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...
2 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...
2 weeks 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
Delegation Oversight Compliance Auditor II
$77K - $123K *
Support compliance initiatives by auditing delegate adherence to contractual, state, and federal healthcare regulations. Collaborate across teams and provide training while ensuring regulatory alignme...
3 weeks 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 yesterday
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...
4 weeks ago
Senior Claims Specialist, Construction Defect
$117K - $184K *
Optimize claim resolution by managing complex Construction Defect cases, collaborating with legal teams, and ensuring strategic oversight for timely settlements. Drive successful outcomes while protec...
3 days 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...
1 month 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
$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...
2 days ago
$83K - $114K *
Elevate your career as a Senior Medical Auditor by leading coding audits, ensuring compliance, and educating teams. Collaborate with diverse professionals, analyze data for quality assurance, and tran...
2 weeks ago
$75K - $95K *
Unlock your potential by fostering strong, collaborative customer relationships, executing tailored account plans, and ensuring successful business agreements in a dynamic sales environment...
1 week ago
$120K - $140K *
Empower employees by managing and enhancing benefits and leave programs globally. As a key subject matter expert, ensure compliance and operational excellence while collaborating cross-functionally to...
4 days ago
$84K - $97K *
Elevate our product offering by driving agile processes and enhancing claims capabilities. Collaborate with cross-functional teams to ensure timely delivery of solutions that meet market needs and imp...
2 days ago
Property Claims Specialist Field II
$76K - $142K *
Join a team that's dedicated to investigating and resolving property claims with efficiency and professionalism, utilizing field inspections and virtual technology to deliver exceptional service to cu...
2 weeks ago