• Manager Enrollment and Billing

    Healthfirst (NY)
    …Finance, or Business Administration from an accredited institution preferred. + Certification in claims processing or related area (eg, CPC, AIC) WE ARE AN ... Responsibilities:** + Oversee the enrollment process, ensuring timely and accurate processing of new and modified enrollments, renewals, and terminations. +… more
    Healthfirst (09/09/25)
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  • Dispatch Customer Service Representative

    Mass Markets (IA)
    …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... customer support, help desk assistance, technical troubleshooting, and back-office processing . You'll also makeoutbound callsto coordinate with vendors and partners,… more
    Mass Markets (07/25/25)
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  • Senior Manager - General Law I (Toll Group)

    MTA (New York, NY)
    …assists clerical/administrative staff in handling subpoenas, service of process, claims handling/ processing , bankruptcy searches of toll violators, scheduling ... toll revenue, as well as oversees the intake and processing of legal papers served on the TBTA, reviewing...Insurance Management, and other MTA Departments and subsidiaries in claims /litigation by contractors and third parties. + Assists relevant… more
    MTA (10/16/25)
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  • PBM Claims Technical Analyst

    Insight Global (Eagan, MN)
    …member and pharmacy remediation analysis caused by errors coded into the RxClaim processing system, along with claims monitoring and data validation activities. ... Job Description Insight Global is seeking a Claims Technical Analyst for one of our large...can vary based on the error type and impacted claims . This offers a variety of research options and… more
    Insight Global (10/10/25)
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  • Claims Representative

    Robert Half Office Team (Ontario, CA)
    …California. In this role, you will provide critical support in managing claims -related tasks, ensuring accuracy and efficiency in processing , reconciling, and ... Description We are looking for a detail oriented Entry-level Claims Representative to join our clients' team in Ontario,...claim requirement letters for Covered California members. * Forward claims to the appropriate health plan when necessary. *… more
    Robert Half Office Team (10/03/25)
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  • Data Entry Specialist

    MVP Health Care (Rochester, NY)
    …+ Proficiency in Microsoft Word and Excel. + Familiarity with medical terminology and claims processing . + Curiosity to foster innovation and pave the way for ... virtual, in Schenectady or Rochester, NY + 1-2 years of data entry or claims experience preferred. High accuracy and attention to detail. + Strong data entry skills… more
    MVP Health Care (10/19/25)
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  • Manager, Medical Economics (Medicaid) - REMOTE

    Molina Healthcare (Miami, FL)
    …of healthcare operations (utilization management, disease management, HEDIS quality measures, claims processing , etc.) + Knowledge of healthcare financial terms ... executive decision-making + Mine and manage information from large data sources. + Analyze claims and other data sources to identify early signs of trends or other… more
    Molina Healthcare (10/18/25)
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  • Healthcare TPA Operations Manager

    General Dynamics Information Technology (Fairfax, VA)
    …+ Strong knowledge of healthcare delivery systems, managed care operations, claims processing , and quality improvement methodologies. + Experience leading ... + Ensure all operations related to Member and Provider Enrollment, Credentialing, Claims Administration, and Payments are delivered in accordance with SLAs and QASP… more
    General Dynamics Information Technology (10/18/25)
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  • Business Consultant - Carelon Payment Integrity

    Elevance Health (Indianapolis, IN)
    …payment integrity, or consulting highly preferred. + Strong understanding of claims processing , coding practices, reimbursement policies, and payer-provider ... drive real savings. This position plays a critical role in uncovering claims overpayments and guiding clients through implementation of data-driven insights. This… more
    Elevance Health (10/16/25)
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  • Analyst -Fraud, Waste & Abuse

    DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
    …CMS and AHCA regulatory requirements + Expertise in FWA, Special Investigations and claims processing + Outstanding research and investigative skills + Proven ... with regulatory requirements + Maintain process integrity and ensure legitimate claims are processed efficiently + Implement and track corrective action plans… more
    DOCTORS HEALTHCARE PLANS, INC. (10/16/25)
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