Senior Claims Operations Lead — Remote (EST)

J29, Inc; Millersville (MD); Remote; USD 32,000 - 42,000; Full time

Job summary

J29, Inc. seeks a Senior Healthcare Claims Processor to lead operations remotely from the United States, EST time zone. You will help establish SOPs, define workflows, and provide SME-level guidance to health claims processors while ensuring program compliance.

The role emphasizes training, operational readiness, and continuous improvement within a fully remote team. Minimum 8+ years in healthcare claims and leadership experience are required.

Qualifications

• 8+ years of healthcare claims processing experience.
• Experience developing SOPs, workflows, and training materials.
• Experience leading claims operations or teams and providing SME guidance.

Responsibilities

• Define and document claims workflows, SOPs, and training materials.
• Lead claims SME for processors and support issue resolution.
• Support onboarding, coaching, and quality improvement initiatives.
• Ensure compliance with contract requirements and program policies.

Skills

Healthcare claims processing

SOP development

Lead/mentoring

Training materials

Remote work facilitation

Education

Bachelor’s degree

Tools

Excel

Word

Teams

SharePoint

Job description

J29, Inc. seeks a Senior Healthcare Claims Processor to lead operations remotely from the United States, EST time zone. You will help establish SOPs, define workflows, and provide SME-level guidance to health claims processors while ensuring program compliance.

The role emphasizes training, operational readiness, and continuous improvement within a fully remote team. Minimum 8+ years in healthcare claims and leadership experience are required.