Claims Specialist Jobs in Atlanta, GA

Lead client engagements as a Solution Adoption Consultant, ensuring effective revenue cycle implementations. Build relationships, drive satisfaction, and deliver solutions that align with client goals...

Champion impactful partnerships by driving engagement and success with health system/provider networks. Utilize clinical research knowledge to foster collaboration among cross-functional teams and enh...

Lead high-risk IT audit engagements, shaping strategy and oversight while coaching junior team members. Collaborate with stakeholders to enhance audit effectiveness, ensuring quality delivery and alig...

Drive reimbursement strategies to enhance access for healthcare providers. Collaborate across teams to support product initiatives, build relationships, and navigate payer landscapes, ensuring effecti...

Join a team that's dedicated to coordinating quality care for ESRD and CKD patients by working autonomously within a collaborative healthcare environment while ensuring effective communication and car...

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

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 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...

Empower our security compliance efforts by ensuring cloud solutions meet FedRAMP High, NIST 800-53 r5, and HIPAA standards while supporting ongoing ATO processes and advising technical teams on compli...

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 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...

Take ownership of developing analytics solutions that enhance underwriting strategies, translate data insights into business value, and collaborate across teams to optimize risk management and decisio...

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...