• Director , Claims ( Remote )

    Trustmark (Little Rock, AR)
    …the best to our colleagues, clients and communities. Responsible for overseeing a claims processing organization. Ensures claims are processed in a timely manner ... in accordance and compliant with government regulations. Develops claims adjudication policies and procedures that maximize the accuracy of claims payments.… more
    Trustmark (11/05/24)
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  • Medical Director -- Claims

    Humana (Little Rock, AR)
    …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to...member PHI / HIPAA information + This is a remote position\#LI- Remote **Scheduled Weekly Hours** 40 **Pay… more
    Humana (10/29/24)
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  • Sr. Claims Specialist - Complex…

    Zurich NA (Little Rock, AR)
    …Office, AM - Remote Work (US) Remote Working: Hybrid Schedule: Full Time Employment Sponsorship Offered: No Linkedin Recruiter Tag: #LI-MD1 #LI- DIRECTOR ... Sr. Claims Specialist - Complex Construction Claims 117562 Zurich North America is seeking a skilled and experienced Senior Claims Specialist to join our… more
    Zurich NA (10/11/24)
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  • Director - Client Services ( Remote

    Sedgwick (Little Rock, AR)
    …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Director - Client Services ( REMOTE ) **PRIMARY PURPOSE** : To determine ... rounding ability + Strong understanding of workers compensation, liability and disability claims management + In-depth knowledge of client servicing + Ability to… more
    Sedgwick (11/06/24)
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  • Associate Director , Global Labeling Lead…

    Takeda Pharmaceuticals (Little Rock, AR)
    …to bring life-changing therapies to patients worldwide. Join Takeda as Associate Director , Global Labeling Lead where you will be responsible for the development ... to ensure consistency with the overall product strategy, product claims and information in the CCDS and to ensure...around the world. This position is currently classified as " remote " in accordance with Takeda's Hybrid and Remote more
    Takeda Pharmaceuticals (10/16/24)
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  • Director , Product Management…

    HealthEdge Software Inc (Little Rock, AR)
    **Overview** ** Director , Product Management** **Position Overview:** We are seeking a highly skilled and experienced Director of Product Management to lead our ... and QE. We have divided our product teams into Value Streams (ie, Claims , Billing & Financials, Enrollment, BlueCard, Integration, and Platform). Each Value Stream… more
    HealthEdge Software Inc (09/21/24)
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  • Executive Director , Learning Design

    Educational Testing Service (Little Rock, AR)
    …education and ed tech space as it continues to grow and evolve. The Executive Director of Learning Design will lead the strategy for how ETS develops learning and ... assessment solutions in the K16 Business Unit. The Executive Director will lead a team of learning scientists, instructional designers, user experience research and… more
    Educational Testing Service (11/02/24)
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  • Medicare Grievances and Appeals Corporate Medical…

    Humana (Little Rock, AR)
    …Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate Medical Director works on problems ... and complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation and decisions about the appropriateness of… more
    Humana (10/29/24)
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  • Director of Data Content and Strategy

    RELX INC (Little Rock, AR)
    Director of Data Content and Strategy About the business: LexisNexis Risk Solutions is the essential partner in the assessment of risk. Within our Healthcare ... and experienced professional to join our team as the Director of Data Content and Strategy. This critical role...Maintaining a deep understanding of relevant industry data, including claims , provider data, and patient insights. + Performing all… more
    RELX INC (09/07/24)
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  • Clinical Research Analyst, Senior - Remote

    Prime Therapeutics (Little Rock, AR)
    …we make. **Job Posting Title** Clinical Research Analyst, Senior - Remote **Job Description** The Senior Clinical Research Analyst works collaboratively within ... data output using eligibility data, medical and pharmacy administrative claims . The individual will support pharmaceutical manufacturer value-based contract… more
    Prime Therapeutics (11/01/24)
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  • Data Scientist- REMOTE

    Prime Therapeutics (Little Rock, AR)
    …and drives every decision we make. **Job Posting Title** Data Scientist- REMOTE **Job Description** The Principal Data Scientist is an independent statistical ... program impact measurement using eligibility, medical, and pharmacy administrative claims and external data, (eg, care management, disease management, laboratory,… more
    Prime Therapeutics (11/01/24)
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  • Regulatory Analyst Sr - Remote

    Prime Therapeutics (Little Rock, AR)
    …every decision we make. **Job Posting Title** Regulatory Analyst Sr - Remote **Job Description** The Senior Regulatory Analyst is responsible for leading portions ... Programs, Compliance, Healthcare Reform, Legal, Networks, Clinical Operations, Paper Claims , Member Materials, IT, etc.) to ensure effective collaboration,… more
    Prime Therapeutics (10/30/24)
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  • Property Executive General Adjuster

    Zurich NA (Little Rock, AR)
    …AM - Remote Work (US) Remote Working: Yes Schedule: Full Time Employment Sponsorship Offered: No Linkedin Recruiter Tag: #LI-LC1 #LI- DIRECTOR #LI- REMOTE ... a Property Executive General Adjuster to support our Property Claims division. At Zurich North America Claims ...choosing your next career move. This position is 100% remote and can work anywhere in the United States.… more
    Zurich NA (10/31/24)
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  • Construction Professional Liability Underwriter…

    Zurich NA (Little Rock, AR)
    …AM - Remote Work (US) Remote Working: Hybrid Schedule: Full Time Employment Sponsorship Offered: No Linkedin Recruiter Tag: #LI-BN1 #LI- DIRECTOR #LI-HYBRID ... Zurich's Philadelphia office. We are also open to hiring remote talent. This role will be filled at either...and 10 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance… more
    Zurich NA (10/12/24)
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  • Senior Design/Construction Management Consulting…

    Zurich NA (Little Rock, AR)
    …Office, AM - Oregon Virtual Office Remote Working: Yes Schedule: Full Time Employment Sponsorship Offered: No Linkedin Recruiter Tag: #LI-LB1 #LI- DIRECTOR ... prospect/existing customer base. + Providing periodic support to the Claims Department with technical assessment of complex claims...for resume submission. Location(s): AM - Schaumburg, AM - Remote Work (US), AM - Dallas, AM - San… more
    Zurich NA (11/06/24)
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  • Physician Compensation Analyst

    Intermountain Health (Little Rock, AR)
    …Compensation Analyst provides compensation support and analysis for the Director of Physician Compensation, Manager of Physician Compensation, Medical Group, ... Recruiting, Professional Staff Services, and other leaders. **This is a 100% remote position** **however, currently we are unable to consider candidates for … more
    Intermountain Health (11/05/24)
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  • Operations Supervisor - Move Management…

    HomeSafe Alliance (Little Rock, AR)
    …with GHC pricing requirements and report actual performance monthly to the Director of International Operations (DIOps) + Verify and assess accuracy of transit ... risks of not meeting RDDs as directed by the Director of International Operations, for all shipments that may...International Operations, for all shipments that may create inconvenience claims for HomeSafe. Formats and data requirements to be… more
    HomeSafe Alliance (10/02/24)
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  • Manager, Provider Contracting - Arkansas, Alabama…

    The Cigna Group (Little Rock, AR)
    **_LOCATION: Hybrid/ Remote position aligned to the Tri-South Market. Must reside in either: Arkansas, Alabama or Mississippi,_** The **Manager, Network Management** ... member of the Provider Contracting Team and reports to the Provider Contracting Director . This role assists in developing the strategic direction and management of… more
    The Cigna Group (11/05/24)
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  • Lead AI Solutions Marketing Manager

    Lumen (Little Rock, AR)
    …and is expected to meet and exceed goals. **Location** This is a remote position open to candidates located anywhere in the US **The Main Responsibilities** ... messaging to develop value propositions, differentiators, messaging, proof points, and claims + Develops sales enablement materials to ensure sales understanding at… more
    Lumen (10/24/24)
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