Claims Advocate - Risk Services
$70K - $95K *
Advance your career by managing claims and providing exceptional client advocacy in a fully remote role. Collaborate with diverse teams to drive positive outcomes and deliver exceptional service acros...
6 days ago
$97K - $189K *
Join a team that's dedicated to optimizing Recovery Services across multiple lines of business. Manage a skilled team, drive performance improvements, and ensure superior customer experience while str...
2 weeks ago
Data Exchange Analyst - Claim Ops (TPA)
$88K - $111K *
Unlock potential by ensuring precise healthcare data exchanges. Collaborate across teams to enhance data integrity and compliance, focusing on integration, validation, and process improvements to opti...
3 weeks ago
Medical Review Auditor (Fraud Waste and Abuse)
$70K - $91K *
Shape the future of healthcare by conducting thorough audits of medical records to ensure coding accuracy and compliance, while providing actionable insights to enhance processes for Fraud, Waste & Ab...
1 week ago
Auditor Clinical Validation DRG
$95K *
Explore a dynamic auditing role focused on Coding & Clinical Chart Validation for inpatient care. Use your clinical nursing and coding expertise to conduct audits, ensure coding accuracy, and improve...
1 week ago
Analyst, Data Exchange (Medical, Dental & Vision)
$88K - $111K *
Optimize healthcare data integration processes by ensuring accurate and secure data exchanges. Collaborate with internal teams and external partners to enhance data quality, troubleshoot issues, and i...
2 weeks ago
Senior Support Analyst-Payment Clarity
$70K - $92K *
Partner with us to enhance data operations by troubleshooting and resolving technical issues, collaborating with cross-functional teams, and driving improvements in production support processes. Shape...
Yesterday
Senior Claims/TPA Oversight Examiner
$95K - $135K *
Join a team that's redefining claims management, overseeing complex claims and guiding junior staff. You'll ensure fair outcomes while managing relationships with TPAs and maintaining data accuracy in...
1 week ago
Claims Examiner, Auto | Bodily Injury
$80K - $85K *
Analyze and process complex bodily injury auto claims by evaluating coverage, investigating liability, and managing damages for timely resolution within best practices and client expectations in a col...
3 weeks ago
Operations Analyst, Government Programs (EGWP)
$72K - $90K *
Lead the charge in ensuring compliance and operational excellence in Medicare Part D and EGWP programs. Oversee daily activities, support implementation, and monitor performance metrics to enhance mem...
3 weeks ago
EPIC Professional Billing Claims Analyst
$80K - $95K *
Deliver innovative solutions by implementing and optimizing EPIC EHR systems, ensuring effective collaboration with clinical teams to enhance operational workflows and resolve issues in a dynamic heal...
Reposted 3 weeks ago
$80K - $95K *
Engage in high-stakes claims management, addressing complex latent liabilities with expertise. Use analytical skills to assess case strategies, negotiate settlements, and collaborate with legal counse...
3 weeks ago
Content Solutions Analyst I (Certified Lab Coder)
$95K - $115K *
Transform your expertise into impactful solutions as you analyze and develop medical policies for genetic testing. Collaborate across teams while delivering high-quality insights in a fast-paced envir...
2 weeks ago
Senior Claims Advocate - Financial Services Group
$91K - $114K *
Join us to manage and optimize the claims process for our clients, ensuring effective communication between clients and insurers while providing expert guidance on financial services claims management...
Yesterday
Senior Payment Accuracy Specialist
$78K - $83K *
Design audit concepts and processes, mentor teams, and ensure quality control while developing innovative solutions in the healthcare auditing domain to generate recoverable claims for clients...
Reposted 3 days ago
Commercial Claims Insurance Analyst - Remote
$99K - $133K *
Join a dynamic team where you'll lead complex analyses and provide actionable solutions to drive business outcomes in the insurance sector. Collaborate across departments and mentor junior analysts wh...
Today
Data Exchange Analyst - Eligibility
$88K - $111K *
Drive effective eligibility data management by coordinating with clients, resolving issues, and ensuring data integrity. Utilize your expertise in EDI protocols and data analysis to maintain high stan...
3 weeks ago
$80K - $95K *
Engage with clinical services to ensure quality and consistency in Coding Validation processes. Collaborate with clients and internal teams, applying coding expertise to address inquiries, deliver tra...
1 week ago
$110K - $130K *
Transform data into actionable insights as a Senior Risk Data Analyst, enhancing decision-making in payments risk and compliance. Collaborate cross-functionally to develop reporting and automation sol...
3 weeks ago
$65K - $116K *
Empower your career by reviewing medical records to draft appeals for denied claims. Use your clinical expertise to suggest coding changes and ensure compliance by achieving persuasive outcomes in a d...
5 days ago
Sr Analyst, Contract Administration
$68K - $116K *
Elevate your career by supporting data-driven contracting operations through analysis and collaboration. Utilize your expertise in contract management to enhance operational efficiency and drive strat...
1 week ago
Business Analyst, Clinical & Reimbursement Policy
$107K - $130K *
Transform the payment ecosystem by acting as a key link between Medicare policies and automated execution. Drive compliance, vendor performance, and implement AI initiatives to revolutionize clinical...
Reposted 1 month ago
Clinical Adjudication Project Lead
$110K - $130K *
Elevate the clinical adjudication process by leading cross-functional teams to ensure timely, high-quality project delivery while optimizing workflows and achieving strategic milestones in the pharmac...
Yesterday
Clinical Adjudication Project Lead
$110K - $130K *
Join a team that's driving project success in healthcare by leading clinical adjudication initiatives, enhancing workflows, and collaborating across departments to ensure quality and efficiency in pro...
Yesterday
Senior Complex Claim Specialist
$80K - $95K *
Shape the future of claims management by investigating and resolving complex litigated property claims, enhancing client relationships while strategizing litigation outcomes in a fast-paced environmen...
1 week ago