Claims Specialist Jobs near me

Empower the provider network by coordinating onboarding and ensuring accuracy of provider data. Collaborate across departments to streamline operational workflows and maintain network integrity in sup...

Accelerate progress at the forefront of intellectual property analysis. Lead teams in financial research and reporting, mentor others, and cultivate client relationships while integrating innovative t...

Accelerate progress at a high-growth consumer brand, serving as a strategic legal advisor. Collaborate with leadership to navigate compliance, risk management, and innovation while ensuring the suppor...

Lead the evaluation of complex life insurance risks, drive underwriting strategy, and deliver optimal offers by assessing medical and financial histories while collaborating with cross-functional team...

Deliver exceptional patient support as a telephonic case manager, leveraging your clinical expertise to engage members and coordinate care across multiple states, ensuring compliance and optimizing he...

Join a dynamic team to design and optimize cloud infrastructure and CI/CD solutions, enhancing software delivery. Collaborate across teams to improve application reliability and drive automation in pr...

Champion data-driven compensation strategies to support P&C and NF lines. Collaborate closely with HR and business leaders to design and implement effective pay programs that foster organizational gro...

Advance key Commercial Payor strategies for a novel product launch. Drive national account relationships, shape coverage decisions, and enhance patient access across Commercial, Medicare, and Governme...

Drive strategic product management and governance for advanced eSource platforms, ensuring compliance and enhancing decentralized and hybrid trials. Collaborate cross-functionally to shape product vis...

Drive the analysis and development of data products, enhance client satisfaction, and lead a team to tackle technical challenges while improving processes and adopting emerging technologies to benefit...

Drive growth by cultivating key partnerships and managing outreach, focusing on enrollment strategies and community engagement to maximize Medicare beneficiary participation through targeted initiativ...

Elevate customer experience by leading strategic retention and loyalty initiatives. Drive measurable impact through data-informed insights and foster a high-performing team, dedicated to enhancing sat...

Shape the future of insurance sales by identifying, developing, and managing profitable business sources within a designated marketing region. Build relationships with TPAs and brokers to drive new bu...

Join a pivotal role in regulatory affairs, guiding promotional materials in compliance with FDA and provincial guidelines in a dynamic, remote environment. Lead the Materials Review Committee and shap...

Accelerate progress at a leading BPaaS firm by providing strategic legal counsel, drafting and negotiating complex agreements, and ensuring compliance with regulatory standards in a dynamic, fast-pace...

Unlock your potential as you lead data integration initiatives in healthcare, partnering with cross-functional teams to deliver reliable and efficient solutions that enhance client outcomes and operat...

Champion legal excellence by leading the General Counsel's office. Drive strategic alignment, foster innovation, and manage complex legal frameworks while ensuring compliance and efficient operations...

Explore opportunities to revolutionize the Requester Experience in healthcare data. Collaborate across teams to create scalable solutions, enhance workflows, and develop AI-powered tools that transfor...

Drive quality workflow improvements and oversee testing activities to enhance Payment Integrity operations. Collaborate with cross-functional teams to implement system changes and support end-user ado...

Unlock your potential by managing a team dedicated to optimizing conflicts research and new business intake processes. Lead initiatives to enhance service quality, operational efficiency, and employee...

Champion clinical expertise by reviewing medical records to prevent fraud and ensure compliance in Medicaid payment decisions. Collaborate with external agencies to develop cases, educate providers, a...

Drive impactful medical reviews to ensure compliance and integrity in claim payments. Collaborate with agencies to investigate fraud, utilizing a blend of clinical expertise and analytical skills to p...

Elevate legal strategies by leading commercial contracting initiatives across U.S. and Canada for MedSurg operations. Collaborate with business leaders to navigate complex agreements while ensuring co...

Execute clinical and operational functions to ensure compliant order processing for specialty medications, engaging with patients and providers to resolve prescription issues and ensure optimal therap...

Advance your career by leading the design and strategy of our enterprise data architecture. Collaborate with cross-functional teams to establish scalable data solutions that drive analytics and operat...