Claims Specialist Jobs in Cincinnati, OH

Drive the success of multiple claims teams by supervising operations, providing technical guidance, and ensuring quality standards. Collaborate with management to enhance processes and maintain strong...

Elevate compensation strategies by transforming complex data into actionable insights. Collaborate with stakeholders to manage compensation programs, analyze trends, and recommend solutions that ensur...

Join a team that's redefining casualty claims management by leading strategic initiatives and enhancing team performance, while overseeing high-stakes litigated matters with significant autonomy and a...

Lead the charge in transforming claims management by leveraging your expertise to drive data-informed decisions, enhance processes, and foster collaboration across teams, ensuring exceptional service...

Optimize patient access by educating healthcare providers on reimbursement processes. As a Field Reimbursement Specialist, you'll navigate complex insurance challenges, ensuring patients receive speci...

Lead the charge in enhancing patient access to specialty medications by educating healthcare providers on reimbursement processes and resolving access barriers. Your expertise will bridge the gap betw...

Drive accurate, evidence-based clinical claims while collaborating with Marketing, Legal, and Clinical teams. Build and manage the claims framework and evidence library to support bold, compliant mark...

Drive automation and AI initiatives in claims operations, enhancing efficiency and accuracy. Lead a team to optimize workflows, manage vendor performance, and ensure compliance while delivering measur...

Lead your career with a pivotal role in technical claim-handling, overseeing investigations and negotiations for complex property claims. Mentor team members and support audits while ensuring complian...

Advance your career by auditing outpatient and specialty claims, ensuring coding accuracy and compliance. Leverage your clinical and coding expertise to enhance audit processes and contribute to quali...

Lead the charge in supervising complex commercial casualty claims, ensuring effective management of 1st and 3rd party claims across multiple states. Drive operational excellence and foster team develo...

Advance your career by leading the Claims Domain for MMIS health care projects. Drive analysis, documentation, and quality processes while collaborating with clients and development teams to meet cust...

Drive impactful data mining initiatives by analyzing complex claims across Medicare, Medicaid, and Commercial sectors. Leverage your expertise to identify anomalies and enhance recovery opportunities...

Engage healthcare providers and drive commercial performance in a defined territory. Collaborate with cross-functional teams to support product launches and ensure patient access to innovative therapi...

Join the charge in managing complex litigated claims, guiding strategy, and negotiating settlements. Leverage your expertise to achieve timely resolutions while balancing costs and exposure in a dynam...

Drive the claims module for health care projects, providing domain expertise and analysis. Collaborate with teams to ensure quality processes, meet customer expectations, and assist in implementation...

Drive impactful projects by collaborating across teams to enhance operational efficiency and deliver innovative solutions. Leverage your expertise to influence strategic decisions and contribute to a...

Drive revenue operations excellence by leading clean-claim workflows, overseeing claim accuracy, and enhancing cross-functional collaboration. Partner with various departments to ensure timely billing...

Champion innovative risk adjustment solutions by leveraging deep expertise to enhance payer and provider strategies. Collaborate with cross-functional teams to deliver impactful presentations and driv...

Lead the charge in case management by overseeing complex pharmacy reimbursement processes, ensuring timely completion of cases, and advocating for patients while collaborating with healthcare provider...

Transform enterprise learning by leading a team to design impactful solutions. Drive employee development, align training with business goals, and optimize learning technologies for enhanced performan...

Elevate your career by analyzing complex litigation claims, ensuring timely resolutions, and delivering exceptional client service in a dynamic, supportive environment. Join a global leader committed...

Shape the future of healthcare reimbursement by developing and implementing payment policies that enhance accuracy, compliance, and provider experience in a dynamic payer environment. Collaborate with...

Lead complex construction claims, managing high-exposure cases end-to-end. Drive strategy, coordinate investigations, and collaborate with legal teams to achieve timely resolutions. Enjoy autonomy and...

Join a dynamic team as a Medical Claims Auditor, ensuring compliance and integrity in healthcare payments. Collaborate with cross-functional teams to identify fraud, waste, and abuse while leveraging...