Claims Specialist Jobs in Modesto, CA

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...

Drive the growth of Multiple Myeloma products by engaging with key Oncology customers, utilizing your strong account management skills to deliver tailored solutions and achieve business objectives wit...

Join a team that leads the behavioral health utilization review process, ensuring high-quality care for members while managing a skilled team. Play a crucial role in compliance, performance monitoring...

Transform distributor relationships through dynamic training and tailored sales support, driving growth in Life and Annuity products. This role emphasizes collaboration, impactful training, and high v...

Shape the future of pharmacy management by collaborating with healthcare teams, overseeing drug utilization, and implementing cost containment strategies to enhance patient outcomes across various ent...

Empower the healthcare system as an Epic Application Analyst, implementing and enhancing applications to improve patient care. This role bridges technical proficiency with clinical knowledge for seaml...

Lead the charge in implementing complex benefit solutions for large clients, ensuring smooth onboarding and ongoing satisfaction through effective communication and project management. Collaborate wit...

Develop engaging technical content to empower customers and internal stakeholders. Collaborate with teams to create guidance on products while embracing new technologies and challenges in a dynamic en...

Explore opportunities as a Clinical & Regulatory Information Management SME, supporting client delivery across VeevaRIM and Clinical initiatives. Engage with stakeholders, optimize processes, and enha...

Elevate client satisfaction by leading impactful projects, fostering strong relationships, and ensuring compliance with industry standards. Drive significant revenue through exceptional service, strat...

Shape the future of compliance by leading a dynamic team that ensures regulatory excellence and operational efficiency while fostering collaboration and development across financial services...

Engage key Oncology customers and drive product growth by delivering clinically focused selling messages. Foster partnerships within accounts while navigating complex market dynamics to achieve revenu...

Champion efficient finance operations by meticulously reviewing expense reports, ensuring compliance with policy, and collaborating cross-functionally to uphold fiscal integrity while enhancing proces...

Elevate pharmacy regulatory compliance by providing strategic legal counsel, navigating complex laws, and partnering with cross-functional teams to support operations and mitigate risks for business g...

Join a forward-thinking team to lead and enhance enterprise-wide business processes. Collaborate with stakeholders to optimize workflows, implement changes, and drive innovative solutions that support...

Drive your career with a dynamic team focused on regulatory compliance and legislative strategy, fostering connections through thoughtful guidance and support while advancing employee health and welfa...

Deliver strategic legal leadership in complex civil litigation, managing environmental issues and risks while guiding a robust team on case management, advising stakeholders, and ensuring effective r...

Lead the charge in developing and executing the enterprise-wide fraud program, ensuring compliance across diverse healthcare lines through advanced analytics and strategic oversight while managing a s...

Champion a client-focused role by ensuring timely payroll processing and comprehensive benefits administration while delivering exceptional service and support to clients in a collaborative, fast-pace...

Join a team that oversees Patient Financial Services, enhancing billing and collections processes through leadership and compliance while ensuring high-quality staff performance and training...