$110K - $140K *
Elevate your career by joining our dynamic claims team, where you'll manage complex cyber claims, collaborate with top-tier vendors, and support underwriting efforts, all while contributing to innovat...
2 weeks ago
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...
1 week 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...
1 week ago
$70K - $116K *
Help us enhance our security posture by monitoring and investigating breaches, identifying vulnerabilities, and implementing best practices. This role is vital for safeguarding digital assets and supp...
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...
1 week ago
Coding Manager (Risk Adjustment)
$82K - $102K *
Take ownership of coding operations by leading a team, overseeing quality and production, and collaborating with internal and external partners to achieve strategic goals and high customer satisfactio...
1 week 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 2 weeks 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...
1 week 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...
Yesterday
Senior Analyst Business Operations
$72K - $108K *
Champion a data-driven approach by leading strategic operations projects that optimize processes, enhance insights, and drive revenue growth within a collaborative team focused on solving complex busi...
2 weeks 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...
1 week ago
Claims Consultant, CLESS (Construction Defect)
$108K - $200K *
Champion complex claims resolution and training, enhancing team expertise and relationships. Drive effective management of severe insurance claims while overseeing best practices and coaching staff in...
4 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...
2 weeks ago
APH Claims Adjuster III | Remote
$96K - $144K *
Shape the future of asbestos claims management by leading complex cases, developing strategies, and driving litigation processes while ensuring compliance and oversight within a fast-paced environment...
Reposted 3 weeks ago
$134K - $175K *
Transform the future of risk management by analyzing claims trends, optimizing processes, and collaborating with diverse teams to enhance insurance functions as the organization scales in a dynamic en...
3 weeks 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...
1 week ago
Senior Advisor – Rx Claims & Adjudication (Business Architect)
$126K - $190K *
Engage as a Senior Advisor to enhance pharmacy claims adjudication. Drive business architecture, define capabilities, and analyze impacts to streamline operations. Collaborate with stakeholders to opt...
1 week ago
$145K - $170K *
Drive the resolution of management and professional liability claims with precision, collaborating with diverse stakeholders to ensure adherence to best practices and uphold exceptional service delive...
1 week ago
$145K - $170K *
Lead professional liability claims handling by evaluating complex cases, managing legal counsel, and delivering exceptional service. Contribute insights into risk exposure while adhering to company be...
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...
2 days ago
Underwriting Analyst - M&A Division
$110K - $140K *
Shape the future of M&A insurance by assisting in underwriting and managing policy processes, collaborating with deal teams, and enhancing client communication while thriving in a dynamic environment...
3 weeks 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
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...
3 days ago
$115K - $188K *
Oversee complex cyber claims litigation, ensuring compliance and resolution strategies while collaborating with outside counsel and managing claim files in a dynamic, remote-friendly environment...
3 weeks ago
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...
1 week ago