Top 153 Claims program manager Jobs in Remote

PROGRAM MANAGER (IDRE) - Remote
iMPROve Health (MPRO) —Remote
- $90,000 - $100,000 a year
- Remote
- Nursing
- Microsoft Excel
- HIPAA
Quick Apply
Program Manager/Training Lead
Contact Government Services, LLC —Remote
- $180,000 - $200,000 a year
- Full-time
- 5 years
- Mid-level
- Supervising experience
- Health insurance
- Dental insurance
Quick Apply
Risk Manager
Serverfarm —Remote
- $155,000 - $175,000 a year
- Full-time
- Remote
- Senior level
- Paid holidays
- Health insurance
Claims Operations Manager – Homeowners
Kingstone Insurance Company —Remote
- $120,000 - $145,000 a year
- Full-time
- Remote
- 3 years
- Bachelor's degree
- Travel
- Paid parental leave
- Paid holidays
Quick Apply
Compliance/Security Officer
Isaac Health —Remote
- $120,000 - $130,000 a year
- Full-time
- HIPAA
- Master's degree
- Bachelor's degree
Quick Apply
Subcontract Program Manager
Parsons —Remote
- $148,300 - $266,900 a year
- Remote
- Engineering
- 11+ years
- English
- Wellness program
- Paid holidays
Sr. Manager, Claims Operations
Coalition, Inc. —Remote
- $126,000 - $190,000 a year
- Remote
- 5 years
- Senior level
- Leadership
- Health insurance
- Dental insurance
Quick Apply
1d
Assistant Manager Learning & Development
Sagility —Remote
- Remote
- Mid-level
Program Manager
Valeris —Remote
- 5 years
- Mid-level
- Office
Quick Apply
Sr. Market Implementation Project Manager
Synapse Health —Remote
- $75,200 - $94,000 a year
- Remote
- 5 years
- Presentation skills
- Bachelor's degree
- Disability insurance
- Health insurance
Quick Apply
Program Manager, NA P&C Insurance
SiriusPoint —Remote
- $175,000 - $200,000 a year
- Remote
- Writing skills
- Analysis skills
- Senior level
- Health savings account
- AD&D insurance
Quick Apply
Claims Operations Manager - Refund Management
Devoted Health —Remote
- $73,000 - $125,000 a year
- Full-time
- Remote
- System design
- Bachelor's degree
- Experience equivalent to degree accepted
- Health insurance
- Dental insurance
Asset Management Associate (Solar + BESS)
CIM Group, LP —Remote
- $105,000 - $130,000 a year
- Full-time
- Remote
- Microsoft Outlook
- Mid-level
- Finance
- Wellness program
- Paid parental leave
Quick Apply
Fraud Risk Management Senior Manager
Allstate —Chicago, IL
- $110,000 - $160,000 a year
- Remote
- Analysis skills
- Mentoring
- US work authorization
- Work from home
Senior Director, Revenue Cycle Management
Public Partnerships LLC —Remote
- $165,000 - $190,000 a year
- Full-time
- Remote
- Microsoft Excel
- Finance
- Bachelor's degree
- Health insurance
- Dental insurance
Quick Apply
Program Analysts (Integration Testing Managers)
Artemis Arc —Remote
- Remote
- Computer Science
- Mid-level
- Bachelor's degree
Manager, Transformation Management Office
Solventum —Remote
- $107,600 - $147,950 a year
- Full-time
- High school diploma or GED
- Bachelor's degree
- Travel
- Health savings account
- Disability insurance
14d
Senior Employee Experience & Culture Specialist
Community Resources for Justice —Remote
- $78,700 - $102,300 a year
- Full-time
- Remote
- 5 years
- Analysis skills
- Continuous improvement
Quick Apply
2d
Associate Director, Patient Services
Valeris —Remote
- 6 years
- Office
- Master's degree
Quick Apply
Coach - Dental Insurance Negotiations Expert
Dentist Entrepreneur Organization LLC —Remote
- From $150,000 a year
- Contract
- Remote
- Contracts
- Senior level
- Teaching
- Dental insurance
Quick Apply

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PROGRAM MANAGER (IDRE) - Remote

iMPROve Health (MPRO)
Remote

Quick Apply

Job Details

$90,000 - $100,000 a year

Qualifications

Microsoft Excel
Team supervision
Operational management
Schedule management
Supervising experience
Healthcare regulatory compliance research
Project management in healthcare
Leading team collaboration initiatives
Claims documentation review
Document quality checks
Productivity software

Full Job Description

About iMPROve Health

Come join the iMPROve Health team!

iMPROve Health is Michigan’s Medicare-designated Quality Improvement Organization, and we’re proud to be recognized as both a Cool Place to Work by Crain’s Detroit Business (four years running) and one of Modern Healthcare’s Best Places to Work in Healthcare.

As a nonprofit with more than 40 years of experience, we’re dedicated to improving healthcare across the continuum of care using evidence-based, data-driven strategies. We provide medical consulting and review services, along with data analysis, to federal agencies, state Medicaid programs, public health organizations, healthcare facilities, private health plans, and other third-party payers. Our team also specializes in impartial utilization review, dispute resolution, and peer review. Our mission is simple: help healthcare get better.

This position is 100% remote, offering the flexibility to work from anywhere in the United States while collaborating with a supportive, nationwide team. We prioritize work/life balance and invest in our employees’ growth through professional development and continuing education opportunities.

At iMPROve Health, we are committed to improving the quality, safety, and efficiency of healthcare. While we do not provide direct patient care, our healthcare professionals—including physicians, nurses, and experienced consultants—partner with providers to promote the use of evidence-based best practices. We offer our clients a trusted, impartial resource that understands the complexities of the healthcare landscape and is dedicated to thoughtful, high-quality solutions.

Join us in making a meaningful impact on healthcare—one improvement at a time.

Program Manager – Federal IDRE Services

About the Role

We are seeking an experienced and highly organized Program Manager to oversee day-to-day operations for our Federal Independent Dispute Resolution Entity (IDRE) program supporting the No Surprises Act. This role is responsible for managing program operations, ensuring quality and timeliness of deliverables, leading and mentoring team members, and driving operational efficiency.

The ideal candidate brings strong healthcare operations experience, leadership skills, knowledge of claims review processes, and the ability to manage multiple priorities in a fast-paced environment.

Key Responsibilities

Provide operational oversight and direction for Federal IDRE contract deliverables and team activities
Manage daily operations, workflows, timelines, and project deliverables to ensure compliance with Federal IDRE requirements
Monitor program performance metrics, budgets, risks, and quality outcomes
Develop and maintain standard operating procedures, job aids, and workflow documentation
Supervise, mentor, coach, and support direct reports, including Project Specialists and Administrative Aides
Collaborate with Arbitration Coordinators, contracted arbitrators, and subject matter experts to ensure complete and accurate case reviews
Research and interpret Federal No Surprises Act regulations and related guidance from the Departments of Health and Human Services, Labor, and Treasury
Apply healthcare claims review and/or clinical expertise to improve review pathways and operational efficiencies
Identify operational challenges and implement risk mitigation strategies
Build and maintain strong customer and stakeholder relationships
Ensure compliance with HIPAA, FISMA, URAC, CMS, and other applicable regulations
Participate in conferences, meetings, and professional development activities as appropriate

Qualifications

Required

Bachelor’s degree in Nursing or related healthcare field OR equivalent relevant experience
Minimum 5 years of clinical or related healthcare experience
Minimum 3 years of management or supervisory experience
Healthcare claims review experience
Strong understanding of healthcare operations, medical claims, and reimbursement processes
Excellent written, verbal, organizational, and project management skills
Ability to interpret federal and state regulations
Ability to manage multiple deadlines and priorities in a fast-paced environment
Experience with written and electronic documentation review
Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint)

Preferred

Master’s degree
Active nursing license
Knowledge of the Federal No Surprises Act
Utilization Management/Utilization Review experience
Experience reviewing medical claims, EOBs, and remittance advice
Quality improvement experience and familiarity with Lean Six Sigma methodologies
PMP, Lean Six Sigma Green Belt, or Quality Improvement certifications
Health information technology experience

What We’re Looking For

Strong leadership and team development skills
Exceptional problem-solving and critical thinking abilities
Customer-focused mindset with the ability to build collaborative relationships
Self-motivated professional who thrives in a dynamic environment
Ability to work independently with minimal supervision

Work Environment

Fast-paced, deadline-driven healthcare operations environment
Occasional work outside normal business hours may be required based on business needs

Why Join Us?

You’ll have the opportunity to play a key role in supporting a nationally significant healthcare program while working alongside a collaborative and mission-driven team focused on operational excellence, compliance, and quality outcomes.

This is a fully remote position.

EEO/VET/Disability Employer

Quick Apply

Refine Your Search

claims program manager jobs in remote

PROGRAM MANAGER (IDRE) - Remote

Program Manager/Training Lead

Risk Manager

Claims Operations Manager – Homeowners

Compliance/Security Officer

Subcontract Program Manager

Sr. Manager, Claims Operations

Assistant Manager Learning & Development

Program Manager

Sr. Market Implementation Project Manager

Program Manager, NA P&C Insurance

Claims Operations Manager - Refund Management

Asset Management Associate (Solar + BESS)

Fraud Risk Management Senior Manager

Senior Director, Revenue Cycle Management

Program Analysts (Integration Testing Managers)

Manager, Transformation Management Office

Senior Employee Experience & Culture Specialist

Associate Director, Patient Services

Coach - Dental Insurance Negotiations Expert

I want to receive the latest job alert for claims program manager in remote

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