Claims Specialist Jobs in Groveport, OH

Lead and optimize prepayment claims auditing programs, ensuring accurate payments and compliance while overseeing a multidisciplinary team and collaborating with internal and external stakeholders...

Reimagine underwriting processes and enhance business profitability within the Staffing/Healthcare Vertical through expert risk assessment and team collaboration, ensuring compliance and high-quality...

Shape the future of healthcare by driving risk adjustment solutions that enhance interoperability, improve documentation accuracy, and ensure compliance across Medicare, Medicaid, and ACA programs thr...

Unlock the potential of responsible AI governance by overseeing enterprise-wide frameworks ensuring regulatory compliance, standard adherence, and ongoing monitoring across business units while foster...

Lead the charge in expanding business opportunities within the pipeline sector. Develop strong relationships, drive sales processes, and deliver innovative solutions to enhance operational performance...

Empower legal operations by managing commercial contracts and supporting the General Counsel. Lead drafting, negotiation, and oversight of agreements while ensuring compliance and efficiency. Drive st...

Drive end-to-end operational excellence for stop-loss and funding processes. Oversee program administration, manage relationships with vendors, and enhance operational efficiency while leading high-pe...

Empower your career by leading a dynamic team in achieving impactful actuarial goals, enhancing pricing and forecasting strategies while ensuring compliance and personal development in a collaborative...

Engage as a subject matter expert in access & reimbursement, navigating barriers and collaborating with healthcare providers to ensure seamless patient onboarding and reimbursement processes in a dyna...

Lead data solution initiatives by translating business needs into actionable insights while partnering with IT and stakeholders to ensure reliable, high-quality data delivery for analytics and reporti...

Unlock potential by bridging data solutions with business needs. This role requires collaboration with stakeholders and technical teams to enhance decision-making through reliable data products, ensur...

Lead and optimize performance within the Out-of-State Medicaid function, driving operational excellence across teams to enhance client outcomes and achieve strategic revenue goals through effective le...

Develop and operationalize a compliance program, managing HIPAA, HITRUST, and SOC 2 frameworks while collaborating cross-functionally. Drive audits, maintain readiness, and lead vendor assessments to...

Shape our compliance program, ensuring regulatory compliance across HIPAA, HITRUST, and SOC 2. Drive policy creation, audit readiness, and vendor risk management while supporting M&A integration effor...

Advance your career by fostering a robust Data Governance program. Lead initiatives to ensure data integrity, compliance, and culture transformation while collaborating across teams to drive strategic...

Partner with us to manage complex P&C insurance products, optimizing performance through data analysis, market insights, and collaboration with underwriting leaders. Leverage analytics and operational...

Unlock the power of data analytics by developing insights to enhance business strategies and optimize contract performance across diverse customer segments while collaborating with teams to drive oper...

Transform sales growth in laboratory diagnostics by developing strong relationships with healthcare providers and leveraging strategic insights to drive success across Ohio and West Virginia's healthc...

Drive actuarial modernization and business transformation initiatives for life insurance and annuity clients, leveraging analytical tools and insights to enhance operations and foster collaboration ac...

Analyze complex healthcare data to provide insights that enhance the Veterans Health Administration's Specialty Care Program. Collaborate across teams to drive operational improvements and deliver imp...

Join a dynamic team to strategize and optimize product commercialization for channels. Drive market insights and cross-functional collaboration to elevate product launches and ensure alignment with co...

Unlock potential by leading cross-functional efforts to enhance life insurance operations, driving efficiency through process improvements and strategic initiatives that transform business priorities...

Lead investigations into insurance fraud across diverse sectors, utilizing analytical skills to detect red flags and collaborate with stakeholders. Drive comprehensive evaluations and action plans to...

Empower your career by leading a dynamic team to enhance health insurance advocacy, streamline complex claims resolutions, and optimize service delivery for better member outcomes while driving strate...

Contribute to the future of insurance sales by owning and shaping market strategies. Leveraging your deep industry connections, drive revenue growth in a complex environment, navigating buying process...