Claims Specialist Jobs in Alpharetta, GA

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...

Partner with us to ensure compliance and mitigate risks in retail brokerage operations. Oversee supervisory functions, review transactions, and enforce internal policies while collaborating with advis...

Drive impactful change by leading Medicaid initiatives that enhance community health. Collaborate with state agencies, utilize your expertise in Medicaid policies, and advance your career in a support...

Lead complex analytical initiatives by developing data solutions and dashboards that drive business insights. Collaborate with stakeholders to translate requirements into scalable analytical framework...

Join a team that's transforming customer engagement through data-driven insights. In this hands-on role, you'll collaborate with Sales and cross-functional teams to enhance pricing strategies and impr...

Transform processes and drive accountability by leading cross-functional projects. Manage initiatives from scoping to completion while maintaining clear communication across teams and ensuring stakeho...

Join a dynamic team focused on enhancing healthcare delivery through effective EHR implementations. Leverage your expertise to guide clients, optimize clinical workflows, and ensure successful go-live...

Lead the charge in providing strategic insurance marketing solutions while fostering client relationships and overseeing renewal processes. Collaborate with leadership to enhance practices and ensure...

Champion integrated evidence strategies that drive enterprise decision-making. Collaborate cross-functionally to create actionable plans that align with global objectives, ensuring timely delivery of...

Elevate healthcare consulting by leading complex actuarial projects, developing financial models, and advising clients on policy impacts. Collaborate with teams to analyze data, mentor analysts, and e...

Join a team that's dedicated to advanced support for industrial control systems. As a key escalation point, you'll tackle complex issues, drive system stability, and mentor junior staff in a dynamic 2...

Elevate customer engagement by leading SaaS renewal strategies, fostering relationships, and driving growth through negotiation and operational excellence in a dynamic environment...

Engage with stakeholders to prioritize and refine product backlogs, ensuring clarity and efficiency in development. Collaborate with cross-functional teams to drive innovative solutions and enhance us...

Develop and implement business rules for credit strategy, collaborating with Risk, Compliance, and Tech teams. Ensure accurate decision logic, maintain documentation, and support testing for optimized...

Drive procurement excellence by managing supplier relationships and optimizing processes. Take ownership of sourcing strategies, ensuring compliance and cost savings while mentoring team members in a...

Drive compliance and sustainability by advising clients on environmental regulations, managing projects, and developing practical solutions. Collaborate with teams to ensure adherence to air, stormwat...

Elevate your career by managing credit risk for complex dealer portfolios. Analyze financial statements, assess loan requests, and ensure compliance with underwriting standards while collaborating wit...

Lead the execution of clinical trials by monitoring site activities, ensuring compliance with regulations, and collaborating with teams to achieve study objectives. Play a key role in training site st...

Lead the charge in ensuring an exceptional client experience by bridging communication between internal teams and clients, fostering strong relationships, and proactively addressing client needs while...

Shape the future of accident investigation by leading projects, mentoring teams, and engaging with clients. Bring your engineering expertise and business acumen to develop innovative solutions and dri...

Drive compliance excellence by leading regulatory strategy and governance, ensuring scalable infrastructure for service contracts and insurance programs across North America. Collaborate with executiv...

Tackle medical claims audits in a dynamic remote environment, collaborating with a skilled team to ensure compliance and accuracy in Skilled Nursing Facility reviews while enhancing audit processes an...

Unlock potential by managing procurement processes, ensuring vendor compliance, and facilitating bid preparations. Collaborate with project teams to optimize purchasing strategies and maintain operati...

Advance our legal framework by drafting and negotiating complex contracts, advising on distribution partnerships, and collaborating with business teams in the financial services and e-commerce sectors...