Claims Manager Remote Jobs

Take ownership of care management teams by overseeing clinical and administrative operations, ensuring compliance with regulatory standards, and driving performance improvements while providing direct...

Optimize comprehensive care coordination for members, ensuring seamless transitions between home and community-based support systems. Engage directly with members to address complex health and social...

Shape the future of care coordination by engaging with members and families to deliver comprehensive support. This role involves assessing needs, developing care plans, and ensuring smooth transitions...

Manage environmental compliance by analyzing regulatory requirements, developing programs, and ensuring adherence to permits. Facilitate integration processes for acquisitions while coordinating with...

Drive the innovation and development of audit platforms in a dynamic role. Collaborate with stakeholders and engineering teams to define roadmaps and deliver high-quality healthcare product solutions...

Shape the future of coding by leading teams to achieve KPIs, fostering collaboration across departments, and ensuring the integrity of inpatient medical records through expert oversight and strategic...

Lead initiatives that enhance BDR performance and streamline operations, connecting teams and systems to foster scalability and enablement, driving success through strategy and analytics to empower fr...

Join a team that's enhancing HR operations and optimizing HRIS solutions in a complex healthcare environment, driving data integrity, efficiency, and compliance to support overhauls in payroll, benefi...

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

Lead the charge in developing innovative medical claim payment policies while collaborating with cross-functional teams to evaluate reimbursement practices and ensure compliance with industry standard...

Lead the charge in optimizing and managing the Atlassian Cloud platform to enhance team workflows, drive automation, and enable seamless integrations, ensuring that the organization operates efficient...

Optimize healthcare finance operations by leading cross-functional partnerships to enhance provider risk and reinsurance arrangements, ensuring compliance, innovation, and effective analytics in a fas...

Elevate member care coordination by managing complex medical and psychosocial needs. Collaborate effectively with healthcare professionals to ensure optimal outcomes through personalized care plans an...

Elevate client relationships while managing commercial insurance needs. Leverage your experience to deliver tailored risk management solutions, negotiate terms, and enhance client satisfaction in a dy...

Champion our security compliance initiatives, leading ISO 27001 and SOC 2 efforts while ensuring audit readiness and enhancing risk management practices across teams for regulated environments...

Transform the future of healthcare by leading product innovations in Fraud, Waste, and Abuse analytics, driving measurable business value and integrating advanced AI/ML capabilities to enhance product...

Provide expert guidance and support to mid-market accounts, working with Sales and brokers to grow relationships, tackle issues, and enhance business security through strategic initiatives and customi...

Develop and lead innovative product strategies leveraging AI and LLM insights. Collaborate cross-functionally to prioritize market needs and optimize solutions, guiding all phases from conception to l...

Drive enterprise contract management excellence by leading the strategic optimization, governance, and integrity of CLM solutions, collaborating across teams to translate business needs into scalable...

Lead the charge in managing a dynamic team to enhance condo and co-op mortgage operations, ensuring compliance with lending guidelines and elevating customer experiences through strategic oversight an...

Accelerate the pre-sales process by leading global proposal management, optimizing RFP operations, and enhancing sales team enablement. Drive efficiency through proposal automation and cross-functiona...

Accelerate progress at managing diverse medical communications projects, ensuring they meet client expectations while adhering to budget and timelines. Leverage exceptional communication and financial...

Elevate operational excellence as you lead the Marketing PMO, driving alignment and execution across functions. You’ll be pivotal in building scalable processes and governance, enhancing the marketing...

Manage a district of 10-14 locations, driving sales and operational excellence through effective leadership, employee development, and strategic marketing initiatives to boost performance and profitab...

Join a team that's dedicated to delivering high-value domestic transport services. Oversee service performance, security protocols, and data integrity to ensure excellent operational efficacy and cust...