Claims Specialist Jobs near me

Drive regulatory intelligence initiatives to ensure compliance and support clinical research. Collaborate with experts to assess regulatory changes, track global guidelines, and enhance impact assessm...

Lead actuarial initiatives by leveraging your expertise to analyze complex data, mentor junior staff, and develop innovative solutions that drive informed decision-making and enhance operational effic...

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...

Inspire commercial success by engaging healthcare providers and driving product adoption. Collaborate with cross-functional teams to support launches and optimize patient access, ensuring impactful re...

Drive provider network excellence by managing data integrity, overseeing contract configurations, and leading cross-functional teams to enhance operational efficiency and compliance in a dynamic TPA e...

Unlock your potential by leading the development of innovative DRGV services, enhancing billing and coding optimization. Collaborate across teams to create scalable solutions that drive operational ex...

Drive strategic growth by establishing and nurturing key partnerships with Enterprise Claims carriers, ensuring service excellence and collaboration across internal teams to enhance business outcomes...

Join us to lead the Professional Coding Operations team, ensuring accurate coding practices and compliance. Collaborate with stakeholders, mentor staff, and drive improvements in coding efficiency and...

Accelerate progress at expanding customer accounts by driving annual recurring revenue and enhancing retention through structured sales strategies and digital engagement, while managing a high-volume...

Join a dynamic team as you manage clinical research sites, ensuring compliance and quality throughout all study phases. Build strong relationships, oversee monitoring activities, and contribute to tea...

Drive a high-performing sales team to distribute annuities and financial products. Lead strategy, enhance sales effectiveness, and foster relationships to achieve revenue targets while mentoring and m...

Drive growth by developing strategies for agent partnerships, leveraging sales tools, and collaborating across teams to achieve profit objectives. Manage complex relationships and implement strategic...

Join a dynamic team to drive growth and profitability through strategic partnerships with agents and brokers. Leverage your expertise in sales and insurance to optimize relationships and implement inn...

Champion regulatory strategies to accelerate product approvals and compliance. Lead a dynamic team in supporting innovative medical devices, ensuring alignment with global regulations while fostering...

Shape the future of healthcare by leading the Organic Risk Adjustment program. Drive strategic initiatives, foster collaboration across teams, and implement innovative solutions to enhance performance...

Transform clinical review processes by conducting thorough prepayment and post-payment assessments of inpatient admissions. Leverage your expertise to ensure compliance, support appeals, and enhance q...

Engage in comprehensive risk adjustment audits and compliance reviews, ensuring accurate data submission to CMS. Collaborate with coding teams and management to uphold regulatory standards and improve...

Champion financial examinations by leading teams to ensure quality, compliance, and timely delivery of regulatory services. Foster client relationships, manage complex projects, and drive growth in a...

Join a team that's dedicated to enhancing healthcare quality through thorough medical claims audits. Leverage your nursing expertise in a dynamic remote environment, collaborating with experienced aud...

Drive impactful change by leading Medicaid initiatives that enhance community health. Collaborate with state agencies, utilize your expertise in Medicaid policies, and advance your career in a support...

Lead complex analytical initiatives by developing data solutions and dashboards that drive business insights. Collaborate with stakeholders to translate requirements into scalable analytical framework...

Transform processes and drive accountability by leading cross-functional projects. Manage initiatives from scoping to completion while maintaining clear communication across teams and ensuring stakeho...

Help us elevate customer satisfaction by providing expert service and support for control systems. You'll troubleshoot, maintain, and enhance systems while collaborating with technical teams to ensure...

Champion risk management strategies by overseeing domestic and international insurance programs, negotiating terms, and ensuring compliance. Collaborate with stakeholders to analyze risks and optimize...

Champion integrated evidence strategies that drive enterprise decision-making. Collaborate cross-functionally to create actionable plans that align with global objectives, ensuring timely delivery of...