$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...
1 week ago
$73K - $113K *
Champion a high-performing team as a Workers' Compensation Claims Supervisor, ensuring compliance and excellence in claims handling while driving talent development and team productivity to achieve de...
2 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 *
Engineer analytical solutions to enhance actuarial practices. Analyze data, support rate determination, and validate statistical outputs while collaborating within a dynamic, hybrid workplace environm...
1 week ago
$50K - $111K *
Join a team that's transforming claims processing by investigating liability and efficiently managing claims within our established frameworks while adhering to accuracy and compliance standards...
Yesterday
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...
3 days ago
Clinical Provider Auditor II - Payment Integrity SIU
$58K - $107K *
Optimize healthcare compliance by examining claims to identify fraud and abuse risks. Collaborate with the Special Investigation Unit to develop loss control strategies and conduct training for associ...
Today
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...
4 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...
2 weeks ago
$89K - $170K *
Shape complex actuarial projects and analyses, while guiding and training junior staff. Engage in risk contracts, pricing, and management reporting to drive capitation initiatives in a collaborative...
3 weeks ago
$94K - $170K *
Advance your career by tackling complex actuarial projects, shaping pricing strategies, and ensuring compliance. Collaborate with teams to drive growth and innovation in the Individual and Small Group...
1 week 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...
5 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...
3 days ago
Auditor Clinical Validation Outpatient Specialty Clinical
$95K *
Unlock potential by auditing outpatient and specialty claims, ensuring coding accuracy, clinical necessity, and compliance with industry standards. Leverage advanced coding expertise to identify billi...
Today
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...
5 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 3 days ago
$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...
Yesterday
$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...
1 month 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
$83K - $104K *
Advance your career by expertly managing complex construction defect claims, fostering collaboration with clients and internal teams, resolving coverage questions, and ensuring compliance with legal r...
3 days ago
$70K - $95K *
Optimize your career by leading the claims department, ensuring exceptional service while mentoring associates and collaborating cross-functionally to drive strategic claims solutions and client advoc...
Reposted 1 week ago
Senior Claims Consultant, National Accounts
$92K - $154K *
Shape the future of claims management by leading strategy for large accounts, providing analytics and insights, and fostering strong relationships with clients and stakeholders for optimal claim resol...
3 weeks ago
$100K - $130K *
Champion proactive claims management by serving as a trusted advisor, partnering with clients and stakeholders to drive optimal outcomes in the insurance claims lifecycle across multiple coverage line...
2 weeks ago