Claims System Consolidation Lead

Oscar Health is a pioneer in healthcare innovation, leveraging machine learning to identify fraud, waste, and abuse in claims. As a Senior Software Engineer II, you will play a critical role in scaling our claims system to adjudicate 10+ million claims per day.Responsibilities include leading technical projects, working with partners and designers to solve...

Role OverviewWe are seeking a highly skilled Claims System Transformation Manager to join our team at Argo Group. This role is responsible for leading the implementation of Guidewire, a cutting-edge claims system, to transform our US Claims Department.The ideal candidate will have extensive experience in technical claims systems knowledge, broad claims and...

About the RoleOscar Health, a pioneering health insurance company, is seeking a skilled Senior Software Engineer I to lead the development of its cutting-edge claims system. This innovative project aims to process over 10 million claims per day, leveraging machine learning to identify and prevent fraud, waste, and abuse.As a key member of the Engineering...

About UsOscar Health is revolutionizing the way people interact with healthcare by building products that prioritize user experience and member satisfaction.We're looking for a talented Senior Software Engineer I, Payment Integrity to join our Engineering team and help us build a scalable and efficient claims system.What You'll DoDevelop a cutting-edge...

Key ResponsibilitiesThe Manager of Financial Consolidation will lead the financial consolidation process for our Olympic events, including managing the forecasting and budgeting process, preparing financial reports, and providing insights and recommendations to senior leadership. Additionally, this role will involve collaborating with cross-functional teams...

The Veracity Group is currently seeking a seasoned SAP S4 Financial Consolidation Lead Specialist to drive innovation and growth in our financial operations. In this critical role, you will lead cross-functional teams to design, develop, and implement centralized finance solutions using SAP S4 HANA.This position requires a proven track record of success in...

About Us The Mount Sinai Health System is a leading academic medical center that advances health for all people, everywhere. We take on the most complex health care challenges of our time and leverage innovative approaches to improve patient outcomes. Our team of experts provides comprehensive health care solutions from birth through geriatrics. We are...

About the RoleWe are looking for a seasoned Finance Professional to drive our Corporate Financial Planning & Analysis team forward. As a key member, you will lead the process of planning and analyzing Emerald's financial performance, working closely with portfolio finance leads to ensure accurate financial reporting.In this role, you will be responsible for...

Are you passionate about delivering excellent patient care and committed to excellence in medical billing? We are seeking a skilled Insurance Claims Processor to join our team at Mount Sinai Health System. As a key member of the billing department, you will be responsible for posting line item insurance payments and patient payments into the billing system,...

About the TeamWe're looking for an experienced Claims Quality Audit Lead to join our team at Oscar Health. As a critical member of our Claims Quality team, you'll play a key role in ensuring timely completion of claims audits.Your responsibilities will include:Leading and coaching a team of auditorsProviding in-depth guidance on claims processing workflows...

Key ResponsibilitiesStrategically manage the consolidation of seven different claims systems into Guidewire, which will become the single claims systems used globally by all Argo business units.Leverage mastery of technical claims systems knowledge, how it operates for each business unit and claims function, and broad claims and insurance expertise, to...

Job Description: Our company, MetroPlus Health Plan, is committed to building strong relationships with our members and providers to enable New Yorkers to live their healthiest life. We are seeking a highly skilled Claims User Acceptance Tester to join our team to help us achieve this mission.The ideal candidate will have a strong background in information...

About the JobAs a Claims Resolution Expert at Mount Sinai Health System, you will be responsible for resolving EOB discrepancies and researching refunds. You will work closely with payer and provider representatives to negotiate higher rates for claim payments and ensure that collections, gross, days in A/R, and net collection ratios are met.Key...

**Job Summary:**We are seeking a highly organized and detail-oriented Medical Claims Resolution Specialist to join our team at Mount Sinai Health System. In this role, you will be responsible for ensuring that unpaid and partially paid claims are resolved in an efficient and timely manner.Main Responsibilities:Resolves EOB discrepancies and researches...

Key ResponsibilitiesDesign, develop, and deploy scalable cloud-based claims systems to process 10+ million claims per day.Collaborate with top-notch engineers and the Chief Architect to identify and mitigate technical risks.Leverage machine learning to detect fraud, waste, and abuse in claims, improving system integrity and enabling cost-saving...

About the RoleWe are looking for a highly skilled SENIOR FINANCE MANAGER - CONSOLIDATIONS to join our team in New York. The ideal candidate will have 5-10 years of experience in corporate finance with a focus on financial modeling, reporting, and analytical experience in a corporate environment.The successful candidate will be responsible for setting the...

Pozent Corporation is a leading provider of innovative IT solutions. We are seeking an experienced AD Domain Consolidation Engineer to join our team.The successful candidate will have a strong background in Active Directory engineering and operations, with a focus on domain integration and migration projects. They should possess excellent collaboration...

About the RoleThis Billing Coordinator position is an exciting opportunity to join our team at Mount Sinai Health System. As a key member of our revenue cycle team, you will play a critical role in ensuring accurate and timely billing and reimbursement.ResponsibilitiesVerify the accuracy of patient charges and ensure timely submission of claims.Investigate...

Job OverviewOscar Health is seeking a highly motivated Process Improvement Associate to join our Claims Optimization team. In this role, you will be responsible for working cross-functionally with business and technical stakeholders to drive process improvements and optimize operations.As a Process Improvement Associate, you will lead the end-to-end...

Job SummaryOscar Health seeks a highly skilled Claims Process Improvement Lead to optimize our claims adjudication platform and drive operational efficiency.This is an exciting opportunity to join a forward-thinking company that's disrupting the health insurance industry. As a key member of our Claims Design team, you'll work closely with cross-functional...