Claims Specialist Jobs in Cincinnati, OH

Elevate your career by leading transformative Payment Integrity initiatives. Drive collaboration across teams to enhance processes, improve member experiences, and implement innovative solutions in a...

Analyze clinical documentation and risk adjustment for healthcare providers, ensuring accurate representation of patient acuity. Collaborate with physicians to identify documentation opportunities and...

Drive statutory financial reporting and audits, ensuring compliance and accuracy. Collaborate with cross-functional teams to enhance financial transparency and support leadership in understanding perf...

Transform compliance oversight in the DME order-to-payment lifecycle. Lead audits, analyze data, and coordinate payer audits while developing practical controls and reporting to enhance revenue integr...

Unlock your potential by leading business and functional requirements for Medicaid financial management. Collaborate with diverse teams to enhance payment operations and ensure compliance while drivin...

Drive team performance and enhance customer experience by overseeing policy administration and contact center operations. Collaborate on goals, manage staffing, and ensure compliance with regulations...

Lead the charge in operational excellence by overseeing performance across client accounts, ensuring effective communication and high-quality execution in revenue cycle management, while mentoring tea...

Lead the charge in building and scaling AI Data Operations, transforming emerging opportunities into commercially viable solutions. Drive strategy, partnerships, and operational excellence to support...

Lead the charge in developing and maintaining insurance policy forms and endorsements. Ensure compliance and quality assurance across multiple states while collaborating with cross-functional teams to...

Drive patient access by leveraging your expertise in reimbursement and market access. Collaborate with healthcare providers to navigate complex payer landscapes, ensuring timely access to therapies wh...

Take ownership of regulatory support for pharmaceutical programs, managing IND and NDA submissions, health authority interactions, and lifecycle maintenance. Collaborate with cross-functional teams to...

Champion operational excellence in patient registration and admitting, driving financial performance and enhancing the patient experience through strategic leadership and collaboration across departme...

Champion compliance excellence by leading innovative technology integration and regulatory strategies across Medicare Advantage and Part D channels, ensuring seamless operations and enhanced agent eff...

Shape innovative pricing strategies for P&C insurance products. Lead a dynamic team, ensuring compliance and driving profitability while collaborating with senior leadership to meet financial goals an...

Join a team that inspires growth and excellence in Life Underwriting, leading a high-performing group to deliver exceptional service, elegant risk assessment, and superior client experiences while nav...

Accelerate progress at the forefront of healthcare by driving commercial performance, building relationships with providers, and ensuring patient access to innovative therapies across a defined territ...

Lead the charge in ensuring compliance and integrity within federal healthcare programs through rigorous investigations, data analysis, and collaboration with key stakeholders to produce actionable fi...

Transform regulatory insights into actionable strategies by analyzing national and state legislative activities. Collaborate with legal and business teams to ensure compliance and support effective de...

Join a dynamic team to drive commercial performance and enhance patient access through strong relationships with healthcare providers, executing strategic business plans in a pivotal role focused on i...

Lead the charge in combating cyber-enabled fraud by investigating complex threats, analyzing digital signals, and collaborating across teams to enhance detection and risk mitigation strategies...

Unlock potential as a mid-level actuarial analyst, applying statistical techniques to enhance insurance pricing, claims analysis, and profitability studies while progressing through the Actuarial Exec...

Champion your actuarial expertise to drive financial reporting and reserve setting for annuities. Collaborate on high-impact projects, adapt to evolving needs, and enhance reporting models in a dynami...

Shape quality assurance strategies and lead testing efforts across applications and business initiatives. Collaborate with cross-functional teams to ensure high-quality delivery and drive continuous i...

Lead the charge in transforming risk management and compliance through innovative solutions. Collaborate with cross-functional teams to design and implement scalable enterprise applications that enhan...

Contribute to the development and administration of competitive compensation programs, ensuring alignment with organizational strategy. Lead projects and provide consultation to HR partners while main...