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Reposted 8 Hours AgoSaved
Remote
USA
55K-60K Annually
Junior
55K-60K Annually
Junior
Insurance
The Configuration Specialist Pricing maintains provider contract configurations, ensuring compliance with standards, and collaborates with various teams for accurate claims processing.
Top Skills: Healthedge SourceHealthrulespayerMS Office
Reposted YesterdaySaved
Remote
USA
65K-70K Annually
Mid level
65K-70K Annually
Mid level
Insurance
Own end-to-end stop loss policy administration for self-funded clients. Liaise with carriers, TPAs, brokers, and internal teams to manage specific and aggregate claims, analyze policies, deliver and automate monthly reports, generate financial data, identify high-cost claimants, and support renewals and implementation.
Top Skills: El DoradoExcelHealth Rules Payer (Hrp)JavelinaPowerPointRingmaster Smart-LinqWord
Reposted YesterdaySaved
Remote
USA
85K-90K Hourly
Senior level
85K-90K Hourly
Senior level
Insurance
Lead and supervise end-to-end stop loss administration for self-funded clients, managing claim identification, carrier submissions, reporting, UAT for system changes, cross-functional coordination, staff training, and process improvements to ensure timely reimbursement and contractual compliance.
Top Skills: El DoradoExcelHealth Rules Payer (Hrp)JavelinaPowerPointRingmaster Smart-LinqWord
5 Days AgoSaved
Remote
USA
135K-145K Annually
Senior level
135K-145K Annually
Senior level
Insurance
The Claims Director oversees claims operations, managing teams, improving claims processing efficiency, and ensuring client satisfaction through strategic planning and operational leadership.
Top Skills: HrpJavelina
5 Days AgoSaved
Remote
USA
115K-125K Annually
Senior level
115K-125K Annually
Senior level
Insurance
The Claims Compliance Manager oversees compliance reporting for health plan products, ensures adherence to regulatory requirements, and manages operational workflows in a fast-paced environment.
Top Skills: Compliance Tracking ToolsMicrosoft Office Suite
5 Days AgoSaved
Remote
USA
110K-125K Annually
Expert/Leader
110K-125K Annually
Expert/Leader
Insurance
The Client Success Executive will manage and enhance relationships with self-funded employers, ensuring client satisfaction, retention, and strategic growth while providing expert guidance on Reference Based Pricing health plan administration.
Top Skills: MS OfficeReference Based PricingSelf-Funded Health PlansTpa
5 Days AgoSaved
Remote
USA
105K-115K Annually
Senior level
105K-115K Annually
Senior level
Insurance
The Project Manager will coordinate project planning, resource allocation, stakeholder communication, risk management, and post-project evaluations within the Client Operations Organization.
Top Skills: Microsoft Office (ExcelMs ProjectOutlookPowerPointSmartsheetsTeamsWord)
Reposted 21 Days AgoSaved
Remote
USA
200K-225K Annually
Senior level
200K-225K Annually
Senior level
Insurance
The VP Product Management leads product strategy and development, oversees the entire product lifecycle, and collaborates cross-functionally to ensure alignment and meet business goals.
Top Skills: Agile MethodologiesProduct Management Tools
23 Days AgoSaved
Remote
USA
110K-120K Annually
Senior level
110K-120K Annually
Senior level
Insurance
The Product Manager at Centivo will develop product vision, collaborate across teams, and drive market growth initiatives, ensuring alignment with company goals.
Top Skills: ConfluenceJIRAProduct Analytics Platforms
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