Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Remote Plan Design Specialist - Claims Systems Expert

Imagine360, LLC

A healthcare solutions provider is seeking a Plan Design Specialist to work 100% remote. The role involves constructing and implementing plan documents, resolving inquiries about plan language, and participating in quality assurance processes. Candidates should have at least 3 years of claims or plan building experience and a high school diploma. Strong organizational skills, as well as written and verbal communication proficiency, are essential. Benefits include multiple health plans, paid time off, and professional development opportunities. #J-18808-Ljbffr

Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Remote Plan Design Specialist - Claims Systems Expert in New York, NY vacancy
  •  ...revenue cycle. The role involves submitting claims, managing A/R, and collaborating with...  ...experience, strong knowledge of management systems, and excellent communication skills. This position offers the flexibility to work remotely and requires availability during US... 
    Remote work
    Claims

    Paired Inc

    New York, NY
    19 hours ago
  •  ...is seeking a Medical Billing & Collections Specialist for a remote, full-time position. The specialist will ensure the accuracy of claim submissions and handle various billing...  ...in a medical setting, proficiency in EMR systems, and strong knowledge of billing and insurance... 
    Remote work
    Claims
    Full time

    Logan Health

    New York, NY
    1 day ago
  •  ...who are highly proficient in the Ezlynx system to join and help build our pioneering team...  ...onboarding, policy renewals, endorsements, and claims tracking. Excellent communication and...  ..., and capable of multitasking in a remote setup. Must be self-motivated and able to... 
    Remote work
    Claims
    Home office

    Genius Agency AI

    New York, NY
    1 day ago
  •  ...unique opportunity to apply your Insurance expertise toward shaping advanced AI systems that replicate real-world workflows across insurance models, policy pricing, risk assessment, and claims operations. We welcome actuaries, underwriters, claims analysts, risk modelers... 
    Remote work
    Claims
    Currently hiring
    Weekday work

    Weekday

    United States
    19 hours ago
  •  ...Efficiency: Our team of 1000+ experts, each with their unique...  ...with your existing systems. We have Centers of...  ...: Dallas, Texas (Remote options available) - Bangalore...  ...processes, insurance claims, and compliance...  ...executing strategic sales plans. Proven selling and... 
    Remote work
    Claims
    Full time
    Part time
    Work at office
    Worldwide

    Plutus Health Inc

    United States
    2 days ago
  •  ...Medicaid Subject Matter Expert This position is a Medicaid Subject Matter Expert for...  ...significant expertise of Medicaid Enterprise System modules and data warehousing or decision...  ...or correct within the system, related to claims, provider, and recipient data. Roles... 
    Remote work
    Claims

    Vergence Group

    United States
    19 hours ago
  • $100 - $120 per hour

     ...UK, Canada, France, Portugal (remote) We are seeking a highly...  ...and detail-oriented Insurance Claims Management AI Expert to join our growing team. This...  ...responsibilities will include designing, implementing, and optimizing intelligent systems across claims intake, investigation... 
    Remote work
    Claims
    Hourly pay
    Contract work
    Part time

    Weekday AI

    New York, NY
    1 day ago
  • A leading technology services provider is seeking a Medical Claims Examiner to join their remote team. This role requires expertise in claims adjudication and the Xcelys system, with a minimum of 3 years of related experience. Responsibilities include processing comprehensive... 
    Remote work
    Claims
    Hourly pay

    NTT DATA North America

    El Paso, TX
    3 days ago
  • $60 - $70 per hour

     ...Mercor is seeking a Remote Insurance Expert to assist in training AI systems for complex insurance document analysis. Ideal candidates are licensed actuaries...  ...various insurance documents such as policy language and claims assessments. This role offers flexibility, allowing... 
    Remote work
    Claims
    Hourly pay

    Mercor Inc

    Wichita Falls, TX
    1 day ago
  •  ...PhD-level Engineering experts to support projects focused...  ...conversational AI systems. In this role, you will...  ...Fact-check engineering claims using reliable public sources...  ...or engineering systems design Experience with AI...  ...technical applications Fully remote with flexible working... 
    Remote work
    Claims
    Weekly pay
    Flexible hours

    Nexus Consulting LLC

    New York, NY
    1 day ago
  •  ...enterprises deploying advanced AI systems. Turing supports customers in...  ...and FDA Regulatory Law experts to join projects that fine-tune...  ...analyzing Stark Law exceptions, False Claims Act liability, and pre-market...  .... Flexible, fully remote work arrangement. Learn how... 
    Remote work
    Claims
    Freelance
    Flexible hours

    Turing

    United States
    3 days ago
  • $21 - $23 per hour

     ...leading global technology services provider is seeking a Claims Examiner to work remotely. This full-time, temporary position requires TPA experience...  ..., with a preference for those familiar with the GBAS system and dental claims. The pay range is $21 - $23 per hour, depending... 
    Remote work
    Claims
    Hourly pay
    Full time
    Contract work
    Temporary work

    NTT DATA North America

    Decatur, IL
    3 days ago
  •  ...Cost Recovery Subject Matter Expert in a remote capacity on the west coast....  .... Review property owner claims of expenditures for eligibility...  ...project‑specific computer systems as needed (specifically...  ...and restore the environment, design sustainable and resilient infrastructure... 
    Remote work
    Claims
    For contractors
    Work experience placement
    Work at office
    Worldwide

    Tetra Tech

    Los Angeles, CA
    2 days ago
  • $100 - $120 per hour

     ...Canada, France, Portugal (remote) We are seeking a...  ...Policy Administration AI Expert to join our team and help...  .... Key Responsibilities Design, develop, and implement...  .... Build intelligent systems for document processing...  ...underwriting principles and claims impact on policy... 
    Remote work
    Claims
    Hourly pay
    Contract work
    Part time

    Weekday AI

    New York, NY
    1 day ago
  •  ...Savvy. Working as an Trade Expert Authorizer, You are a...  ...or delay of the claim. Assists in resolving...  ...trade(s) and mechanical systems: Plumbing - Water Heaters...  ...match ~ Stock Purchase Plan with company match ~...  ...To Qualifiy for remote work, candidates must be... 
    Remote work
    Claims
    Contract work
    Shift work

    Fidelity National Financial

    United States
    2 days ago
  •  ...delivery into one seamless system. Our vision is to make...  ...experience, reducing claims costs while generating...  ...with our data scientists, designers, engineers and product...  .... The Insurance Expert role in Spain The role...  ...working hubs or a full-remote experience with home office... 
    Remote work
    Claims
    Permanent employment
    Live in
    Work at office
    Home office
    Flexible hours

    ALAN

    New York, NY
    1 day ago
  •  ...Product Support Expert IDEAL - French Language Not everyone can claim to feed the world, but it is part...  ...for AGCO systems, including warranty processes...  ...Health care and wellness plans Dental and vision plans...  ...colleagues from Hesston, USA (Remote) We value inclusion and... 
    Remote work
    Claims
    Work at office
    Local area
    Worldwide
    Flexible hours

    AGCO

    United States
    19 hours ago
  •  ...P&C Insurance Claims System Java AWS Developer Location: 100% Remote / Portmouth, NH Contract Long Term • A minimum 10+ years of software...  ...translating business requirements into technical designs. • Agile engineering capabilities and a design-... 
    Remote work
    Claims
    Contract work

    Hallmark Global Solutions Ltd

    United States
    1 day ago
  •  ...INFRASTRUCTURE SUBJECT MATTER EXPERT (DOT): Bowhead seeks...  ...Marine Transportation System (CMTS) Executive...  ...management, infrastructure planning, or related field ~...  ...Hybrid: DOT HQ and remote work Travel up to 25...  ...pursuant to The Alaska Native Claims Settlement Act 43 U.S.C... 
    Remote work
    Claims
    Full time
    Contract work
    Temporary work
    Part time
    For contractors
    Work at office

    UIC Government Services and the Bowhead Family of Companies

    Washington DC
    20 days ago
  •  ...Title: Data Specialist/EDW Medicaid Subject Expert Type: Contract Location: Remote, will need to travel quarterly to Springfield...  ...of Medicaid Enterprise System modules and data warehousing...  ...the system, related to claims, provider, and recipient data... 
    Remote work
    Claims
    Permanent employment
    Contract work

    3B Staffing LLC

    Springfield, IL
    1 day ago
  •  ...MedPOINT Management as a Health Plan Benefits Specialist, where you'll play a vital...  ...benefit inquiries and claims accurately. Collaborate...  ...maintain detailed records in our systems. Support team...  ...certifications or licenses are a plus. This is a remote position.... 
    Remote work
    Claims
    Work at office

    MedPOINT Management

    Sherman Oaks, CA
    4 days ago
  •  ...RAG, and Vector DBs, as well as familiarity with news recommendation systems. Experience with claims processing or metadata extraction projects is highly valued. This position offers a fully remote work environment, emphasizing the importance of mid-senior level qualifications... 
    Remote work
    Claims

    United Software Group

    Minneapolis, MN
    13 days ago
  •  ...setting to review and audit claims, support program...  ...vulnerable populations   Remote work – enjoy the...  ...medical records, treatment plans, and supporting documentation...  ...in electronic systems, generating authorization...  ...required, work at Department-designated locations. The primary... 
    Remote job
    Claims
    Full time
    Temporary work
    Work at office
    Work from home

    HealthSkil

    Harrisburg, PA
    19 days ago
  • $65k - $150k

     ...Veeva Systems is a mission-driven organization and pioneer in industry...  ...Data Management Product Expert team, you will play a key role...  ...roadmap strategy and release planning.Collaborate with Product teams...  ...teams, both in-person and remote.Strong analytical skills and... 
    Remote work
    Work at office
    Local area
    Work from home
    Flexible hours

    Veeva Systems

    Pleasanton, CA
    3 days ago
  •  ...setting to review and audit claims, supportprogram...  ...vulnerable populations Remote work - enjoy the convenience...  ...indicators, and plans of care to determine eligibility...  ...in electronic systems, generating authorization...  ..., work at Department-designated locations. The primary... 
    Remote work
    Claims
    Full time
    Temporary work
    Work at office

    The CKHobbie Group

    Harrisburg, PA
    19 hours ago
  • $60k - $80k

     ...expectations. The Role Planned Giving Specialist / Senior Planned Giving...  ...between in‑office and remote work. This role advances...  ...and accurate tracking systems and files Administer active...  ...accessible Complete claim processes for beneficiary‑designated assets (IRAs, brokerage... 
    Remote work
    Claims
    Work at office
    Immediate start
    Flexible hours
    Night shift
    Afternoon shift

    Guiding Eyes for the Blind, Inc.

    Yorktown Heights, NY
    1 day ago
  •  ...Aerospace and Defense is seeking a SAP Project Costing and SAP Project System SME to join their Digital Transformation Support team. The ideal...  ...strong analytical and stakeholder engagement skills. This is a remote position with competitive pay and the opportunity to work on... 
    Remote work

    ManpowerGroup Global, Inc.

    Waterford, WI
    2 days ago
  • $100 per hour

     ...Position: Software Expert (Operating System) Type: Hourly contract Compensation: Upto $100 per hour Location: Remote Commitment: Flexible hours Role Responsibilities Record screen sessions demonstrating operating system workflows with clear verbal narration. Annotate screenshots... 
    Remote work
    Hourly pay
    Contract work
    Flexible hours

    Crossing Hurdles

    New York, NY
    1 day ago
  • $70 - $100 per hour

     ...Domain Expert - Sales We are especially...  ...the CRM as the system of record for...  ...Mutual action plans and close plans...  ..., an approval claimed in chat but...  ...Sandler, Winning by Design, Command of the...  ...or CPQ-specialist credentials, or...  ...Work Fully remote, contract-based... 
    Remote work
    Claims
    Hourly pay
    Contract work
    Live in
    Flexible hours

    Deeptune

    New York, NY
    10 hours ago
  •  ...technology services provider is seeking an experienced Business Systems Analyst to focus on FIS Systematics applications. The ideal...  ...allows for independent work as well as collaboration in cross-functional teams, including remote team engagements. #J-18808-Ljbffr... 
    Remote work

    TechDigital Group

    New York, NY
    1 day ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Remote Plan Design Specialist - Claims Systems Expert. Be the first to apply!