$95K - $115K *
Empower your career by joining a dynamic team handling complex cyber claims. Collaborate with industry experts to assess risk, manage vendor relationships, and provide exceptional service while drivin...
5 days ago
$110K - $140K *
Elevate your career by joining our dynamic claims team, where you'll manage complex cyber claims, collaborate with top-tier vendors, and support underwriting efforts, all while contributing to innovat...
Reposted 1 week ago
$66K - $114K *
Analyze, validate, and refine actuarial data to support pricing and forecasting models. Collaborate within teams under limited supervision while developing analytical skills crucial for effective deci...
6 days ago
Complex Clinical Claims Analyst
$100K - $110K *
Seeking a detail-oriented analyst to perform complex clinical and coding reviews of facility claims, ensuring adherence to medical guidelines and fostering optimal performance through expert analysis...
2 days ago
Auditor Clinical Validation DRG
$95K *
Empower the auditing process by analyzing inpatient claims and ensuring coding accuracy. Leverage your clinical expertise and advanced coding knowledge to drive quality and productivity in chart valid...
1 week ago
Content Analyst II - Drug and Biological Policy
$100K - $125K *
Join a dynamic clinical operations team, driving quality assurance and policy maintenance for Drug and Biological policies. Your expertise will enhance our coding processes and support client inquirie...
3 weeks ago
$95K - $115K *
Help us analyze and optimize medical policies while providing key insights across clinical operations. Collaborate with teams to ensure effective policy development and quality assurance, enhancing ou...
1 week ago
$90K - $120K *
Transform the landscape of construction claims by conducting in-depth analysis, preparing detailed documentation, and supporting negotiations in a collaborative environment, drawing on extensive exper...
Today
$94K - $170K *
Join a team that's focused on developing innovative pricing strategies for ACA markets. This role involves complex actuarial studies, rating models development, regulatory compliance, and collaboratio...
1 week ago
$89K - $170K *
Transform complex data into strategic insights, leading risk analyses and actuarial projects while training future analysts, and enhancing decision-making processes within a collaborative team environ...
3 weeks ago
$89K - $170K *
Transform complex data into actionable insights as you analyze risk contracts, conduct experience analyses, and support innovative capitation initiatives while mentoring junior actuarial talent and le...
3 weeks ago
$75K - $95K *
Lead the management of complex commercial general liability claims, overseeing investigations, evaluations, and litigation, while mentoring junior analysts and ensuring optimal claims outcomes in alig...
4 days ago
Claims Module Senior Business Analyst
$85K - $111K *
Shape the future of healthcare with your expertise in claims processing and business analysis. Drive innovation and provide domain knowledge while leading projects, collaborating with teams, and enhan...
2 days ago
$68K - $109K *
Optimize the billing processes and analyze contract compliance, ensuring adherence to government regulations while collaborating with finance teams and stakeholders to enhance accuracy and effectivene...
Today
$61K - $106K *
Drive impactful business analysis by translating needs into software solutions. Collaborate with stakeholders to implement EDI frameworks and ensure compliance with industry standards while enhancing...
Reposted 3 days ago
Audit & Reimbursement III and Senior
$63K - $125K *
Champion the analysis and auditing of Medicare cost reports, enhancing reimbursement processes. Collaborate with a dynamic team to deliver insights and recommendations, while advancing your career in...
2 weeks ago
Audit & Reimbursement III and Senior
$63K - $125K *
Transform the audit and reimbursement landscape by analyzing complex Medicare cost reports, providing insights, mentoring peers, and driving efficiency in a dynamic healthcare environment with opportu...
2 weeks ago
Auditor Clinical Validation Outpatient Specialty Clinical
$95K *
Unlock your potential by auditing outpatient claims. Leverage your clinical and coding expertise to enhance accuracy and improve treatment quality while contributing to innovative auditing solutions i...
3 weeks ago
$101K *
Support the Clinical Chart Validation team by reviewing appeals and claims, applying coding guidelines, and providing expert feedback to ensure accurate recovery determinations and maintain compliance...
3 days ago
$100K *
Lead the charge in managing reinsurance claims, ensuring precision in reporting and compliance while optimizing recoveries and collaborating cross-functionally for the best outcomes in a complex, dyna...
Reposted yesterday
$70K - $95K *
Join a team that evaluates and manages insurance claims, ensuring compliance and minimizing risk. You will analyze coverage, conduct investigations, communicate with stakeholders, and negotiate settle...
Today
$75K - $100K *
Join a dynamic team driving claims operations and reporting! Manage claim processes, enhance data quality, and implement continuous improvements to deliver reliable insights for leadership and carrier...
4 weeks ago
$70K - $120K *
Transform billing processes by collaborating with customers, optimizing workflows, and delivering comprehensive training. Utilize behavioral healthcare knowledge to drive user engagement and success w...
3 days ago
Complex Denials Consultant (Complex Claims)
$90K - $112K *
Unlock potential by guiding healthcare providers through complex claims disputes. Represent clients in WC, MVA, TPL, and VA claims while ensuring compliance with state laws. Collaborate with teams to...
2 weeks ago
$86K - $129K *
Join a dynamic team to empower strategic delivery of Salesforce solutions, translating complex business needs into actionable user stories. Drive cross-functional collaboration and optimize platform c...
1 week ago