- Manulife (Washington, DC)
- …or more customer support / operations teams. Work on and lead departmental and enterprise-level initiatives and projects. **Position Responsibilities:** **Individual ... management support for escalated issues + Support change management + Represent team while interfacing with other business units and/or vendors + Oversight of… more
- Humana (Raleigh, NC)
- …some cases) contracts. The ideal candidate supports and collaborates with other team members, other departments, and Humana colleagues. After completion of mentored ... adapt and the courage to innovate **Additional Information** Typically reports to a Lead Medical Director, depending on the line of business. The Medical Director… more
- Humana (Juneau, AK)
- …some cases) contracts. The ideal candidate supports and collaborates with other team members, other departments, Humana colleagues and the Regional VP Health ... + Ability to obtain additional medical licenses **Additional Information** Typically reports to Lead depending on size of region or line of business. The Medical… more
- GuideOne Insurance (Chicago, IL)
- …data stewardship across business and IT teams. Leadership, Collaboration & Mentorship + Lead a team of data engineers, providing technical guidance, coaching, ... next-generation Cloud Data Platform to unify data from Policy, Claims , Billing, and Administration systems into a single source...a single source of truth. We are seeking a Lead Cloud Data Engineer who will be 75% hand-on… more
- American Family Insurance - Corporate (Madison, WI)
- …to travel to an office location for in person engagement activities such as team meetings, trainings and cultural events. \#LI- Remote We provide benefits that ... leadership for staff whose primary tasks are the adjudication and settlement of claims involving the most technically challenging claims . You will possess… more
- The Cigna Group (Bloomfield, CT)
- **Position Summary:** The Program Management Lead Analyst plays a key role within the Clinical Sales and Network Organization (CSNO) team , supporting CSNO ... Conduct in-depth clinical summary reviews, including analysis of medical records and claims data. + Summarize and compile findings to support Market Medical… more
- Trinity Health (Davenport, IA)
- …Work 100% Onsite in Davenport, Iowa for Training Only, and then Remote (Pay Range: $17.1538-$25.7307) Performs day-to-day billing and follow-up activities within the ... Serves as a member of the billing and follow-up team at a PBS location responsible for billing and...revenue cycle process for an assigned PBS location. Documents claims billed, paid, settled, and follow-up in appropriate system(s).… more
- Martin's Point Health Care (Portland, ME)
- …claim payments. This role focuses on preventing overpayments, identifying incorrect claims , and leading recovery efforts while improving system controls and ... best practices, PI vendors to augment internal expertise and activities. + Lead pre-payment and post-payment audits to identify overpayments, duplicate claims ,… more
- AON (Burlington, VT)
- …this job at any time. #LI-YT1 #LI- REMOTE 2025-92436 Are you ready to lead a team in delivering exceptional client management and financial solutions? Do you ... Are you ready to lead a team in delivering exceptional...of Fortune 500 companies. This is a hybrid OR remote role. Strong preference for candidates who can work… more
- TEKsystems (Denver, CO)
- Medical Appeals Specialist (Fully Remote ) Make a measurable impact by overturning denials, recovering missed revenue, and improving patient account outcomes. As a ... follow‑ups to resolution. What you'll do 1) Research & Claims Audit You'll be assigned audits with varying volumes...of accounts and will pivot priorities based on monthly team targets. + Conduct horizontal audits (underpayments across a… more