Claims Specialist Jobs in Fresno, CA

Empower enterprise transformation by defining a multi-year strategy for claims, collaborating across functions to enhance efficiencies and drive technology improvements, ensuring alignment with busine...

Transform healthcare processes by leading Risk Adjustment and Quality/HEDIS initiatives. Manage and mentor teams, ensuring compliance and excellence in coding practices while implementing strategic im...

Drive financial performance by managing revenue cycle processes in infusion centers, collaborating with clinical teams to ensure accurate reimbursement, and continuously improving efficiency and effec...

Pioneer innovative Medicaid coverage strategies, driving multi-state initiatives in eligibility and documentation. Collaborate cross-functionally to enhance member support and outcomes in line with dy...

Empower individuals by delivering financial education and guiding clients through personal finance topics. Collaborate with teams to create impactful programming while ensuring a top-notch customer ex...

Bring your expertise to lead our Insurance Program, overseeing operations, managing teams, and driving process improvements. Collaborate cross-functionally to enhance client experiences and ensure com...

Elevate patient safety by investigating post-market complaints and collaborating with cross-functional teams to enhance product effectiveness. Utilize clinical knowledge and insights to ensure complia...

Elevate security standards and compliance practices while leading risk assessments and audits. Engage with customer security needs and manage cross-functional initiatives, driving relentless improveme...

Support growth and adoption as a Clinical Specialist, responsible for case coverage and strategic engagement with healthcare professionals to enhance procedural utilization and build strong account re...

Elevate healthcare access by managing complex prior authorization processes. Contribute to improving outcomes for vulnerable populations by streamlining workflows, training teams, and resolving issues...

Drive your career forward by ensuring regulatory compliance and enhancing operational efficiency in the financial services sector, focusing on suitability standards for life insurance and investment p...

Lead strategic execution for global Risk Management initiatives, managing projects and delivering high-quality documentation across cross-functional teams while ensuring compliance with regulatory sta...

Join a dynamic team as you leverage your actuarial expertise to develop innovative solutions in pricing, reserving, and financial modeling, while collaborating across departments to influence strategi...

Analyze, evaluate, and enhance internal controls within a dynamic insurance environment. Conduct complex audits to ensure compliance with regulatory and governance standards while promoting a culture...

Collaborate with key Oncology customers to deliver impactful, clinically-focused messaging and drive revenue growth for Multiple Myeloma products, while strategically managing accounts and ensuring co...

Champion global regulatory strategies by leading diverse teams in navigating complex approval processes for medical devices. Drive compliance and ensure optimal product launch pathways while addressin...

Optimize business development by cultivating relationships with TPAs/Brokers, driving sales and marketing initiatives within your designated territory to expand our client base and manage ongoing acco...

Help us drive success by managing complex accounts and providing strategic insurance solutions for large clients. Enhance their coverage and safeguard their business while ensuring exceptional service...

Join a team that's shaping the future of National Account Agency Operations. You'll manage key accounts, develop strategic plans, and enhance sales profitability while fostering relationships with cli...

Join a team that's dedicated to enhancing healthcare compliance. This role requires expertise in regulations and standards, managing projects, and fostering team growth while ensuring client facilitie...

Advance your career by supporting Epic revenue cycle implementations and optimizations. Collaborate with teams to enhance healthcare client operations, ensuring seamless patient access, billing, and c...

Lead and innovate compliance strategies for a dynamic asset management team, guiding policy development and risk assessment while mentoring staff to enhance operational efficiency and regulatory adher...

Analyze and evaluate reinsurance submissions, establishing profitable terms and coverage. Foster broker-client relationships and leverage actuarial insights for strategic underwriting and risk managem...

Shape the future of cybersecurity by leading a high-speed exposure response team, focusing on critical vulnerabilities and leveraging AI tools to thwart advanced threats while managing cross-functiona...

Engage as a senior leader in incident response, tackling significant security events, and driving innovative detection and recovery efforts. Shape a dynamic team, enhance communication, and elevate op...