Claims Specialist Jobs near me

Engage in impactful clinical documentation audits to enhance quality, compliance, and education. Drive improvements in CDI processes and patient care while collaborating with healthcare teams to ensur...

Lead underwriting strategy and execution for national partners, ensuring profitability and growth. Manage teams, foster relationships, and align practices with corporate objectives while driving perfo...

Unlock potential by leading actuarial strategies that drive innovation and performance. Oversee a team, develop statistical models, and engage with regulators to ensure compliance and support business...

Analyze and support value-based care initiatives, developing innovative forecasting solutions and methodologies. Collaborate across teams to translate complex data into actionable insights that guide...

Transform contract management by leading risk mitigation strategies and ensuring compliance across government and commercial projects. Drive operational excellence and enhance proposal quality while m...

Take ownership of enterprise-wide risk management strategies, guiding executive leadership in navigating operational, financial, and construction risks. Collaborate across functions to enhance risk pr...

Unlock revenue potential by leading recovery operations, developing strategies, and collaborating across teams to enhance financial performance and resolve complex reimbursement issues. Drive accounta...

Join a team that's dedicated to enhancing member care through comprehensive assessments and personalized service coordination. This role involves managing chronic conditions and collaborating with hea...

Partner with us to enhance member care by managing comprehensive service coordination, ensuring person-centered support for individuals with chronic conditions and disabilities across Ohio, while coll...

Lead the charge in enhancing safety and quality standards; administer the Risk Program and conduct audits, assessments, and training. Collaborate with various stakeholders to ensure compliance and imp...

Join us to drive exceptional customer service and relationship management for advisors and employers, enhancing client retention and business growth through proactive communication and tailored plan s...

Lead the charge in optimizing utilization management operations, enhancing efficiency, and driving performance improvements. Collaborate with clinical and operational teams to ensure timely reviews an...

Lead the charge in managing comprehensive accounting functions for self-insurance groups, ensuring accurate financial reporting, compliance with regulations, and effective budget management while coll...

Elevate healthcare revenue integrity by leading client engagements focused on optimizing revenue cycles, enhancing compliance, and driving financial performance through strategic recommendations and d...

Transform claims operations as you empower clients by driving adoption of innovative solutions, optimizing processes, and enhancing business outcomes in the First Party Casualty landscape across vario...

Champion the successful delivery of projects and technology initiatives by coordinating cross-functional teams and managing risks, ensuring timely and high-quality outcomes that align with business ob...

Unlock your potential by independently managing enterprise risk frameworks, analyzing data, and guiding teams in risk identification and mitigation strategies. Contribute to reporting and governance a...

Transform coding quality and efficiency as a senior expert in radiology coding. Collaborate with cross-functional teams to enhance processes, provide guidance, and drive best practices, ensuring excep...

Lead the charge in driving commercial performance by engaging healthcare providers, building relationships, and executing territory business plans to ensure patient access to innovative therapies and...

Contribute to financial excellence by preparing and analyzing reconciliations for cash and balance sheet accounts. Collaborate with diverse teams to resolve discrepancies and enhance processes, drivin...

Lead our actuarial team to innovate and enhance pricing strategies, integrating advanced data solutions. Collaborate with key partners to drive impactful business results and develop robust actuarial...

Join us to drive impactful data analysis that enhances product performance and operational effectiveness. Collaborate with cross-functional teams to uncover insights, develop KPIs, and translate compl...

Lead the development of a risk-based compliance framework for U.S. pharmaceutical commercialization, advising senior leaders and ensuring adherence to compliance standards while fostering ethical deci...

Drive the development of innovative reinsurance strategies and statutory capital optimization. Lead cross-functional teams to enhance corporate solvency and risk-adjusted returns while managing regula...

Join a team that's dedicated to enhancing AI governance and risk management. You'll implement frameworks, monitor compliance, and engage with key stakeholders to ensure effective policy adoption and m...