Healthcare Claims Team Lead

Job not on LinkedIn

🔥 0 minutes ago

🐊 Florida – Remote

🐊 Florida – Remote

⏰ Full Time

🟠 Senior

Apply Now

Find Similar Remote Jobs

Receive Emails For Remote Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

Imagenet LLC

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

⚕️ Healthcare Insurance

🛍️ eCommerce

☁️ SaaS

💰 Private Equity Round on 2022-12

Healthcare Insurance • eCommerce • SaaS

Imagenet LLC is a leading provider of business continuity services for healthcare organizations, specializing in digital mailroom solutions, claims adjudication, contact center operations, and workflow management. With over two decades of experience and a reputation for enhancing efficiency and accuracy, Imagenet partners with health plans to streamline processes and improve member satisfaction. Their services are designed to reduce claims turnaround times, increase processing capacities, and lower contact center wait times. By integrating scalable solutions tailored to specific needs, Imagenet enables healthcare organizations to accelerate productivity and mitigate operational challenges.

📋 Description

• Lead end-to-end client implementation, from discovery through go-live and stabilization • Translate client requirements into operational workflows, SOPs, and staffing models • 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 • Coordinate system setup, user acceptance testing (UAT), and access provisioning with IT and client teams • Ensure all systems, tools, and environments are fully tested and production-ready prior to go-live • Support development of process documentation, job aids, and knowledge base materials • Validate workflows for claims processing, including escalation paths and exception handling • Ensure processes are scalable, efficient, and aligned with client expectations • Perform standard Team Lead responsibilities including team oversight, performance management, and reporting • Take ownership of Quality Assurance and Training functions during the implementation phase • Provide hands-on support in building, testing, and executing processes

🎯 Requirements

• Min. 5 years of experience processing easy, moderate, and complex medical claims (payer-side experience preferred) • 2+ years in a leadership role within claims or healthcare operations. • 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 • Previous experience leading, coaching, or mentoring teams in a claims or healthcare operations environment. • Strong analytical skills with the ability to interpret performance data and KPIs. • Excellent communication, organizational, and decision-making skills. • High attention to detail and commitment to accuracy, compliance, and operational excellence.

🏖️ Benefits

• Remote work offered • Equipment provided • Paid training to set you up for success • Comprehensive benefits: Medical, Dental, Vision, Life, HSA, 401(k) • Paid Time Off (PTO) • 7 paid holidays • A supportive team and a company that values internal growth