Claims Specialist Jobs in Houston, TX

Advance your career by bridging business needs with technology solutions. As a key liaison, you will analyze complex systems, lead projects, and optimize processes to align with business strategy whil...

Unlock potential by leading Medicaid appeals for a dynamic health care delivery system. Collaborate with medical management teams to ensure efficient resolution of member and provider appeals, while p...

Accelerate program implementation and stakeholder engagement in pharmaceutical market access. Oversee daily operations, client relations, and staff management while ensuring adherence to budgets and p...

Join our team to drive specialty pharmacy initiatives, providing clinical expertise and leading client support efforts. Your strategic insights will enhance network strategies, ensuring compliance and...

Advance high-quality software solutions, tackle complex issues, and mentor teams while driving continuous improvement in the development lifecycle, collaborating across diverse teams to enhance produc...

Join a dedicated team as you enhance data management and analytics within public health research. Utilize your expertise to create impactful reports, support scientific publications, and facilitate ef...

Empower teams by serving as a product authority, bridging the gap between Incident and Audit solutions and users, enhancing operational compliance & facilitating customer training to ensure optimal pr...

Innovate with us to develop and support software solutions using AI-enabled tools, .NET, and SQL. Collaborate across teams to streamline ERP systems, engage in testing, and ensure project delivery acc...

Accelerate progress at a high-growth consumer brand, serving as a strategic legal advisor. Collaborate with leadership to navigate compliance, risk management, and innovation while ensuring the suppor...

Lead the charge in telephonic case management, collaborating with patients and care teams to support quality healthcare delivery. Use clinical expertise to assess needs, implement strategies, and ensu...

Join a team that's dedicated to evaluating life insurance applications, assessing risk, and delivering tailored solutions. Elevate processes and communication while fostering relationships with adviso...

Join a team that ensures precise medical coding by reviewing outpatient records using ICD-10-CM and CPT guidelines. Enhance reporting accuracy and support clinical review processes for better patient...

Reimagine financial strategies by providing expert consultation and strategic support in advanced planning areas such as estate, business, and charitable planning, ensuring alignment with clients' fin...

Engineer the future of pharmaceutical validation by developing and executing crucial CQV deliverables. Collaborate with cross-functional teams to ensure compliance with cGMP and FDA regulations, while...

Elevate customer experience by leading strategic retention and loyalty initiatives. Drive measurable impact through data-informed insights and foster a high-performing team, dedicated to enhancing sat...

Lead the charge in streamlining revenue cycle operations in home health care, enhancing billing, collections, and financial management strategies to ensure timely reimbursements and comply with indust...

Empower patient health by conducting thorough preoperative assessments, coordinating tests, and collaborating with healthcare providers to ensure readiness for surgical procedures, ultimately prioriti...

Unlock potential by leading cross-functional quality management efforts. Leverage expertise to ensure compliance with regulatory standards while driving systemic improvements that enhance patient safe...

Accelerate progress at a leading BPaaS firm by providing strategic legal counsel, drafting and negotiating complex agreements, and ensuring compliance with regulatory standards in a dynamic, fast-pace...

Transform infrastructure reliability by leading scalable, secure cloud solutions in AWS, GCP, and Azure. Collaborate with diverse teams to improve deployment processes, automate practices, and mentor...

Lead compliance for Medicare Advantage and ACO programs, overseeing regulatory adherence and operational excellence. Collaborate with internal teams and external partners to ensure effective complianc...

Elevate healthcare performance through analytical insights and engaged teamwork. Lead projects, influence change, and drive value in supply chain optimization while collaborating with clients and inte...

Champion operational excellence by leading diverse teams, enhancing service delivery, and driving customer satisfaction. Elevate your career while ensuring operational objectives are met in a dynamic...

Lead the Conflicts and New Business Intake functions, overseeing team performance, service quality, and process improvements. Collaborate effectively to enhance operational efficiency and ensure ethic...

Empower effective commercial risk mitigation throughout the project lifecycle by leading complex contract negotiations and ensuring compliance with U.S. Government contracting standards. Forge strateg...