Claims Analyst Remote Jobs

Lead and enhance credentialing and payor enrollment operations, ensuring compliance and accuracy while supervising specialists and streamlining processes to improve provider readiness and operational...

Champion clinical expertise by reviewing medical records to prevent fraud and ensure compliance in Medicaid payment decisions. Collaborate with external agencies to develop cases, educate providers, a...

Lead the charge in developing innovative AI solutions, managing small-scale projects, and collaborating with cross-functional teams to enhance agentic workflows and maintain high-quality documentation...

Lead the charge in managing contracts and budgets, ensuring compliance while collaborating with cross-functional teams to enhance efficiency and facilitate vendor negotiations. Drive process improveme...

Lead the charge in financial strategy and analysis, directly influencing decisions for a dynamic reinsurance business. Collaborate with leaders to drive performance and governance for high-impact fina...

Champion quality care by coordinating grievance and appeals cases, ensuring compliance with regulations while collaborating with internal teams and health providers to enhance patient experiences and...

Empower your career by managing an advanced audit program, overseeing complex engagements, developing audit teams, and collaborating with business leaders to enhance risk management and compliance...

Reimagine the multifamily underwriting process by conducting due diligence and ensuring compliance with investor guidelines. Collaborate with teams to streamline transactions through effective communi...

Pioneer effective risk adjustment coding strategies to enhance healthcare quality. Collaborate with teams to optimize compliance with CMS guidelines and improve documentation accuracy, mentoring staff...

Lead the charge in providing expert captive insurance consulting solutions, working collaboratively with clients across various industries to evaluate risk management strategies and enhance existing c...

Join a team that focuses on enhancing healthcare quality through precise HCC coding. You'll analyze physician documentation, mentor peers, and engage in risk adjustment projects to support compliance...

Lead the charge in advancing clinical research through expert data management and programming. You'll collaborate with a multidisciplinary team to design robust systems, ensuring data integrity and qu...

Champion compliance and integrity by overseeing credit assurance processes, ensuring precise monitoring and reporting of credit risk. Collaborate across teams to enhance results and drive continuous i...

Advance financial strategies by providing expert insights and consulting services, driving project objectives through data analysis and system enhancements. Collaborate with internal teams to ensure e...

Transform financial insights into strategic decisions by leading complex projects, analyzing data, and facilitating communication among departments to achieve organizational goals and enhance decision...

Take ownership of workforce analytics by transforming complex HR data into actionable insights. Partner with global teams to bolster reporting capabilities and drive strategic decisions that enhance o...

Join a team that's committed to transforming healthcare data analysis by leveraging advanced methodologies to drive impactful Medicaid policy and operational decisions, while collaborating with divers...

Drive compliance excellence by managing quality assurance programs and regulatory adherence. Collaborate cross-functionally to assess risks, enhance compliance methods, and support ongoing regulatory...

Pioneer the development of impactful analytics solutions across clinical research domains, enhancing data accessibility and quality. Drive initiatives that align with organizational objectives, foster...

Unlock potential by leading accounts receivable operations, optimizing revenue cycles, and driving measurable improvements while promoting collaboration within a dedicated team focused on enhancing ca...

Join us to enhance financial planning and analytics by developing models, dashboards, and forecasts. Collaborate closely with Finance leadership to drive strategic insights and improve operational per...

Take ownership of data management and analysis to enhance decision-making and operational efficiency while collaborating with global cross-functional teams to support sales operations initiatives and...

Manage the activities of a collections team, driving cash flow and productivity through effective training, oversight, and implementation of strategies to improve A/R performance and resolution of com...

Drive your career with impactful contributions in application administration. Collaborate with diverse teams to maintain secure and efficient on-premises installations, implementing enhancements while...

Join our Revenue Operations team to lead strategic integration projects between Salesforce and enterprise applications, enhancing operational efficiency and driving revenue growth in a dynamic environ...