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Yesterday

Job Title: Claims Project Manager Job Location: Remote / Home Based Description: AgreeYa is a global Systems Integrator and is seeking an experienced Claims Project Manager / Scrum Master to join our growing team. The ideal candidate will have a strong background in healthcare or insurance claims processing, project delivery, and Agile methodologies. This role requires dual responsibility as both a Project Manager and Scrum Master, leading large-scale platform modernization and transformation in

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Contract

Depends on Experience

Project Manager Life Insurance Claims-Plano, TX- Only Locals

Hybrid in Plano, Texas

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Yesterday

We are seeking an experienced Project Manager with Life Insurance Claims expertise to lead and deliver strategic initiatives across claims operations, process transformation, and technology implementations. Required Qualifications: Bachelor's degree in Business Administration, Information Systems, Finance, or a related field.8+ years of project management experience with at least 3+ years supporting Life Insurance Claims operations or related insurance domains.Strong understanding of life insura

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Contract

Depends on Experience

Project Manager (Healthcare Claims Domain)

East Hartford, Connecticut

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Yesterday

Job Description Project Manager (Healthcare Claims Domain)Position: Project Manager (PM) Domain: Healthcare Claims Experience: 10+ Years Location: Hartford, CT Job SummaryWe are looking for an experienced Project Manager with strong Healthcare Claims domain expertise to lead and manage large-scale enterprise projects. The ideal candidate should have proven experience managing projects with budgets exceeding $3M and successfully delivering complex healthcare initiatives involving claims process

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Contract, Third Party

Depends on Experience

Claims Adjuster

Remote

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8d ago

Job Description, Day to Day, Education, Certification, etc.: Notes: Remote Job PURPOSE: Investigate and perform adjustment of claims and ensure that claims are handled properly within authority limits, and in line with standard procedures and guidelines. Verifies insurance claims by reviewing claims requirements; examining documentation and calculations; highlighting and summarizing out-of-line situations; recommending changes in operating processes; completing reports, logs, and audit

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Contract, Third Party

Depends on Experience

Claims Adjuster

Hybrid in Baltimore, Maryland

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2d ago

Immediate position for a Claims Adjuster / Processor! The selected candidate will process claims AND investigate/perform adjustments of complex Healthcare (payor) claims and ensure that claims are handled properly within authority limits, and in line with standard procedures and guidelines. The selected candidate will verify healthcare insurance claims by reviewing claims requirements; examining documentation and calculations; highlighting and summarizing out-of-line situations; recommending cha

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Contract

22 - 25

Claims Domain Test Manager - Remote with limited travel

Remote

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5d ago

Claims Domain Test Manager Location: Atlanta, GA or remote with limited travel during critical phases 6+ months contract to Hire Play the role of Claims Domain test manager for MMIS health care projects. Drive the test strategy and process, domain knowledge, performs analysis of business requirements, designs and develops test plans, ensures quality process, coordinates with customers on delivery and deployments. Works in team environment and provides testing guidance throughout the entire life

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Third Party, Contract

Depends on Experience

Programmer Analyst - (Claims - Pharmacy / medical)

Remote

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11d ago

Medical Claims or Pharmacy claims or membership information. SQL Server and SQL writing Some recent experience with Data modeling & Data Warehousing (Any platform is ok, does not have to be snowflake) EDI transaction experience API integration into Data Warehouse with EDI 834 and 837.

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Contract

$50 - $60

Customer Relationship Manager (Healthcare Claims)

Hybrid in Baltimore, Maryland

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2d ago

Job Title: Customer Relationship Manager (Healthcare Claims) Location: Baltimore, MD (Occasional Travel required) Duration: 6-12 Months+ Notes: Hybrid onsite (DMV locals only) Occasional Travel required PURPOSE: This position is a critical resource for large accounts within the Account Management Team providing day to day expertise on benefit administration and serves as the primary client contact for service issue resolution. Builds and cultivates effective long-term relationships and a

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Third Party, Contract

Depends on Experience

System Analyst - Medicaid Claims Processing/ Local to Austin, TX

Hybrid in Austin, Texas

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2d ago

Title: System Analyst 2 - 529601701 Location: Austin, TX/ Hybrid Duration: 4+ Month Position will be 3 days remote with 2 days (Mon & Tues) required to be onsite at the location listed above. **Subject to change per the hiring team** Program will only allow candidates who are LOCAL TO THE AUSTIN AREA ONLY (Within 50-mile radius). Understands business objectives and problems, identifies alternative solutions, performs studies and cost/benefit analysis of alternatives. Analyzes user requirements,

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Contract, Third Party

Depends on Experience

Data Scientist (Healthcare claims Must)(12+ Years) (C2H)

Hybrid in Altamonte Springs, Florida

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4d ago

Role: Data Scientist Exp: 12+ Years Location: Hybrid onsite in Altamonte Springs, FL Skills Required: Healthcare exp is a must- claims exp is a must. SQL is a must; Snowflake is preferred, traditionally python. A good understanding of statistics do they know how to prep, prepare, t test, regressions, squared models, someone who can help me apply a more academic rigor and make sure that we're not Lighter on the modeling side and heavy on the ML side.

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Contract

Depends on Experience

Senior Business Systems Analyst exp with Medicaid Claims Processing - $101 CTC - ONSITE (CURRENT TX Locals Only)

Austin, Texas

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3d ago

Job Description: Crop to Crop resumes are accepted Location Requirement: The primary work location will be 701 W 51st Street, Austin, TX 78751. Position is ONSITE at the location listed above (NO REMOTE WORK). Program will only accept LOCAL ONLY candidates for this position. Please do not submit candidates who are currently out of state and are planning to move to Texas. Candidates must already reside in Texas and be local to submit their resume. Understands business objectives and problems,

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Contract, Third Party

Depends on Experience

Business System Analyst with Medicaid Claims

Austin, Texas

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7d ago

Position: Business System Analyst with Medicaid ClaimsLocation: Austin, TX - OnsiteDuration: 12 MonthsJob Description:This position requires someone with 47 years of experience who can bridge the gap between non-technical business stakeholders and technical development teams throughout the Software Development Life Cycle. The ideal candidate will gather and document requirements, create use cases and process flows, perform testing, and ensure clear communication across all project stakeholders

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Contract, Third Party

60 - 65

Director of Claims - W2 only

Hybrid in Las Vegas, Nevada

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10d ago

Position: Director of Claims W2 Only Direct Hire role Location: Las Vegas, NV (Hybrid work schedule -3 days per week in office) Skills: Education & Licensing Bachelor''s degree from an accredited college or university preferred. CPCU, ARM, AIM, and/or AIC certifications preferred. Licenses as required.Experience: Ten (10) years claims management experience including three (3) years prior supervisory experience or equivalent combination of education and experience required.Skills & Knowledge: St

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Full-time

Depends on Experience

Senior Healthcare Business Analyst (Payer Claims / Medicare / Medicaid)

Remote

•

Yesterday

Job Title: Senior Healthcare Business Analyst (Payer Claims / Medicare / Medicaid)Location: [Remote]Employment Type: Full-Time Job DescriptionWe are seeking an experienced Senior Healthcare Business Analyst with extensive knowledge of the healthcare payer domain and strong expertise in commercial claims processing, Medicare, and Medicaid systems. The ideal candidate will serve as a liaison between business stakeholders and technical teams, driving requirements gathering, solution design, and su

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Full-time

$60,000 - $80,000

Senior Professional Billing and Claims Analyst

Iowa

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Today

Senior Professional Billing and Claims Consultant This is a Remote role. Compensation: $50-$55 / HR Contract Length: 5 Months Hours: Full-Time Start Date: ASAP ABOUT THE ROLE Our client is seeking a Senior Professional Billing and Claims Consultant for a 5-month remote contract. This full-time role is responsible for providing expert support for Epic Professional Billing and Claims operations, including configuring, troubleshooting, and optimizing Charge Router workflows, payment and remi

Contract

$90.00 - $95.00

Healthcare Claims Operations Team Lead - Washington, DC (On-site)

Seattle, Washington

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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 As a Healthcare Claims Operations Team Lead at Gainwell, you will lead a team responsible for medical claims processing, resolu

Full-time

USD 50,000.00 - 55,000.00 per year

Staff Counsel - Liability Claims

Coppell, Texas

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Today

The Staff Counsel - Liability Claims leads all aspects of liability claims management for a large commercial transportation and logistics company with a fleet primarily leased from independent contractors. They are responsible for the strategic direction, financial oversight, and operational execution of the company?s liability claims program ? encompassing commercial auto liability, cargo claims, general liability, and catastrophic loss events. They serve as the primary liaison between operatio

Full-time

Workers Comp, Lost Time Claims Subject Matter Expert (User Research) - AI SaaS

Remote or New York, New York

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Today

About Us: EvolutionIQ's mission is to deliver state of the art technology that helps insurance claims teams make claims handling more accurate, fair, and efficient, so that more people impacted by injury or illness can continue their lives with dignity and stability. We are currently experiencing massive growth and to accomplish our goals, we are hiring world-class talent who want to help build and scale internally, and transform the insurance space. Our team is our #1 priority, and we have been

Full-time

Experienced Claims Business Analyst

New York, New York

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Today

Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. You'll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. We also have

Full-time

USD 86,800.00 - 124,000.00 per year

Senior AI Software Engineer, Risk - Insurance Claims Management

Seattle, Washington

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Today

At Lyft, our mission is to improve people's lives with the world's best transportation. To accomplish this, we start with our community by creating an open, inclusive, and diverse organization. About the Team The Risk Tech engineering organization is committed to tangibly reducing accident frequency, saving lives, and managing costs to enhance the safety and affordability of rides. Claim Management is a core financial function for Lyft. Each claim touches complex workflows, multiple stakehold

Full-time

USD 148,000.00 - 185,000.00 per year

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