• Business Architect Sr - Claims Systems

    Elevance Health (Norfolk, VA)
    …an accommodation is granted as required by law. The **Business Architect Sr. - Claims Systems** will be part of Elevance Health 's National Operations Command ... **Business Architect Sr. - Claims Systems** **Location:** This role requires associates to...EdWard, OPAL, OBI, EDI. Please be advised that Elevance Health only accepts resumes for compensation from agencies that… more
    Elevance Health (09/10/25)
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  • Claims & Encounters Operations Management…

    Elevance Health (Overland Park, KS)
    ** Claims & Encounters Operations Management -Process Expert Sr.** **Location:** This role requires associates to be in-office **1 - 2** days per week, fostering ... 8:00 am- 5:00 pm CST Monday thru Friday. The ** Claims & Encounters Operations Management -Process Expert Sr.** oversees...improvements strongly preferred. + Managed Care Experience in either Health Insurance or with a State Regulator for Medicaid… more
    Elevance Health (08/30/25)
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  • Medical Claims Examiner (Remote…

    TEKsystems (Fresno, CA)
    We are hiring Medical Claims Examiners! Must live within 65...or equivalent. + 2+ years of experience as a Health Claims Examiner or in a related role. ... 4:00PM PST Monday-Friday Overview Our client is seeking a Medical Claims Examiner to join their growing...employee and dependents) * Short and long-term disability * Health Spending Account (HSA) * Transportation benefits * Employee… more
    TEKsystems (09/03/25)
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  • Claims Supervisor

    Brighton Health Plan Solutions, LLC (NC)
    …or leadership role. + Advanced knowledge of Excel. + Strong knowledge of contracts, medical terminology, and claims processing and procedures. + 5+ years of ... About the Role The Claims Supervisor is responsible for supervising a staff...experience in the healthcare field preferred. About At Brighton Health Plan Solutions, LLC, our people are committed to… more
    Brighton Health Plan Solutions, LLC (08/08/25)
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  • Claims Adjuster - Work Related Injuries

    Baylor Scott & White Health (Dallas, TX)
    **About Us** Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest ... to time off benefits At Baylor Scott & White Health , your well-being is our top priority. Note: Benefits...and/or level **Job Summary** + Under the Safe Choice Claims Manager, the Safe Choice Claims Specialist… more
    Baylor Scott & White Health (08/29/25)
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  • Medical Biller - Healthcare Claims

    Guidehouse (San Marcos, CA)
    …**:** None **Clearance Required** **:** None **What You Will Do** **:** The ** Medical Biller** is expected to perform all areas of initial billing, secondary ... billing, and payer audit follow-up for government and non-government claims . Must work with other departments to facilitate the...any and all related job duties as assigned. **_The medical biller will be working a Hybrid schedule based… more
    Guidehouse (08/24/25)
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  • Claims Adjudicator

    Independent Health (Buffalo, NY)
    …assistant certificate and/or college degree preferred. + Six (6) months of medical claims processing/ medical billing experience, customer service experience ... The Claims Adjudicator is responsible for adjudicating and adjusting medical and/or dental claims against established criteria, and in accordance… more
    Independent Health (08/29/25)
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  • Claims Specialist, Accident…

    Axis (Red Bank, NJ)
    …for candidates taking part in the selection process. Job Title: Accident and Health Claims Specialist Level: "I" Division: A&H Position Summary: This position ... handling expertise for all of the accident and health claims , both claims adjudicated...insurance claim management experience required, including substantial experience with medical claims and cost containment. + Prior… more
    Axis (07/31/25)
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  • Medical Claims Analyst

    Robert Half Accountemps (Raleigh, NC)
    Description We are looking for a diligent and detail-oriented Medical Claims Analyst to join our team in Raleigh, North Carolina. In this long-term contract ... you will play a vital part in ensuring accurate processing and reconciliation of medical claims while supporting a collaborative team environment. If you thrive… more
    Robert Half Accountemps (08/28/25)
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  • Vice President of Health Plan Operations…

    Prime Healthcare (Ontario, CA)
    …Responsibilities This position requires relocating to Ontario, California. TheVice President of Health Plan Operations and Claims is responsible for the ... technology and data to improve the quality and minimize process cost of Claims for all Prime Healthcare's self-insured Employee Health Plans. Through in-depth… more
    Prime Healthcare (08/11/25)
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