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US

  • Owns the strategy, performance, and compliance of Centivo's claims ancillary functions, with particular emphasis on Plan Documents.
  • Directly manages the Plan Documents Manager and CMAS Manager, ensuring accuracy, timeliness, and regulatory compliance.
  • Serves as the operational authority for CMAS and Plan Documents with clients, brokers, agents, TPAs, and stop loss carriers.

ERISA Data Literacy

20 jobs similar to Director, Claims Management Ancillary Services (CMAS)

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US Unlimited PTO

  • Lead compliance functions for self-funded health plans, ensuring regulatory adherence across plan administration, filings, and vendor relationships.
  • Manage regulatory filings including SPDs, Form 5500, and PCORI fees, and act as primary compliance liaison with TPAs, PBMs, and carriers.
  • Develop and maintain internal compliance policies, provide training, and serve as HIPAA Privacy and Security Officer.

Vitable is a health benefits platform designed for every worker, making it easy for employers to offer high-quality healthcare to their teams. They are a small, passionate team moving fast and solving a problem that genuinely deserves solving.

$108,000–$130,000/yr
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  • Drive the full lifecycle of benefits, wellness, and compliance initiatives from concept to multi-state implementation.
  • Own US health benefits, 401k plans, leave programs, and regional compliance, ensuring a seamless employee experience.
  • Establish agile governance, build high-touch enablement tools, and iterate based on feedback to optimize benefits adoption.

HighLevel is an AI-powered business operating system that gives agencies, entrepreneurs and SMBs the infrastructure to build, automate and scale. With over 2,000 team members across 10+ countries, HighLevel operates as a global remote-first organization built for speed and ownership.

Director

Jobgether
$120,000–$150,000/yr
US

  • Lead multiple professional teams in fiduciary administration services, ensuring high-quality service and operational excellence.
  • Manage team performance, develop future leaders, and drive progress toward organizational goals through strategic planning.
  • Oversee regulatory compliance, process improvement, and client retention initiatives while staying informed on industry trends.

Jobgether uses AI-powered matching to connect candidates with hiring companies. It is a platform that processes applications and shares top candidates with employers, operating remotely.

$72,000–$91,500/yr
US Unlimited PTO

  • Lead advanced Product Compliance activities to ensure administrative solutions align with laws and regulations.
  • Apply expert regulatory judgment to complex compliance inquiries and escalations using AI-enabled tools.
  • Partner with stakeholders to incorporate compliance requirements into strategic initiatives and operational changes.

HealthEquity is dedicated to saving and improving lives by empowering healthcare consumers through health savings accounts and related solutions. The company is a mid-to-large size organization that fosters a culture of inclusion, innovation, and continuous learning.

$72,000–$91,500/yr
US Unlimited PTO

  • Lead the development and improvement of product compliance programs, including policies, procedures, and monitoring frameworks.
  • Apply regulatory judgment to complex compliance issues, conduct risk assessments, and support corrective actions.
  • Leverage AI-enabled tools to enhance compliance documentation and analysis, while collaborating with cross-functional teams.

The company provides an AI-powered job matching platform for candidates and employers. It is a partner-driven organization that focuses on compliance solutions in healthcare, with a small to medium size, offering remote work flexibility and a culture of continuous improvement.

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  • Lead global transparency operations, customer delivery, and managed services to ensure accurate, timely, and compliant regulatory reporting.
  • Build executive relationships with compliance, legal, and finance leaders in life sciences, driving strategic client engagement and retention.
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MediSpend provides global transparency solutions and managed services for life sciences companies, ensuring compliant regulatory reporting. The company is a software and services provider with a focus on operational excellence, fostering a culture of accountability, collaboration, and innovation.

$105,000–$145,000/yr
United States Unlimited PTO

  • Serve as the go-to compliance resource for HSA, FSA, and HRA products, ensuring compliance with regulatory requirements.
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Lively set out to raise the bar on benefit solutions, offering a modern HSA and a full suite of benefits. It is a remote-first company with employees across the US, focused on user-centric design and innovation.

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  • Set the strategic direction for Compliance Operations, transforming regulatory requirements into scalable practices that enable growth.
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Honor Technology is changing how society cares for older adults by providing technology, tools, and services that empower them to live life on their own terms. With over 100,000 Care Pros and a global franchise network, the company delivers over 50 million hours of personalized care annually, fostering a culture of innovation and compassion.

$52,000–$57,000/yr
US Unlimited PTO

  • Translate complex benefit designs into clear, compliant documents that clients and regulators rely on.
  • Create, write, review, and edit Summary Plan Descriptions (SPDs) and Summary of Benefits & Coverage (SBC) documents.
  • Assess client intent by reviewing internal documentation and plan documents to ensure accurate plan setup.

Personify Health created the first and only personalized health platform, bringing health plan administration, wellbeing solutions, and care navigation together. Our team is mission-driven to empower people to lead healthier lives.

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  • Provides medical interpretation and clinical review for appropriateness of services, including Home Care Solutions, Skilled Nursing Facility, Durable Medical Equipment, rehabilitation, and discharge planning.
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  • Ensures compliance with CMS guidelines, Medicare/Medicaid requirements, and Humana policies while supporting quality, utilization management, and care coordination.

Humana is a leading U.S. healthcare company providing insurance and healthcare services through its Humana insurance and CenterWell healthcare services. It is a large, publicly traded organization with a culture focused on the Humana Way, emphasizing collaboration, accountability, and improving member experiences.

US

  • Prepare, review, and coordinate retirement plan documents including adoption agreements and trust agreements.
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  • Partner with advisors, clients, and internal teams to ensure accuracy, compliance, and timely execution.

Strongpoint Partners is a tech-enabled retirement services platform serving small- to mid-sized businesses. It is recognized as one of Inc. 5000's Fastest Growing Private Companies and certified as a Great Place to Work, with a network of 19 leading firms.

Canada United States UK

  • Validate AI-generated benefits guidance against accuracy and coverage standards.
  • Design and pressure-test member scenarios to ensure the rubric reflects real member questions.
  • Provide subject-matter expertise on benefits plan design, claims operations, or regulatory compliance.

League is a healthcare experience platform that closes the gap between people and their health by identifying what each person needs to do next and getting it done. It is one of the fastest-growing technology companies in Canada, serving 70 million+ people, and fosters an AI-native, flexible, and remote-friendly culture.

US

  • Drive the master project work plan for TJC Behavioral Health accreditation readiness, establishing clear milestones across clinical and operational teams.
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Lyra Health is a leading provider of evidence-based mental health care, serving more than 20 million people globally. The company has delivered more than 15 million sessions of care and fosters a culture of innovation and impact.

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  • Build and lead GiveWell’s legal function as primary legal decision-maker, developing strategy for scale.
  • Own compliance, contracting, and risk across employment, data privacy, IP, and multiple jurisdictions.
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GiveWell researches and directs funding to highly cost-effective global health and development programs, publishing its reasoning openly. It is one of the world’s largest private funders of global development, with tens of thousands of donors and over $2.6 billion directed since 2007.

$150,000–$258,750/yr
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  • Shape the strategy and operational performance of a large Patient Service Center organization.
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Jobgether is a recruitment platform using AI-powered matching to streamline job applications. The company focuses on efficient, objective candidate screening and partners with hiring companies to manage the hiring process.

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  • Lead and develop a regional workers' compensation claims team, ensuring timely and fair claim resolution while overseeing complex claims.
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EMC is an insurance company focused on financial strength and stability, with over 105 years of experience. They have a corporate culture that engages and empowers team members, and have been recognized as a top workplace based on team member feedback.

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  • Lead the design and improvement of global benefits programs across multiple countries, balancing local requirements with a consistent philosophy.
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Mixpanel is the leading product intelligence and analytics platform, trusted by more than 29,000 companies. They focus on building trust and taking care of their people, with a culture of bold bets, insight, one team, candor, championing customers, and powerful simplicity.

United States Unlimited PTO

  • Drive operational excellence across provider risk adjustment, HCC coding, and value-based care programs while overseeing coding services delivered by domestic and global teams.
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  • Manage, mentor, and develop diverse coding teams across locations, ensuring coding activities follow organizational standards and regulatory requirements.

Our partner is a company that drives operational excellence in healthcare through risk adjustment, HCC coding, and value-based care programs. They are a senior leadership focused organization that manages coding services with diverse teams, emphasizing quality and compliance.

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  • Manage and oversee auto claims operations member service employees, providing coaching and feedback to drive business results.
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USAA provides financial services to military members and their families, focusing on security and highly competitive products. With 35,000 employees, USAA maintains a culture of service, loyalty, honesty, and integrity.

US

  • Lead the design and improvement of global benefits programs across multiple countries, balancing local requirements with a consistent philosophy.
  • Manage vendor and broker relationships globally, including renewal negotiations and cost management.
  • Ensure benefits compliance with regulations such as ERISA, ACA, COBRA, HIPAA, and GDPR, and analyze data to inform budgeting and recommendations.

Mixpanel is a leading product intelligence and analytics platform that helps over 29,000 companies understand how users interact with their products. It is a high-growth company backed by prominent investors like Andreessen-Horowitz and Sequoia, with a culture centered on bold bets, collaboration, and customer focus.