Claims Specialist Jobs in Durham, NC

Drive the execution of strategic 340B initiatives, optimizing customer experiences and operational efficiencies through collaboration across teams and innovative solutions. Cultivate program reliabili...

Advance pediatric healthcare by ensuring comprehensive coding compliance and accuracy. Collaborate with clinical teams to identify and resolve discrepancies while educating staff on coding practices i...

Advance the compensation function through strategic AI application, enhancing processes and decision-making. Collaborate with stakeholders to modernize systems, ensuring operational excellence and com...

Tackle crucial AI governance initiatives by providing expert legal counsel and operationalizing safe AI development practices across multidisciplinary teams, ensuring compliance and leading innovative...

Transform enterprise-wide revenue cycle operations by leading acute access strategies, enhancing patient experience while driving operational efficiencies. Collaborate with stakeholders to innovate an...

Transform health plan operations by leveraging deep technical expertise in Facets and EAM. Collaborate with diverse teams to design scalable, high-performance solutions that enhance operational effici...

Transform large-scale Facilities initiatives through strategic coordination, risk management, and resource planning. This role drives efficiency and alignment across projects, supporting enterprise go...

Manage client relationships, optimize clinical programs, and drive healthcare strategy. Utilize expertise in Medicare Part D to ensure seamless service delivery and collaboration across departments, e...

Unlock potential by investigating healthcare fraud and abuse, recovering funds, and ensuring compliance with regulations. Collaborate with law enforcement while enhancing anti-fraud practices within t...

Optimize compliance initiatives and enhance regulatory frameworks to ensure adherence to SOX, PCI-DSS, and privacy standards. Lead cross-departmental collaboration to validate control effectiveness an...

Elevate client relationships and satisfaction by managing retirement plan assets, conducting reviews, and ensuring compliance, while driving profitability and supporting participant readiness through...

Shape your career by ensuring compliance and accuracy in risk adjustment audits. Collaborate with teams to review coding practices and enhance documentation standards, ensuring adherence to CMS regula...

Unlock potential by managing compliance for NERC registered projects, facilitating regulatory filings, collaborating with multidisciplinary teams, and leading stakeholder meetings to ensure operationa...

Champion legal advocacy by managing Medicaid litigation and appeals while representing the State in administrative hearings and superior court cases. Engage in legal drafting and trial preparation to...

Drive comprehensive care coordination for members with chronic needs, optimizing health outcomes through effective nursing assessments, collaboration, and education while maintaining a strong focus on...

Drive awareness and adoption of an AI-powered oncological assay, collaborating with healthcare providers to integrate it into clinical practices. Leverage your oncology expertise to enhance patient ca...

Shape the future of innovative insurance products! Collaborate with a dynamic team to analyze business trends, enhance product offerings, and drive growth in a fast-paced environment. Elevate your car...

Advance client relationships by leading project teams and fostering collaboration. Drive innovative solutions and mentor junior team members to enhance agency performance and deliver exceptional resul...

Join a team that's committed to excellence in guiding FedRAMP compliance and cloud security. Leverage your expertise to manage projects, mentor team members, and drive technical discussions while ensu...

Discover your potential while enhancing product data accuracy and governance. In this role, you'll lead data management initiatives, ensure ERP integrity, and collaborate with cross-functional teams t...

Pioneer advanced cybersecurity solutions, ensuring the protection of critical assets through threat modeling, security testing, and collaboration with development teams. Enhance and implement robust s...

Execute compliance initiatives to ensure adherence to securities laws and regulations across regulated entities. Support the testing and development of policies while collaborating with teams to facil...

Lead the charge in underwriting profitable surety business, fostering relationships with agents and brokers while assessing financial risks. Utilize your expertise to manage a diverse portfolio and su...

Engage as a Senior Product Owner, driving product development within Agile teams. Collaborate closely with stakeholders to align product strategy with business objectives while managing multiple backl...

Take ownership of day-to-day campaign execution for paid search and affiliate marketing channels while driving performance optimizations and ensuring data integrity across multiple retail brands in a...