Claims Specialist Jobs in Atlanta, GA

Elevate the efficiency of conflicts research and new business intake processes, managing team performance and service quality while driving innovative improvements to meet the Firm's ethical and opera...

Unlock your potential as you lead data integration initiatives in healthcare, partnering with cross-functional teams to deliver reliable and efficient solutions that enhance client outcomes and operat...

Drive quality workflow improvements and oversee testing activities to enhance Payment Integrity operations. Collaborate with cross-functional teams to implement system changes and support end-user ado...

Champion clinical expertise by reviewing medical records to prevent fraud and ensure compliance in Medicaid payment decisions. Collaborate with external agencies to develop cases, educate providers, a...

Drive impactful medical reviews to ensure compliance and integrity in claim payments. Collaborate with agencies to investigate fraud, utilizing a blend of clinical expertise and analytical skills to p...

Elevate legal strategies by leading commercial contracting initiatives across U.S. and Canada for MedSurg operations. Collaborate with business leaders to navigate complex agreements while ensuring co...

Advance your career by leading the design and strategy of our enterprise data architecture. Collaborate with cross-functional teams to establish scalable data solutions that drive analytics and operat...

Lead the charge in managing global clinical studies in orthopedic devices, ensuring adherence to regulations and timelines. Collaborate with diverse teams and drive projects from inception to completi...

Join a team that's dedicated to enhancing child welfare standards through data analysis, technical support, and continuous improvement activities aimed at fostering a culture of safety and preventing...

Lead the development and implementation of risk-based audits, enhancing internal controls and governance while collaborating closely with leadership to improve efficiency across organization-wide proc...

Join a team that's dedicated to enhancing estate and charitable tax compliance while overseeing critical processes and guiding various stakeholders towards effective tax solutions. Make an impact thro...

Manage the full lifecycle of numerous federal, state, and corporate grants, ensuring compliance, reporting accuracy, and effective budget oversight while collaborating across departments to support or...

Tackle the comprehensive operational execution of high-impact B2B events, ensuring seamless delivery from vendor negotiations to onsite logistics and post-event analysis. Collaborate with teams to mea...

Deliver exceptional communication strategies for biotech customers while supporting diverse high-impact projects. Collaborate with teams to advance oncology initiatives and ensure timely, high-quality...

Transform healthcare navigation through analytical insights and hands-on clinical support. Drive optimal member outcomes by collaborating with cross-functional teams while enhancing best practices in...

Join a team that's shaping the future of institutional asset management. Leverage your legal expertise to partner with investment professionals and navigate complex regulatory frameworks while driving...

Lead the charge in client engagement by enhancing satisfaction and delivering actionable insights from data analysis while collaborating with cross-functional teams to optimize outcomes and ensure cli...

Join a team that's driving impactful analysis to safeguard revenue and enhance decision-making in a complex data environment. This role offers opportunities to standardize practices and lead critical...

Optimize Finance operations by driving strategic initiatives, enhancing reporting, and aligning business priorities across teams, ultimately supporting leadership with actionable insights and recommen...

Take ownership of workforce analytics by transforming complex HR data into actionable insights. Partner with global teams to bolster reporting capabilities and drive strategic decisions that enhance o...

Lead the charge in modernizing and executing records management programs, collaborating with senior managers and stakeholders on audits, inventories, and digital records management, ensuring complianc...

Advance your expertise in records management and support the modernization of a key program. Collaborate with senior personnel to streamline processes, enhance documentation practices, and support a m...

Develop and execute innovative specialty pharmacy network strategies that enhance affordability and accessibility while optimizing performance and compliance through collaboration across departments a...

Shape a robust compliance program for pharmacy operations and Medicare Part D, ensuring adherence to regulations while promoting a culture of compliance. Lead audits, oversee risk management, and coll...

Lead the charge in developing governance and operational frameworks while driving AI adoption and project management excellence in procurement. Collaborate across functions to enhance efficiency and d...