Claims Specialist Jobs in Charlotte, NC

Join a team that's committed to excellence in guiding FedRAMP compliance and cloud security. Leverage your expertise to manage projects, mentor team members, and drive technical discussions while ensu...

Drive the optimization of compensation and equity programs while leading a skilled team. Translate complex analysis into actionable insights, ensuring alignment with business objectives and compliance...

Join a team that's dedicated to optimizing clinical operations and outcomes. You'll oversee vendor-managed care and utilization management processes, ensuring adherence to standards while enhancing se...

Shape commercial agreements by providing legal guidance and support to sales teams. Collaborate with stakeholders to draft, negotiate, and ensure compliance with company policies, aligning with strate...

Join us in building a comprehensive compliance program that drives integrity and accountability as we transition into a commercial organization, ensuring adherence to regulatory standards and supporti...

Elevate healthcare standards by guiding medical policy and coding within a collaborative team. Leverage your expertise to enhance client relationships, improve payment accuracy, and drive strategic in...

Build insider threat detection capabilities by translating workflows and behaviors into actionable insights, collaborating across teams to enhance risk visibility and strengthen security postures in a...

Shape the future of technology risk oversight by collaborating with stakeholders to evaluate, mitigate, and report risks. Empower teams through expert guidance, ensuring a robust risk culture while na...

Elevate operational excellence by owning customer and commercial operations. Drive hardware logistics, manage commercial contracts, and establish processes for growth as you lead the build of essentia...

Join our team to provide expert case management services for complex transplant patients, ensuring quality care, cost-efficiency, and optimal health outcomes through innovative care planning and effec...

Grow and manage a profitable large account portfolio by applying underwriting expertise, building broker relationships, and driving strategic agency performance insights. Collaborate with regional lea...

Drive optimization in medical collections through effective team management, data analysis, and collaboration with clinical departments to enhance revenue and resolve billing challenges, while ensurin...

Elevate your career by providing senior technical support for EFMSS applications, driving development, integration, and enhancements while coordinating across multiple disciplines to ensure optimal fu...

Innovate risk assessment strategies for complex accounts. Collaborate with underwriting and clients to identify risks and solutions, ensuring effective risk control and mitigation management through e...

Empower risk management strategies by assessing hazards and controls, collaborating with underwriting, and providing expert risk evaluations across diverse, complex accounts for an impactful, profitab...

Champion exceptional relationships that drive operational efficiency and strategic value for key suppliers. Lead initiatives that optimize vendor partnerships and enhance organizational performance wi...

Elevate your career by leading coding compliance audits and enhancing healthcare standards. You'll conduct thorough reviews, coach auditors, and drive continuous improvement initiatives while ensuring...

Lead the development of a global financial crimes compliance program, acting as the primary expert on AML, sanctions, and fraud management. Collaborate with teams to implement risk-based strategies th...

Lead the charge in developing comprehensive actuarial analyses and studies, guiding junior staff, and ensuring cross-functional collaboration. Utilize advanced statistical methods to influence decisio...

Join us to oversee strategic leadership in pharmacy benefit claims, enhancing operational performance and compliance while driving modernization for client satisfaction and efficiency...

Lead transformative strategies for technology operations, driving alignment with business growth and client commitments while managing cross-functional teams and vendor relations to enhance operationa...

Drive the success of strategic client partnerships by leading and developing talent. Foster communication and collaboration with stakeholders while implementing sales and retention strategies to achie...

Optimize Appeals & Grievances processes by leading a dynamic team, ensuring compliance, and collaborating across departments to enhance operational efficiency and achieve organizational goals...

Lead the charge in driving new business growth and expanding market presence across enterprise accounts by selling Risk, Fraud, and Compliance solutions to C-level executives and building long-term st...

Unlock potential by guiding clients to maximize value from innovative solutions. Collaborate cross-functionally to drive adoption, engagement, and measurable outcomes, ensuring clients achieve their s...