at officeLocal area2 days per week- ...Description As the Senior Category Manager, you... ...on reducing total cost of ownership... ...processes while mitigating risk through strong... ...to do great work. Medical, dental, and vision... ...Where You’ll Work Our Hybrid Flex approach is built... ...and internet sites claiming to represent Blue...SeniorRiskClaimsWork at officeLocal areaRemote workFlexible hours2 days per week
- ...Insurance Group in Tennessee is seeking a Senior Trial Attorney to join our litigation... ...inception through resolution, coordinating with claims professionals and insured clients to achieve strategic, cost-effective outcomes. This hybrid role requires Tennessee bar admission,...SeniorClaims
$100k - $125k
...Financial Services & Insurance Sr. Claims Specialist, Professional... ...and to manage the total claim costs while providing high levels of... ...including but not limited to, medical, dental, vision, 401k and matching... ...is the world\’s leading risk and claims administration partner...SeniorRiskMedicalClaimsWork at officeLocal areaRemote workFlexible hours$138.32k
...external stakeholders. Manages project costs and is responsible for ensuring profitability... .... On an ongoing basis, monitors project risks and escalates as appropriate. Manages... ...related conditions, childbirth and related medical conditions, sexual orientation, gender...SeniorRiskMedicalContract workWork experience placementFor subcontractorLocal area- ...Senior Actuarial Analyst The Senior Actuarial Analyst will play... ...Duties/Responsibilities Risk Adjustment and Revenue Performance... ...models to forecast future medical cost and revenue and/or evaluate... ...Analyze payor healthcare data (claims, utilization, costs) to...SeniorRiskMedicalClaimsShift work
$90k - $200k
...infrastructure. This position is hybrid in our Atlanta, GA, Nashville... ..., and other contingent claim analysis Strong analytical... ...Coverage: Comprehensive medical, dental, and vision plans.... ...About Kroll Join the global leader in risk and financial advisory solutionsKroll...SeniorRiskMedicalClaimsTemporary work$46.99k - $112.2k
...incidents of FWA arising in connection with medical, behavioral, transportation, and other... ...assist in determining correct coding, review claims, and billing data from all types of... ...claims data to review for potential areas of risk and/or escalation of inappropriate...SeniorRiskMedicalClaimsHourly payFull timeTemporary workWork experience placementLocal area- ...through oversight, risk assessment, and cross... .... Reporting to the Senior Director of... ...the organization. Hybrid position preferred... ...Collaborate with operational leaders to develop, review,... ...Benefits - Medical, dental, and vision... ...while reducing medical costs across the health care...RiskMedicalWork at officeFlexible hours
- ...Legal support and management for warranty claims. Work closely with marketing and... ...identify and analyze legal and commercial risks related to various marketing matters, including... ...tax savings Employee Stock Purchase Plan Medical, Dental, Disability and Life Insurance Holistic...SeniorRiskMedicalClaimsContract workWork experience placementLocal areaFlexible hours
- ...drive the future of medical care through a... ...bringing together leaders to the market place... ...This role is onsite/hybrid in the corporate Nashville... ...status reporting, risk management, and... ...speed, quality, and cost. Partner with architecture... ...partners, and senior leadership...RiskMedicalWork at office
- Humana Inc in Nashville invites a Senior Medical Coding Professional, Inpatient to support payment integrity by reviewing inpatient claims for coding accuracy, DRG assignment, and compliance with guidelines. You report to the Manager, Payment Integrity. You will translate...SeniorMedicalClaimsRemote job
$81.38k - $137.94k
...to be together in person. Our hybrid work environment combines the... ...mix of business, and overall risk management of both individual... ...underwriting, product management, claims, service ops) to identify and... ...Individual Performance) 401(k) Medical Vision Health Savings and...SeniorRiskMedicalClaimsWork at officeRemote workFlexible hoursShift work$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
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