Claims Specialist Jobs near me

Transform inventory management processes by ensuring record integrity, optimizing space utilization, and leading a team. Drive efficiency through effective order fulfillment and maintain compliance wi...

Drive excellence in risk analytics by leading the team to establish pricing methodologies, engage with executive leadership on portfolio health, and architect our data foundation to enhance decision-m...

Champion impactful partnerships by driving engagement and success with health system/provider networks. Utilize clinical research knowledge to foster collaboration among cross-functional teams and enh...

Drive reimbursement strategies to enhance access for healthcare providers. Collaborate across teams to support product initiatives, build relationships, and navigate payer landscapes, ensuring effecti...

Empower actuaries by crafting innovative data solutions that drive insights from raw data to actionable strategies, leveraging tools like ThoughtSpot and Snowflake to enhance decision-making in pricin...

Join this impactful role that leads benefits and leave administration, ensuring compliance and enhancing employee experiences across U.S. and Canada. Manage inquiries, oversee vendor relations, and dr...

Shape the future of healthcare by providing expert guidance on Medicare Part D pharmacy benefits, ensuring compliance with clinical standards, and delivering a best-in-class service experience for mem...

Accelerate operational excellence within a dynamic team by improving annuity processes, collaborating across functions, and driving growth initiatives in a fast-paced environment...

Unlock potential by managing inventory accuracy and maximizing space utilization. Oversee team performance, implement effective systems, and analyze data to drive improvements while ensuring complianc...

Join our Analytics team as you analyze client data to identify trends, optimize reporting, and enhance dashboards. Collaborate across functions and present findings while developing your skills in a d...

Empower state agency modernization by enhancing data quality and readiness for superior decision-making. Collaborate with technical teams to analyze complex data systems, improve data usability, and r...

Support comprehensive contract administration activities, ensuring data accuracy, effective reporting, and timely execution of contract modifications while maintaining organizational compliance and fo...

Take ownership of client onboarding by guiding users through configuration, data migration, and training while collaborating across teams to ensure seamless implementation and long-term partnership su...

Lead a dynamic team to transform quality assurance through AI-driven innovation, enhancing operational effectiveness while ensuring client satisfaction and governance. Drive process improvement and ef...

Champion the Utilization Management program by leading a team to ensure high-quality service and adherence to clinical guidelines. Collaborate across functions to drive performance, facilitate continu...

Explore new business opportunities in surgical revenue cycle management by developing relationships, managing the sales lifecycle, and driving measurable results. Collaborate with healthcare professio...

Lead and empower a team of Clinical Research Associates to oversee and enhance site management activities for clinical trials, ensuring compliance and quality in project execution while fostering prof...

Lead the charge in executing and commercializing AI-driven legal operations solutions. Partner with leadership to transform strategy into actionable plans while driving adoption, revenue growth, and m...

Lead and optimize the renewal lifecycle of IT service contracts by managing a team. Drive strategic initiatives to enhance customer satisfaction, operational efficiency, and growth while ensuring time...

Engage in shaping the disciplinary process for educators by leading cases of professional misconduct, providing legal guidance, and fostering compliance with statutory laws to ensure justice and accou...

Champion coordinated care by leveraging clinical nursing expertise to facilitate medical service determinations, ensuring optimal post-acute support for members. Collaborate with providers for effecti...

Empower our security compliance efforts by ensuring cloud solutions meet FedRAMP High, NIST 800-53 r5, and HIPAA standards while supporting ongoing ATO processes and advising technical teams on compli...

Oversee financial operations and reporting for a key healthcare initiative, ensuring accuracy in forecasting and budget adherence. Drive strategic insights and lead a team to enhance organizational fi...

Lead the charge in ensuring quality excellence by collaborating across teams to support crucial quality assurance processes for clinical and commercial products, driving optimization of systems and co...

Lead the charge in managing complex claims operations with strategic oversight and operational excellence. Guide a high-performing team to ensure compliance and delivery of superior outcomes in enviro...