$144K - $238K/yr
... Remote work Essential Responsibilities * Direct all aspects of claims intake, adjudication, payment, adjustment, and provider reimbursement activities. * Ensure claims are processed accurately ...
$144K - $238K/yr
... Remote work Essential Responsibilities * Direct all aspects of claims intake, adjudication, payment, adjustment, and provider reimbursement activities. * Ensure claims are processed accurately ...
$144K - $238K/yr
... Remote work Essential Responsibilities * Direct all aspects of claims intake, adjudication, payment, adjustment, and provider reimbursement activities. * Ensure claims are processed accurately ...
Omaha, NE · On-site +1
$81K - $130K/yr
... remote/telecommuting opportunity Position Summary The Assistant Director of the Genomics Core ... The Assistant Director coordinates the activities of core staff, manages databases and core website ...
Omaha, NE · On-site +1
$81K - $130K/yr
... remote/telecommuting opportunity Position Summary The Assistant Director of the Genomics Core ... The Assistant Director coordinates the activities of core staff, manages databases and core website ...
Lincoln, NE · Remote
... daily work activities. Responsibilities: * Responds to building automation system alarms and ... Provides technical support to customers and personnel as directed on assigned projects. * You ...
Lincoln, NE · Remote
... daily work activities. Responsibilities: * Responds to building automation system alarms and ... Provides technical support to customers and personnel as directed on assigned projects. * You ...
Lincoln, NE · Remote
$3.50/hr
... daily work activities. Responsibilities: * Responds to building automation system alarms and ... Provides technical support to customers and personnel as directed on assigned projects. * You ...
Lincoln, NE · Remote
$3.50/hr
... daily work activities. Responsibilities: * Responds to building automation system alarms and ... Provides technical support to customers and personnel as directed on assigned projects. * You ...
Omaha, NE · Remote
... daily work activities. Responsibilities: * Responds to building automation system alarms and ... Provides technical support to customers and personnel as directed on assigned projects. * You ...
Omaha, NE · Remote
... daily work activities. Responsibilities: * Responds to building automation system alarms and ... Provides technical support to customers and personnel as directed on assigned projects. * You ...
La Vista, NE · Remote
$3.50/hr
... daily work activities. Responsibilities: * Responds to building automation system alarms and ... Provides technical support to customers and personnel as directed on assigned projects. * You ...
La Vista, NE · Remote
$3.50/hr
... daily work activities. Responsibilities: * Responds to building automation system alarms and ... Provides technical support to customers and personnel as directed on assigned projects. * You ...
La Vista, NE · Remote
... daily work activities. Responsibilities: * Responds to building automation system alarms and ... Provides technical support to customers and personnel as directed on assigned projects. * You ...
La Vista, NE · Remote
... daily work activities. Responsibilities: * Responds to building automation system alarms and ... Provides technical support to customers and personnel as directed on assigned projects. * You ...
Hastings, NE · Remote
$3.50/hr
... daily work activities. Responsibilities: * Responds to building automation system alarms and ... Provides technical support to customers and personnel as directed on assigned projects. * You ...
Hastings, NE · Remote
$3.50/hr
... daily work activities. Responsibilities: * Responds to building automation system alarms and ... Provides technical support to customers and personnel as directed on assigned projects. * You ...
Kearney, NE · Remote
... daily work activities. Responsibilities: * Responds to building automation system alarms and ... Provides technical support to customers and personnel as directed on assigned projects. * You ...
Kearney, NE · Remote
... daily work activities. Responsibilities: * Responds to building automation system alarms and ... Provides technical support to customers and personnel as directed on assigned projects. * You ...
Hastings, NE · Remote
... daily work activities. Responsibilities: * Responds to building automation system alarms and ... Provides technical support to customers and personnel as directed on assigned projects. * You ...
Hastings, NE · Remote
... daily work activities. Responsibilities: * Responds to building automation system alarms and ... Provides technical support to customers and personnel as directed on assigned projects. * You ...
Omaha, NE · Remote
$3.50/hr
... daily work activities. Responsibilities: * Responds to building automation system alarms and ... Provides technical support to customers and personnel as directed on assigned projects. * You ...
Omaha, NE · Remote
$3.50/hr
... daily work activities. Responsibilities: * Responds to building automation system alarms and ... Provides technical support to customers and personnel as directed on assigned projects. * You ...
Kearney, NE · Remote
$3.50/hr
... daily work activities. Responsibilities: * Responds to building automation system alarms and ... Provides technical support to customers and personnel as directed on assigned projects. * You ...
Kearney, NE · Remote
$3.50/hr
... daily work activities. Responsibilities: * Responds to building automation system alarms and ... Provides technical support to customers and personnel as directed on assigned projects. * You ...
Proceed Finance is seeking a Director of National Accounts to drive new business development ... Maintain accurate opportunity, activity, and forecast data within the current CRM system to support ...
Proceed Finance is seeking a Director of National Accounts to drive new business development ... Maintain accurate opportunity, activity, and forecast data within the current CRM system to support ...
Lincoln, NE · On-site +1
Proceed Finance is seeking a Director of National Accounts to drive new business development ... Maintain accurate opportunity, activity, and forecast data within the current CRM system to support ...
Lincoln, NE · On-site +1
Proceed Finance is seeking a Director of National Accounts to drive new business development ... Maintain accurate opportunity, activity, and forecast data within the current CRM system to support ...
... fully remote, depending on the location the role is filled Travel Periodic travel expected for ... Design and own the attribution model connecting campaign activity to pipeline influence and revenue ...
... fully remote, depending on the location the role is filled Travel Periodic travel expected for ... Design and own the attribution model connecting campaign activity to pipeline influence and revenue ...
Omaha, NE · On-site +1
$55K - $65K/yr
The Director of Jet Card Sales is responsible for selling new Jet Card Memberships and renewing ... Able to complete physical activities such as standing, sitting, walking, talking, and hearing to ...
Omaha, NE · On-site +1
$55K - $65K/yr
The Director of Jet Card Sales is responsible for selling new Jet Card Memberships and renewing ... Able to complete physical activities such as standing, sitting, walking, talking, and hearing to ...
Omaha, NE · Remote
Remote Categories: Sales We're seeking a strategic and relationship-driven National Sales Director ... Monitor market trends, competitive activity, and industry developments. Translate insights into ...
Omaha, NE · Remote
Remote Categories: Sales We're seeking a strategic and relationship-driven National Sales Director ... Monitor market trends, competitive activity, and industry developments. Translate insights into ...
Omaha, NE · On-site +1
$201K - $320K/yr
Remote Categories: Underwriting, Leadership As our VP & Medical Director, you'll shape medical ... Provide strategic direction for medical review activities, including utilization review, fraud ...
Omaha, NE · On-site +1
$201K - $320K/yr
Remote Categories: Underwriting, Leadership As our VP & Medical Director, you'll shape medical ... Provide strategic direction for medical review activities, including utilization review, fraud ...
Omaha, NE · On-site +1
$110K - $130K/yr
We are flexible yet committed, and we show up ready to work hard in our fully remote culture. We ... of Activities, and Statement of Cash Flows). * Maintain a comprehensive system of accounting ...
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Omaha, NE · On-site +1
$110K - $130K/yr
We are flexible yet committed, and we show up ready to work hard in our fully remote culture. We ... of Activities, and Statement of Cash Flows). * Maintain a comprehensive system of accounting ...
Omaha, NE · On-site +1
$201K - $320K/yr
Remote Categories: Underwriting, Leadership In this role, you'll shape medical policy, oversee ... Provide strategic direction for medical review activities, including utilization review, fraud ...
Omaha, NE · On-site +1
$201K - $320K/yr
Remote Categories: Underwriting, Leadership In this role, you'll shape medical policy, oversee ... Provide strategic direction for medical review activities, including utilization review, fraud ...
| Aspect | Remote Activity Director | Remote Recreational Therapist |
|---|---|---|
| Credentials | Activity Director certification, CPR, first aid | Recreational Therapy certification, CTRS credential, CPR |
| Work Environment | Senior living facilities, community centers, online programs | Healthcare settings, rehabilitation centers, senior care, online options |
| Industry Usage | Senior care, assisted living, retirement communities | Healthcare, mental health, rehabilitation, senior care |
| Job Focus | Planning and coordinating recreational activities for seniors | Using therapeutic recreation to improve patient well-being |
While both roles involve enhancing quality of life through activities, Remote Activity Directors focus on organizing recreational events, whereas Remote Recreational Therapists apply therapeutic techniques to support health and recovery. The choice depends on your certification and career goals within senior and healthcare settings.

$144K - $238K/yr
Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Re-posted 2 days ago
Job Description Summary
The Director, Claims Support is responsible for the strategic and operational leadership of CareMore Health's claims administration function, ensuring the accurate, timely, and compliant adjudication and payment of medical, behavioral health, pharmacy, and ancillary claims. This role oversees claims operations across multiple markets and systems, drives operational excellence, and ensures compliance with Medicare, Medicaid, Commercial, CMS, and state regulatory requirements.How will you make an impact & Requirements
Hours & Location:
Full Time: Monday-Friday, Pacific Time
Remote work
Essential ResponsibilitiesDirect all aspects of claims intake, adjudication, payment, adjustment, and provider reimbursement activities.
Ensure claims are processed accurately, timely, and in compliance with contractual, regulatory, and organizational requirements.
Provide leadership and guidance on highly complex claims and provider disputes.
Establish and monitor operational metrics, SLAs, productivity standards, and quality indicators.
Lead continuous improvement initiatives focused on automation, efficiency, payment accuracy, and provider experience.
Ensure compliance with CMS, Medicare Advantage, Medicaid, and state regulations.
Lead strategic planning, budgeting, workforce planning, and operational transformation initiatives.
Partner with providers, delegated entities, vendors, and internal stakeholders to resolve issues and improve performance.
Lead, coach, and develop managers and claims professionals across multiple locations.
Bachelor's degree in Business Administration, Healthcare Administration, Finance, Public Health, or related field, or equivalent experience.
Minimum 9 years of progressive healthcare claims operations experience.
Minimum 5 years of leadership experience managing managers and/or large operational teams.
Experience within Medicare Advantage, Medicaid, Managed Care, Health Plan, or Payer environments.
Master's degree (MBA, MHA, MPH, or related field).
Experience supporting delegated provider organizations, value-based care models, payment integrity programs, and provider dispute resolution.
Benefits:
3 weeks PTO & 8 paid holidays
Medical, Dental, Vision
Employer Paid Basic Life & Short Term Disability coverage (goes into effect after 1 year of full-time employment)
401(k) with match
Employee Wellness
Other Employee Discount programs like Tickets at Work and cell phone discounts
Other benefits: Dependent Care FSA, Voluntary Life, Long Term Disability, Critical Illness, Pet Insurance, and more
Compensation:
$144,368.00to
$238,207.00Sourced by ZipRecruiter
Health care and social assistance
1,001 - 5,000 Employees
Cerritos, CA, US
1993