$95K - $115K *
Empower your career by joining a dynamic team handling complex cyber claims. Collaborate with industry experts to assess risk, manage vendor relationships, and provide exceptional service while drivin...
4 days ago
$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...
Reposted 1 week ago
Complex Clinical Claims Analyst
$100K - $110K *
Seeking a detail-oriented analyst to perform complex clinical and coding reviews of facility claims, ensuring adherence to medical guidelines and fostering optimal performance through expert analysis...
Yesterday
Auditor Clinical Validation DRG
$95K *
Empower the auditing process by analyzing inpatient claims and ensuring coding accuracy. Leverage your clinical expertise and advanced coding knowledge to drive quality and productivity in chart valid...
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...
3 weeks ago
$95K - $115K *
Help us analyze and optimize medical policies while providing key insights across clinical operations. Collaborate with teams to ensure effective policy development and quality assurance, enhancing ou...
1 week ago
$100K - $140K *
Engage with cross-functional teams to translate business strategies into actionable solution requirements, ensuring effective delivery and alignment with organizational goals in healthcare economics...
Today
$75K - $95K *
Lead the management of complex commercial general liability claims, overseeing investigations, evaluations, and litigation, while mentoring junior analysts and ensuring optimal claims outcomes in alig...
2 days ago
Claims Module Senior Business Analyst
$85K - $111K *
Shape the future of healthcare with your expertise in claims processing and business analysis. Drive innovation and provide domain knowledge while leading projects, collaborating with teams, and enhan...
Today
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...
3 weeks ago
$101K *
Support the Clinical Chart Validation team by reviewing appeals and claims, applying coding guidelines, and providing expert feedback to ensure accurate recovery determinations and maintain compliance...
2 days ago
$70K - $95K *
Support a team that evaluates and manages construction claims, ensuring effective strategies for investigation, negotiation, and resolution, while communicating findings with stakeholders and adapting...
1 week ago
$100K *
Lead the charge in managing reinsurance claims, ensuring precision in reporting and compliance while optimizing recoveries and collaborating cross-functionally for the best outcomes in a complex, dyna...
Reposted today
$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...
3 weeks 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...
2 weeks ago
$83K - $104K *
Advance your career by expertly managing complex construction defect claims, fostering collaboration with clients and internal teams, resolving coverage questions, and ensuring compliance with legal r...
Yesterday
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...
3 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...
4 weeks ago
$66K - $100K *
Join a team that's driving efficiency in claims operations by resolving complex system issues, improving workflows, and delivering user training. Collaborate with IT and help desk teams to enhance pro...
1 week ago
$100K - $130K *
Champion proactive claims management by serving as a trusted advisor, partnering with clients and stakeholders to drive optimal outcomes in the insurance claims lifecycle across multiple coverage line...
2 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...
3 weeks 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...
2 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...
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