Claims Specialist Jobs in Modesto, CA

Join a dynamic team and lead regulatory strategies for in vitro diagnostics, ensuring compliance and successful submissions while collaborating cross-functionally. Manage project timelines and mentor...

Unlock potential by leading Client Success initiatives and building lasting client relationships. Guide teams to meet operational standards, analyze performance metrics, and ensure compliance in a dyn...

Empower client success as a Property & Casualty Account Manager focused on middle market clients in life sciences and technology, ensuring exceptional service, operational efficiency, and strategic ri...

Innovate best-practice operational processes for dealership Parts and Service, utilizing CDK tools to enhance performance, efficiency, and profitability. Lead transformative assessments and coaching t...

Help us drive fraud protection through expert analysis and teamwork. In this pivotal role, you'll bridge operations and strategy, honing your skills in investigations, trend analysis, and mentorship t...

Join a team that's dedicated to investigating fraud and illegal activities. Engage with stakeholders, conduct interviews, and enhance claims processes while ensuring a high standard of credibility and...

Join a team that's dedicated to optimizing financial analysis and pricing strategies within the PBM industry while collaborating with diverse departments to drive growth and profitability through expe...

Transform the provider and member appeals landscape by leading effective strategies, ensuring compliance, and optimizing performance while developing a high-performing team that drives quality and ope...

Shape the future of field operations by translating business needs into actionable user stories. Collaborate with diverse teams to enhance workflow and drive standardization to create measurable opera...

Drive your career with a key role in business analysis, translating needs into impactful solutions. Collaborate across teams to enhance operational efficiency and ensure the successful adoption of a t...

Lead and mentor a dynamic team, driving patient access strategies through expert virtual education of healthcare providers and optimizing reimbursement processes across a national landscape...

Join a team that's redefining compliance for a cutting-edge financial platform. As a key architect, you'll develop regulatory frameworks and operational systems, enabling diverse partners to thrive in...

Lead the charge in building a robust regulatory infrastructure that empowers multiple GPs to thrive in the complex US financial landscape, ensuring compliance and operational excellence across our inn...

Shape the future of patient care by coordinating between physicians and pharmacies, ensuring timely access to specialty medications for complex disease states, while providing clinical expertise and s...

Lead the charge in client relations as you manage and grow Pharmacy Benefit Management accounts. Utilize your strategic thinking to enhance client satisfaction, retention, and drive business expansion...

Lead the charge in managing contracts for innovative clinical research projects, ensuring compliance and optimizing processes while mentoring colleagues and driving high-quality outcomes within a dyna...

Transform the quality management landscape by overseeing document control and training processes, ensuring compliance with standards, and driving improvements within a dynamic biopharmaceutical enviro...

Join a dynamic team where you'll lead enterprise data protection deployments and shape governance practices, driving significant influence in customer success while developing a robust framework for s...

Deliver exceptional client support as you manage operational alignment, performance insights, and issue resolution across assigned accounts, advocating for clients while collaborating with internal te...

Shape the future of healthcare coding by conducting audits that ensure compliance and optimize reimbursement. Utilize your deep expertise in DRG systems and collaborate with teams to drive quality out...

Unlock potential by overseeing the preparation of precise and competitive project estimates. This role involves reviewing plans, evaluating bids, and collaborating with subcontractors to ensure optima...

Discover a pivotal role driving financial operations, reporting, and compliance while leading a high-performing team. Collaborate with senior leadership to enhance strategic initiatives and budgeting...

Drive successful ERP implementations and optimizations for dynamic startups, enhancing their financial infrastructure. Collaborate with clients to streamline processes, support system assessments, and...

Join a team that's dedicated to navigating reimbursement challenges and enhancing patient services. You'll manage an assigned territory, deliver training sessions, and build vital relationships with h...

Reimagine operational excellence by leading the General Liability program, ensuring alignment in client service, analytics, and strategic initiatives to drive high-quality claim outcomes and foster lo...