CareSourceHiring

Director, Claims Process Optimization

  • Remote, worldwide
  • Lead
  • Posted 2 weeks ago
Apply with Keywordise AI

or apply from Claude / ChatGPT / Muse

In one line

Director role over claims automation and AI, running a team of managers and analysts and proving results in live production, not pilots.

About the role

Remote-friendly leadership post with budget ownership, vendor management and audit readiness across claims adjudication and adjustment workflows.

At a glance

Pay
Not stated in the posting
Remote scope
Remote, worldwide
Seniority
Lead
Skills
CPT, HCPCS, ICD-10, Revenue codes, Process mapping, Time studies, Root cause analysis
Posted
12 Oct 2026
Last checked
29 Oct 2026

What you will do

  • Own inventory, throughput, auto-adjudication rate, accuracy and regulatory turnaround for assigned claims processes.
  • Set the automation and AI roadmap, ranking use cases by benefit, effort, data readiness and regulatory risk.
  • Lead process mapping, time studies and production data analysis to find cost and delay drivers.
  • Run daily production, weekly operating and monthly business reviews so risks surface early.

What they look for

  • Seven or more years in health plan claims or healthcare operations.
  • At least five years leading teams.
  • Knowledge of CPT, HCPCS, ICD-10 and revenue codes plus reimbursement methods.

How Keywordise applies for you

  1. 1Upload your CVAdd your CV once. It takes about a minute.
  2. 2Tailored to this jobKeywordise writes a CV and a cover letter for this job from your real experience.
  3. 3The form fills itselfName, email, experience and screening questions, field by field.
  4. 4Application sentYou get a receipt and follow it in your dashboard.

Apply with Keywordise AI7-day free trial, no card.

Apply from your AI assistant

Connect Keywordise to your assistant once, then send it the prompt. It applies for you.

ClaudeConnectorChatGPTConnectorMuseby Meta

Claude

  1. In Claude, open Settings, then Connectors, and choose Add custom connector.
  2. Name it Keywordise and paste the connector URL.
  3. Click Connect, log in to Keywordise and approve. Then send the prompt in a new chat.
Connector URL
https://keywordise.com/mcp

Disconnect any time in your Keywordise settings.

ChatGPT

  1. In ChatGPT, open Settings, then Connectors. On plans that need it, turn on developer mode first.
  2. Add a new connector with the connector URL and choose OAuth. Leave the client ID and secret empty.
  3. Log in to Keywordise and approve. Then send the prompt in a new chat.
Connector URL
https://keywordise.com/mcp

Disconnect any time in your Keywordise settings.

Muse

  1. Open Muse (muse.ai or the app) and send it the message below.
  2. If Muse asks how to sign in, answer OAuth. Open the sign-in link it sends, log in to Keywordise and approve.
  3. Send the prompt. Muse asks before it sends anything.
Message for Muse
Add a custom connector called Keywordise. It is a remote MCP server at https://keywordise.com/mcp and uses OAuth. Give me the sign-in link.

Muse is available in the US only for now.

Prompt
Apply to Keywordise job f4z6mffdii
How to connect

Questions about this job

Is this a remote job, and where can I work from?

Yes, it is listed as remote, and the posting does not tie it to one country.

What does this job pay?

The posting does not state a salary, so there is no figure to quote.

What experience is needed?

It is a lead role. The posting asks for: seven or more years in health plan claims or healthcare operations; at least five years leading teams; knowledge of CPT, HCPCS, ICD-10 and revenue codes plus reimbursement methods. Skills it names include CPT, HCPCS, ICD-10, Revenue codes.

How do I apply with Keywordise AI?

Click Apply with Keywordise AI, create an account and upload your CV. Your CV and cover letter are written for this job from what you have really done, then Keywordise applies for you. Trial: 7 days, no card.

More remote business and finance jobs

All remote business and finance jobs
CareSourceRemote, worldwide
Apply with Keywordise AI