Claims Specialist Jobs in Grove City, OH

Empower impactful audits across our organization, leading engagements with a focus on governance, compliance, and technology, while cultivating relationships and improving operational agility in a dyn...

Elevate compliance standards by enhancing AML and OFAC programs. Collaborate with cross-functional teams to mitigate financial crime risks while ensuring adherence to regulatory requirements and lever...

Transform the suitability review process by leading a dynamic team focused on compliance, operational excellence, and continuous improvement. Collaborate across functions to ensure timely, accurate re...

Manage territory business plans to drive sales performance, engage healthcare providers, and support product launches. Collaborate with cross-functional teams to optimize patient access and ensure com...

Unlock potential by providing expert audit and advisory services to enhance risk management and internal controls across subsidiaries, ensuring effective governance and operational efficiency in a dyn...

Engage with healthcare payer clients to architect integrated solutions, driving revenue growth through strategic discovery, technical leadership, and value engineering. Collaborate across teams to del...

Elevate your career by providing strategic leadership for a national remote case management team, ensuring service excellence, operational consistency, and client satisfaction while collaborating with...

Unlock potential by providing strategic legal counsel on clinical and commercial operations, focusing on regulatory compliance, privacy, and data protection in a dynamic biopharmaceutical environment...

Shape the future of revenue cycle management by driving process improvements and reducing denials. Collaborate with teams to analyze trends, implement best practices, and enhance client satisfaction t...

Champion the management of a $7M-$8M renewal book while driving $1.5M in new business. Analyze market conditions, develop relationships, and implement effective underwriting strategies to ensure profi...

Transform Payment Integrity solutions by leading strategic initiatives, enhancing processes, and fostering collaboration across teams to improve member and provider experiences while driving operation...

Lead data-driven initiatives to solve complex business challenges, leveraging analytical skills to provide insights and recommendations. Collaborate with teams to enhance competitive intelligence and...

Help us bridge the gap in patient access by engaging healthcare providers and navigating payer barriers. This role is vital in ensuring timely treatment initiation for patients prescribed UCB medicati...

Empower cross-functional teams to drive the Future of Medicine initiatives, ensuring scalable processes and compliance while enhancing patient safety and experience through strategic planning and exec...

Transform underwriting strategies by managing excess casualty business, fostering relationships with wholesale partners, and ensuring profitable outcomes while adhering to company guidelines and marke...

Drive impactful health program analysis by leveraging actuarial expertise, performing data analysis, and supporting pricing strategies. Collaborate with cross-functional teams to enhance financial for...

Transform healthcare analytics by leading the development of APR-DRG audit criteria. Collaborate with cross-functional teams to enhance payment integrity through data-driven insights and innovative so...

Transform local government sales by proactively building relationships, generating pipeline, and driving revenue through innovative cloud solutions. Collaborate with a world-class sales team to exceed...

Join a dynamic team to develop and support SQL-based ETL processes, ensuring data quality and integration performance across business applications. Collaborate with technical teams to enhance data exc...

Manage P&L for multiple states, driving pricing strategy and regulatory compliance. Collaborate cross-functionally to enhance product performance and profitability while presenting insights to senior...

Lead the accounting and financial reporting functions within a growing healthcare organization. Drive integrity across multiple entities, ensure compliance, and strategize cash management while suppor...

Empower your career by driving commercial success as you engage healthcare providers, build relationships, and support innovative therapies in a dynamic, remote role focused on impactful patient outco...

Join us to drive commercial performance by engaging healthcare providers, building relationships, and supporting product launches. Your expertise will enhance patient access to innovative therapies an...

Join a dynamic team to drive profitability and enhance Workers’ Compensation strategies. Utilize your analytical skills to analyze state profitability, recommend rate changes, and support actuarial re...

Shape the future of healthcare revenue management by leading IDR processes, ensuring compliance, and driving data-informed improvements while mentoring a team of analysts to optimize workflows and enh...