Team Lead - Appeals (Place of Service, Short Stay & Readmission)
$110K - $130K *
Drive audit excellence by leading a team of Clinical Validation Auditors. Optimize performance, ensure quality outcomes, and foster a collaborative environment to support high standards in place of se...
1 week ago
$87K - $118K *
Investigate and adjust complex MPL and General Liability claims. Collaborate with insureds and stakeholders, develop negotiation strategies, and ensure timely documentation while maintaining strong co...
Reposted 3 weeks ago
$73K - $147K *
Advance health benefit strategies as an actuarial consultant, managing client projects to optimize plan designs, conduct financial analyses, and guide junior analysts. Collaborate with clients to deli...
2 weeks ago
Medicare Cost Report Auditor III
$57K - $110K *
Drive the future of auditing by conducting comprehensive financial, compliance, and operational audits, providing actionable insights, and enhancing internal controls to ensure organizational accounta...
Reposted 2 weeks ago
$76K - $100K *
Elevate your career by managing policy forms, drafting required changes, and collaborating across teams to enhance insurance products and maintain compliance while driving efficiency and accuracy in p...
Reposted 4 days ago
$75K - $105K *
Join a team that's pivotal in ensuring accurate client payment policies. You'll manage medical policy integrity while conducting research and analysis, collaborating with internal teams, and providing...
3 days ago
Business Analyst, Renewal Desk
$74K - $137K *
Drive the renewal lifecycle for leading legal software products by collaborating with cross-functional teams to ensure timely, accurate renewals while mitigating risks and maximizing opportunities for...
1 week ago
$70K - $126K *
Engage in advanced financial analysis and risk assessment to drive Value-Based Care initiatives. Collaborate across teams, analyze healthcare data, and contribute to vendor partnerships while gaining...
Today
$75K - $95K *
Join a dynamic team as you manage complex high-value property claims, driving negotiations and resolutions. Use your expertise to provide exceptional customer support while ensuring compliance with re...
6 days ago
$85K - $110K *
Drive actuarial insights by conducting pricing and reserving analyses, supporting regulatory filings, and collaborating with cross-functional teams to enhance data methodologies and tools for improved...
Yesterday
$75K - $90K *
Advance pediatric healthcare by ensuring comprehensive coding compliance and accuracy. Collaborate with clinical teams to identify and resolve discrepancies while educating staff on coding practices i...
1 week ago
$73K - $147K *
Develop comprehensive health benefit strategies by managing client projects and delivering actionable insights, while mentoring junior staff and collaborating with senior team members to enhance clien...
2 weeks ago
Claims Team Lead, General Liability
$90K - $120K *
Engage as a hands-on Team Lead, driving efficiency and performance in claims while mentoring a dynamic team. Your leadership will balance strategic oversight with direct involvement in claims manageme...
3 weeks ago
$80K - $110K *
Bring your expertise to analyze and optimize Epic PB claims, ensuring effective resolution and compliance. Collaborate with teams to enhance processes and deliver insightful solutions in a dynamic hea...
6 days ago
Lost Time Claims Specialist, Workers' Compensation
$55K - $110K *
Innovate in claims management by overseeing Workers' Compensation Lost Time claims, ensuring effective evaluations and support for claimants while collaborating across teams to drive outcomes and impr...
Reposted 3 days ago
Revenue Cycle Systems Analyst I
$70K - $97K *
Join a team that's dedicated to enhancing healthcare efficiency by analyzing the revenue cycle. Your expertise will drive improvements in billing operations, perform detailed assessments, and ensure s...
2 weeks ago
$70K - $95K *
Partner with us to enhance clinical data analytics through collaboration, programming, and report development. Utilize strong analytical skills to streamline processes and support clinical teams with...
Reposted 1 week ago
Complex Claim Specialist, Excess and Surplus
$126K - $155K *
Drive effective resolution of commercial general liability claims through risk transfer analysis, expert investigations, and strategic negotiation to ensure optimal outcomes and comprehensive coverage...
2 weeks ago
$70K - $126K *
Lead the charge in transforming analytics for Internal Audit Claims. Handle complex data projects while providing insights, reporting, and automation support to enhance decision-making and drive effic...
Reposted 3 days ago
Lost Time Claims Specialist - Workers' Compensation
$55K - $110K *
Transform the landscape of Workers' Compensation by managing lost time claims, ensuring fair evaluations and resolutions while fostering collaboration for optimal outcomes and continuous improvement a...
1 week ago
Senior Business Analyst - Pharmacy (RCM, Billing & Financial Reconciliation)
$109K - $143K *
Unlock potential by leading complex SaaS implementations and driving RCM solutions. Collaborate with clients and teams to translate needs into actionable requirements, ensuring successful delivery and...
3 weeks ago
$67K - $127K *
Empower businesses by delivering impactful data analytics and insights that drive strategic decision-making. Collaborate with diverse teams to enhance data reporting capabilities and foster client rel...
4 days ago
$75K - $95K *
Analyze complex data and technical issues to deliver actionable insights. Collaborate with cross-functional teams to manage system integrations, enhance client relationships, and drive successful proj...
2 weeks ago
$80K - $110K *
Champion the governance processes for federal investment decisions, enhancing oversight and operational efficiency while coordinating high-level executive communications in a dynamic environment...
1 week ago
Manager, Medical Review (Medicare - Appeals; Utilization Review; Part A; HHH)
$85K - $110K *
Advance your career by guiding a team in processing medical claims. Ensure compliance with laws and standards while identifying process improvements to enhance performance and quality in medical neces...
Reposted yesterday