Claims Specialist Jobs in Groveport, OH

Join our Analytics team as you analyze client data to identify trends, optimize reporting, and enhance dashboards. Collaborate across functions and present findings while developing your skills in a d...

Take ownership of client onboarding by guiding users through configuration, data migration, and training while collaborating across teams to ensure seamless implementation and long-term partnership su...

Lead a dynamic team to transform quality assurance through AI-driven innovation, enhancing operational effectiveness while ensuring client satisfaction and governance. Drive process improvement and ef...

Elevate your technical expertise as you tackle complex application support challenges, lead incident resolution efforts, and drive innovation in AI-enabled solutions, ensuring seamless operations and...

Champion the Utilization Management program by leading a team to ensure high-quality service and adherence to clinical guidelines. Collaborate across functions to drive performance, facilitate continu...

Explore new business opportunities in surgical revenue cycle management by developing relationships, managing the sales lifecycle, and driving measurable results. Collaborate with healthcare professio...

Unlock potential by leading strategic compliance projects, enhancing processes, and developing innovative training in a dynamic environment. Drive adherence to healthcare laws and regulations while su...

Lead and enhance credentialing and payor enrollment operations, ensuring compliance and accuracy while supervising specialists and streamlining processes to improve provider readiness and operational...

Lead and empower a team of Clinical Research Associates to oversee and enhance site management activities for clinical trials, ensuring compliance and quality in project execution while fostering prof...

Lead and optimize the renewal lifecycle of IT service contracts by managing a team. Drive strategic initiatives to enhance customer satisfaction, operational efficiency, and growth while ensuring time...

Help us secure critical applications by analyzing and advising on security architecture. Collaborate across teams to enhance secure practices, oversee application security across cloud and AI solution...

Champion coordinated care by leveraging clinical nursing expertise to facilitate medical service determinations, ensuring optimal post-acute support for members. Collaborate with providers for effecti...

Lead the charge in managing complex claims operations with strategic oversight and operational excellence. Guide a high-performing team to ensure compliance and delivery of superior outcomes in enviro...

Unlock potential by leading complex client engagements for healthcare solutions that enhance quality, increase satisfaction, and meet regulatory goals. Combine analytics and relationship management sk...

Drive your career by leading and modernizing the internal audit function, providing strategic insights into risk management and governance while collaborating with executive leadership to elevate oper...

Deliver comprehensive evaluations of disability claimants' functionality, advise on complex claims, and facilitate transitions to work. Collaborate with clinical teams and manage resources to ensure o...

Elevate operational excellence by managing Utilization Management activities, ensuring compliance with policies and quality standards, and leading process improvements to enhance performance across cl...

Innovate within healthcare finance by leading Medicaid strategy and consulting engagements. Leverage your expertise to enhance business performance for clients while driving strategic initiatives in p...

Advance legal excellence by providing counsel, managing projects, and drafting policies. Collaborate strategically to uphold Court operations and lead initiatives. Join us in shaping impactful legal g...

Execute data archiving strategies and solutions while delivering SAP projects efficiently. Collaborate with teams to enhance archiving practices and meet client needs, ensuring timely project delivery...

Lead the charge in optimizing outpatient facility coding audits, enhancing compliance, and educating coders. This remote role combines customer service with expert coding analysis to uplift healthcare...

Engage in high-level clinical site monitoring to ensure participant safety and data integrity during oncology trials. Leverage 5+ years of expertise to collaborate with diverse teams and manage evolvi...

Tackle IT SOX compliance by enhancing control processes, mitigating risks, and ensuring audit readiness while fostering collaboration across IT and business units for continuous improvement and busine...

Support effective communication between 340B entities and manufacturers, resolving complex issues while optimizing user experiences and internal processes. Leverage expertise in healthcare software to...

Lead operational excellence and team development in managing diverse claims across multiple client programs, ensuring quality compliance and strategic alignment while fostering strong client relations...