Claims Specialist Jobs in Durham, NC

Lead comprehensive legal and compliance oversight for a healthcare organization, managing state and federal regulations, litigation, and contract reviews, while providing executive-level advice and gu...

Advance partner growth by crafting strategic plans, enhancing engagement, and building strong relationships. Collaborate across teams to drive revenue and support optimal production for high-potential...

Advance healthcare innovation by optimizing platform operations, collaborating across analytics and technology teams to enhance rebate administration processes. Help us drive efficiency and improve de...

Support the development and enhancement of analytic forecasting models while collaborating with business partners to deliver key insights for negotiations. Automate processes to improve efficiency and...

Lead the charge in optimizing patient care and efficient utilization management, ensuring seamless collaboration between interdisciplinary teams and timely reviews for quality and compliance from admi...

Elevate your career by leading global regulatory labeling strategies and initiatives. Oversee labeling governance, ensure compliance, and collaborate with cross-functional teams to support effective p...

Shape the future of healthcare compliance by auditing claims and documentation. Collaborate with teams, develop methodologies, and deliver expert analyses to enhance compliance for providers and gover...

Join a team that's committed to providing compassionate, high-quality care in a fast-paced Vascular Interventional Radiology environment. Collaborate on advanced procedures while making a difference i...

Champion trade compliance by managing import/export regulations, licenses, and guidance for compliance-related activities, ensuring adherence to laws like ITAR and EAR while providing training and sup...

Lead targeted sales initiatives in specialty accounts, driving demand for products by building relationships with healthcare professionals and executing strategic marketing approaches to achieve sales...

Pioneer strategic initiatives to drive product demand through targeted clinical engagement and business expertise, optimizing collaboration with healthcare providers to achieve sales goals in designat...

Empower our team by conducting quality control reviews of CTRs and alerts, ensuring compliance with BSA procedures while identifying trends to enhance processes and training in the ever-evolving field...

Join a dynamic team to enhance Revenue Cycle operations, leveraging your expertise in patient access and Epic systems. Lead transformations that improve financial performance and operational efficienc...

Unlock potential by guiding engineering teams to embed security from the ground up. Leverage your expertise in secure architecture and platform development to define best practices, foster collaborati...

Pioneer software asset management approaches to optimize value and compliance, steering software lifecycle governance while collaborating across functions to enhance portfolio transparency and effecti...

Support the US TechOps and global RLT activities, providing essential legal guidance on contracts, compliance, and risk assessments, while collaborating with various stakeholders to ensure seamless op...

Lead product strategy to revolutionize the Risk Adjustment landscape, defining how data, AI, and clinical workflows integrate to enhance member health assessments and drive compliance across multiple...

Join a dynamic team to ensure coding accuracy and integrity in inpatient medical records, conducting audits, resolving disputes, and driving efficiency for improved hospital reimbursement processes...

Lead the charge in crafting and executing commercial reimbursement strategies. Oversee payer negotiations, manage a high-performance team, and provide expert guidance on payer policies to enhance oper...

Engage in complex inpatient medical coding audits to ensure accuracy in claims reimbursement. Utilize coding knowledge to analyze clinical data and provide support in a metrics-driven environment, imp...

Advance your career by driving sales strategy and client retention in the SLED Government sector. Build relationships and explore innovative solutions while achieving sales targets across the East Coa...

Transform our underwriting organization by leading innovative strategies that enhance performance, ensure compliance, and foster collaboration across departments. Drive growth and operational excellen...

Elevate our Workers’ Compensation product strategy through regulatory compliance, effective team management, and system alignment. Collaborate cross-functionally to implement state strategies and ensu...

Reimagine your career by leading strategic pricing initiatives within a dynamic team. Collaborate across departments to enhance models for Businessowners Policy and Commercial Package Policy, driving...

Develop and oversee daily operations in a high-performing collision center, ensuring exceptional customer experiences while leading a dedicated team to achieve operational targets and maintain quality...