Senior Health Claims & Stop-Loss Operations Lead
$68.2k - $102.3kCrains Cleveland
Sun Life is seeking a Senior Manager for Stop Loss and Health Claims to lead a dynamic claims unit in Wellesley, Massachusetts. In this role, you'll manage complex claims operations, develop staff, and collaborate with key business partners. The ideal candidate has over 5 years of relevant experience in medical stop loss or health insurance claims, along with proven leadership skills. This position offers a salary range of $68,200-$102,300, depending on skills and experience. #J-18808-Ljbffr Crains Cleveland
$68.2k - $102.3k
...management, life, supplemental health, medical stop-loss insurance, and healthcare... ...partner dental practices and operate nationwide. Visit our website... ...AK. The opportunity: The Senior Manager, Stop Loss and Health Claims leads our dynamic claims unit. In this...SeniorClaimsWork at officeLocal areaFlexible hours$23.16 - $35.88 per hour
A leading healthcare organization in Boston is seeking a claims analyst to review and process Stop Loss (Excess Risk and Reinsurance) claims. The role involves building client relationships... .... Candidates should have 5 years in health insurance claims and familiarity with...SeniorClaimsHourly pay- Sun Life Financial in Wellesley, Massachusetts, is seeking a Claims Processor to review and determine eligibility for Stop Loss claims. The ideal candidate will bring 3-5 years of experience in medical claims processing and strong communication skills. This role focuses...ClaimsFlexible hours
$23.16 per hour
...evaluates, and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround... ...organization, efficiency of claim operations, and adequacy of systems and... ...relevant, progressive experience in health insurance claims ~3 years of...SeniorClaimsFor contractorsWork at officeLocal area$54.1k - $81.2k
...management, life, supplemental health, medical stop-loss insurance, and healthcare... ...dental practices and operate nationwide. Visit our website... ...responsible for reviewing claims, interpreting and comparing... ...vacation and sick time, market-leading paid family, parental and...ClaimsContract workWork at officeLocal areaFlexible hours$78.6k - $117.9k
..., life, supplemental health, medical stop-loss insurance, and healthcare... ...dental practices and operate nationwide.Visit our... ...opportunity:In the Senior Clinical Risk... ...experience to review claims, underwriting prospects... ...and sick time, market-leading paid family, parental...SeniorClaimsWork at officeLocal areaFlexible hours2 days per week- Sun Life Financial is seeking a Senior Underwriter, Stop Loss in Nashville, TN. This role involves evaluating and pricing Stop Loss insurance, managing documentation, and partnering with sales teams. The ideal candidate has 4+ years of Medical Stop Loss underwriting experience...Senior
$129.2k - $193.8k
...management, life, supplemental health, medical stop-loss insurance, and healthcare... ...partner dental practices and operate nationwide. Visit our... ...week. Director, Stop Loss Claims Responsible for our multi... ...of client service * Lead projects to improve claims processing...ClaimsLocal areaFlexible hours2 days per week$85.2k - $127.8k
...management, life, supplemental health, medical stop-loss insurance, and healthcare... ...dental practices and operate nationwide.Visit our website... ...profitability goals to join us in a Senior Underwriter, Stop Loss role... ..., you will be part of the leading direct provider of stop...SeniorLocal areaFlexible hours- HM Insurance Group is seeking a Senior Vice President (SVP) of Underwriting, responsible for profitability and revenues of the stop loss business. The ideal candidate will have over 10 years of underwriting experience, develop and execute product line strategies, and manage...Senior
$76.2k - $114.3k
...management, life, supplemental health, medical stop-loss insurance, and... ...partner dental practices and operate nationwide. Visit our... ...The opportunity: The Senior Manager, Insurance and Claims Advocacy is a pivotal... ...In this role, you will lead a comprehensive advocacy...SeniorClaimsLocal areaFlexible hours$108.8k - $163.2k
...Sr Claims Analyst FL - CV08DE We're determined... ...Financial Lines Senior Claims Analyst - Allied Health Professional Liability... ...escalate matters to Team Lead/management per... ...knowledge of claim loss cost management initiatives... ...Word and Excel Operate under the mindset of...SeniorClaimsTemporary workWork at officeRemote work3 days per week$67.9k - $182.55k
CVS Health in Boston seeks a Senior Manager for IT Operations to enhance technical health across critical technology platforms. This role focuses on operational... ...ideal candidate will have 7+ years in IT operations, leading technical programs, and a Bachelor's degree. The...Senior$72.5k - $108.8k
...management, life, supplemental health, medical stop-loss insurance, and... ...partner dental practices and operate nationwide. Visit... ...Opportunity The Senior Manager, Life & Disability Claims is part of the Claims Management... ...you will do: * Leads, manages, hires, trains...SeniorClaimsContract workWork at officeLocal areaFlexible hours2 days per week$135k - $155k
Overview This role leads operations strategy and service design for Core Administration... .... You will work closely with health plan executives, operations... ...sales pursuits. You Are : A senior health plan operations... ...operating models spanning claims, enrollment, billing, provider...ClaimsPermanent employmentFull timeWork at officeRemote work$63k - $94.5k
...Manager (AM) For Health & Risk Solutions Client... ...(SC), Stop Loss Specialists (SLS),... ...Underwriting, Clinical, Claims, and Premium teams... ...partnership with Senior Account Managers,... ...communities where we operate. We encourage applications... ...sick time, market-leading paid family,...ClaimsContract workWork at officeLocal areaFlexible hours2 days per week$18.5 - $42.35 per hour
...CVS Health in Boston, MA is seeking a dedicated individual for the Medical Claims position. You'll review and adjudicate complex medical claims while ensuring compliance... ...essential support to customer service operations. The ideal candidate possesses at least 18 months...SeniorClaimsHourly payFull time- Boston Children's Hospital seeks a Physician Billing Specialist responsible for the timely submission and collection of physician claims. The ideal candidate will have a solid background in surgical billing, engage with patients to resolve billing issues, and demonstrate...SeniorClaims
$78.1k - $117.2k
...management, life, supplemental health, medical stop-loss insurance, and healthcare... ...partner dental practices and operate nationwide. Visit our... .... The opportunity: The Senior Account Manager for our Health... ...strong client relationships, lead day-to-day account strategy...SeniorWork at officeLocal areaFlexible hours$73.6k - $107.25k
Markel Corporation in Boston is seeking an experienced Claims Examiner with 7-15 years of claims handling experience. The successful candidate... ...a 15% bonus potential. Enjoy competitive benefits including health insurance, a 401(k) plan, and parental leave. #J-18808-Ljbffr...SeniorClaims$25.48 - $60.63 per hour
...Description Oracle Health Principal Consultant -... ...health system. You will operate independently to provide... ...company procedures, and leading practices while working... ...processes using the stop-start-continue methodology... ...healthplan design, and claims resolution. Career...SeniorClaimsHourly payTemporary workWork experience placementLocal areaRelocationFlexible hours$46.99k - $112.2k
CVS Health is seeking a Senior Investigator to conduct complex investigations involving healthcare fraud and abuse. The candidate will investigate Medicaid-related claims, analyze data, and collaborate with law enforcement agencies. Required qualifications include over...SeniorClaimsFull time- Arnex Solutions LLC is seeking a Senior MMIS Business Analyst in New Hampshire. This hybrid role requires at least 5 years of business analysis experience along with expertise in healthcare EDI claims and data management. The ideal candidate will work on multiple projects...SeniorClaimsLocal area
$145k - $175k
A biotech company in Cambridge is seeking a Sr. Manager, Clinical Operations to oversee clinical trial planning and execution. The role requires at least 5 years of experience in Clinical Operations, strong project management skills, and an understanding of ICH-GCP guidelines...Senior$140.3k - $189.7k
A leading biotech company is seeking a Sr. Manager of Clinical Operations in Cambridge, MA to oversee clinical trials from inception to completion. The role requires... ...timelines, and team dynamics to ensure compliance with health regulations. Competitive salary range of $140,3...Senior$92.4k - $172.1k
...Senior Consultant, Employee Health & Benefits Location: Boston (101 Huntington Ave.) or Worcester (100... ...the global resources of the world's leading professional services firm, Marsh McLennan... ...and voluntary benefits. Analyze claims data and benchmark information to...SeniorClaimsMinimum wageWork at officeLocal areaRemote workNight shift- ...The Senior Manager of Value-Based Contract Modeling... ...contracts within Population Health Finance. This role... .... The position operates under the strategic direction... ...datasets, including claims, enrollment, and risk score... ...ideas, we choose to lead. All qualified applicants...SeniorClaimsContract work
$62.7k
...account support for HM Insurance Groups' Stop Loss Business Unit, facilitating the seamless... ...implementation of stop loss policies, group changes, claims issues, premium remittance, and other... ...Preferred ~ Experience in health care, insurance or sales ~3-10 years of...SeniorClaimsFor contractorsWork at officeLocal area- ...Boston Health Economics, Inc. (BHE) is a leading research and consulting firm specializing in the economic evaluation... ...are accepting applications for a Senior Healthcare Analyst/Project Manager.... ...databases of all types (e.g., claims, surveys, clinical trials) Participate...SeniorClaimsWork at officeFlexible hours
- Senior Associate or Manager, Health Economics and Value Communication Location: Boston, MA (Hybrid) Experience... ...companies, ranging from start-up to leading multinational organizations. We... ...and evidence gaps; Analyze/ evaluate claims and survey data; Support development...SeniorClaimsFull timeFlexible hours
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