Jobs in the United States

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Added just now
Packaging and Commercialization Specialist
Corporate Support & Fulfillment LLC
Katy, TX
Partner with Product Development, Marketing, Creative, and Sourcing to ensure packaging meets brand, functional, quality, and cost expectations.
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Global Asset Partner, Emerging Biopharma
IQVIA INC (US10)
Marietta, GA · Durham, NC · NY · Chicago, IL · Wayne, PA
…decisions across markets. Establish IQVIA as a long-term strategic partner capable of supporting clients global aspirations from late-stage development through launch and lifecycle…
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Analyst - Pricing Analytics
Lowe's Companies, Inc.
Mooresville, NC
Support the team in implementing Lowe’s pricing strategies through pricing analysis, scenario development, reporting, and price-update execution.
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Sr Finance Manager - Merchandising GFO
Lowe's Companies, Inc.
Mooresville, NC
The principle purpose of this role is to partner with business leaders (US Home Improvement, Central Dispatch Office, Allied Businesses, and Shared Services) to drive value creation through…
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YO
Chief Development Officer
Ywca Of Schenectady
Schenectady, NY
- $85,000 to $95,000 USD / year
YWCA NENY’s Chef Development Officer Job Description
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Field Marketing Operations Manager
Sally
Plano, TX
This role serves as a key operational partner connecting Field Marketing, Merchandising, the Planogram team, Store Operations, Creative, Finance, Procurement, Project Management, and…
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Mechanical Designer - P&ID
Geosyntec Consultants, Inc.
Oak Ridge, TN
Longenecker & Associates (L&A), a Geosyntec Company, is a trusted partner enabling critical missions across the U.S. Department of Energy (DOE) complex for more than 35 years. We contribute…
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Store Manager in Training
Iowa CVS Pharmacy, L.L.C.
Bettendorf, IA
The Store Manager In Training (SMIT) job is a development focused role that is crafted to prepare you for a CVS Store Manager position.
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TW
DIRECTOR OF CATERING SALES
The Wild Thyme Company
San Diego, CA
- $90,000 to $100,000 USD / year
· Partner closely with Culinary and Operations to ensure what we sell is always backed by exceptional execution
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Onboarding & Development Supervisor
Watts Water Technologies, Inc
Franklin, NH
Serve as the site's subject matter expert for training, employee development, and competency management processes.
Added just now
Distribution Center Manager
Watts Regulator Company
Sparks, NV
Own full-site operational performance, including receiving, put-away, inventory management, order fulfillment, site safety and quality.
Added 1 min ago
Kidney Care Specialist
FMS USA Fresenius Mgmt Services Inc
Tulsa, OK
Partner with internal stakeholders (KCA leadership, Value Based Care Health teams, operations, clinical, and market development) to ensure consistent messaging, coordinated workflows, and…
Added 1 min ago
Store Manager
Sherwin-Williams
Kentwood, MI
Manage employee training, development, performance management, and corrective action
Added 1 min ago
Field Marketing Operations Manager
CosmoProf
Plano, TX
This role serves as a key operational partner connecting Field Marketing, Merchandising, the Planogram team, Store Operations, Creative, Finance, Procurement, Project Management, and…
Added 1 min ago
AVP, Pricing Actuary
US HoldCo
NY
The AVP, Pricing Actuary is responsible for supporting and executing actuarial pricing strategy, pricing model development, model governance, product profitability management, and portfolio…
Added 1 min ago
AVP, Policy Wording & Forms
US HoldCo
NY
Partner with Compliance and Legal to support regulatory inquiries, examinations, and audits related to policy forms.
Added 1 min ago
Senior Associate, Marketing Technology & Enablement
DK Crown Holdings Inc.
Boston, MA
Support and optimize creative production workflows, from request intake and asset development through approvals, quality assurance, delivery, and reporting.
Added 1 min ago
Senior Structural Associate
USA Thornton Tomasetti, Inc.
Kansas City, MO
Serve as the primary client partner, building trusted relationships, anticipating needs, and creating long-term strategic impact.
Added 1 min ago
Senior Release Manager
Agility Robotics
Remote, United States
Strong understanding of the software development lifecycle (SDLC), configuration management, and version control best practices
Added 1 min ago
Group Sales Manager
Hyatt
Orlando, FL
This position manages the complete sales process, including prospecting, account development, proposal preparation, site visits, contract negotiations, and account management. The Group…
Added 1 min ago
SM
Associate Vice President - University Advancement
Southeast Missouri State University
Cape Girardeau, MO
- $115,000 to $130,000 USD / year
…AccountabilityStrengthen the use of fundraising metrics, donor pipeline management, and departmental performance indicators to inform decision-making and improve results. Ensure that…
Added 2 mins ago
Commercial Card Fraud Prevention- Associate
JPMC page
Tampa, FL
…You are accountable for operational performance, fraud loss management, escalation oversight, and maintaining a strong risk and control environment. You will drive disciplined management…
Added 2 mins ago
Senior On-Site Service Specialist
Ricoh
Detroit, MI
Maintains records for management reports and inventories of needed supplies.
Added 2 mins ago
S
Senior Manager, Facilities DC
Sephora
Las Vegas, NV
- $113,900 to $127,300 USD / year
Identify and partner with vendors and contractors on the installation, training and acceptance of equipment or construction based on quality workmanship and meeting specified criteria.
Added 2 mins ago
Director, Strategic Projects
(2605) Sanofi Vaccines US Inc.
Morristown, NJ
Partner with US commercial teams to identify new digital solution needs, capabilities, and process improvements for commercial effectiveness and positive customer experience.

Jobgether

Claims Associate Representative - EviCore

Remote, United States

$17.75 to $24 USD / hour

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Job details

Pay: $17.75 to $24 USD / hour
Education: High school diploma
Experience: At least 2 years of experience in medical claims processing, claims handling, and/or accounts receivable operations.
Posting language: English
Posted: Nov 5, 2026

Original job description

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Claims Associate Representative – EviCore based in the United States.

The Claims Associate Representative will play an important role in managing accounts receivable activities and ensuring the accurate and timely resolution of outstanding medical claims. In this position, you will review and investigate unpaid, denied, delayed, or underpaid claims to identify discrepancies and determine appropriate corrective actions. You will communicate regularly with third-party payers, healthcare providers, and internal teams to resolve billing issues and facilitate timely payments. The role requires strong analytical abilities, sound judgment, and excellent attention to detail when reviewing claim balances and financial records. You will also be responsible for maintaining accurate documentation, monitoring claim progress, and escalating complex cases when necessary. This is an excellent opportunity to contribute to efficient healthcare reimbursement operations within a fast-paced, collaborative, and fully remote environment.

Accountabilities:

Review, research, and process accounts receivable claims accurately and within established deadlines.
Investigate denied, delayed, and underpaid medical claims to identify root causes, discrepancies, and opportunities for resolution.
Determine and implement appropriate corrective actions to resolve outstanding claim balances and support accurate reimbursement.
Conduct outbound calls to third-party insurance payers, healthcare providers, and internal departments to address claim-related questions and resolve outstanding issues.
Maintain detailed and accurate documentation of all claim-related activities in accordance with established organizational standards.
Monitor claim statuses and perform timely follow-ups to ensure outstanding balances are resolved and payments are received promptly.
Identify complex claims or unresolved discrepancies and escalate them to senior representatives or management when appropriate.
Maintain up-to-date knowledge of payer policies, compliance requirements, internal procedures, and accounts receivable practices.
Apply sound judgment and analytical skills when reviewing claim information and determining appropriate next steps.

Requirements:

High school diploma or GED required.
At least 2 years of experience in medical claims processing, claims handling, and/or accounts receivable operations.
At least 2 years of experience in account reconciliation and financial analysis is highly preferred.
Ability to interpret Explanation of Benefits (EOBs) and Explanation of Payment (EOPs) documents.
Proficiency in Microsoft Office applications, particularly Word, Outlook, and Excel.
Strong analytical and problem-solving skills, with the ability to investigate discrepancies and resolve complex claim-related issues.
Excellent attention to detail and a high level of accuracy when processing financial and medical claim information.
Strong planning, organizational, and time management skills, with the ability to manage multiple priorities effectively.
Excellent written and verbal communication skills, particularly when interacting with insurance payers, healthcare providers, and internal stakeholders.
Ability to work independently while collaborating effectively with colleagues and cross-functional teams.
Comfortable working in a fast-paced environment while maintaining productivity, accuracy, and quality standards.
Strong documentation skills and the ability to maintain clear, organized records.
Basic mathematical skills, including the ability to perform calculations and reconcile account balances.
For remote work, access to a cable broadband or fiber-optic internet connection with minimum speeds of 10 Mbps download and 5 Mbps upload is required.

Benefits:

Compensation: Anticipated hourly pay ranging from $17.75 to $24 USD, depending on relevant experience and geographic location.
Annual bonus: Eligibility to participate in an annual bonus plan.
Healthcare coverage: Medical, dental, and vision insurance available from the first day of employment.
Well-being support: Access to behavioral health and well-being programs.
Retirement planning: Access to a 401(k) savings plan.
Life insurance: Company-paid life insurance coverage.
Professional development: Tuition reimbursement opportunities.
Paid time off: At least 18 days of paid time off annually, in addition to paid holidays.
Additional leave: Access to various leave-of-absence programs.
Work flexibility: Fully remote working arrangement within the United States.

How Jobgether works:

We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team.

We appreciate your interest and wish you the best!

Why Apply Through Jobgether?

Data Privacy Notice: By submitting your application, you acknowledge that Jobgether will process your personal data to evaluate your candidacy and share relevant information with the hiring employer. This processing is based on legitimate interest and pre-contractual measures under applicable data protection laws (including GDPR). You may exercise your rights (access, rectification, erasure, objection) at any time.

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More about this job

Skills

Accounts receivable
Attention to detail
Documentation
Research
Regulatory compliance
Analytical skills
Claims processing
Account reconciliation
Financial analysis
Microsoft Office
Microsoft Word
Microsoft Outlook
Microsoft Excel
Problem solving
Time management
Communication skills
Work independently

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