Claims Analyst Jobs in Philadelphia, PA

Empower revenue cycle analytics through data-driven projects, enhancing decision-making and operational efficiency. Collaborate with diverse stakeholders to develop reporting solutions and drive innov...

Develop analytical frameworks and reports to enhance operational insights, driving performance improvements within a federal and DoD-focused environment. Collaborate widely across teams for data valid...

Manage administrative actions and investigations to enhance program integrity. Work collaboratively with CMS and investigative teams, ensuring compliance and effective communication while mentoring te...

Unlock your potential as you navigate complex cyber claims, using critical thinking and effective communication to achieve resolutions. Collaborate with team members and clients to uphold best practic...

Join us to lead and advise on strategic reinsurance transactions, providing regulatory, transactional, and advisory support across a global team, while collaborating with senior business leaders on hi...

Optimize your career by managing identity and access management processes, ensuring compliance, and enhancing security practices while collaborating effectively across various applications and systems...

Shape the future of pricing strategies as a Senior Actuarial Analyst, performing complex analyses and support for regulatory filings, while collaborating with cross-functional teams to optimize produc...

Drive resource optimization and capacity planning for a global workforce, ensuring the right talent is deployed for client projects. Collaborate with cross-functional teams to enhance operational effi...

Support advanced net revenue analysis and reimbursement activities for healthcare organizations. Collaborate with cross-functional teams while providing technical guidance and serving as a subject mat...

Join a team that's shaping the future of insurance by analyzing risks, underwriting new and renewal business, and building strong relationships with clients. This remote position supports a diverse re...

Elevate your career by leading compliance and quality in clinical trials. Collaborate with teams to ensure protocol adherence, site training, and resolve issues while maintaining high standards of mon...

Tackle clinical monitoring challenges while leading site initiatives for quality compliance and protocol adherence. Collaborate with cross-functional teams to ensure successful clinical trial executio...

Optimize your clinical research career by playing a vital role in overseeing and conducting site monitoring for clinical trials, ensuring compliance, quality, and effective team collaboration througho...

Unlock potential by leading site monitoring for clinical trials. Collaborate closely with cross-functional teams to ensure compliance, enhance recruitment, and oversee execution while providing guidan...

Shape the future of healthcare by ensuring accurate medical coding for claims. In this role, you'll review inpatient records to facilitate proper reimbursements and enhance operational efficiency in a...

Champion workplace safety by consulting employers to enhance their injury prevention and risk management strategies. Travel across your territory to assess hazards, develop solutions, and improve comp...

Shape the future of user support by delivering exceptional Help Desk services, managing Tier 1/2 requests, and optimizing system functionalities within a collaborative team for essential government ap...

Lead the charge in driving new business growth and expanding market presence across enterprise accounts by selling Risk, Fraud, and Compliance solutions to C-level executives and building long-term st...

Engage in pivotal clinical trial monitoring, ensuring compliance and protecting participant rights while collaborating with investigators and coordinating site activities throughout the research proce...

Partner with us to lead the Grievance & Appeals department, ensuring compliance and efficient processing of member and provider appeals while managing a team and collaborating with external stakeholde...

Transform financial processes by maintaining accurate records, overseeing reconciliations, and collaborating across teams to ensure compliance and enhance efficiency through innovative solutions and t...

Transform training effectiveness by developing and delivering comprehensive technical training programs while collaborating with subject matter experts to enhance audit productivity and client satisfa...

Advance your career by leading financial analysis and reporting, ensuring compliance with accounting standards, and driving process improvements while collaborating with diverse teams to achieve organ...

Contribute to transactional compliance excellence by ensuring adherence to established policies in procurement and finance, focusing on auditing and improving transactional integrity across key system...

Oversee complex commercial claims, ensuring exceptional service and adherence to protocols. Collaborate with senior leadership and stakeholders to develop strategies for high-exposure claims, leveragi...