Claims Analyst Jobs in Philadelphia, PA

Unlock the potential of responsible AI governance by overseeing enterprise-wide frameworks ensuring regulatory compliance, standard adherence, and ongoing monitoring across business units while foster...

Drive the implementation of AI governance frameworks, ensuring compliance and risk management across organizational AI systems. This role involves policy creation, risk assessments, and collaboration...

Shape the future of healthcare compliance by conducting thorough audits, mentoring auditors, and driving initiatives that foster a culture of excellence. Leverage your expertise to enhance coding accu...

Drive clinical data quality as a Subject Matter Expert, ensuring effective data flows and integrity across healthcare systems. Collaborate with cross-functional teams to optimize vendor strategies and...

Transform analytics practices by leading data integrity initiatives and implementing frameworks. Collaborate with cross-functional teams to enhance client onboarding experiences and drive effective pa...

Shape the future of healthcare finance by managing contracts in Epic, recovering underpayments, and collaborating with teams to refine reimbursement strategies for hospital and ASC operations...

Unlock potential by leading complex claims management for Management Liability. Ensure effective strategy execution and maintain customer satisfaction through expert analysis, negotiation, and complia...

Elevate your career by leading strategic clinical management initiatives, enhancing operational excellence, and driving service delivery in a dynamic environment focused on Workers' Compensation and c...

Lead the development of a high-performing General Liability claims team, ensuring timely resolution of complex claims while providing strategic direction and fostering professional growth across multi...

Lead the charge in optimizing stop loss programs by providing financial analysis, underwriting support, and risk management strategies. Collaborate with internal teams to enhance client benefits, ensu...

Empower client relationships, drive revenue growth, and enhance satisfaction while collaborating closely with teams to deliver exceptional service and execute strategic account plans effectively...

Contribute to a dynamic Compliance Investigations Program by leading investigations, analyzing findings, and collaborating with cross-functional teams. Drive ethical standards and ensure regulatory co...

Transform healthcare analytics by driving strategic actuarial initiatives, enhancing cost management, and working with leadership to optimize financial performance across diverse clinical and operatio...

Optimize clinical documentation processes by ensuring accuracy and compliance through reviews, collaboration, and education. This role supports quality outcomes and appropriate reimbursement by enhanc...

Elevate business outcomes by providing expert legal guidance on commercial agreements. Join a dynamic corporate legal team to analyze complex contracts, mitigate risks, and influence strategic decisio...

Join a team that's driving excellence in medical malpractice claims management. Lead strategic investigations, oversee litigation, and collaborate on risk mitigation to enhance patient safety and secu...

Unlock potential by leading analytical strategies that drive insights and performance across diverse data sets in healthcare. Collaborate cross-functionally to enhance operations, support business dec...

Lead the charge in managing litigation claims through analysis, coordination, and legal proceedings while ensuring compliance with company policies and laws. Your expertise will drive resolution and f...

Lead the investigation and resolution of liability claims, ensuring comprehensive collaboration and strategic management of each case from inception to final settlement while optimizing resources for...

Build decision pathways by translating payer medical policies into AI-enabled formats, ensuring clinical accuracy and compliance. Collaborate across teams to enhance automated workflows and streamline...

Analyze channel performance and drive data-driven decisions by building models, validating vendor claims, and proactively answering business questions to enhance offline and direct mail strategies...

Join a team that's transforming market access analytics with innovative AI solutions. As a Product Analyst, you'll ensure data accuracy and enhance user interaction with a cutting-edge analytics platf...

Take ownership of complex commercial claims management, ensuring efficient resolution strategies while delivering exceptional service to clients and stakeholders. Contribute to team success through ex...

Manage complex, high-exposure claims with national scope, ensuring coverage compliance and effective resolution strategies. Collaborate with leadership and partners to drive negotiation and litigation...

Join our team to support the provider enrollment process, ensuring compliance with critical healthcare regulations while enhancing revenue generation through thorough auditing and analysis of credenti...