Claims Specialist Jobs in Columbus, OH

Pioneer clinical excellence as you conduct outpatient authorization reviews, ensuring members receive appropriate care by utilizing evidence-based criteria and navigating complex guidelines. Your insi...

Unlock potential by leveraging your extensive Medicaid policy experience to guide agencies in program implementation and compliance, fostering healthier communities through innovative strategies and c...

Champion the development of evidence for molecular tests in oncology, collaborating with cross-functional teams to enhance patient outcomes through robust statistical analysis, project support, and ef...

Shape the future of clinical research by independently monitoring trials, ensuring compliance with regulatory standards, and building relationships with site staff in dermatology and rheumatology sett...

Drive impactful clinical account strategies for Medicaid pharmacy services, enhancing client satisfaction and revenue growth. Collaborate with teams to implement clinical solutions, ensuring operation...

Help us enhance supply chain solutions by implementing IT systems that elevate business efficiency, including setup, testing, training, and support. Collaborate with teams to meet customer needs and e...

Drive end-to-end Invoice-to-Cash performance and strategy, partnering with business leaders to ensure service delivery aligns with business outcomes and fosters continuous improvement across global ge...

Join a dynamic team to drive IT solutions for supply chain operations. Lead implementations, ensuring quality and consistency in delivery. Collaborate on system setup, testing, and training to enhance...

Join a dynamic team to code and abstract patient data for optimal billing. Play a key role in ensuring quality management and compliance while working in a fast-paced, innovative setting focused on ex...

Elevate compliance excellence by leading quality assurance initiatives, assessing documentation, and mentoring team members in a fast-paced environment. Drive improvements and ensure standards align w...

Join a team that provides strategic oversight for audit activities, optimizing operations within Medicare Advantage and Commercial sectors while ensuring compliance and driving continuous improvement...

Drive strategic direction and innovation in Actuarial Science, leading teams in pricing, forecasting, and financial analysis while ensuring regulatory compliance and enhancing operational efficiency a...

Join a team that's driving strategic business solutions through advanced analytics. As a Senior Business Insights Consultant, you'll deliver actionable insights that enhance decision-making and operat...

Drive organizational excellence by delivering crucial business intelligence solutions. Collaborate with senior leadership to transform data into strategic insights through innovative analytics, enhanc...

Transform the recovery landscape by driving analytics and strategy for collections operations, creating impactful frameworks, enhancing performance metrics, and fostering cross-functional collaboratio...

Transform legal education by leading the CALI strategy, developing innovative programming, and engaging clients with practical, technology-driven resources to navigate the evolving legal landscape and...

Engage in cross-functional collaboration to lead disease awareness initiatives and drive the adoption of advanced cell therapies, enhancing treatment experiences for patients across diverse healthcare...

Drive project success by implementing robust controls for cost, schedule, and performance metrics. Collaborate with teams to optimize budgeting and forecasting for large-scale construction projects, e...

Lead clinical monitoring and management for cardiac studies, ensuring protocol adherence and data integrity. Drive project execution, conduct site visits, and coordinate investigator interactions, all...

Drive legal strategy in a fast-growing environment, transforming regulatory challenges into opportunities, shaping comprehensive legal frameworks, commercial agreements, compliance, and corporate gove...

Join a team that drives strategic initiatives within the Veterans Health Administration. As a Project Manager, you'll thrive in a collaborative environment ensuring compliance with VA standards while...

Innovate with us to drive performance analytics and insights, transforming complex data into strategic recommendations that enhance business outcomes and operational efficiency across multiple initiat...

Tackle healthcare regulatory compliance and audit challenges. Lead a dynamic team driving accreditation, risk management, and operational audits to ensure organizational success in a rapidly evolving...

Drive impactful Phase IV and observational research initiatives by partnering with biopharmaceutical sponsors. Leverage deep scientific expertise to create tailored study designs, foster relationships...

Unlock potential by supporting the Medical Stop Loss team with RFP management, administrative tasks, and customer relations. Collaborate with sales and ensure compliance while driving high customer sa...