Claims Specialist Jobs in Atlanta, GA

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...

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...

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...

Empower customers by providing expert service and support for control systems. Lead troubleshooting efforts, implement upgrades, and ensure compliance with service level agreements while collaborating...