Manager Claims Operations Jobs in USA

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Manager, Claims Operations

Date: 2023-12-01 (Cached)

Job Description: Experience in healthcare claims or configurations. The Manager plays a critical role in Claims production to ensure that Oscar members' claims are processed in…

Company: Oscar Health
Hiring Organization: Oscar Health
Salary: TBD
Location: Tempe, AZ
Street Address: TBD

Locality: Tempe, AZ
Region: disclosed when applied
Postal code: disclosed when applied


Job Details




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Electronics Technician

Date: 2023-12-01 (Cached)

Job Description: Perform technical services including maintenance, troubleshooting, installation, operation and testing of a full range of electronic systems.

Company: US National Oceanic and Atmospheric Administration
Hiring Organization: US National Oceanic and Atmospheric Administration
Salary: TBD
Location: Sterling, VA
Street Address: TBD

Locality: Sterling, VA
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Manager, Claims Operations

Date: 2023-12-01 (Cached)

Job Description: Applies subject matter expertise to the business of claims processing and operations. Minimum 5 years’ of claims processing experience.

Company: Healthcare Management Administrators Inc
Hiring Organization: Healthcare Management Administrators Inc
Salary: TBD
Location: Washington State
Street Address: TBD

Locality: Washington State
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Manager, Process Operations (Claims Configuration)

Date: 2023-12-01 (Cached)

Job Description: 5+ years of health care operations, system administration, product/program management, or claims administration experience.

Company: Centene
Hiring Organization: Centene
Salary: TBD
Location: Missouri
Street Address: TBD

Locality: Missouri
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Manager, Pharmacy Claims Operations

Date: 2023-12-01 (Cached)

Job Description: Identify process gaps and lead process improvement efforts for the claim operations. Support new group implementation activities related to claims management.

Company: SmithRx
Hiring Organization: SmithRx
Salary: TBD
Location: Remote
Street Address: TBD

Locality: Remote
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



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Manager, Claims Operations

Date: 2023-12-01 (Cached)

Job Description: You will manage and be accountable for auto and other claims operations member service employees who are responsible for serving our members, and providing…

Company: USAA
Hiring Organization: USAA
Salary: TBD
Location: Colorado Springs, CO 80920
Street Address: TBD

Locality: Colorado Springs, CO 80920
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Manager, Client Success and Advocacy

Date: 2023-12-01 (Cached)

Job Description: Intapp is not responsible for any claims, losses, damages, or expenses resulting from scammers. The Manager of this team runs the operation, coaches and mentors…

Company: IntApp
Hiring Organization: IntApp
Salary: TBD
Location: Remote
Street Address: TBD

Locality: Remote
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Construction Safety Manager

Date: 2023-12-01 (Cached)

Job Description: Candidate must have electrical experience as a construction safety manager. Monitor compliance with policies and laws by inspecting employees and operations.

Company: Signature Safety, LLC
Hiring Organization: Signature Safety, LLC
Salary: TBD
Location: Ashburn, VA 20147
Street Address: TBD

Locality: Ashburn, VA 20147
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Member Experience, Senior Program Manager (Remote)

Date: 2023-12-01 (Cached)

Job Description: Those services require a trusted identity to safeguard against fraud and help ensure people are who they claim to be. Including but not limited to:

Company: ID.me
Hiring Organization: ID.me
Salary: TBD
Location: Remote
Street Address: TBD

Locality: Remote
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Manager, Configurations and Claims Operations

Date: 2023-12-01 (Cached)

Job Description: Knowledge of claims adjudication, benefits setup, and contractual interpretation. Plan, prioritize, coordinate and monitor activities in the department to…

Company: ICare Health Options (Medegy)
Hiring Organization: iCare Health Options (Medegy)
Salary: TBD
Location: United States
Street Address: TBD

Locality: United States
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Sales Operations Manager

Date: 2023-12-01 (Cached)

Job Description: Experience working with finance, deal desk, planning and operations. 6+ years experience in sales operations, sales engineering or related roles.

Company: Radformation
Hiring Organization: Radformation
Salary: TBD
Location: Remote
Street Address: TBD

Locality: Remote
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Division Claims Manager

Date: 2023-12-01 (Cached)

Job Description: Coordinate and perform claims training. Ensure consistent and accurate claims coding is occurring throughout the organization.

Company: Athens Administrators
Hiring Organization: Athens Administrators
Salary: TBD
Location: Remote
Street Address: TBD

Locality: Remote
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Manager, Priority Claims Services

Date: 2023-12-01 (Cached)

Job Description: The Manager, Priority Claims - Remote is responsible for supporting the company’s claims reimbursement policy efforts and strategic reimbursement plans.

Company: Hanger, Inc.
Hiring Organization: Hanger, Inc.
Salary: TBD
Location: Remote
Street Address: TBD

Locality: Remote
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Project Manager

Date: 2023-12-01 (Cached)

Job Description: Leads claimant communication and claim review processes. Identify and resolve problems resulting from claims adjudication.

Company: Angeion Group LLC
Hiring Organization: Angeion Group LLC
Salary: TBD
Location: Remote
Street Address: TBD

Locality: Remote
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Condominium/Community Association Manager

Date: 2023-12-01 (Cached)

Job Description: Responsible for accurate handling of all liability and property insurance claims involving the Association. This includes performing research, compiling reports…

Company: Potomac Ridge at Lansdowne Woods
Hiring Organization: Potomac Ridge at Lansdowne Woods
Salary: TBD
Location: Leesburg, VA 20176
Street Address: TBD

Locality: Leesburg, VA 20176
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



DIR, OPERATIONS SUPPORT

Date: 2023-12-01 (Cached)

Job Description: Required: Solid background in claims operations. Collaboration and communication with other departments on claims issues, related projects and inter…

Company: Sentara Healthcare
Hiring Organization: Sentara Healthcare
Salary: TBD
Location: Glen Allen, VA 23060
Street Address: TBD

Locality: Glen Allen, VA 23060
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Manager

Date: 2023-12-01 (Cached)

Job Description: Assign claims, monitor caseloads for approximately 20 analyst and resolve claims that are escalated to ensure that claims are handled promptly.

Company: Principal Financial Group
Hiring Organization: Principal Financial Group
Salary: TBD
Location: Des Moines, IA 50392
Street Address: TBD

Locality: Des Moines, IA 50392
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Director of Operations

Date: 2023-12-01 (Cached)

Job Description: Evaluate daily operations and implement measures to improve and exceed guest satisfaction and operational efficiency.

Company: Charlestowne Hotels
Hiring Organization: Charlestowne Hotels
Salary: TBD
Location: Charleston, SC
Street Address: TBD

Locality: Charleston, SC
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Billing Operations Manager- CoCM focus

Date: 2023-12-01 (Cached)

Job Description: Billing Management: Accurately process and submit claims for CoCM services, specifically CPT codes 99492 and 99493. Education: Bachelor's degree above.

Company: Klarity Health
Hiring Organization: Klarity Health
Salary: TBD
Location: Remote
Street Address: TBD

Locality: Remote
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Revenue Cycle Manager

Date: 2023-12-01 (Cached)

Job Description: Ensure accurate and timely submission of claims and follow up on denied claims. If you have a passion for optimizing financial operations, improving revenue…

Company: MedZed
Hiring Organization: MedZed
Salary: TBD
Location: Remote
Street Address: TBD

Locality: Remote
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Pharmacy Operations Specialist

Date: 2023-12-01 (Cached)

Job Description: Process pharmacy authorizations utilizing PBM real time online claims adjudication software. Review and interpret member’s eligibility, claim history, and…

Company: WellSense Health Plan
Hiring Organization: WellSense Health Plan
Salary: TBD
Location: Remote
Street Address: TBD

Locality: Remote
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Manager, Investigations and Compliance Programs

Date: 2023-12-01 (Cached)

Job Description: Collects, compiles, and prepares reports on data relating to investigations across all Dartmouth operations. Creates reporting routines/prepares reports on help…

Company: Dartmouth College
Hiring Organization: Dartmouth College
Salary: TBD
Location: Hanover, NH
Street Address: TBD

Locality: Hanover, NH
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Relationship Manager- Risk Operations

Date: 2023-12-01 (Cached)

Job Description: Coordinate with claims/customer service on claim payments, corrections and letter writing. Imagine360 is currently seeking a Relationship Manager to join our…

Company: Imagine360
Hiring Organization: Imagine360
Salary: TBD
Location: Pennsylvania
Street Address: TBD

Locality: Pennsylvania
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Manager - Import/Export

Date: 2023-12-01 (Cached)

Job Description: Oversee and ensure accurate and timely claims processing. Oversee daily management of all departmental operations including staffing, training, and planning to…

Company: American Honda Motor Co
Hiring Organization: American Honda Motor Co
Salary: TBD
Location: Torrance, CA 90501
Street Address: TBD

Locality: Torrance, CA 90501
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Claims Manager - Remote

Date: 2023-12-01 (Cached)

Job Description: Responsible for compliance of all claims regardless of department where the claim is pending. Over 4 years experience in processing managed care health claims.

Company: Conifer Value
Hiring Organization: Conifer Value
Salary: TBD
Location: Frisco, TX
Street Address: TBD

Locality: Frisco, TX
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



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