Own the end-to-end performance of the claims operation.
Drive claims quality, speed, and scalability through inventory management.
Develop the claims department's client experience strategy.
Centivo is an innovative health plan for self-funded employers. They are on a mission to bring affordable, high-quality healthcare to the millions who struggle to pay their healthcare bills and work with employers ranging in size from 51 employees to Fortune 500 companies.
Oversees four teams, leading, supporting, and developing them to succeed.
Ensures operational excellence through consistent processes, reporting, and communication.
Drives performance, quality, and continuous improvement across all teams.
BlueCross BlueShield of Tennessee has been helping Tennesseans find their own unique paths to good health since 1945. They empower their employees to thrive both independently and collaboratively, creating a collective impact on the lives of their members.
Coordinate with insurance representative on claims and accidents
Prepare and present reports summarizing accidents, utility hits, damages, injuries and near misses
MasTec Communications Group provides engineering, construction, and design and management solutions that meet the growing telecommunications needs throughout the United States. They are a fast-growing team of professionals committed to safety and quality service.
Build relationships and partnerships with key business stakeholders, staying current on their needs, challenges and strategies.
Gather, synthesize, and analyze complex data to recognize trends and extract insights across the business to support informed decisions.
Define operational support requirements and inputs by working with system solution owners and implementation teams to understand workflow strategic design and processes.
Ryan Specialty provides innovative solutions for insurance brokers, agents, and carriers. It is home to some of the brightest talent in the insurance industry and a multi-time winner of Newsweek’s Most Loved Workplaces and Insurance Business’s Top Insurance Employers.
Leads a defined sales territory effort to meet the Strategic sales goals.
Develops new sales strategies and teaches the sales team to implement them.
Manages the Strategic sales team to specific performance targets, exceeding quotas and delivering appropriate quantities of new deals.
NICE Ltd. (NASDAQ: NICE) software products are used by 25,000+ global businesses, including 85 of the Fortune 100 corporations, to deliver extraordinary customer experiences, fight financial crime and ensure public safety. Known as an innovation powerhouse that excels in AI, cloud and digital and with over 8,500 employees across 30+ countries, NICE is consistently recognized as the market leader in its domains.
Lead HDVI’s internal claims team and provide guidance to direct reports.
Participate in claims reviews and contribute to building a best-in-class claims operation.
Develop and execute a strategic file management plan for optimal file resolution.
High Definition Vehicle Insurance (HDVI) brings telematics, software and data together with commercial trucking insurance, taking transportation insurance and fleet risk management to the next level. The HDVI Team is values-driven, data-driven, ambitious, and collaboratively minded with a diverse background of experiences and skills in the insurance and logistics industries.
Facilitate damage and vehicle claims company-wide.
Coordinate with insurance representatives on claims and accidents.
Prepare and present reports summarizing accidents, utility hits, damages, injuries, and near misses.
Jobgether leverages AI-powered matching to connect job seekers with employers, ensuring applications are reviewed quickly and fairly. They aim to streamline the hiring process by identifying top-fitting candidates for various roles, passing a shortlist on to the hiring company.
Proactively review trends in outstanding A/R, denials, and various payment issues.
Pull and join multiple data sources together, including the use of SQL and API calls.
Communicate findings and recommendations with department and cross functional leadership.
BetterHelp aims to remove barriers to therapy and make mental healthcare accessible. They are the world's largest online therapy service with over 30,000 licensed therapists, focused on employee well-being and professional development.
Leads a team of underwriters to achieve profit and growth goals.
Develops strong agency partnerships and ensures quality underwriting decisions.
Manages profitability in compliance with company policies and procedures.
Liberty Mutual is an insurance company that focuses on providing a variety of insurance products and services. At Liberty Mutual, they aim to cultivate an inclusive environment where employees feel valued, supported, and empowered to excel.
Lead the development and execution of Clover’s provider network strategy in New Jersey.
Establish and execute on an annual contracting roadmap aligned with affordability, access, and quality goals.
Lead a team to deliver high-quality and data-driven contracting operations.
Clover Health reinvents health insurance by combining data and human empathy to keep members healthier. They have created custom software and analytics to empower their clinical staff to intervene and provide personalized care.
Lead and Develop the Presales Team: Manage and mentor a team of presellers, providing guidance and support to ensure their professional growth and the achievement of sales objectives.
Drive Technical Win Rates: Collaborate with Sales Leaders and coach account teams to maximize technical win rates and support fast, positive business outcomes for prospective customers.
Enhance Presales Processes: Identify inefficiencies within the presales division and implement standardized operational procedures to improve consistency and efficiency.
Camunda is the leader in enterprise agentic automation, orchestrating complex business processes across agents, people, and systems. Camunda is a fully remote, global company that is growing fast and looking for top talent to join their team.
Manage all the activities related to pre-sales and resource planning.
Influence prospective customers with support onsite and provide remote executive overviews.
Rapidly generate analyses such as ROIs, cashflows, and breakeven analyses
Redzone, the Connected Workforce business unit within QAD | Redzone, helps manufacturers make more products for less while greatly improving the employee experience. Redzone brings together Production, Maintenance, and Quality teams, improving the communications between those teams to resolve issues and increase output.
Supervise offshore/global VA revenue cycle staff and ensure adequate coverage and productivity.
Conduct regular team check-ins and performance reviews to develop staff capability.
Monitor key revenue cycle metrics and implement action plans to address underperformance.
EnableComp helps more than 1,000 hospitals nationwide recover $3 billion annually from complex claims, denials, and revenue recovery and earned its reputation in the toughest corners of the revenue cycle by solving the complex claims no one else could. The company is a multi-year Top Workplaces honoree and believes that investing in employees is the key to their success.
Lead a team of CareDriver Support Team Leads to achieve department goals.
Track quality assurance and provide feedback to improve team performance.
Identify trends in customer issues and recommend improvements to leadership.
HopSkipDrive is a technology company focused on solving complex transportation challenges with a focus on safety and equity. Founded by three moms, they have facilitated over five million rides and continue to expand rapidly, recognized on the Inc. 5000 list multiple times.
Manage complex multi-workstream projects and oversee junior team members
Analyze data to implement performance improvement and organizational change
Collaborate with team members and clients to align with business objectives
Jobgether is a company that uses an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company.
Provide advanced analytical, reporting, and problem‑resolution support across various departments.
Partner with operational, technical, clinical, and compliance teams to analyze trends and optimize processes.
Leverage technical acumen, including FACETS and reporting tools, to drive improvements and ensure compliance.
Capital Blue Cross is committed to providing exceptional service to their team and the community. They foster a flexible work environment where health and well-being are prioritized, valuing professional and personal growth through investment in training and continuing education.
Own and manage shared inboxes and ensure timely review, triage, escalation and routing of requests
Identify trends, risks, or recurring issues and ensure escalation and action planning
Conduct compliance audits, write corrective action plans and work with department managers to ensure timely completion and compliance with local, state and regulatory requirements
Centene is transforming the health of communities, one person at a time. As a diversified, national organization, they offer competitive benefits and a fresh perspective on workplace flexibility.
Drive market growth by building pipeline opportunities and exceeding multi-million-dollar sales quotas.
Orchestrate high-stakes strategic calls and client engagements, positioning EnableComp as a thought leader.
Cultivate new relationships with hospital CFOs, VPs, and senior executives.
EnableComp helps more than 1,000 hospitals nationwide recover $3 billion annually from complex claims, denials, and revenue recovery. They are a multi-year Top Workplaces honoree, and have a SOC 2 Type II and HITRUST e1-certified platform that values integrity and innovation.
Oversee financial analysis, reporting, and compliance related to governmental reimbursements.
Lead financial reporting, analysis and regulatory compliance related to Medicare, Medicaid and other governmental reimbursement programs.
Ensure accurate and timely revenue recognition and reimbursement estimation.
Emory Healthcare is dedicated to fueling professional journeys with benefits, resources, mentorship, and leadership programs. They foster a supportive environment. They have many employees and promote growth.