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Martinez, California

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Today

Claims Director W2 Contract-to-Hire Salary Range: $135,200 - $156,000 per year Location: Martinez, CA - Hybrid Role Job Summary: The Claims Director works closely with executive leadership and cross-functional partners to align claims operations, with accountability for claims adjudication, payment integrity, regulatory compliance, and vendor oversight across Medi-Cal, Medicare, and commercial lines of business. This role ensures claims operations support member access, provider relationshi

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Contract

$65 - $75 per hour

Director Of Claims

Martinez, California

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Today

Description Our client, a large public health plan, has a need for a contract to hire Director of Claims. The group includes 20 direct reports including 2 managers, Claims supervisor, Claims Adjusters and Examiners. Much of the work includes support provider disputes, educationg providers and working through billing questions. The customer uses Epic Tapestry and you would have the opportunity to be trained on Epic. Top priorities when you start the job: a large backlog of pending claims which

Full-time

USD 75.00 - 80.00 per hour

Lead Director, Software Engineering - Commercial Claims

Remote or Irving, Texas

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Today

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all w

Full-time

USD 144,200.00 - 288,400.00 per year

AR Claims Analyst

Remote

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2d ago

The RCM Associate supports daily revenue cycle work to help claims move correctly from start to finish. This role may work on insurance verification, claim submission, accounts receivable follow-up, or payment posting based on business needs. The associate is expected to follow written instructions, complete assigned tasks on time, and update records accurately. Work assignments may change as priorities change. Key Responsibilities: Work assigned insurance claims until they are paid, denied, or

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Full-time

$40,000 - $50,000

Senior Product Manager Claims Technology & AI Solutions

Remote

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30+d ago

Title: Senior Product Manager Claims Technology & AI Solutions Location: Remote Duration: 6 Months+ can be extendable Domain/Industry: Preferably Insurance Type: Contract Key Responsibilities: Drive product vision, strategy, and execution for claims-focused technology solutions.Partner with engineering and business leadership to design scalable, AI-powered products.Simplify complex claims processes into user-friendly digital workflows.Define and manage product roadmaps, prioritize features, and

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Contract, Third Party

$75 - $80

Business Data Analyst - Medical Claims Processing - 100% Remote

Remote or Eden Prairie, Minnesota

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Today

Genesis10 is seeking a Business / Data Analyst position for a healthcare client. This is a 3-month contract opportunity with a possible extension. This position is 100% remote. Compensation: $50.00 - $53.00 an hour per hour, W2, depending on skill and experience level. Job Description: We are seeking a Business / Data Analyst with strong expertise in medical claims processing and data analysis within enterprise data warehouse environments. The resource will work as part of an established Scrum t

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Full-time

Compensation information provided in the description

SAP S4 - Warranty Claims (Customer/Vendor)

Remote

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2d ago

Need 15+ years Experience only Visa: H1b, USC Location: Remote (Occasionally travel) Have experience in configuring SAP Service Management (SM) modules and its integration with rest of the SAP components such as Finance (FI), Controlling (CO), Logistics (SD/MM/PP), Supply Chain (SCM), trade compliance (GTS) and Reporting/Analytics (BI) Industry background and strong functional understanding of Repair Depot and Service Center Processes, Service Orders, Repair Orders, Warranty/Warranty Claims, an

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Contract, Third Party

Depends on Experience

Epic PB and PB Claims Install Analyst (Remote with Travel)

Remote

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8d ago

Epic PB/PB Claims Install Analyst residing on the Epic Install Billing Teams. Required Skills / Certifications: 515 years of Epic PB build or PB Claims experience ideal candidate could build in both area and would be an analyst w a minimum of 3 years experience doing build work- for example they were the main builder for community connect partners, they have donefull-cycle build for bringing on new Ambulatory clinics to Epic or did build for HOD clinics that were built as PB not SBO.Full imple

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Contract

Depends on Experience

Java Claims Developer

Remote or Arkansas

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Today

Note: "No third party candidates considered for this position" Title: Java Claims Developer Location: Fairfield, OH (100% remote (no California candidates and PST is not preferred) Duration: 12+ months contract Interviews: MS Teams Job Description: Understand and apply industry practices, architectural standards and department policies and procedures relating to work assignments Proactively suggest improvement to systems and procedures Develop integration solutions with 3rd party vendors Des

Contract, Third Party

Epic HB Claims Analyst

Remote

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23d ago

Job Title: Epic HB Claims AnalystPosition OverviewThe Epic HB Claims Analyst is responsible for supporting, configuring, optimizing, and maintaining the Hospital Billing (HB) and Claims functionality within the Epic electronic health record (EHR) system. This role works closely with clinical, revenue cycle, finance, and IT stakeholders to ensure accurate claim generation, billing workflows, and compliance with regulatory requirements. Key ResponsibilitiesServe as subject-matter expert for Epic H

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Third Party, Contract

55 - 60

Coordination of Benefits (COB) Claims Associate

Remote or Hybrid

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Today

At NTT DATA, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our employees have been key factors in our company s growth and market presence. By hiring the best people and helping them grow both professionally and personally, we ensure a bright future for NTT DATA and for the people who work here. For more than 25 years, NTT DATA have focused on impacting the core of your business operations with industry-leading outsourcing services a

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Contract

BASED ON EXPERIENCE

Provider Claims Training Specialist - San Diego, CA - Remote

Remote or Rancho Cucamonga, California

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Today

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. Summary The Provider Claims Training Specialist also known as Regional Representatives, support the provider community in a variety of

Full-time

USD 50,000.00 - 70,000.00 per year

Supervisor, Provider Data Management

Remote or Honolulu, Hawaii

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Today

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. NOTE: For this role we are seeking candidates who live in Honolulu, Hawaii Position Purpose: Manage the daily operations of all provider data management functions. Direct provider data management related activ

Full-time

USD 56,200.00 - 101,000.00 per year

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