Medical Review Auditor (Fraud Waste and Abuse)
$70K - $91K *
Lead the charge in auditing medical records for accurate coding compliance and health plan policies. Prepare detailed reports, conduct relevant research, and maintain knowledge of healthcare guideline...
2 weeks ago
Workers Compensation Claims Examiner
$80K - $100K *
Champion the analysis of complex workers' compensation claims, ensuring timely resolution while adhering to industry best practices. Collaborate with clients and manage high exposure claims in a suppo...
Reposted today
Workers Compensation Claims Examiner
$80K - $100K *
Lead the charge in analyzing complex workers' compensation claims, ensuring timely adjudication and effective client communication within a dynamic, supportive environment that fosters professional gr...
Reposted today
Workers Compensation Claims Examiner
$80K - $100K *
Unlock your potential as you analyze and manage complex workers' compensation claims in a supportive environment. Collaborate with clients and experts while developing innovative solutions and enjoyin...
Reposted today
Workers Compensation Claims Examiner
$80K - $100K *
Deliver comprehensive management of complex workers’ compensation claims, ensuring timely resolution and client satisfaction while adhering to industry best practices and service expectations...
Reposted today
$81K - $107K *
Join a team that's dedicated to effectively navigating high-value injury claims with expertise and care. Leverage your knowledge to resolve complex cases while collaborating closely with a supportive...
4 days ago
Auditor Clinical Validation DRG
$95K *
Empower the auditing process by analyzing inpatient claims and ensuring coding accuracy. Leverage your clinical expertise and advanced coding knowledge to drive quality and productivity in chart valid...
4 days ago
Content Analyst II - Drug and Biological Policy
$100K - $125K *
Join a dynamic clinical operations team, driving quality assurance and policy maintenance for Drug and Biological policies. Your expertise will enhance our coding processes and support client inquirie...
2 weeks ago
$95K - $115K *
Help us analyze and optimize medical policies while providing key insights across clinical operations. Collaborate with teams to ensure effective policy development and quality assurance, enhancing ou...
5 days ago
Auditor Clinical Validation Outpatient Specialty Clinical
$95K *
Unlock your potential by auditing outpatient claims. Leverage your clinical and coding expertise to enhance accuracy and improve treatment quality while contributing to innovative auditing solutions i...
2 weeks ago
$75K - $95K *
Contribute to effective claims management by investigating and settling complex Workers Compensation claims with minimal supervision, ensuring timely and equitable resolutions and supporting team deve...
4 days ago
Claims Manager- Commercial Auto Excess Casualty
$100K - $130K *
Lead a high-performing team of commercial auto claims specialists, ensuring technical excellence and operational efficiency in managing complex excess casualty claims while leveraging data-driven stra...
Reposted 3 weeks ago
$70K - $95K *
Support a team that evaluates and manages construction claims, ensuring effective strategies for investigation, negotiation, and resolution, while communicating findings with stakeholders and adapting...
6 days ago
$75K - $100K *
Join a dynamic team driving claims operations and reporting! Manage claim processes, enhance data quality, and implement continuous improvements to deliver reliable insights for leadership and carrier...
3 weeks ago
Complex Denials Consultant (Complex Claims)
$90K - $112K *
Unlock potential by guiding healthcare providers through complex claims disputes. Represent clients in WC, MVA, TPL, and VA claims while ensuring compliance with state laws. Collaborate with teams to...
1 week ago
Senior Claims Consultant, National Accounts
$92K - $154K *
Shape the future of claims management by leading strategy for large accounts, providing analytics and insights, and fostering strong relationships with clients and stakeholders for optimal claim resol...
2 weeks ago
Senior Analyst, Rebate and Audit - SMC
$88K - $110K *
Champion financial rigor by executing advanced analyses for rebate contracts, driving process optimization, and collaborating with cross-functional teams to enhance client relations and contract manag...
3 weeks ago
$66K - $100K *
Join a team that's driving efficiency in claims operations by resolving complex system issues, improving workflows, and delivering user training. Collaborate with IT and help desk teams to enhance pro...
5 days ago
$100K - $130K *
Champion proactive claims management by serving as a trusted advisor, partnering with clients and stakeholders to drive optimal outcomes in the insurance claims lifecycle across multiple coverage line...
1 week ago
Major Case Unit Claims Adjuster, Courier Delivery
$70K - $95K *
Drive the resolution of complex major case claims involving serious injuries. Take ownership of the entire claims lifecycle while collaborating with stakeholders to achieve timely outcomes through eff...
2 weeks ago
Senior Claims Examiner - Workers' Compensation (California)
$68K - $115K *
Shape your career by managing complex claims with a focus on delivering excellent service and equitable resolutions. Collaborate and drive strategic outcomes to support policyholders while adhering to...
1 week ago
Auditor DRG Validation (CMS Audits)
$95K *
Analyze and audit inpatient DRG claims by applying coding expertise to enhance accuracy and ensure compliance. Collaborate on process improvements to drive operational excellence in a dynamic healthca...
1 week ago
$75K - $95K *
Elevate your career by managing complex insurance claims while providing exceptional service. As a strategic thinker, develop relationships with clients and colleagues, ensuring swift resolutions and...
Reposted 4 days ago
$77K - $96K *
Join a team that's dedicated to resolving complex claims issues and enhancing provider relationships. You’ll research inquiries, conduct training, and collaborate across departments to ensure optimal...
1 week ago
Claims Examiner, Commercial Trucking | Bodily Injury | Remote
$80K - $85K *
Join our team to analyze and process complex auto and commercial transportation claims, ensuring accurate investigations, liability determinations, and timely resolutions to support our clients and in...
1 week ago