Claims Specialist Jobs in Houston, TX

Shape the future of commercial operations by enhancing CRM governance, driving data integrity, and leading initiatives that optimize reporting and decision-making across the organization...

Champion the delivery of clinical education and sales support for innovative vascular products, enhancing patient care through collaboration with healthcare professionals and achieving sales goals wit...

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...

Unlock potential by leading complex underwriting transactions. Leverage your expertise to analyze risks, build strategic relationships, and drive growth in M&A insurance solutions, while managing a dy...

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...

Unlock your potential by developing and maintaining complex construction schedules. Collaborate across teams to ensure timely project delivery, leveraging critical thinking and risk mitigation for str...

Analyze and maintain detailed construction schedules to ensure timely project delivery. Collaborate with project teams, track progress, and proactively manage risks to optimize performance in dynamic...

Pioneer AI-driven solutions that enhance claims processes by developing LLM-powered agents and orchestration layers, transforming workflows for improved efficiency and effectiveness in the insurance a...

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...

Advance the LTSS market by identifying and developing new business opportunities, managing implementation strategies, and fostering key relationships to enhance organizational revenue and operational...

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

Collaborate with clinical and sales teams to enhance product support and deliver tailored healthcare solutions, engaging with clients and internal stakeholders to foster strong partnerships and achiev...

Take ownership of complex financial projects, ensuring successful implementation through expert consultation, technical leadership, and quality assurance across multiple client interactions and operat...

Lead the charge in gathering and documenting client requirements for complex solutions. Collaborate with clients and technical teams, ensuring thorough communication and effective liaison throughout t...

Join a team that's committed to optimizing telecom services, managing vendor relationships, and overseeing circuit provisioning across a multi-site enterprise to enhance operational efficiency and cos...

Join a team that's dedicated to expanding our market presence by leveraging your sales expertise in SaaS solutions. You'll build relationships, understand client needs, and exceed sales targets within...

Transform Patient Access operations as a leader in strategic oversight, implementation, and client partnership integration, driving exceptional service, growth, and operational excellence across diver...

Unlock potential by leading compliance consulting for clients within the investment advisory sector. Manage client relationships, conduct complex reviews, and support service development while mentori...

Deliver strategic leadership in provider contracting and network development, ensuring alignment with organizational goals. Collaborate with teams to optimize network efficiency and establish innovati...

Unlock potential by managing complex underwriting processes to drive profitability and growth. Develop relationships with agents while strategically managing your territory and supporting cross-sell o...

Join a dynamic team to oversee multiple e-discovery projects, collaborating closely with legal professionals to ensure successful outcomes. This role offers opportunities for mentorship, strategic pro...

Empower compliance excellence by reviewing procurement documents and ensuring adherence to regulatory standards. Collaborate with teams to compile reports and streamline operational processes with a f...

Elevate coding operations by managing the compliance program, ensuring accuracy in facility billing, and enhancing productivity within a dynamic team. Drive implementation of quality strategies aligne...

Support competitive pricing for proposals by applying cost models, developing pricing strategies, and conducting research to enhance GovCon pricing methodologies and compliance with regulations. This...