Claims Specialist Jobs in Alpharetta, GA

Drive regulatory intelligence initiatives to ensure compliance and support clinical research. Collaborate with experts to assess regulatory changes, track global guidelines, and enhance impact assessm...

Lead actuarial initiatives by leveraging your expertise to analyze complex data, mentor junior staff, and develop innovative solutions that drive informed decision-making and enhance operational effic...

Shape the future of field operations by translating business needs into actionable user stories. Collaborate with diverse teams to enhance workflow and drive standardization to create measurable opera...

Optimize litigation processes by managing legal holds and eDiscovery functions while collaborating with stakeholders. Drive case management and compliance to enhance the company's legal strategy with...

Inspire commercial success by engaging healthcare providers and driving product adoption. Collaborate with cross-functional teams to support launches and optimize patient access, ensuring impactful re...

Drive provider network excellence by managing data integrity, overseeing contract configurations, and leading cross-functional teams to enhance operational efficiency and compliance in a dynamic TPA e...

Unlock your potential by leading the development of innovative DRGV services, enhancing billing and coding optimization. Collaborate across teams to create scalable solutions that drive operational ex...

Lead the charge in driving revenue performance across assigned regions by optimizing reimbursement processes, reducing denials, and enhancing cash flow, while fostering team development and ensuring c...

Drive strategic growth by establishing and nurturing key partnerships with Enterprise Claims carriers, ensuring service excellence and collaboration across internal teams to enhance business outcomes...

Join us to lead the Professional Coding Operations team, ensuring accurate coding practices and compliance. Collaborate with stakeholders, mentor staff, and drive improvements in coding efficiency and...

Accelerate progress at expanding customer accounts by driving annual recurring revenue and enhancing retention through structured sales strategies and digital engagement, while managing a high-volume...

Shape the future of actuarial services by supporting audit and advisory engagements for life insurers. Leverage your analytical skills to perform complex actuarial analyses and develop innovative solu...

Drive the strategic management of IP operations in North America, overseeing a team of patent professionals. Ensure robust IP protection, advise on legal matters, and collaborate with global teams to...

Drive strategic support for Wholesale Payments Sales, enhancing execution, risk management, and performance. Collaborate across teams to optimize client engagement and achieve business goals while fos...

Join a dynamic team as you manage clinical research sites, ensuring compliance and quality throughout all study phases. Build strong relationships, oversee monitoring activities, and contribute to tea...

Champion regulatory strategies to accelerate product approvals and compliance. Lead a dynamic team in supporting innovative medical devices, ensuring alignment with global regulations while fostering...

Unlock potential by leading audit engagements, validating controls, and enhancing risk assessment strategies. Collaborate with teams to identify weaknesses and deliver actionable insights, ensuring hi...

Shape the future of healthcare by leading the Organic Risk Adjustment program. Drive strategic initiatives, foster collaboration across teams, and implement innovative solutions to enhance performance...

Unlock your potential by leading strategic underwriting operations across the Americas. Drive efficiency, enhance compliance, and foster a culture of performance while managing risk and developing hig...

Engage in comprehensive patient care coordination for CKD and ESRD populations, collaborating with healthcare teams to enhance quality and minimize fragmentation. Expect flexibility with remote work a...

Transform clinical review processes by conducting thorough prepayment and post-payment assessments of inpatient admissions. Leverage your expertise to ensure compliance, support appeals, and enhance q...

Engage in comprehensive risk adjustment audits and compliance reviews, ensuring accurate data submission to CMS. Collaborate with coding teams and management to uphold regulatory standards and improve...

Champion financial examinations by leading teams to ensure quality, compliance, and timely delivery of regulatory services. Foster client relationships, manage complex projects, and drive growth in a...

Deliver independent, risk-based quality assurance reviews to enhance audit quality and execution. Collaborate with teams to identify gaps, provide constructive feedback, and promote continuous improve...

Join a team that's dedicated to enhancing healthcare quality through thorough medical claims audits. Leverage your nursing expertise in a dynamic remote environment, collaborating with experienced aud...