Claim Health jobs

Claims Processor, Medical West Valley, Utah, United States of America Embrace the opportunity to become a Medical Claims Processor and play a vital role in ensuring accurate and timely processing of medical claims, denials, and payments. Utilize your attention to detail and communication skills to resolve payment variances and support healthcare operations. Grow your career with Sutter Health in a dynamic, full-time environment.

Member Claims Associate (Contract) Plano, TX At Collective Health, we're transforming how employers and their people engage with their health benefits by seamlessly integrating cutting-edge technology, compassionate service, and world-class user experience design. As a Member Claims Associate Contractor , you will drive the core processes behind Collective Health's employer-sponsored medical plans and help our members navigate their most complex claims issues. In this role, you will gain a comprehensive, hands-on understanding of health plan operations-from processing medical claims and deciphering complex coding to managing regulatory requirements and network partner relationships. Everything you do will be through the lens of delivering an exceptional member experience. This contract is a gateway to becoming an expert in the payer-side of healthcare. Backed by our established, knowledgeable teams, you will play an essential role in scaling our operations and collaborating on a growing team at the forefront of redefining the healthcare industry. Start Date and Training - Contract Start date: July 6, 2026 - Contract End date: December 31, 2026 - You must be available for 5 weeks of required training beginning on the start date from July 6 - Aug 7. You will not be able to take time off during the training period. - This is a hybrid position based out of our Plano office, with the expectation of being in office at least three weekdays per week. What you'll do: - Execute the daily operations of a health plan, including processing medical claims, researching and responding to the members' most

Claim Benefit Specialist Work at Home, Pennsylvania, United States Embrace the opportunity to become a Claim Benefit Specialist and play a vital role in ensuring accurate and timely claims processing for healthcare providers. Utilize your expertise in claims adjudication, medical coding, and stakeholder communication to deliver exceptional service. Grow your career in a dynamic environment focused on quality, compliance, and continuous improvement.

Trainee Claims International Insurance (w/m/d) - Accident & Health 2 Locations posted: Posted 10 Days Ago

Forward Deployed Engineer New York City | OnSite ABOUT CLAIM HEALTH Claim Health is the AI Revenue Platform for Post-Acute Care. Post-acute care is one of the largest and fastest-growing sectors in healthcare, yet the operational infrastructure powering it is fragmented, manual, and reactive. Providers operate across disconnected systems, human-heavy workflows, and high-stakes operational processes that directly impact patient access and financial performance. Claim Health is building the adaptive operational layer for post-acute care - a platform that unifies data, automates execution, and enables intelligent coordination across revenue-critical workflows. We work directly inside some of the most operationally complex healthcare organizations in the country, helping them modernize the systems that power care delivery. THE ROLE We're looking for a Forward Deployed Engineer to operate at the intersection of engineering, product, and customer operations. This is not traditional solutions engineering or implementation consulting. You'll work directly with customers to understand how real operational systems break, then build production-grade software that solves those problems at the root. Half of your job is deeply technical execution across the stack. The other half is embedding with customers, translating operational complexity into scalable product systems. You will shape both: - How Claim Health's platform evolves - How entire product lines are defined and brought to market Forward Deployed Engineers at Claim Health are builders first. You will write production code, own deployments, design workflows, and create new abstractions that become core parts of the platform. You'll spend time inside real healthcare operations (intake teams, billing

Director, Health Plan Operations (Claims) Florida Miami, FL, United States Director, Health Plan Operations (Claims) Florida

Senior Manager, Project Program Management (Claim Operations) 151 Farmington Avenue, Hartford, Connecticut,United States Join our team as a Senior Manager, Project Program Management (Claim Operations) and lead the design and execution of claim operations reviews. Drive operational excellence, analyze large-scale claims data, and present insights to senior leaders. Shape the future of healthcare operations with CVS Health and make a meaningful impact on patient and community health.

Manager, Claim Processing 13 Locations posted: Posted 28 Days Ago

Claim Benefit Specialist 43 Locations posted: Posted 2 Days Ago

Visual Design Intern New York City | OnSite VISUAL DESIGN INTERN Claim Health · New York, NY (In-Person) · Internship 10-12 weeks · Competitive stipend · YC-backed, early-stage ABOUT CLAIM HEALTH Claim Health is the AI Revenue Platform for Post-Acute Care. With the US population aging and preference for care moving to the home, post-acute care (home health, skilled nursing, home care, hospice) is one of the fastest growing verticals within healthcare. Post-acute providers operate across fragmented systems, manual workflows, and reactive processes that create operational drag and financial uncertainty. Claim Health replaces this fragmentation with an intelligent, software-driven platform that unifies data, automates execution, and enables real-time decision-making across revenue-critical operations. THE ROLE You'll work directly with the founding team to extend Claim Health's brand across everything we put in front of customers, partners, and the world - shipping work that actually goes live. You can expect to: - Own visual design across marketing assets - social content, decks, one-pagers, and campaign materials - Apply and extend Claim Health's existing brand identity consistently across every surface - Create graphics and visual content that makes people stop scrolling - Support sales and growth with polished collateral that reflects where we're headed as a company - Collaborate directly with the founding team to bring creative concepts to life fast WHAT WE'RE LOOKING FOR - A strong portfolio - we want to see brand application, marketing design, and social content. Show us work you're proud of. - Sharp eye for typography, layout,

Accident and Health Senior Claims Specialist (Provider XS/ESL) 3 Locations posted: Posted 4 Days Ago

Deployment Specialist New York City | OnSite DEPLOYMENT SPECIALIST Claim Health · New York, NY (In-Person) · Full-Time ABOUT CLAIM HEALTH Claim Health is the AI Revenue Platform for Post-Acute Care. With the US population aging and preference for care moving to the home, post-acute care (home health, skilled nursing, home care, hospice) is one of the fastest growing verticals within healthcare. Post-acute providers operate across fragmented systems, manual workflows, and reactive processes that create operational drag and financial uncertainty. Claim Health replaces this fragmentation with an intelligent, software-driven platform that unifies data, automates execution, and enables real-time decision-making across revenue-critical operations. THE ROLE You'll be the person who takes a signed contract and turns it into a live, working deployment. We need someone who can carry it independently - technically sharp enough to understand how our product works under the hood and translate what a client is asking for into a precise product or configuration request, and people-smart enough to run a C-suite readout and a training session with frontline intake staff in the same day. This is a foundational hire. You'll help build the deployment function from the ground floor and set the standard for how Claim Health onboards every client going forward. You can expect to: - Lead end-to-end deployments across home health and hospice agencies - from discovery through go-live, owning the full mapping of each partner's org structure, payer mix, workflows, and SOPs into precise platform configuration - Configure and deploy Claim Health's AI agents

Operations Associate New York City | OnSite OPERATIONS ASSOCIATE Location: NYC (In-Person) Compensation: Competitive salary + meaningful equity Stage: YC-backed, early-stage ABOUT CLAIM HEALTH Claim Health is the AI Revenue Platform for Post-Acute Care. With the US population aging and preference for care moving to the home, post-acute care (home health, skilled nursing, home care, hospice) is one of the fastest growing verticals within healthcare. Post-acute providers operate across fragmented systems, manual workflows, and reactive processes that create operational drag and financial uncertainty. Claim Health replaces this fragmentation with an intelligent, software-driven platform that unifies data, automates execution, and enables real-time decision-making across revenue-critical operations. We're building an adaptive platform that brings clarity, predictability, and scale to environments where reliability matters. ABOUT THE ROLE We're hiring an Operations Associate to help design, build, and scale the core operational processes that power Claim Health. This role is ideal for someone with 1 to 3 years of experience in consulting or startup operations who enjoys ambiguity, systems thinking, and working directly with customers. You'll sit at the intersection of customer success, product, and engineering - owning implementations, tracking key metrics, and turning real-world complexity into scalable, repeatable workflows. WHAT YOU'LL DO Build & Scale Operational Processes - Design and implement operational workflows across customer onboarding, claims-related processes, and ongoing support - Document and standardize processes through SOPs, playbooks, and internal tooling - Identify operational bottlenecks and work cross-functionally to improve efficiency and reliability Metrics & Operational Insight - Define, trac

Health Claims Audit Supervisor San Ramon, California, United States Withum is a place where talent thrives - where who you are matters. It's a place of endless opportunities for growth. A place where entrepreneurial energy plus inclusive teamwork equals exponential results. Explore different industries. Learn new skills. Connect with our diverse teams of professionals to gain insight into the career you envision. Your Career Starts with You. Experience the Transformative Power of Withum Plus You - that's the Power in the Plus! Withum is seeking an experienced health claims audit supervisor possessing in-depth knowledge of group health and disability claims procedures, medical/dental terminology, including CPT, ADA, HCPC and ICDA codes, and a thorough understanding of automated health claims systems as well as manual claims payment systems. How You'll Spend Your Time: - Working closely with our clients, and their vendors, to ensure that health, dental, prescription and vision claims are being paid in compliance with regulations and plan documents - Reviewing client's claims adjudication internal controls policies and procedures - Completing audit workpapers documenting procedures, findings and conclusions within assigned budgets and deadlines The Kinds of People We Want to Talk to Have Many of the Following: - BS Degree - Must be qualified at analyzing and interpreting group health insurance contract provisions and reviewing administrative policies and PPO contracts - Experience working within a team environment - Must be familiar with HIPAA and ACA compliance standards - Must have a minimum of 3-5 years of health claims processing experience

Content Marketing Intern New York City | OnSite CONTENT MARKETING INTERN Claim Health · New York, NY (In-Person) · Internship 10-12 weeks · Competitive stipend · YC-backed, early-stage ABOUT CLAIM HEALTH Claim Health is the AI Revenue Platform for Post-Acute Care. With the US population aging and preference for care moving to the home, post-acute care (home health, skilled nursing, home care, hospice) is one of the fastest growing verticals within healthcare. Post-acute providers operate across fragmented systems, manual workflows, and reactive processes that create operational drag and financial uncertainty. Claim Health replaces this fragmentation with an intelligent, software-driven platform that unifies data, automates execution, and enables real-time decision-making across revenue-critical operations. THE ROLE Most people's eyes glaze over when you say "prior authorization" or "revenue cycle management." Yours don't. You see a broken system that affects millions of patients and the providers caring for them and you know there's a story worth telling buried in the data. You'll work directly with the founding team to shape how Claim Health communicates - translating complex, data-heavy operational realities into content that drives curiosity, builds credibility, and moves people to care about what's happening in post-acute care. You can expect to: - Write articles, thought leadership pieces, and long-form content that make the economics and operations of home health and hospice compelling to read - Turn dense industry data and informatics into narratives that actually land - Draft website copy, LinkedIn posts, email sequences, and sales collateral that reflects Claim Health's voice

Claims Representative I (South Portland, ME & Roanoke, VA) 2 Locations posted: Posted Yesterday

Director of Complex Claims & Counsel Banner Health Corp Phoenix (2901 N Central Ave) posted: Posted 30+ Days Ago

Accident & Health Claims Executive Bangkok, Thailand Accident & Health Claims Executive

Supervisor Health/Dental Claim 3 Locations posted: Posted 7 Days Ago

Executive Noida, Uttar Pradesh, India Supplemental Health Claims refers to the end-to-end administrative process of receiving, validating, adjudicating, and settling claims submitted under supplemental insurance policies that provide additional financial benefits beyond primary health insurance. These policies typically include coverage such as accident, critical illness, hospital indemnity, cancer, disability, or other supplemental medical benefits. Core Objective To validate eligibility and policy coverage, assess claim documentation, calculate payable benefits, and process timely payment in accordance with the policy contract and regulatory guidelines.

Full Stack Engineer New York City | OnSite FULL STACK ENGINEER Location: NYC (In-Person) Compensation: Competitive salary + meaningful equity Stage: YC-backed, early-stage ABOUT CLAIM HEALTH Claim Health is the AI Revenue Platform for Post-Acute Care. With the US population aging and preference for care moving to the home, post-acute care (home health, skilled nursing, home care, hospice) is one of the fastest growing verticals within healthcare. Post-acute providers operate across fragmented systems, manual workflows, and reactive processes that create operational drag and financial uncertainty. Claim Health replaces this fragmentation with an intelligent, software-driven platform that unifies data, automates execution, and enables real-time decision-making across revenue-critical operations. We're building an adaptive platform that brings clarity, predictability, and scale to environments where reliability matters. THE ROLE We're looking for a Full Stack Engineer to help build and scale the core Claim Health platform. We don't believe that frontend, backend, or infra engineers alone will succeed at Claim Health and push our mission forward. You will work directly with customers and all across the stack to design systems that coordinate complex intake & authorization workflows, surface real-time signals, and automate high-stakes operational processes. This role has significant ownership and influence over how the platform evolves. You won't just ship features - you'll help define the foundational systems that power the product and deliver end-to-end workflow automation for our partners. How Claim Health Engineering Works - Build and ship end-to-end product capabilities across the stack - Have direct conversations with customers and be

Senior Claims Benefit Specialist 50 Locations posted: Posted Today

Revenue Cycle Claims Specialist US Remote | Remote ABOUT FINNI HEALTH Finni Health empowers autism care providers to start, run, and grow their own practices. We democratize autism care by providing access to our insurance network, purpose-built EHR software, HR solutions, and clinical support. We've experienced rapid growth and are backed by top-tier investors like General Catalyst and YCombinator. We seek smart, driven individuals eager to innovate in a dynamic, fast-paced environment. WHAT YOU WILL BE DOING: As an Revenue Cycle Claims Specialist (Individual Contributor), you will play a critical role in optimizing our revenue cycle operations. Your primary responsibilities will include: - Claims Triaging - Timely Filing - Monitor claims approaching timely filing limits and alert the RCM team about these claims and work collaboratively to resolve and send the claims for billing. - Payer Rejections - Resolve payer claims rejections by researching the root cause, calling the payer, and ultimately get claims accepted by the payer. - No Response - Follow up on claims with no payer response and ensure claims are on file with payers. - Claims Held due to Eligibility - Identify root cause of issues and work with various teams to obtain updated coverage information as necessary. - Claim Denials: Research root cause of denials, contacts payers for additional information/clarification if necessary, and appeal claim denials within appeal deadline windows. - Payer EDI Enrollments Management: Ensure all EDI related enrollments (ERA, EFT) are in place with payers, troubleshoot issues as needed (missing ERAs) and enroll

Accident & Health Claims Examiner North Sydney, New South Wales, Australia Accident & Health Claims Examiner