Claims Specialist Jobs in Alpharetta, GA

Join a team that provides strategic oversight for audit activities, optimizing operations within Medicare Advantage and Commercial sectors while ensuring compliance and driving continuous improvement...

Drive strategic direction and innovation in Actuarial Science, leading teams in pricing, forecasting, and financial analysis while ensuring regulatory compliance and enhancing operational efficiency a...

Transform the recovery landscape by driving analytics and strategy for collections operations, creating impactful frameworks, enhancing performance metrics, and fostering cross-functional collaboratio...

Shape the future of enrollment strategy by leading a high-performing team to enhance customer participation, drive engagement, and deliver measurable impact across the group benefits landscape...

Drive project success by implementing robust controls for cost, schedule, and performance metrics. Collaborate with teams to optimize budgeting and forecasting for large-scale construction projects, e...

Lead clinical monitoring and management for cardiac studies, ensuring protocol adherence and data integrity. Drive project execution, conduct site visits, and coordinate investigator interactions, all...

Champion a robust underwriting process by assessing and pricing risks while fostering strong client relationships across diverse markets. Contribute to strategic account reviews and mentor teams to en...

Drive legal strategy in a fast-growing environment, transforming regulatory challenges into opportunities, shaping comprehensive legal frameworks, commercial agreements, compliance, and corporate gove...

Lead the charge in managing AMS territories to boost profitability through effective training, mentorship, and strategic agency partnerships while ensuring regulatory compliance and operational effici...

Champion tax compliance and planning for high-net-worth clients by preparing and reviewing various tax returns, conducting research, and maintaining organized records in a fast-paced environment, with...

Join a team that's dedicated to enhancing enterprise systems, optimizing operational efficiency, and driving strategic growth through innovative technology solutions and robust support frameworks. You...

Join a team that drives strategic initiatives within the Veterans Health Administration. As a Project Manager, you'll thrive in a collaborative environment ensuring compliance with VA standards while...

Innovate with us to drive performance analytics and insights, transforming complex data into strategic recommendations that enhance business outcomes and operational efficiency across multiple initiat...

Tackle healthcare regulatory compliance and audit challenges. Lead a dynamic team driving accreditation, risk management, and operational audits to ensure organizational success in a rapidly evolving...

Champion patient well-being by leading a team focused on integrating behavioral health in oncology. Oversee operations, enhance care quality, and ensure compliance while mentoring staff in delivering...

Drive impactful Phase IV and observational research initiatives by partnering with biopharmaceutical sponsors. Leverage deep scientific expertise to create tailored study designs, foster relationships...

Unlock potential by supporting the Medical Stop Loss team with RFP management, administrative tasks, and customer relations. Collaborate with sales and ensure compliance while driving high customer sa...

Join a dynamic team to manage vendor contracts, ensuring compliance and mitigating risks. Collaborate with stakeholders, negotiate terms, and maintain contract standardization while tracking workflow...

Lead the charge in overseeing financial surveillance for insurance entities, supporting the IFO Director by supervising staff, analyzing financial performance, and ensuring compliance with regulatory...

Optimize healthcare strategies by developing data-driven models and conducting in-depth analyses. Collaborate cross-functionally to translate data insights into actionable operational improvements, dr...

Unlock innovative sales strategies in the Health and Benefits sector, engaging with employers to enhance healthcare and financial security solutions. Lead complex sales processes and cultivate relatio...

Join a collaborative team and lead initiatives in Utilization Management, ensuring quality medical service delivery while mentoring staff and enhancing efficiency within a fast-growing health plan org...

Drive your career with this Corporate Counsel role, overseeing contract negotiations across diverse commercial categories. Collaborate with internal teams to ensure compliance and adherence to legal s...

Optimize technology operations to enhance performance, security, and reliability. Drive improvements through innovative solutions and collaboration, ensuring governance and compliance while managing c...

Join a team that's committed to transforming healthcare data analysis by leveraging advanced methodologies to drive impactful Medicaid policy and operational decisions, while collaborating with divers...