ImageNetLLC
Healthcare Claims Team Lead - Remote
Tampa, Florida, United States · Full-time
Sponsorship not specifiedDetected 34 days ago
Performance ManagementLeadershipCommunicationMentoringClaims Management
About the role
- Coordinate system setup, user acceptance testing (UAT), and access provisioning with IT and client teams
- The company processes millions of claims and multiples of related structured and unstructured data elements within these claims annually.
Responsibilities
- Lead end-to-end client implementation, from discovery through go-live and stabilization
- Develop and execute detailed implementation plans, including timelines and milestones
- Identify risks early and proactively drive mitigation strategies
- Partner with Training, QA, IT, and Workforce Management teams to ensure readiness across all workstreams
- Operational Readiness & Process Design
- Support development of process documentation, job aids, and knowledge base materials
- Validate workflows for claims processing, including escalation paths and exception handling
- Ready to Take the Lead on Something New?
Requirements
- Proven experience in implementations, transitions, or new client launches
- Strong experience with Medicare and Medi-Cal claims, including a working knowledge of CMS guidelines and regulatory requirements.
- Prior quality assurance and training experience with demonstrated ability to identify trends
- Strong analytical skills with the ability to interpret performance data and KPIs.
Skills
- Ensure all systems, tools, and environments are fully tested and production-ready prior to go-live
Compensation
- The company processes millions of claims and multiples of related structured and unstructured data elements within these claims annually.
Benefits
- Comprehensive benefits: Medical, Dental, Vision, Life, HSA, 401(k)
- Paid Time Off (PTO)
- Imagenet is a leading provider of back-office support technology and tech-enabled outsourced services to healthcare plans nationwide.
- The company currently serves over 70 health plans, acting as a mission-critical partner to these plans in enhancing overall care, engagement and satisfaction with plans' members and providers.
Company info
- We are seeking a highly driven Healthcare Claims Team Lead to play a critical role in launching and supporting a new client engagement.
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This listing is sourced directly from ImageNetLLC's careers page and normalized into a canonical job model.