Top 1173 Senior financial specialist Jobs in 'remote

Senior Claim Benefit Specialist - Remote
CVS Health —Washington, DC
- $18.50 - $42.35 an hour
- Full-time
- Remote
- Mid-level
- High school diploma or GED
- Mentoring
- Health insurance
- Dental insurance
Disclosure Support Specialist
Envoy Mortgage —Remote
- $28 - $31 an hour
- Remote
- Mid-level
- High school diploma or GED
- Communication skills
- Employee stock purchase plan
- Paid time off
Senior Payments Processing Specialist
PBS Radiology Business Experts —Remote
- Full-time
- Remote
- Mid-level
- 3 years
- High school diploma or GED
- Paid holidays
- Health insurance
Quick Apply
Senior Specialist HRIS
The Hershey Company —Remote
- Online Application
- Analysis skills
- Bachelor's degree
- Continuous improvement
- Paid holidays
- Paid time off
Partner Education Specialist
Ellevation —Remote
- $70,000 - $80,000 a year
- Full-time
- Remote
- School experience
- Up to 50% travel
- Mid-level
- Paid holidays
- Health insurance
Senior Regulatory Affairs Specialist
Siemens Healthineers —Remote
- $117,770 - $161,931 a year
- Full-time
- Remote
- Microsoft Outlook
- Mid-level
- Presentation skills
- Disability insurance
- Health insurance
Quick Apply
14d
Sr Financial Navigation Specialist-REMOTE
Weill Cornell Medicine —New York, NY
- $33.24 - $36.32 an hour
- Remote
- Mid-level
- 3 years
- High school diploma or GED
Senior Clinical Trial Transparency Specialist
Biogen —Remote
- $116,000 - $155,000 a year
- Full-time
- Bachelor's degree
- Senior level
- Leadership
- Paid parental leave
- Employee stock purchase plan
3d
Insights Analyst
Quid —Remote
- $85,000 - $95,000 a year
- Full-time
- Remote
- Mid-level
- Business development
- Bachelor's degree
- Wellness program
- Paid parental leave
Quick Apply
Specialist, Accounting
NTT Global Data Centers —Remote
- $99,000 - $129,800 a year
- Full-time
- Remote
- Mid-level
- Finance
- Bachelor's degree
- Disability insurance
- Health insurance
Senior Manager Financial Accounting
Save the Children —Remote
- Full-time
- Hybrid work
- Microsoft Excel
- English
- Office
11d
Senior Salesforce Administrator
WorkWave —Remote
- $115,000 - $130,000 a year
- Full-time
- Remote
- 5 years
- Analysis skills
- Continuous improvement
- Paid holidays
- Health insurance
Quick Apply
Senior Support Specialist
Kingstone Insurance Company —Remote
- $80,000 - $95,000 a year
- Full-time
- 5 years
- Bachelor's degree
- Mentoring
- Paid parental leave
- Paid holidays
Quick Apply
1d
Financial Edge NXT Customer Support Senior Specialist
Blackbaud —Remote
- $61,000 - $77,800 a year
- Weekends as needed
- Remote
- Mid-level
- Mentoring
- 2 years
- Health insurance
- Dental insurance
Senior Clinical Quality Performance Specialist
Amerihealth Caritas —Manchester, NH
- Full-time
- Remote
- Nursing
- RN License
- 5 years
Senior Marketing Specialist- Remote
Northrop Grumman Federal Credi —Gardena, CA
- $90,000 - $110,000 a year
- Monday to Friday
- Remote
- Marketing
- Pass drug screening
- 8 years
- Profit sharing
- Disability insurance
Quick Apply
Senior Procurement Specialist - Construction
T5 Data Centers —Remote
- Full-time
- Remote
- 8 years
- Analysis skills
- Senior level
- Paid holidays
- Health insurance
Quick Apply
Regional President - Western Region - Christian Non-Profit
The Solomon Foundation —Arizona
- $70,000 - $140,000 a year
- Weekends as needed
- Remote
- Up to 50% travel
- Computer literacy
- Travel
- Disability insurance
- Health insurance
Quick Apply
6h
California Solar Specialist
American Farmland Trust —Sacramento, CA
- $80,000 - $85,000 a year
- Weekends as needed
- Remote
- Microsoft Excel
- 6 years
- Bachelor of Science
- Health savings account
- Disability insurance
11d
Albanian Interpreter
LanguageLine Solutions —Remote
- Full-time
- Remote
- Background check
- 18 years or older
- Pass drug screening
- Paid training
- AD&D insurance

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senior financial specialist jobs near 'remote

Senior Claim Benefit Specialist - Remote

CVS Health -
Washington, DC

Apply Now

Job Details

Full-time
$18.50 - $42.35 an hour

Benefits

Health insurance
Dental insurance
Paid time off
Vision insurance

Qualifications

High school diploma or GED
Health insurance knowledge

Full Job Description

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Position Summary
Reviews and adjudicates complex, sensitive, and specialized medical claims in accordance with established plan processing guidelines. Functions as a subject matter expert by providing coaching, and offering guidance on escalated or technically challenging issues. Supports customer service operations by addressing inquiries and resolving issues to ensure a positive member experience.

Additional Responsibilities

Reviews pre‑specified claims and those that exceed specialist adjudication authority or processing expertise.
Applies medical necessity guidelines, determines coverage, verifies eligibility, identifies discrepancies, and implements cost‑containment measures to support accurate claim adjudication.
Ensures compliance with all regulatory requirements and confirms that payments align with company policies and procedures.
Identifies and reports potential overpayments, underpayments, and other claim irregularities.
Performs claim rework calculations as needed.
Trains and mentors as needed to enhance team performance and technical proficiency.
Conducts outbound calls to obtain required information for claims or reconsideration requests.

Required Qualifications

Minimum of 18 months of medical claim processing experience with a health insurance payor or third‑party administrator.
Proven success working in a high‑volume, production‑driven environment.
Demonstrated ability to manage multiple assignments with accuracy, efficiency, and attention to detail.

Preferred Qualifications

Self-Funding experience
DG system knowledge

Education

High School Diploma required
Preferred Associates degree or equivalent work experience.

Anticipated Weekly Hours

Time Type

Full time

Pay Range

The typical pay range for this role is:

$18.50 - $42.35

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process and on Benefits Moments.

This job does not have an application deadline, as CVS Health accepts applications on an ongoing basis.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Apply Now

Refine Your Search

senior financial specialist jobs in 'remote

Senior Claim Benefit Specialist - Remote

Disclosure Support Specialist

Senior Payments Processing Specialist

Senior Specialist HRIS

Partner Education Specialist

Senior Regulatory Affairs Specialist

Sr Financial Navigation Specialist-REMOTE

Senior Clinical Trial Transparency Specialist

Insights Analyst

Specialist, Accounting

Senior Manager Financial Accounting

Senior Salesforce Administrator

Senior Support Specialist

Financial Edge NXT Customer Support Senior Specialist

Senior Clinical Quality Performance Specialist

Senior Marketing Specialist- Remote

Senior Procurement Specialist - Construction

Regional President - Western Region - Christian Non-Profit

California Solar Specialist

Albanian Interpreter

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