Claims Management Jobs in United States

As a Senior Product Manager on our Data Product team, you will own the strategy for claims data at Turquoise, from how it’s sourced and brought into

Reporting to the CEO, you'll work across sales, account management, claims, and product.

The Senior Manager, Claims Adjudication Logic will be the subject matter expert on how our claims move through the system: the rules that determine whether a claim

We're looking for a versatile, high-ownership Senior Product Manager to join our Payer Solutions team.

experienced SIU Investigator to help protect honest policyholders and keep sophisticated fraud networks from gaming the system — while making sure legitimate claims

experienced SIU Investigator to help protect honest policyholders and keep sophisticated fraud networks from gaming the system — while making sure legitimate claims

You will run implementations, manage launches, and build the delivery process from the ground up.

, prior authorization, claims, and reimbursement policy) and how those mechanics shape clinical workflows Hands-on work with claims data, outcomes

Review applicable claims and medical records to assess the clinical relationship and potential consolidation of the readmission.

Vendor Management: Experience managing vendor partners against clear performance and quality standards.

3+ Years of supervisory or people management experience.

Intake & Prior Authorization Oversight: Directly manage daily operations of the Utilization Management Coordinator Team to