Claims Specialist Jobs in New York, NY

Empower your career as a Solutions Architect, designing end-to-end technology solutions that drive business alignment and operational excellence. Collaborate across teams to create scalable, secure ar...

Transform technology solutions by designing scalable, secure architectures that align with business goals. Collaborate across teams to ensure effective delivery and governance, driving innovation and...

Join us to design and govern cutting-edge technology solutions that meet business goals, enhance security, and ensure operational excellence across diverse domains while collaborating with cross-funct...

Champion clinical excellence by leading a dedicated team in overseeing AIMS review activities, ensuring compliance and quality in HIV-SNP programs while driving innovative solutions and staff developm...

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...

Join a team that's committed to environmental solutions while managing customer relationships and driving sales growth. Your expertise will be essential in delivering tailored services to clients and...

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...

Join a team that fosters financial leadership and strategic excellence by providing key support to market leaders, ensuring transparent reporting, and driving business success through collaboration an...

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...

Join our Clinical Communications team to develop high-quality oncology content. Collaborate with writers and project managers to create peer-reviewed manuscripts, digital materials, and educational re...

Join our team to drive compliance excellence across our New York Branch and SEB Securities, Inc. You'll execute monitoring, conduct reviews, and support regulatory activities, ensuring adherence to es...

Unlock your potential as you lead commercial legal functions, negotiate key agreements, and drive international expansion. Collaborate with business leaders to shape strategic partnerships and enhance...

Transform the commercial legal landscape by leading negotiations and agreements for enterprise partnerships, driving growth through strategic legal insights and efficient contracting processes in a dy...

Lead the charge in enhancing risk management practices by partnering with business units to identify, assess, and mitigate risks. Drive strategic assessments and governance, ensuring compliance and ef...

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

Lead the charge in safeguarding enterprise Unix/Linux systems through expert privileged access management, security audits, and automation. Collaborate with teams to design IAM solutions and mentor ot...

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...

Partner with us to enhance vendor governance and drive strategic oversight across multiple stakeholders. Focus on optimizing vendor performance, managing contracts, and supporting compliance for effec...

Transform patient care by coordinating services and facilitating transitions across the continuum. Collaborate with healthcare teams to assess needs, manage risks, and enhance quality, ensuring optima...

The Prof Coding Specialist I is responsible for professional outpatient coding services, requiring interaction with physician office staff and billing personnel. Candidates should have knowledge of me...

Transform patient care by leading a dedicated team of nurses in home settings. Oversee assessments, support caregivers, and ensure quality care while collaborating on individualized care plans across...

Engage in managing global insurance programs, overseeing operations, and collaborating with stakeholders. Utilize strong analytical skills and insurance expertise to drive effective risk management an...

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...