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
- ...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 workClaims
- ...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 workClaimsFull time
- ...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 workClaimsHome office
- ...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 workClaimsCurrently hiringWeekday work
- ...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 workClaimsFull timePart timeWork at officeWorldwide
- ...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 workClaims
$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 workClaimsHourly payContract workPart time- 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 workClaimsHourly pay
$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 workClaimsHourly pay- ...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 workClaimsWeekly payFlexible hours
- ...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 workClaimsFreelanceFlexible hours
$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 workClaimsHourly payFull timeContract workTemporary work- ...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 workClaimsFor contractorsWork experience placementWork at officeWorldwide
$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 workClaimsHourly payContract workPart time- ...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 workClaimsContract workShift work
- ...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 workClaimsPermanent employmentLive inWork at officeHome officeFlexible hours
- ...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 workClaimsWork at officeLocal areaWorldwideFlexible hours
- ...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 workClaimsContract work
- ...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 workClaimsFull timeContract workTemporary workPart timeFor contractorsWork at office
- ...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 workClaimsPermanent employmentContract work
- ...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 workClaimsWork at office
- ...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 workClaims
- ...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 jobClaimsFull timeTemporary workWork at officeWork from home
$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 workWork at officeLocal areaWork from homeFlexible hours- ...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 workClaimsFull timeTemporary workWork at office
$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 workClaimsWork at officeImmediate startFlexible hoursNight shiftAfternoon shift- ...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
$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 workHourly payContract workFlexible hours$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 workClaimsHourly payContract workLive inFlexible hours- ...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
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