Claims Specialist Jobs in Lockbourne, OH

Transform clinical review processes by conducting thorough prepayment and post-payment assessments of inpatient admissions. Leverage your expertise to ensure compliance, support appeals, and enhance q...

Engage in comprehensive risk adjustment audits and compliance reviews, ensuring accurate data submission to CMS. Collaborate with coding teams and management to uphold regulatory standards and improve...

Champion financial examinations by leading teams to ensure quality, compliance, and timely delivery of regulatory services. Foster client relationships, manage complex projects, and drive growth in a...

Join a team that's dedicated to enhancing healthcare quality through thorough medical claims audits. Leverage your nursing expertise in a dynamic remote environment, collaborating with experienced aud...

Drive impactful change by leading Medicaid initiatives that enhance community health. Collaborate with state agencies, utilize your expertise in Medicaid policies, and advance your career in a support...

Lead complex analytical initiatives by developing data solutions and dashboards that drive business insights. Collaborate with stakeholders to translate requirements into scalable analytical framework...

Transform processes and drive accountability by leading cross-functional projects. Manage initiatives from scoping to completion while maintaining clear communication across teams and ensuring stakeho...

Help us elevate customer satisfaction by providing expert service and support for control systems. You'll troubleshoot, maintain, and enhance systems while collaborating with technical teams to ensure...

Champion risk management strategies by overseeing domestic and international insurance programs, negotiating terms, and ensuring compliance. Collaborate with stakeholders to analyze risks and optimize...

Champion integrated evidence strategies that drive enterprise decision-making. Collaborate cross-functionally to create actionable plans that align with global objectives, ensuring timely delivery of...

Elevate healthcare consulting by leading complex actuarial projects, developing financial models, and advising clients on policy impacts. Collaborate with teams to analyze data, mentor analysts, and e...

Join a team that's dedicated to advanced support for industrial control systems. As a key escalation point, you'll tackle complex issues, drive system stability, and mentor junior staff in a dynamic 2...

Elevate customer engagement by leading SaaS renewal strategies, fostering relationships, and driving growth through negotiation and operational excellence in a dynamic environment...

Engage with stakeholders to prioritize and refine product backlogs, ensuring clarity and efficiency in development. Collaborate with cross-functional teams to drive innovative solutions and enhance us...

Develop and implement business rules for credit strategy, collaborating with Risk, Compliance, and Tech teams. Ensure accurate decision logic, maintain documentation, and support testing for optimized...

Drive procurement excellence by managing supplier relationships and optimizing processes. Take ownership of sourcing strategies, ensuring compliance and cost savings while mentoring team members in a...

Drive compliance and sustainability by advising clients on environmental regulations, managing projects, and developing practical solutions. Collaborate with teams to ensure adherence to air, stormwat...

Lead the execution of clinical trials by monitoring site activities, ensuring compliance with regulations, and collaborating with teams to achieve study objectives. Play a key role in training site st...

Lead the charge in ensuring an exceptional client experience by bridging communication between internal teams and clients, fostering strong relationships, and proactively addressing client needs while...

Drive compliance excellence by leading regulatory strategy and governance, ensuring scalable infrastructure for service contracts and insurance programs across North America. Collaborate with executiv...

Tackle medical claims audits in a dynamic remote environment, collaborating with a skilled team to ensure compliance and accuracy in Skilled Nursing Facility reviews while enhancing audit processes an...

Unlock potential by managing procurement processes, ensuring vendor compliance, and facilitating bid preparations. Collaborate with project teams to optimize purchasing strategies and maintain operati...

Join a team that's pivotal in driving commercial performance and product adoption. Engage healthcare providers, build relationships, and support innovative therapies while collaborating with cross-fun...

Manage all facets of a federal travel program, ensuring compliance and efficiency in a high-volume environment. Drive improvements in processes and provide urgent support for travelers, while maintain...

Engineer innovative commercial strategies that drive growth and enhance contract management for a fast-evolving portfolio in the controls services domain. Collaborate with cross-functional teams to op...