Clinical Policy Coding Analyst
$70K - $126K *
Support our Clinical Policy team by ensuring accurate coding and guidelines for clinical coverage. Collaborate cross-functionally on claims payments and operational strategy, influencing health outcom...
2 weeks ago
Commercial Liability Claims Supervisor
$90K - $96K *
Supervise a team of claims adjusters, ensuring quality service and effective handling of commercial auto and general liability claims while fostering professional development and compliance with legal...
1 week ago
Auditor Clinical Validation DRG
$95K *
Explore a dynamic auditing role focused on Coding & Clinical Chart Validation for inpatient care. Use your clinical nursing and coding expertise to conduct audits, ensure coding accuracy, and improve...
2 days ago
Claims Advisor, Professional Liability | E&O, D&O
$115K - $130K *
Unlock potential by expertly managing complex professional liability claims. You will investigate, negotiate, and resolve intricate cases while ensuring exceptional customer service and adherence to i...
2 weeks ago
$90K - $120K *
Unlock potential by driving profitable growth through detailed risk analysis and coordination across functions in Stop Loss Underwriting, fostering relationships, and contributing to business strategy...
3 weeks ago
Medical Policy Release Manager
$105K - $125K *
Lead the charge in managing medical policy releases, ensuring compliance, quality assurance, and stakeholder communication to optimize deployment in a dynamic healthcare environment...
3 weeks ago
Manager, Medical Review (Medicare - Appeals; Utilization Review; Part A; HHH)
$80K - $95K *
Advance your career by guiding a team in processing medical claims. Ensure compliance with laws and standards while identifying process improvements to enhance performance and quality in medical neces...
Reposted 3 weeks ago
$85K - $105K *
Transform general liability claims management by applying your expertise to resolve complex cases effectively and deliver outstanding solutions that enhance client satisfaction and operational efficie...
2 weeks ago
Litigation Specialist - Remote
$96K - $125K *
Pioneer effective solutions in a dynamic remote role, managing complex litigated claims with legal expertise. Collaborate with legal teams to navigate multi-state litigation, ensuring compliance and o...
3 weeks ago
Clinical Documentation Specialist
$74K - $124K *
Execute comprehensive clinical chart reviews to enhance documentation clarity, ensuring accuracy and compliance with regulations. Collaborate with healthcare professionals to support appropriate codin...
1 week ago
Senior Compliance Investigator
$70K - $126K *
Contribute to a dynamic Compliance Investigations Program by leading investigations, analyzing findings, and collaborating with cross-functional teams. Drive ethical standards and ensure regulatory co...
2 weeks ago
Sr. Claims Specialist, Professional Liability | Medical Malpractice | Long Term Care
$100K - $120K *
Transform the claims management landscape by expertly handling complex medical malpractice claims. Deliver high-level customer service while coordinating case management and achieving timely resolutio...
1 week ago
$103K - $120K *
Lead the charge in clinical risk management, collaborating with teams to analyze high-cost claims and develop innovative strategies that enhance underwriting decisions and financial outcomes for diver...
6 days ago
Claims Module Senior Business Analyst
$85K - $111K *
Shape the future of healthcare with your expertise in claims processing and business analysis. Drive innovation and provide domain knowledge while leading projects, collaborating with teams, and enhan...
Reposted 3 weeks ago
Outside Claims Representative - CAT
$65K - $98K *
Lead the charge in managing property claims through inspections and evaluations. Collaborate with partners to deliver exceptional customer service while navigating catastrophe responses and maintainin...
3 weeks ago
Senior Underwriter Mid-Market (Workers Compensation)
$101K - $127K *
Review and assess workers compensation insurance applications to determine coverage approval and pricing based on risk analysis while ensuring compliance with guidelines and regulations. Collaborate w...
3 weeks ago
Clinical Documentation Specialist (CDI)
$96K - $132K *
Optimize clinical documentation processes by ensuring accuracy and compliance through reviews, collaboration, and education. This role supports quality outcomes and appropriate reimbursement by enhanc...
1 week ago
$66K - $114K *
Empower decision-making through rigorous actuarial analysis and statistical validation. Collaborate across teams to refine models, ensuring accuracy in pricing and forecasting. Join a results-driven e...
Yesterday
$50K - $142K *
Transform healthcare data integration by managing complex projects with minimal guidance. Collaborate with cross-functional teams to solve client issues, optimize data flows, and ensure successful go...
1 week ago
$78K - $106K *
Shape client payment policies by ensuring accuracy, delivering specialized requests, and collaborating effectively with internal and external teams to enhance service and compliance within healthcare...
1 week ago
Specialty Casualty Claims Assistant Manager
$100K - $152K *
Lead and develop a high-performing team to navigate complex specialty casualty claims, ensuring excellence in service, operational efficiency, and strong customer relationships while driving strategic...
Reposted 1 week ago
Bodily Injury Adjuster - Extended Handler
$50K - $124K *
Optimize the claims process by investigating advanced automobile accidents, confirming liability, and managing bodily injury claims for clients. Use expert negotiation skills within a defined authorit...
1 week ago
Director, Actuary (Specialty Lines)
$160K - $287K *
Lead the charge in actuarial excellence by building high-performing teams, developing innovative pricing strategies, and managing complex insurance portfolios to drive profitability and enhance market...
1 week ago
Content Solutions Analyst I (Certified Lab Coder)
$95K - $115K *
Transform your expertise into impactful solutions as you analyze and develop medical policies for genetic testing. Collaborate across teams while delivering high-quality insights in a fast-paced envir...
1 week ago
AVP, Workers Compensation Claims Technical
$120K - $145K *
Champion a high-performing team to drive strategic Workers Comp claim initiatives, enhancing quality and outcomes while providing expert guidance and fostering collaboration in a dynamic environment...
Yesterday