Quality Analyst - Outpatient, Healthcare
$85K - $92K *
Empower healthcare quality as a detail-oriented Outpatient Quality Analyst. Mentor coding teams, ensure compliance, and drive process improvements in a dynamic remote environment, making a meaningful...
3 weeks ago
Workers Compensation Claims Examiner | SIP Required
$80K - $100K *
Unlock potential by expertly managing complex workers' compensation claims, ensuring timely resolutions while collaborating with clients and vendors. Engage in a rewarding role focused on innovative s...
2 weeks ago
Team Lead - Appeals (Place of Service, Short Stay & Readmission)
$110K - $130K *
Drive audit excellence by leading a team of Clinical Validation Auditors. Optimize performance, ensure quality outcomes, and foster a collaborative environment to support high standards in place of se...
1 week ago
$74K - $111K *
Elevate the organization's success by driving innovative solutions and strategic initiatives across diverse projects, collaborating with cross-functional teams to achieve impactful results and advance...
3 weeks ago
Senior Complex Commercial Property Claims Adjuster
$90K - $152K *
Manage complex commercial property claims with urgency and expertise, ensuring high-quality service and equitable resolutions. Collaborate with stakeholders to drive strategic outcomes while adhering...
Today
Claims Director(WC & TPA Oversight)
$97K - $189K *
Empower teams to excel in managing complex Workers' Compensation claims, driving strategic oversight, ensuring compliance, and fostering continuous improvement in service delivery and operational exce...
1 week ago
$87K - $118K *
Investigate and adjust complex MPL and General Liability claims. Collaborate with insureds and stakeholders, develop negotiation strategies, and ensure timely documentation while maintaining strong co...
Reposted 3 weeks ago
Claims Advisor, Professional Liability | Medical Malpractice
$100K - $125K *
Take ownership of complex medical malpractice claims to ensure timely resolution, manage costs, and maintain high customer satisfaction while leading case management in compliance with standards and b...
4 days ago
$73K - $147K *
Lead the charge in shaping health benefits strategies by managing client projects, creating deliverables, and guiding junior analysts while enhancing financial outcomes for employers across diverse in...
3 weeks ago
Medicare Cost Report Auditor III
$57K - $110K *
Drive the future of auditing by conducting comprehensive financial, compliance, and operational audits, providing actionable insights, and enhancing internal controls to ensure organizational accounta...
Reposted 3 weeks ago
$76K - $100K *
Elevate your career by managing policy forms, drafting required changes, and collaborating across teams to enhance insurance products and maintain compliance while driving efficiency and accuracy in p...
Reposted 1 week ago
Claims Ceded Reinsurance Access Specialist
$72K - $109K *
Manage ceded reinsurance processes, oversee claims accuracy, and facilitate team training while ensuring effective communication with leadership and IT to enhance reporting capabilities...
3 days ago
$75K - $105K *
Join a team that's pivotal in ensuring accurate client payment policies. You'll manage medical policy integrity while conducting research and analysis, collaborating with internal teams, and providing...
1 week ago
$95K - $120K *
Optimize healthcare cost-processing solutions by driving high-quality software delivery and analysis. Collaborate with stakeholders to implement APIs and database solutions while ensuring performance...
2 days ago
$70K - $126K *
Engage in advanced financial analysis and risk assessment to drive Value-Based Care initiatives. Collaborate across teams, analyze healthcare data, and contribute to vendor partnerships while gaining...
5 days ago
$75K - $95K *
Join a dynamic team as you manage complex high-value property claims, driving negotiations and resolutions. Use your expertise to provide exceptional customer support while ensuring compliance with re...
1 week ago
Claim Counsel - Healthcare Professional Liability
$110K - $135K *
Lead the charge in managing high-severity insurance claims related to healthcare professional liability, overseeing complex investigations and providing expert coverage analysis while collaborating wi...
Today
$75K - $90K *
Advance pediatric healthcare by ensuring comprehensive coding compliance and accuracy. Collaborate with clinical teams to identify and resolve discrepancies while educating staff on coding practices i...
2 weeks ago
$73K - $147K *
Shape health benefits strategies by managing projects, delivering client insights, and analyzing financial data to optimize employer offerings with a focus on renewal negotiations and innovative well...
3 weeks ago
$80K - $110K *
Bring your expertise to analyze and optimize Epic PB claims, ensuring effective resolution and compliance. Collaborate with teams to enhance processes and deliver insightful solutions in a dynamic hea...
1 week ago
Lost Time Claims Specialist, Workers' Compensation
$55K - $110K *
Innovate in claims management by overseeing Workers' Compensation Lost Time claims, ensuring effective evaluations and support for claimants while collaborating across teams to drive outcomes and impr...
Reposted 1 week ago
Revenue Cycle Systems Analyst I
$70K - $97K *
Join a team that's dedicated to enhancing healthcare efficiency by analyzing the revenue cycle. Your expertise will drive improvements in billing operations, perform detailed assessments, and ensure s...
3 weeks ago
Actuary - Primary Care Organization
$129K - $177K *
Unlock potential by analyzing and forecasting data to guide strategic decisions, ensuring data integrity, and collaborating with stakeholders. Influence executive strategies with actionable insights t...
Reposted today
Complex Claim Specialist, Excess and Surplus
$126K - $155K *
Drive effective resolution of commercial general liability claims through risk transfer analysis, expert investigations, and strategic negotiation to ensure optimal outcomes and comprehensive coverage...
2 weeks ago
Lost Time Claims Specialist - Workers' Compensation
$55K - $110K *
Transform the landscape of Workers' Compensation by managing lost time claims, ensuring fair evaluations and resolutions while fostering collaboration for optimal outcomes and continuous improvement a...
1 week ago