Claims Specialist Jobs in Durham, NC

Drive sourcing strategy and procurement initiatives within the Services Category, collaborating with stakeholders to enhance supplier relationships, optimize costs, and achieve business objectives acr...

Transform healthcare delivery by leading medical directors and driving strategic initiatives, ensuring quality care and optimal outcomes for members while overseeing operational management and complia...

Lead complex investigations at a biotechnology site, ensure rigorous root cause analysis, and drive corrective actions while collaborating with cross-functional teams to enhance product quality and co...

Analyze product performance and support new initiatives by developing rating models and frameworks that enhance profitability insights. Collaborate to automate pricing management processes and enhance...

Join a dynamic team where you'll assess auto damages, negotiate settlements, and enhance customer satisfaction by delivering prompt and effective solutions across a designated territory...

Partner with us to resolve complex denied claims efficiently, ensuring compliance with regulations. Leverage your expertise in healthcare revenue cycles and denial management to mentor colleagues and...

Lead the charge in developing and scaling an innovative AI solution for denials management. Drive insights from user feedback while collaborating across teams to enhance product performance and busine...

Unlock your potential by driving growth in the Hematology and Oncology sector, engaging key customers and delivering impactful solutions within a defined territory to support the launch of innovative...

Innovate IT solutions by creating high-level technical designs for complex projects. Collaborate with teams to analyze architecture, validate designs, and mitigate risks while ensuring adherence to st...

Deliver strategic leadership to a high-performing actuarial team, managing valuation, financial reporting, and forecasting for diverse health products, ensuring compliance and accuracy in financial op...

Advance our process efficiencies by documenting and enhancing Finance, Accounting, and Operations workflows. Collaborate with stakeholders to align procedures with compliance requirements and leverage...

Empower your career by managing complex commercial contracts, coordinating cross-functional teams, and driving process efficiency in a dynamic legal operations environment. Foster relationships while...

Empower clients by advising on reimbursement strategies and payment reforms in the Medicaid and rural health sectors, ensuring financial sustainability and effective engagement delivery through strong...

Shape the future of underwriting by leading complex evaluations and fostering relationships to ensure profitable business within the National Accounts ancillary market for large group clients...

Lead and develop a recruitment team focused on community outreach, ensuring participant alignment with project needs through strategic pipeline management and performance enhancement...

Pioneer clinical excellence by supporting multiple studies, ensuring compliance with regulations, timelines, and SOPs. Collaborate cross-functionally to generate high-quality clinical evidence while m...

Elevate your career by managing and resolving complex liability claims, collaborating with stakeholders, and overseeing legal strategies to ensure effective risk management and compliance while handli...

Shape your career with a key role in managing and resolving complex claims. Collaborate with internal teams, oversee legal strategies, and enhance risk management practices in a dynamic enterprise env...

Shape your career by supporting regulatory compliance for clinical investigations and product distribution worldwide. Contribute to approvals and quality standards in a collaborative environment while...

Engage with executive leadership to drive enterprise risk management, compliance, and strategic guidance. Oversee contract risk, insurance, and cross-functional initiatives, fostering a proactive cult...

Grow your career by engaging with Hematology customers to drive product success, building relationships, and delivering insights while navigating complex oncology markets. Collaborate with cross-funct...

Advance your career by leading complex analytical initiatives in finance. Collaborate cross-functionally to optimize forecasting, cost efficiency, and operational insights that directly impact busines...

Deliver strategic leadership in data quality and operations, overseeing global teams to drive excellence in compliance and transparency. Implement scalable processes for data integrity, fostering coll...

Drive efficiency in project billing and workflow management by overseeing setup, ensuring data integrity, and facilitating vendor invoice processing in Certinia. Collaborate with finance and project t...

Develop and lead innovative web applications, providing technical support and guiding teams in troubleshooting software issues to enhance overall application performance for clinical research...