Claims Analyst Jobs in Costa Mesa, CA

Drive investigations into suspected fraud cases, coordinating efforts across departments. Utilize your expertise in claims adjusting and investigative techniques to gather evidence, interview witnesse...

Unlock potential by analyzing and enhancing application systems, consulting with users, and maintaining industry knowledge. Collaborate with stakeholders to ensure effective programming and system sup...

Support the development and enhancement of analytic forecasting models while collaborating with business partners to deliver key insights for negotiations. Automate processes to improve efficiency and...

Empower the quality of healthcare by reviewing SNF claims. Join a dynamic audit team to analyze medical data, ensure compliance, and enhance healthcare processes while working remotely in an impactful...

Transform clinical research by leading data reviews in oncology trials. Use your expertise to ensure data accuracy and readiness for key milestones, collaborating across teams to enhance study outcome...

Analyze and optimize the clinical data lifecycle, ensuring data completeness and integrity. Collaborate cross-functionally to enhance clinical data flows and vendor strategies, driving quality improve...

Join a dedicated team to enhance behavioral health services through data analysis and process improvement, leading cross-functional collaborations and system enhancements to drive operational efficien...

Lead systematic evaluations of risk management processes to enhance governance. Collaborate with stakeholders to assess internal operations, present findings, and recommend improvements that optimize...

Shape the future of environmental risk management by leveraging your expertise to evaluate and resolve complex claims, ensuring compliance and exceptional service in a fully remote setting...

Optimize healthcare data accuracy by translating clinical workflows into standardized data mappings, all while collaborating with health systems to enhance the performance of our AI platform and drive...

Optimize outpatient specialty policy alignment by analyzing data, managing projects, and fostering collaboration. Drive process improvements to enhance efficiency and monitor key performance indicator...

Join a team that's dedicated to expert handling of complex Specialty Claims, overseeing critical coverage analysis, investigation, and negotiation. Leverage your skills to impact customer outcomes and...

Deliver comprehensive analyses and actionable insights to enhance pharmacy benefits and optimize network performance, while mentoring junior analysts and leading high-complexity projects in collaborat...

Accelerate compliance in sales operations by leveraging regulatory expertise, ensuring adherence to state and federal guidelines, and driving continuous improvement within Medicare product lines...

Shape revenue outcomes by supporting the sales team in structuring and pricing deals, managing negotiations, and ensuring compliance. You’ll drive timely deal approvals and optimize terms to meet cust...

Drive data quality initiatives and manage oncology clinical data projects. Leverage your expertise in data management and project oversight to ensure compliance, enhance collaboration, and deliver hig...

Join a team that's transforming healthcare insights through innovative research techniques. Collaborate with experts to enhance competitive intelligence and leverage AI for actionable market analysis...

Create and manage innovative pricing strategies for a diverse software portfolio, leveraging market insights and financial analysis to align pricing with corporate objectives while supporting cross-fu...

Drive stakeholder engagement and requirements analysis to enhance Agile workflow management and support mission-critical projects in a dynamic software development environment...

Empower data stewardship excellence by enhancing tax assessor data practices. Lead governance, ensure data fitness, and unlock strategic value through AI and effective stakeholder collaboration in thi...

Lead the enterprise data management strategy by optimizing tax assessor data quality and governance. Act as the expert liaison, ensuring data is fit-for-use and empowering teams with AI-ready data for...

Grow your career with a dynamic role focused on implementing and managing file feeds for benefits administration. Collaborate with stakeholders to resolve data issues and drive improvements across pro...

Partner with us to enhance user access management while ensuring security compliance, optimizing processes, and improving user experiences across enterprise platforms for seamless access to critical r...

Engage and lead a dynamic engineering team to drive innovation and technical excellence, ensuring alignment with business objectives while championing best practices in software development and SDLC w...

Drive efficient resolution of Workers' Compensation claims by coordinating medical and indemnity strategies, mitigating risks, and ensuring compliance with statutory requirements for optimal outcomes...