Claims Specialist Jobs in Modesto, CA

Manage reimbursement strategies supporting business goals across product areas. Collaborate with teams to guide product development, analyze landscapes, and educate stakeholders on reimbursement impac...

Empower healthcare quality as a remote Inpatient Auditing Specialist, driving compliance and coding excellence. Collaborate closely with coders to educate, audit, and ensure optimal outcomes in patien...

Join a team that shapes the future of litigation by managing complex cases, mentoring junior attorneys, and advocating for clients with minimal oversight, all while working remotely and making impactf...

Lead the delivery of projects from initiation to closure, coordinating efforts across multiple teams and managing risks effectively to ensure successful project outcomes while utilizing AI tools for e...

Grow your career with this role supporting complex oncology trials, ensuring data accuracy and compliance through meticulous coordination, collaboration with clinical teams, and mentorship to uphold t...

Support the M&A Liability Division by underwriting insurance policies and managing submissions. Collaborate with deal teams, maintain documentation, and engage in client correspondence to ensure timel...

Invent powerful actuarial solutions as you build and operationalize innovative analytics tools, collaborating closely with teams to enhance client decision-making in insurance deal cycles through impa...

Optimize client engagement by leading project workstreams and ensuring high-quality deliverables. Collaborate with teams to manage client relationships and enhance consulting practices while coaching...

Join a team that's driving profitability in primary casualty underwriting. Utilize your expertise to manage a strong book of business, forge broker relationships, and mentor fellow underwriters while...

Drive impactful relationships with key Oncology and Hematology customers, executing clinically focused selling strategies to enhance product awareness and revenue. Collaborate effectively across teams...

Shape patient access and reimbursement processes within the health care landscape, leveraging your expertise and collaboration skills to navigate complexities and enhance support for healthcare provid...

Accelerate progress at financial operations through expert management of accounting activities, policy implementation, and team leadership, ensuring accuracy and compliance in corporate disbursements...

Lead critical clinical strategies and ensure regulatory compliance while collaborating across teams to uphold data integrity and support product development initiatives in a dynamic environment...

Innovate in healthcare by overseeing Utilization Management programs, driving clinical accuracy, and collaborating for measurable outcomes. Support strategic direction and ensure compliance while enha...

Engage with clients to ensure operational excellence and success in billing processes. Lead strategic planning for multiple medical billing teams while maintaining performance, building relationships...

Lead project teams in managing global clinical trials, ensuring compliance with protocols and deliverables, while supervising resources and maintaining communication with sponsors to achieve project m...

Join a dynamic team as you design, code, and enhance software solutions, lead agile projects, mentor junior engineers, and deliver high-quality systems that meet business needs and user expectations...

Join a team that's transforming healthcare by telephonically managing cases to enhance patient wellness, implementing personalized care strategies, and advocating for optimal outcomes while ensuring e...

Develop client relationships while managing accounts and ensuring retention. Coordinate customer service activities and resolve complex issues, driving efficiency and delivering exceptional service in...

Lead the charge in data collection and validation to enhance patient safety and quality across regulatory programs, ensuring compliance and actionable insights for continuous improvement in healthcare...

Elevate your career by leading complex Medicaid pharmacy claims initiatives. Collaborate with diverse teams to drive requirements, enhance processes, and ensure compliance in impactful system solution...

Lead the evolution of reinsurance pricing strategies and actuarial models, driving innovation and technical excellence. Engage with senior leadership to communicate analytical insights clearly and sha...

Discover innovative solutions in Revenue Cycle Management, driving process optimization and enhancing workflows within Military Health Systems. Lead initiatives that improve health informatics and col...

Engage in vital clinical monitoring activities, ensuring compliance and quality across multiple studies. Collaborate with teams, maintain site relations, and support timely project milestones to enhan...

Champion project insurance strategies and risk management processes, collaborating across departments to evaluate and mitigate risks in a complex industrial and energy landscape, driving successful pr...