Claims Specialist Jobs in Columbus, OH

Champion innovative clinical solutions by translating complex scenarios into actionable, clinically grounded input for engineering and product teams. Collaborate cross-functionally and engage with cli...

Pioneer the financial strategy for Part D pharmacy forecasting, developing analytics and insights to support Medicare Advantage and PDP initiatives. Collaborate across teams to enhance understanding o...

Explore advanced statistical methodologies to enhance quality and performance improvement in healthcare. Lead data analysis and design epidemiological studies to drive impactful health outcomes and su...

Make your mark at a dynamic organization by leading financial strategies, managing accurate reporting and budgets, and partnering with leadership to enhance decision-making through insightful analysis...

Join a team that's dedicated to maintaining Good Clinical Practice and human subject protection. Oversee site monitoring, ensure compliance, and support clinical studies through effective communicatio...

Partner with us to enhance client engagement and profitability through strategic management of a diverse portfolio, fostering loyalty and delivering exceptional service while leveraging advanced techn...

Drive strategic account management and client engagement for premier accounts. Strengthen relationships, enhance satisfaction, and lead cross-functional teams to optimize growth and retention within a...

Join our team to drive specialty pharmacy initiatives, providing clinical expertise and leading client support efforts. Your strategic insights will enhance network strategies, ensuring compliance and...

Join a team that's focused on enhancing financial systems and reporting. This analytical role merges finance with data to drive accuracy, efficiency, and informed decision-making across an organizatio...

Lead a high-performing team to define financial analytics strategy and develop innovative tools in pharmacy consulting. Collaborate with stakeholders to drive insights and influence financial modeling...

Empower the provider network by coordinating onboarding and ensuring accuracy of provider data. Collaborate across departments to streamline operational workflows and maintain network integrity in sup...

Accelerate progress at a high-growth consumer brand, serving as a strategic legal advisor. Collaborate with leadership to navigate compliance, risk management, and innovation while ensuring the suppor...

Empower teams by serving as a product authority, bridging the gap between Incident and Audit solutions and users, enhancing operational compliance & facilitating customer training to ensure optimal pr...

Lead the evaluation of complex life insurance risks, drive underwriting strategy, and deliver optimal offers by assessing medical and financial histories while collaborating with cross-functional team...

Join a dynamic team to design and optimize cloud infrastructure and CI/CD solutions, enhancing software delivery. Collaborate across teams to improve application reliability and drive automation in pr...

Drive growth by cultivating key partnerships and managing outreach, focusing on enrollment strategies and community engagement to maximize Medicare beneficiary participation through targeted initiativ...

Elevate customer experience by leading strategic retention and loyalty initiatives. Drive measurable impact through data-informed insights and foster a high-performing team, dedicated to enhancing sat...

Shape the future of insurance sales by identifying, developing, and managing profitable business sources within a designated marketing region. Build relationships with TPAs and brokers to drive new bu...

Shape a quality control framework for cancer registrars by conducting audits, providing essential feedback, and ensuring compliance with standards. Collaborate with a dedicated team to enhance data qu...

Transform infrastructure reliability by leading scalable, secure cloud solutions in AWS, GCP, and Azure. Collaborate with diverse teams to improve deployment processes, automate practices, and mentor...

Accelerate progress at a leading BPaaS firm by providing strategic legal counsel, drafting and negotiating complex agreements, and ensuring compliance with regulatory standards in a dynamic, fast-pace...

Champion legal excellence by leading the General Counsel's office. Drive strategic alignment, foster innovation, and manage complex legal frameworks while ensuring compliance and efficient operations...

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...

Unlock your potential by managing a team dedicated to optimizing conflicts research and new business intake processes. Lead initiatives to enhance service quality, operational efficiency, and employee...

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...