Claims Specialist Jobs in Philadelphia, PA

Join our team as a detail-oriented Accounts Payable Specialist to process vendor invoices, manage expenses, and ensure financial accuracy. Collaborate with internal teams and vendors while maintaining...

Join a team that's dedicated to ensuring client success through strategic partnership and proactive solution adoption. Collaborate cross-functionally and guide clients to achieve measurable business o...

Take ownership of SAP-based Finance Transformation projects that drive impactful business solutions for clients, collaborating closely with executives and leveraging innovative technologies to achieve...

Lead the charge in actuarial data validation and control processes, ensuring accuracy in key financial metrics. Mentor junior associates while developing automated solutions and enhancing reporting ef...

Join a team that's dedicated to analyzing medical claims to detect and prevent fraud, waste, and abuse. Utilize clinical judgment and strong investigative skills to support medical reviews and collabo...

Lead the charge in optimizing healthcare AR operations through strategic supervision of nearshore representatives, driving team performance and client outcomes while enabling workforce development and...

Optimize revenue cycle operations by facilitating collaboration between leaders and vendors, driving performance metrics, and ensuring operational readiness for continued success during transitions an...

Optimize provider enrollment operations by providing strategic leadership and oversight, ensuring efficient service delivery, team performance, and operational excellence in alignment with organizatio...

Transform U.S. oncology market engagement as you lead the launch strategy for a groundbreaking lung cancer therapy, collaborating closely with cross-functional teams to maximize brand value and ensure...

Drive your career with this senior role overseeing operational audits, managing quality, and mentoring staff while ensuring compliance with audit standards and leading issue resolution in a collaborat...

Shape the future of data science by developing and deploying advanced machine learning models that drive optimization and support enterprise-level data products. Collaborate with cross-functional team...

Elevate application development by leading a high-performing team, managing project delivery and fostering collaboration while ensuring compliance with IT standards and delivering top-notch software s...

Advance your career by managing complex credit risk for diverse dealership portfolios. You'll analyze financials to ensure sound loan underwriting while collaborating with stakeholders to meet busines...

Transform claims resolution by leading strategic initiatives that enhance accuracy, compliance, and efficiency. Collaborate with cross-functional teams to identify systemic issues and implement sustai...

Transform the actuarial function by leading AI-enabled workflows and modern analytics, improving decision-making and fostering collaboration across Finance, Clinical, and Growth teams while ensuring c...

Join our Risk Solutions team to lead service management, providing consultative support and fostering client relationships across multiple locations while driving loss reduction and retention strategi...

Join a team that's driving innovation in enterprise architecture. Contribute to strategic initiatives by designing effective data solutions that align with business objectives, enhancing capabilities...

Unlock potential by leading clinical reimbursement strategies across skilled nursing facilities, ensuring compliance and optimal performance through collaboration with multidisciplinary teams to enhan...

Analyze regulatory processes across the organization, ensuring compliance with health standards and facilitating continuous readiness for certifications. Collaborate with teams to improve clinical out...

Innovate with us to enhance our Internal Audit Program, managing vital audits, assessments, and stakeholder communications while driving efficiency and risk management across our healthcare organizati...

Join a team that's driving insurance innovation by supporting pricing and portfolio strategies. Leverage analytical skills to advance business decisions, collaborate with cross-functional teams, and c...

Develop strategic account plans to acquire and grow revenue in the Commercial Property & Casualty insurance sector while fostering key relationships and understanding customer operational challenges f...

Help us provide excellent correction services by consulting on IRS/DOL issues, conducting trainings, and enhancing processes through tech solutions. Collaborate with clients and teams to meet complian...

Unlock potential by enhancing clinical documentation through expert reviews, education, and collaboration. Ensure accuracy and compliance within inpatient records while driving improvements in quality...

Champion product sales by driving RMIS solutions revenue, engaging customers through compelling demos and strategic collaboration with sales teams to enhance client outcomes and ensure success in comp...