Claims Specialist Jobs in Alpharetta, GA

Shape innovative provider network strategies to enhance performance and foster relationships with healthcare partners. Lead contract negotiations and develop agreements that align with organizational...

Innovate the future of legal services by designing AI-enabled workflows that enhance efficiency and outcomes, working at the forefront of generative AI and legal technology to streamline processes acr...

Lead clinical operations to enhance trial efficiency, mentor teams, and ensure adherence to protocols. Drive insights for decision-making and foster collaboration across stakeholders. Be pivotal in ad...

Join this impactful role that leads benefits and leave administration, ensuring compliance and enhancing employee experiences across U.S. and Canada. Manage inquiries, oversee vendor relations, and dr...

Shape the future of healthcare by providing expert guidance on Medicare Part D pharmacy benefits, ensuring compliance with clinical standards, and delivering a best-in-class service experience for mem...

Accelerate operational excellence within a dynamic team by improving annuity processes, collaborating across functions, and driving growth initiatives in a fast-paced environment...

Join a team that's shaping innovative contracting strategies to navigate complex financial agreements in healthcare. Your leadership will ensure compliance, foster client relations, and drive organiza...

Join our Analytics team as you analyze client data to identify trends, optimize reporting, and enhance dashboards. Collaborate across functions and present findings while developing your skills in a d...

Take ownership of client onboarding by guiding users through configuration, data migration, and training while collaborating across teams to ensure seamless implementation and long-term partnership su...

Lead a dynamic team to transform quality assurance through AI-driven innovation, enhancing operational effectiveness while ensuring client satisfaction and governance. Drive process improvement and ef...

Champion the Utilization Management program by leading a team to ensure high-quality service and adherence to clinical guidelines. Collaborate across functions to drive performance, facilitate continu...

Explore new business opportunities in surgical revenue cycle management by developing relationships, managing the sales lifecycle, and driving measurable results. Collaborate with healthcare professio...

Unlock potential by leading strategic compliance projects, enhancing processes, and developing innovative training in a dynamic environment. Drive adherence to healthcare laws and regulations while su...

Lead and enhance credentialing and payor enrollment operations, ensuring compliance and accuracy while supervising specialists and streamlining processes to improve provider readiness and operational...

Lead and empower a team of Clinical Research Associates to oversee and enhance site management activities for clinical trials, ensuring compliance and quality in project execution while fostering prof...

Lead and optimize the renewal lifecycle of IT service contracts by managing a team. Drive strategic initiatives to enhance customer satisfaction, operational efficiency, and growth while ensuring time...

Champion coordinated care by leveraging clinical nursing expertise to facilitate medical service determinations, ensuring optimal post-acute support for members. Collaborate with providers for effecti...

Unlock the potential of data as you develop and enhance actuarial processes and insights, driving profitable pricing decisions for commercial insurance portfolios through collaboration and innovative...

Help us enhance customer relations and support our sales team in this dynamic role, where you will interact with key health system personnel and navigate the customer roadmap to drive satisfaction and...

Join us to lead and enhance day-to-day operations of the Product Support team, driving exceptional member service and cross-functional collaboration while navigating complex software challenges and fo...

Join a team that supports Wholesale early careers programs, bridging business needs with strategic program execution. Collaborate with stakeholders to drive initiatives, ensuring alignment with organi...

Join us in providing comprehensive acquisition support for federal procurement, assisting with all phases of the acquisition lifecycle and enabling effective contract management and compliance within...

Champion the federal acquisition lifecycle, providing comprehensive cradle-to-grave support while collaborating with government contracting officers on procurement planning, solicitation, evaluation...

Lead the charge in developing next-gen AI systems to automate and enhance insurance transactions, overseeing architecture and driving innovative solutions in document validation and voice interactions...

Lead the charge in managing complex claims operations with strategic oversight and operational excellence. Guide a high-performing team to ensure compliance and delivery of superior outcomes in enviro...