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Remote

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Today

$120,000-130,000 DOE 100% remote in the US only, EST or CST states preferred Role SummaryA rapidly growing healthcare organization is seeking a Product Manager to own the strategy, roadmap, and delivery of its Claims Processing Platformthe core system supporting accuracy, speed, and regulatory compliance across Third-Party Administrator (TPA)/ Managed Services Organization (MSO) operations. This role serves as the critical link between business stakeholders and engineering, translating operati

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Full-time

$130000

Claims Processor - Hybrid

Hybrid in Mason, Ohio

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Today

Title: Claims Processor - Hybrid Mandatory skills: Claims Processor, claims processing, data entry, PCs, spreadsheet applications, claims system, Metastorm, Exclaim, website, software programs, Excel, Access, third party benefits, administration, customer service, manual claims, claims projects, claims adjudication, claims projects, processes standard claims, adjustments Description: Brief Description of Work: Billing routine vision claims in insurance portals GENERAL FUNCTION: Accurately and ef

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Contract

16 - 18

Workers Compensation Claims Specialist

Washington, District of Columbia

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Today

Job Details: Client: Public Sector Job Title: Workers Compensation Claims Specialist Location: Washington, DC 20001 Duration: 6-12 Months Note: Work Mode: 100% OnsiteInterview: In-Person Fully vaccinated against COVID-19 Job Description: Insurance claims (Workers Compensation, liability, auto, etc.)Applying workers compensation and insurance lawsReviewing and resolving claim disputes and issuesEvaluating medical records, billing, and treatment plansConducting claim investigationsStrong writi

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Contract

$25 - $30

Claims Director

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

AR Claims Analyst

Remote

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3d 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

Data Analyst with Medicaid or Claims - inperson interview

Tallahassee, Florida

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Today

Greetings from Sligo Software Solutions, Inc. !! This is John from SLIGO. We have an urgent requirement for Data Analyst with Medicaid or Claims - inperson interview position with our client. Title : Data Analyst with Medicaid or Claims - inperson interview Location : Tallahassee, Florida Duration : 10 months 31 day(s) Client : Sligo Software Solutions - Florida Agency for Health Care Administration Job ID: SLG - 26 - 11574 Respond by: 01/15/26 3:00 PM Job Title: Data Analyst with Medic

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Third Party

Disability Claims Specialist (Part Time) - Remote

Remote

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Today

Job Description: Position: Disability Claims Specialist (Part Time) Hours: 20 hours per week (Must be able to work during normal business hours within their residential time zone) Location: Remote Duration: 11-12 months contract with possible extension Client: Direct We seek to make a meaningful impact in the lives of our customers and our communities. The LTD Claim Consultant evaluates long term disability insurance claims in accordance with plan provisions and within prescribed time service s

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Contract

$45 - $50

Claims Supervisor

New York, New York

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Today

Position Overview The Claims Supervisor is responsible for the daily oversight of Medicare claims processes including but not limited to the inquiry and resolution process, adjudication process, user acceptance testing and quality assurance, training, and reporting. In addition, the position assists the Claims Manager with claims related queue management (i.e., claims, inquiries, refunds, adjudications) to ensure that inventory is processed accurately and in a timely manner. The Claims Superviso

Full-time

Claims & Underwriting Innovation Specialist - Hybrid

Fort Wayne, Indiana

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4d ago

Are you passionate about improving underwriting and/or claims processes through technology, innovation, and smart digital tools? Join us in a role where you'll accelerate modernization, drive adoption of risk-tech capabilities, and help shape the future of Swiss Re's US L&H underwriting and claims operations. About the Role As the L&H Claims & UW Innovation Specialist, you will play a key role in enhancing end-to-end workflows, championing digital tool utilization, and supporting the delivery of

Full-time

USD 88,000.00 - 132,000.00 per year

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

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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Third Party, Contract

$75 - $80

Healthcare Data Analyst / Engineer "Claims Data/EDI Expertise"

Hybrid in Quincy, Massachusetts

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27d ago

Winner of the Best and Brightest Companies to Work for in Boston and in the Nation by the National Association for Business Resources (NABR) for the third consecutive year Use Your Data Skills to Make Healthcare Work for Everyone Are you passionate about using data to drive real change in healthcare? We re looking for a Healthcare Data Analyst/Engineer to join our Client Success team and play a pivotal role in delivering accurate, high-quality demographic, eligibility, and claims data. In this

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Full-time

$80,000 - $110,000

Behavioral Health (BH) Claims Supervisor

New York, New York

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Today

Position Overview The BH Claims Supervisor will oversee personnel involved in the adjudication of behavioral health-related medical claims. This position will provide support to the ASP Manager and other MetroPlusHealth employees regarding the adjudication of complex, difficult, and non-routine claims for multiple lines of business. The incumbent will coordinate with the ASP Manager to ensure the BH Claims team is able to meet expectations for the timely and accurate adjudication of claims. Scop

Full-time

Behavioral Health (BH) Claims Supervisor

Brooklyn, New York

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Today

Full-time

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

Claims IT Development - Subject Matter Expert (SME)

Schaumburg, Illinois

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Today

Zurich North America is looking for a Claims IT Development - Subject Matter Expert (SME) to work in our North America headquarters in Schaumburg, IL to develop, support and advise on the architecture and development of applications by understanding the requirements of customers and recommending application performance improvements to ensure alignment with business requirements. Key Accountabilities: Work with IT Leadership and stakeholders in the identification of improvement opportunities an

Full-time

USD 113,100.00 - 185,100.00 per year

Sr. Batch Developer (UNIX/LINIX/C/Pharmacy Claims)

Bridgeport, Connecticut

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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 100,000.00 - 120,000.00 per year

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

Claims Analyst: I (Junior)

Charlotte, North Carolina

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Today

Title: Claims Analyst I Contract Type: W2 12-month contract Remote/Onsite: Hybrid in Charlotte, NC or Kansas City, MO Job Description: This position will be primarily responsible for supporting all administrative processes related to Document Capture and Indexing, including creating claims from client submissions.Key Duties and Responsibilities: Ensure Claim documents are correctly categorized for processing in AI Assistant prior to releasing documents for indexing Process any claim document

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Contract

BASED ON EXPERIENCE

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

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