Southwest Service Administrators: Provides third-party administration for labor-management trust funds.
3+ YOEHigh school diploma/GED, 3+ years processing medical claims, knowledge of medical terminology, CPT and ICD-9/10, 40 WPM, and strong Excel/Word and communication skills.
Sprouts Farmers MarketNASDAQ: SFM: Grocery retailer specializing in fresh, natural, and organic foods.
2+ YOEBachelor's or equivalent experience, 2+ years workers' compensation or claims experience, multi-jurisdictional WC knowledge, proficiency with claims management and reporting, TPA collaboration, strong analytical and communication skills; CWCP a plus.
Sprouts Farmers MarketNASDAQ: SFM: Operates a chain of healthy, natural grocery stores.
2+ YOEBachelor's degree or equivalent experience, 2+ years claims/workers' compensation experience, multi-jurisdictional workers' comp knowledge, strong analytical and communication skills, proficiency with claims management systems and reporting tools.
Richmond or Omaha or New York or Scottsdale or Rosemont or Henderson or Red Bank or Chicago or Plano or Alpharetta or Milwaukee
$25-$35/hrHybridFull Time
Markel GroupNew York Stock Exchange: MKL: Global provider of insurance, reinsurance, and investment products.
1+ YOE1+ year insurance claims experience in property/transportation/marine/liability; strong communication, analysis, policy evaluation, and PC skills; high school diploma required.
Microsoft Word, Microsoft Excel, Microsoft Outlook
Atlanta or Lenexa or Dallas or Scottsdale or Chicago
$73k-$97k/yrOnsiteFull Time
AIG: Global provider of property casualty insurance and risk solutions.
Experienced claims adjuster for North American aerospace (light and general aviation) with technical claim handling, vendor management, trend identification, stakeholder communication, and proficiency with claims systems.
Dallas or Hartford or Minneapolis or Phoenix or Tampa
$50k-$89k/yrRemoteFull Time
UnitedHealth GroupNYSE: UNH: Provides health insurance and technology-enabled health care services.
2+ YOE2+ years experience in customer service and end-to-end life insurance claims processing; high school diploma/GED or equivalent; proficiency with computers and Windows; ability to work full-time business hours EST; telecommuting setup required.
Acumen Fiscal Agent: Provides fiscal management services for self-directed home care programs.
5+ YOEBachelor's degree, 5+ years progressive workers' compensation claims experience across multiple states, ownership of complex/litigated claims, strong judgment, vendor management, and ability to translate claims data for finance and operations.
Green Light Cost Management: A healthcare technology that partners with health plans and providers to resolve out-of-network medical claims fairly and efficiently.
2+ YOE2+ years in healthcare, insurance, billing, claims, collections, customer service, or revenue cycle; high school diploma or equivalent; strong verbal/written communication, phone-based negotiation, attention to detail, and ability to manage high-volume caseloads.
Claims Management Program Analyst (O-4 Billet) Non-Supervisory
Salt Lake City or Seattle or Phoenix or Los Angeles or San Francisco or Denver or Washington or Miami or Atlanta or Chicago or Indianapolis or New Orleans or Boston or Minneapolis or Kansas City or Albuquerque or New York or Oklahoma City or Portland or Austin
$1-$150k/yrOnsiteFull Time
ICE: Enforces immigration laws and provides medical care to detainees.
3+ YOEMinimum 3 years professional experience with at least 2 years in program management/healthcare management or medical claims; knowledge of claims processes, ICD-10/CPT/DRG/CMS coding, EHRs, and Microsoft Office/SharePoint; must be USPHS IHSC officer.
Microsoft Office, Sharepoint, Electronic Health Records
PURE Insurance: Provides property and casualty insurance for wealthy families.
10+ YOE10+ years P&C claims experience with 5+ years handling litigated auto and general liability, ability to manage complex catastrophic bodily injury claims and exposures >$750,000, bachelor’s degree, advanced designations preferred.
Microsoft Excel, Microsoft Word, email applications
Valenz Health: Data-driven platform simplifying healthcare for employers and payers.
7+ YOE7+ years data analysis experience (3+ years with healthcare claims). Proficiency with SQL, Python, Spark/Databricks, Excel; strong analytic, validation, and communication skills.
SQL, Python, Spark, Databricks, SFTP, Microsoft Excel, Pandas, PySpark, HCPCS, ICD-10, NDC, Power BI, Tableau, Git, CI/CD, AWS, Azure, GCP
United States or Phoenix or San Antonio or Columbus or Charlotte or Chicago or Denver or San Diego or Houston or Los Angeles or Seattle or Washington, D.C. or Boston or San Francisco or New York City or San Jose
$103k-$135k/yrRemoteFull Time
Included Health: Provides integrated virtual care and healthcare navigation services.
5+ YOE5+ years in healthcare economics/actuarial or quantitative analysis; bachelor’s degree required; 1+ actuarial exam preferred; expert SQL and Excel/Google Sheets; Python preferred; experience with medical/Rx claims and reporting tools.
SQL, Microsoft Excel, Google Sheets, Python, Looker, Tableau, GitHub, Jira, Confluence
Phoenix or Alaska or Arkansas or Arizona or Colorado or Florida or Hawaii or Iowa or Idaho or Illinois or Kansas or Louisiana or Maryland or Minnesota or Missouri or Montana or Nebraska or Nevada or New Mexico or North Carolina or North Dakota or Oklahoma or Oregon or South Carolina or South Dakota or Tennessee or Texas or Utah or Virginia or District of Columbia or Washington or Wisconsin or Wyoming
$78k-$92k/yrRemoteFull Time
TriWest Healthcare Alliance: Manages healthcare programs for veterans and military families.
3+ YOEBachelor's degree or equivalent, 3+ years healthcare/data analysis, knowledge of CMS coding and provider reimbursement, strong Excel and SQL skills, experience with data visualization and government claims preferred.
Microsoft Excel, SQL, SQL Reporting Services (SRS), Tableau, Power BI
Oscar HealthNYSE: OSCR: Provides tech-enabled health insurance plans and telemedicine services.
2+ YOEBachelor's degree or 4 years experience; 2+ years in health insurance customer service/claims/appeals/regulatory; strong attention to detail; ability to manage complex documentation; proficiency with MS Office and Google Tools.
CBIZNYSE: CBZ: Provides financial, tax, and business advisory services to organizations.
Bachelor's degree required; experience building Tableau dashboards, SAS/SQL and Excel proficiency; 2 years of Tableau/data analysis experience preferred; healthcare enrollment/claims data experience helpful.