Claims Analyst Jobs in Philadelphia, PA

Advance your career by managing clinical trial operations, ensuring quality outcomes while collaborating with cross-functional teams and stakeholders to drive success in clinical programs...

Elevate healthcare by evaluating prior authorization requests, ensuring compliance with evidence-based guidelines, and leveraging your pharmacy expertise to uphold medical necessity standards in a dyn...

Lead the charge in transforming identity and access management with innovative strategies ensuring identity is the core of security. Drive and oversee IAM programs, ensuring compliance and operational...

Lead a dedicated team to drive client success across diverse delivery modes, ensuring effective governance and coordination. Drive business development within a portfolio, nurturing critical client re...

Pioneer AI innovation by designing and deploying cutting-edge AI solutions. Collaborate with cross-functional teams to integrate advanced technologies, ensuring performance and security while transfor...

Empower a dynamic HR team by leading recruitment efforts and HR initiatives that enhance organizational success, ensuring compliance with employment laws and fostering employee development and perform...

Drive compliance strategy and risk management for Medicaid providers, leading cross-functional initiatives to enhance regulatory performance and operational excellence while fostering partnerships wit...

Champion the future of biostatistics by leading statistical strategy for clinical development across multiple therapeutic areas, ensuring excellence in design, analysis, and reporting while mentoring...

Join a team that's redefining biostatistics in clinical development. You will lead statistical strategy across multiple therapeutic areas, ensuring excellence in design, analysis, and reporting while...

Partner with us to lead a dynamic model audit team, enhancing financial modelling processes while driving strategic growth and innovation across projects, all while fostering a collaborative and high...

Analyze financial and non-financial data to drive strategic business decisions. Collaborate with leadership to develop business cases, manage projects, and facilitate change initiatives, ensuring effe...

Partner with us to drive strategic initiatives through data analysis and business case development. Support executive leadership in decision-making, project management, and change initiatives, ensurin...

Join a team that's dedicated to delivering personalized care coordination. In this fully remote role, leverage your clinical expertise to support members in achieving optimal health outcomes through e...

Join a team that's dedicated to optimizing patient care through effective case management. Utilize your nursing expertise to assess, plan, and advocate for members' health needs, ensuring quality outc...

Join a team that's dedicated to enhancing member wellness through proactive case management. This remote role involves assessing, planning, and coordinating care to address complex health needs while...

Shape the future of on-card lending by analyzing product performance and driving strategy. Collaborate with cross-functional teams to enhance customer experience and optimize product offerings, direct...

Tackle complex cross-functional initiatives by bridging business and technology requirements. Lead stakeholder alignment and ensure seamless delivery through effective communication and relationship-b...

Join a team that's redefining pricing strategies and business analysis. As a key member, you'll develop competitive pricing models, analyze risks, and collaborate with finance and business development...

Join a team that's transforming sales compensation processes. In this role, you'll manage commission execution while collaborating on strategic plan design, ensuring alignment with company goals and d...

Support business analysis initiatives by gathering requirements, documenting processes, and providing user training. Collaborate with IT and court staff to implement large-scale projects and ensure on...

Elevate patient care by guiding families through the hospice admission process, assessing needs, and collaborating with healthcare teams to create tailored care plans that ensure comfort and support d...

Drive analytics excellence by leading a team to deliver impactful insights, enhance reporting capabilities, and support strategic decision-making across diverse business functions. Foster collaboratio...

Lead the charge in transforming accounting operations by managing AR, AP, and Payroll functions. Drive process efficiency, implement best practices, and enhance service delivery in a newly established...

Drive strategic management of service line integration, ensuring high-quality clinical documentation integrity. Collaborate with teams to enhance compliance and optimize outcomes while performing inde...

Lead the charge in expanding market access for diabetes care products by developing strategic relationships with government accounts, driving sales growth, and ensuring effective implementation and tr...