$79K - $130K *
Innovate care management by leveraging expertise in assessing, developing, and coordinating complex care plans. Ensure optimal health outcomes through effective telephonic support while collaborating...
Reposted 2 days ago
$88K - $150K *
Optimize contract operations as a Legal Operations Analyst II, collaborating across multiple teams to drive efficiency through technology, improve workflows, and implement scalable tools that empower...
1 week ago
$66K - $110K *
Lead the charge in managing Short-Term Disability appeals, utilizing expert resources, demonstrating superior customer service, and optimizing claim processes to enhance organizational performance in...
3 weeks ago
Underwriting Consultant - National Accounts Casualty, Wholesale
$72K - $141K *
Optimize business development and underwriting strategies in a dynamic environment. Collaborate with internal teams and external partners to grow a profitable book of excess casualty accounts while le...
Yesterday
Actuary Analyst I, Sutter Health Plan
$72K - $109K *
Unlock potential by applying your actuarial expertise to conduct complex analyses, support financial forecasting, and drive decision-making. Collaborate with teams to enhance methodologies, ensuring a...
1 week ago
$89K - $142K *
Elevate your career by partnering with strategic teams to provide data-driven insights, improve operational efficiency, and support fraud detection in healthcare analytics. This role requires advanced...
3 weeks ago
Actuary (CMS Regulatory & Bid Pricing)
$110K - $130K *
Transform healthcare delivery by leveraging your actuarial expertise. Collaborate across functions to develop innovative strategies that enhance service to the senior population while positively impac...
4 weeks ago
$95K - $119K *
Empower your career by diving into the dynamic world of cyber reinsurance. Collaborate with seasoned underwriters, analyze cedant data, and grow your expertise in treaty submissions, while building vi...
1 week ago
Sales VP Retail Audit Services
$147K - $192K *
Tackle the challenge of driving sales growth through strategic acquisition of new business for Payment Integrity Services. Engage with senior executives, leverage market insights, and enhance customer...
1 week ago
Supervisor, Utilization Management Technician
$78K - $85K *
Lead the charge in managing a team of prior authorization technicians while enhancing workflow and training, ensuring compliance and quality in a dynamic healthcare environment...
1 week ago
Compliance Testing Data Analyst
$90K - $110K *
Unlock the potential of Compliance Testing through data analysis, automation, and reporting. This role enhances methodologies, identifies compliance risks, and collaborates across departments to ensur...
Reposted today
Medical Review Nurse II - SNF/MDS Auditor
$85K - $100K *
Join a team that's dedicated to performing skilled nursing facility audits, ensuring accurate claim evaluations. Leverage your nursing expertise in a dynamic, collaborative, remote environment focused...
3 weeks ago
Senior Manager Quality Audit Operations
$120K - $160K *
Lead the charge in enhancing quality assurance programs by steering a talented team. Drive AI integration and continuous improvement to ensure accuracy, reduce risks, and optimize client outcomes thro...
4 weeks ago
Field Consultant, CLESS (Construction Defect)
$108K - $200K *
Lead complex commercial casualty claims resolution by analyzing, negotiating, and providing exceptional customer service while ensuring compliance with industry standards and guidelines to achieve opt...
Reposted 2 days ago
Quality Analyst - Clinical Validation Audit
$85K - $100K *
Oversee quality auditing of inpatient medical records to validate DRG codes, ensuring accuracy through detailed reviews and mentoring. Drive improvements by identifying trends and recommending process...
1 week ago
Senior Provider Network Operations Analyst
$80K - $95K *
Join us in shaping the future of healthcare operations by ensuring provider network accuracy and compliance. Leverage your expertise in claims analysis and enhance operational efficiency while collabo...
2 days ago
$79K - $97K *
Support the development of informatics solutions for clinical research studies. Collaborate with multidisciplinary teams to enhance data collection, management, and reporting, ensuring research goals...
2 days ago
Revenue Operations & Clean Claim Manager
$95K - $115K *
Champion revenue operations excellence by managing workflows, ensuring clean claims, analyzing trends, and collaborating across teams to optimize billing outcomes and financial performance while reinf...
1 week ago
$68K - $143K *
Deliver expert audit compliance support for DoD financial systems, ensuring integrity and adherence to regulations. Drive continuous improvement in audit practices and strengthen internal controls wit...
3 days ago
$71K - $156K *
Champion the assessment of medical risks and cost projections for claims and underwriting. Utilize diverse data sources to ensure accurate evaluations and recommendations while staying current with me...
3 days ago
Compliance Analyst II, Producer Oversight and Suitability Programs - Remote
$72K - $121K *
Join a team that's dedicated to promoting compliance while leading project initiatives. Collaborate across departments as a functional expert to establish policies and monitor compliance with regulato...
1 week ago
Litigation Claims Adjuster, Trucking
$80K - $95K *
Take ownership of litigation claims management. Oversee investigations, evaluations, and negotiations of auto claims disputes while collaborating with internal teams to improve processes and reporting...
4 weeks ago
Account Executive (Detroit, MI)
$85K - $100K *
Optimize market presence by building and nurturing relationships with law firms. Drive consistent revenue growth through strategic account management and active field engagement. Embrace the potential...
3 weeks ago
$110K - $130K *
Join a team that's dedicated to effective claims management and driving change on complex Surety matters. Collaborate with leaders to enhance processes, mentor staff, and create optimal resolutions wh...
3 weeks ago
Manager, Itemized Bill Review (Healthcare)
$105K - $125K *
Oversee daily operations of the Itemized Bill Review team, ensuring SLA compliance, communication with clients, and identifying process improvement opportunities to enhance efficiency and performance...
Yesterday