Claims Specialist Jobs near me

Champion program integrity by leading Medicaid audits, investigations, and risk assessments, ensuring compliance while collaborating with teams to enhance payment accuracy and provider oversight. Flex...

Elevate your career as a Medical Billing Team Lead, guiding a remote team in optimizing claims, enhancing compliance, and driving operational excellence while fostering a supportive and growth-oriente...

Shape the future of cybersecurity by leading a high-speed exposure response team, focusing on critical vulnerabilities and leveraging AI tools to thwart advanced threats while managing cross-functiona...

Redefine commercial pricing strategies by leveraging advanced actuarial analysis, supporting portfolio-level assessments, and mentoring junior colleagues within a dynamic, remote team of professionals...

Optimize your career by leading endpoint management initiatives, implementing MDM solutions, and collaborating with architects on modern architecture strategies. Drive innovation through testing, trou...

Explore opportunities to ensure stability and security of IBM z/OS mainframe systems. Collaborate with cross-functional teams for system support and optimization, while taking ownership of software ma...

Execute robust compliance audits and monitoring across healthcare operations. Leverage strong analytical skills and collaborate effectively to ensure adherence to regulations, enhance coding accuracy...

Drive excellence in clinical quality operations by managing a diverse network of practitioners, ensuring adherence to policies and performance targets, while providing strategic oversight and coaching...

Lead the operational oversight of clinical safety activities, ensuring compliance and collaboration with cross-functional teams. Manage CROs and vendors while supporting global pharmacovigilance withi...

Empower the evolution of actuarial methods and analytics, leveraging experience and thought leadership to enhance governance, modernize practices, and deliver scalable solutions while collaborating wi...

Transform actuarial practices by advancing methods and tools that enhance effectiveness and innovation across teams. Lead the development and implementation of analytical methodologies while ensuring...

Collaborate with leaders to optimize pricing strategies for environmental compliance projects, enhancing proposals and ensuring profitable growth across diverse construction services nationally...

Help us drive clinical innovation by empowering healthcare providers through expert case coverage and product adoption, enhancing patient care and expanding procedural utilization across multiple acco...

Innovate with us to enhance our Third Party Risk Management program through automation and collaboration. Join a dynamic team that transforms security governance into an engineering discipline, elevat...

Join a team that's redefining customer experience through innovative engagement strategies, overseeing operations, enhancing service delivery, and leveraging technology to elevate satisfaction and eff...

Engage clients by managing relationships, driving growth, and maximizing account value through proactive consultations and performance insights, ensuring operational excellence and client satisfaction...

Empower clients through SAP functional transformations, leveraging expertise to deliver strategic finance solutions while engaging with senior executives and becoming a trusted advisor on industry tre...

Champion employment law compliance by providing strategic legal guidance, managing claims, and supporting HR initiatives across a dynamic organization, ensuring effective resolution of employee relati...

Join and lead the onboarding of SaaS projects, managing key stakeholders while serving as a technical expert. Develop customer relationships, ensure smooth implementation, and drive project success th...

Advance your expertise in Medicaid pharmacy management while leading clinical projects and ensuring high service levels. Collaborate with internal teams and apply analytical tools to optimize drug the...

Unlock your potential by leading revenue cycle initiatives and ensuring compliance in coding and billing practices. Collaborate with stakeholders to enhance revenue integrity while independently manag...

Transform training effectiveness by developing and delivering comprehensive technical training programs while collaborating with subject matter experts to enhance audit productivity and client satisfa...

Drive Medicaid program integrity initiatives as a Senior Consultant. Conduct audits and forensic reviews to identify compliance issues, assess risk, and enhance operational controls, collaborating wit...

Collaborate with teams to manage Cyber & Technology claims, resolving disputes from initiation to conclusion while ensuring compliance and effective communication across all stakeholders...

Analyze complex data sets to drive financial optimization and program success. Collaborate across teams to deliver insights and establish KPIs, ensuring alignment with organizational objectives and en...