Strategic Claims Project Leader, Health Plan Ops
Emblem Health
Emblem Health is looking for a Claims Project Manager in New York, NY. This role involves overseeing claims project management, collaborating with various departments, and ensuring compliance with healthcare regulations. The ideal candidate should have strong experience in managing projects in the health plan industry and possess excellent communication skills. Responsibilities include improving claims processing efficiency, analyzing claims issues, and leading cross-functional teams to resolve problems. A Bachelor's Degree and relevant certifications are required, along with a proven track record in claims management. #J-18808-Ljbffr Emblem Health
- ...partnerships. The Role We're hiring a Strategic Project Lead, Sciences to own... ...criteria, and operating plans that internal teams and external... ...pharma, CRO, autonomy/AI data ops, clinical research).... ...summarizing methods, and evaluating claims. Background at an AI lab, data...ClaimsFor contractors
$112k - $190k
Scale AI, Inc. is searching for a Strategic Projects Lead in New York, New York. The role requires leading initiatives to drive significant revenue... ...collaboration with various teams including Engineering and Ops. The ideal candidate will have a strong technical background,...Suggested$68.04k - $118.8k
A leading health insurance provider in New York is seeking a Claims Project Manager. The role involves managing claims projects, collaborating with functional management, and driving efficiency improvements. Candidates should have a Bachelor's Degree and 4-6+ years of experience...ClaimsHealth Insurance$150k - $200k
...Vega The $250B insurance claims industry runs on fax... ...of mission critical strategic projects alongside our CEO, Head... ...Product, and Head of Ops. No two weeks will look... ...with executive leaders (CEO, Head of BizOps,... ...employer paid healthcare plans, an up to 4% 401k match...ClaimsHealth InsuranceFull timeWork experience placementLocal areaWork from home$135k - $150k
...healthcare technology company that has made a strategic shift from a traditional device model to... ...within a regional or national health plan, be a disciplined seller who can leverage... ...who may benefit from MSK solutions using claims data What Success Looks Like Actively drive...ClaimsHealth InsuranceContract workRemote workWorldwideShift work$70k - $94k
...About Judi Health Judi Health is an enterprise health... ...for employers and health plans, including: Capital Rx,... ...which consolidates all claim administration-related... ...We are seeking a Strategic Operations Analyst to support... ...analyses Contribute to project management for cross-...ClaimsHealth InsuranceLocal areaFlexible hours- .... We believe that Health care is a right, not... ...AI Innovation & Strategic Initiatives to lead... ...on the health plan This is a matrixed... ...direct oversight of project resources. Scope... ...Collaborate with leaders across clinical, operations... ...health, claims, and member engagement...ClaimsHealth Insurance
- A dynamic law firm is looking for a Strategic Project Lead based in New York City. In this role, you will oversee a team of lawyers and drive... ...a competitive salary, equity compensation, and comprehensive health benefits in a collaborative NYC office environment. #J-18808-...Work at office
- ...Limited in New York is seeking a Project Manager to lead cross-functional strategic projects across its Operations organization... .... You'll partner with senior leaders to translate business priorities... ...benefits include comprehensive health coverage, a 401K with company match...Health Insurance
$112k - $190k
...seeing historic levels of growth. As a Strategic Projects Lead (SPL), you will lead initiatives that... ...stakeholders (Engineering + Product + Ops + Go-to-Market) to work on problems that... ...approval. Benefits include comprehensive health, dental and vision coverage, retirement...Health InsuranceFull time$151.2k - $189k
...historic levels of growth. As a Strategic Projects Lead (SPL), you will lead... ...stakeholders (Engineering + Product + Ops + Go-to-Market) to work on... ...limited to: Comprehensive health, dental and vision coverage,... ...work closely with industry leaders like Meta, Cisco, DLA Piper,...Health InsuranceFull time$125k - $165k
...everyone. Patients achieve better health outcomes, employers spend... ...are seeking an exceptional Strategic Accounts Executive to join our... ...trusted strategic partner on plan design, cost trends, and... ...have been contacted by someone claiming to be a Garner recruiter or a...ClaimsHealth InsuranceRemote workFlexible hours- ...Management Company LLC is looking for a leader to oversee business operations and... ...This position involves establishing strategic visions, monitoring operational... ...package with various benefits including health insurance and 401(k) plans. #J-18808-Ljbffr Centene Management...ClaimsHealth Insurance
- Clover Health is seeking a Senior Strategic Configuration Analyst to enhance the claim payment accuracy process. You will join a lean team under the Senior Manager, focusing... .... Your role will involve architecting test plans, managing testing lifecycles, and collaborating...ClaimsHealth InsuranceRemote job
- MSIG USA is looking for a Claim Account Executive responsible for overseeing claims service delivery to strategic clients. Located in New Jersey, the role requires strong claims... ...benefits, including medical coverage and retirement plans. #J-18808-Ljbffr MSIG USAClaimsHealth Insurance
$100k - $130k
RSC Insurance Brokerage, Inc. is seeking a Claims Consultant who serves as a trusted advocate for clients throughout the insurance claims lifecycle. This role involves providing strategic guidance and advocacy in complex claims scenarios while managing multiple priorities...Claims$67.9k - $182.55k
We’re building a world of health around every individual—shaping... ...seeking a Senior Manager, Strategic Planning, to support the development... ...center, digital engagement, claims, and financial administration... ...business planning or program / project management. Advanced...ClaimsHealth InsuranceHourly payFull timeTemporary workWork experience placementWork at officeLocal area$159.19k - $199.01k
Amida Care, Inc. is hiring a Senior Director of Claims and Vendor Management in New York City. This full-time role involves overseeing... ...in healthcare, particularly with New York State Medicaid health plans. The company promotes a culture of diversity, equity, and inclusion...ClaimsHealth InsuranceFull time$140k - $185k
...an in-person culture at our NYC office. About the Role As a Strategic Project Lead, you will be at the cutting edge of innovating on the way... ...Competitive salary and significant equity compensation. Comprehensive health, dental, and vision insurance. 401k (including employer match...Health InsuranceWork at officeFlexible hours$82.94k - $182.55k
Position Summary Senior Manager Project Management - Contracts and Pricing. Lead the Strategic Pricer team within the Network Platform Solutions - Contracts & Pricing... ...and work with other business areas to review claim reports and contract rate tool data (SCM Web). Support...ClaimsHealth InsuranceContract workLocal area- Flourish Ventures is seeking a Claims Director to lead a high-performing team in managing property and auto damage... ...centric decision-making. Benefits include a generous health insurance package, a 401(k) retirement plan, and a flexible work environment. #J-18808-Ljbffr...ClaimsHealth InsuranceRemote jobFlexible hours
$150k - $165k
McNeil & Co. is seeking an AVP, Project Manager to manage complex strategic projects remotely. This role will require overseeing project delivery and ensuring alignment with Arch’s strategic goals. Ideal candidates should have 7-10 years of relevant project management experience...Remote job- ...opportunity for a commercial leader who thrives at the... ...-driven self-funded health plan. The CCO will be instrumental... ...framework Set the strategic direction for market segmentation... ...at least one of: rev ops, implementation, or... ...functions such as claims and member services Experience...ClaimsHealth Insurance
$112k - $190k
...business unit is currently seeing historic levels of growth. As a Strategic Projects Lead (SPL), you will lead initiatives that will drive $XXM+... ...functional projects with diverse stakeholders (Engineering + Ops + Go-to-Market) Partner with product and engineering teams...- Green Building Education Services, LLC is looking for a Project Manager in New York to lead the Interiors Division. The successful candidate will manage daily project activities, develop strategic plans, and ensure stakeholder engagement. A bachelor's degree in Construction...
$103.4k - $149.43k
...execute market retention plans to achieve membership... ...Enrollment & Billing, Claims, Member Services, Compliance... ...related to a project or assignment. Keep all... ...execute. Strong analytic, strategic, and planning skills; must... ...Graduate degree in public health, public policy, or...ClaimsHealth InsuranceTemporary work$152k - $190k
...people in the US have a treatable mental health condition, but most providers don't accept... .... The admin work - credentialing, claims, payment reconciliation - is a nightmare.... ...functionally to surface insights and support strategic decision-making Develop dashboards, reporting...ClaimsHealth InsuranceWork from homeFlexible hours$90k - $115k
..., LLC in New York City seeks a real estate professional for a high-impact role focusing on project and portfolio management. This position entails managing projects from planning to execution, working with clients to establish project scopes, and ensuring effective communication...Health Insurance$149.67k - $171.05k
STV, Inc. in New York is looking for a Project Solutions Lead to enhance governance-driven client solutions. The ideal candidate... ...a range of $149,671.54 - $171,053.19, along with comprehensive benefits including health insurance and retirement plans. #J-18808-Ljbffr STV, Inc.Health InsuranceContract work$85k
...AlphaSights is the global leader in knowledge on-... ...self-funded health insurance, HSA, commuter... ...401(k), LOA, ADA claims, and COBRA:... ...Support the lead who plans Open Enrollment... ...renewal data to support strategic decision-making... ...of specific projects or initiatives as...ClaimsHealth InsurancePermanent employmentWork at officeImmediate startWork from homeRelocationVisa sponsorship
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