Senior Manager, Claim & Provider Data Management
Pailin Group Psc
A healthcare management organization in Missouri seeks a Manager of Claim/Provider Data Management. This role involves overseeing provider data management services, ensuring compliance with healthcare standards, and leading the department's staff. Candidates should have experience in healthcare regulations and a relevant degree. The position offers a full-time opportunity to contribute to organizational success. #J-18808-Ljbffr Pailin Group Psc
$135k - $170k
...on Cubic.com.Job Details:Manage and support complex and... ...performance issues, including claims, changes, and terminations, with minimal senior leadership intervention.... ....Ability to provide workable solutions to address... ..., alignment with market data, applicable bargaining agreement...DataSeniorClaimsContract workFor subcontractorWork at officeLocal area- ...County. CHCN functions as the managed care MSO for our health centers... ...meet their missions of providing the best possible care to their... ..., information technology, and data analytic services. Position Title... ...with information received from claims, prior authorization data, internal...DataClaimsFull timeTemporary workWork at officeFlexible hours
- ..., and more. Our goal is to consistently provide our customers with innovation, education... ...Job Description Position Overview: The Senior Manager, Marketing - Plastic Surgery is responsible... ...(digital, print, events, sales) using data‑driven approaches to improve ROI and...DataSenior
- ...performance, access programs, and business impact. Analyze claims, HUB, specialty pharmacy, and syndicated data to identify access barriers and patient journey... ...analytics experience across Market Access, Managed Markets, Commercial Analytics, Trade, or Patient Services...DataSeniorClaimsRemote jobContract work
- Gold Coast Health Plan is seeking a dedicated individual to manage complex provider disputes and claims adjustments. This role requires a minimum of 5 years' experience in claims processing and a strong understanding of provider dispute resolution regulations. The successful...SeniorClaims
- ...Us Founded in 1967, Gardner Management is a privately held owner and... ...California. We pride ourselves on providing high-quality communities and... ...deductions and employee data Manage and respond to unemployment... ...and workers’ compensation claims Coordinate and track employee...DataClaimsLocal area
$192k - $238k
...Freshworks is looking for a Senior Product Marketing Manager to own the go-to-market strategy and narrative... ...difference between a message and a claim, between differentiation and noise... ...and ethnicities. We are committed to providing equal opportunity and believe that diversity...SeniorClaimsLive inFlexible hours$136k - $172k
Sila, located in California, is seeking a Senior HR Business Partner to align HR... ...effectiveness and foster a positive culture while providing expert HR guidance. This role requires a... ...HR Business Partner experience and strong data analytics skills. The starting base pay is...DataSenior- ...Responsibilities Provide strategic HR partnership including commercial leaders and team,... ...policies and processes. Coach and advise managers and leaders on issues including restructuring... .... Ability to analyze and translate data into actionable insights. Hard Skills HR...DataSenior
- ...review meetings. Drives the pursuit of claims and change orders, tracks and reports on... ...the project. Directs project contract management to review, address and resolve contractual... ...employees by mentoring, coaching, providing feedback and evaluating performance. Performs...SeniorClaimsContract workFor subcontractorWork at office
$76.5k - $95.7k
...engineering firm in California seeks a Senior Project Specialist to provide advanced project controls and... ...role involves construction support and data analytics, requiring 5+ years of relevant... .... Key responsibilities include managing documentation, developing dashboards...DataSenior- ...GDI Insurance Agency, Inc. is seeking a Senior Account Manager - Employee Benefits who is client-... ...working with TPAs, carriers, stop-loss providers, and benefits administration platforms... ...other compliance-related matters Analyze claims experience, utilization trends, and...SeniorClaimsFull timeWork at office
- ...Los Angeles, CA Position Description Senior PM has full responsibility to manage and oversee all aspects of the most... ...; develops, modifies or provides input to project plans; implements... ...and risk management; configuration, data, and information management; information...DataSenior
$150k - $195k
...is looking for an Underwriting Manager to join the team in Southern... ...Support, Risk Control, Legal, Claims, and other internal partners to... ...equity, geography and market data. In addition to base salary, UFG... ...This pay range disclosure is provided in accordance with applicable...DataClaimsContract workTemporary workWork at officeLocal areaRemote work$26.5 - $33.5 per hour
...Excel skills and the ability to manage confidential information with... ...benefit records and ensure data accuracy across HRIS and benefits... ...benefit plans, eligibility, claims issues, and general benefit questions... ...education meetings with plan providers and employees. Create and...DataClaimsHourly payCurrently hiringLocal area- ...Overview Project Manager II (Engineering) PM2CM, Inc., (Project Management... ...services company dedicated to providing Program and Project Management... ..., Estimating, Risk Analysis, Claims avoidance and Mitigation,... ...Updates project documentation data in files and multiple software...DataClaimsFor contractorsWork at officeRemote workRelocation
$139.64k - $197k
...local recruiters and country managers to design scalable hiring infrastructure... ...all staffing pipelines, provide real‑time visibility into... ...recruiting metrics frameworks, and use data to drive continuous... ...reporting and insight. Partner with senior business leaders across...DataSeniorFull timeWork at officeLocal areaRemote workFlexible hours$130k - $150k
...and Waterproofing, LLC provided pay range This range... .... Commercial property management companies and owners have... ...Statistics census data requests, OSHA 300 logs... ...Workers’ Compensation claims, and participate in claims... ...and inclusivity. Seniority level Mid-Senior level...DataClaimsFull timeWork at officeLocal area$76.3k - $127.1k
...Summary Field Reimbursement Manager (FRM) is responsible for... ...Reimbursement and Patient services by providing assistance with patient... ...Investigation, Prior Authorization, Claims Assistance, and Appeals) and... ...topics for client expectation; data is reported quarterly to...DataClaimsWork at officeRemote work- ...promoting products. About the Role The Senior Product Marketing Manager position is to accelerate the... ...Insights & Product Strategy: Analyze market data and consumer behavior to identify... ...for people development drives us to provide a supportive and innovative environment...DataSeniorFull timeLocal area
$148k - $235.75k
...computing platforms, synthesizing sophisticated data into clear product launch readiness assessments for engineering, product management, and executive partners Drive the... ...ahead of launch Mentor junior team members and provide strategic guidance on technical communication...DataSenior- ...Job Overview The Personal Lines Account Manager I provides critical support to clients, manages a... ...underwriters and carriers as needed. Troubleshoot claims and billing issues. Ensure overall... ...agency management systems; ensure data accuracy. Prepare annual review reports...DataClaimsWork at officeLocal areaFlexible hours
- NTT DATA Business Solutions is looking for a Senior SAP Account Executive to manage accounts and sales of SAP services. You will deliver exceptional solutions to clients... .... An attractive compensation package will be provided, promoting work-life balance and flexibility....DataSeniorRemote job
- Responsibilities Provide technical leadership to your teams for design and architectures for building... ...for seamless integration with partners Manage engineering teams delivering on the IAS’s mission concerning ad data quality Lead a team of engineers to design, build...DataSenior
- ...media future for all people by providing powerful, essential insights... ...intersection of media, technology, and data, helping the world's largest... ...advertising solutions. As Senior Director Advertising Sales,... ...revenue targets. Forecast and manage sales pipeline with data fluency...DataSenior
$135k - $140k
...Capio Group is looking for an experienced Senior Project Manager! Full-time employee - Remote Salary: $1... ...will manage a consultant team and provide leadership and oversight across all phases... ...and a solution that provides a secure data exchange interface with multiple external...DataSeniorFull timeRemote workFlexible hours$90.9k - $193.5k
...global scale. Role Overview The Senior Sales Director will lead a... ...ensure goals are met Build and manage a robust sales pipeline Mentor... ...Oversee Salesforce usage and ensure data accuracy Deliver management... ...to generate leads Provide strategic guidance and remove...DataSenior$168.68k - $189.5k
...uRDN System, we’re on a mission to provide the millions of people who suffer from... ...around the globe. Position Summary Senior Field Reimbursement Manager, West within Market Access team is... ...including coding (CPT, ICD-10, DRG), claims denials, procedural documentation Articulate...SeniorClaimsContract work$152.56k - $237.25k
...Angeles County Department of Human Resources provided pay range This range is provided by Los... ...County Department of Human Resources Senior Opportunity: Senior IT Consultant (CIO)... ...strategy, modernize digital systems, and ensure data privacy and cybersecurity for a...DataSeniorFull time$136k - $172k
...the world? Who You Are As a Senior HR Business Partner on the People... ...with leaders and employees, provide expert HR guidance, and... ...strategies. Lead performance management, including performance reviews... ...Greenhouse, and Lattice. Strong data analytics and visualization skills...DataSeniorWork at office
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