Claims Specialist Jobs in Philadelphia, PA

Engage customers as a reimbursement expert, delivering education and support while resolving patient access challenges. Collaborate with cross-functional teams to enhance procedural efficiency and ens...

Reimagine pricing strategies for Medicare Advantage products while tackling complex actuarial challenges. Collaborate cross-functionally to establish metrics, analyze results, and advise on market tre...

Elevate your career by managing global recall strategies and field actions, collaborating with cross-functional teams to ensure compliance and effective communication in a highly regulated environment...

Advance your career by leading a dynamic proposal management team, orchestrating RFP projects to drive business growth and operational excellence. Collaborate with experts, enhance proposal quality, a...

Transform your career by underwriting complex mobility risks while leveraging creative insights and strong analytical skills to cultivate a profitable, diversified book of business in a dynamic, colla...

Lead actuarial teams in developing models and driving innovative solutions for Medicare Advantage programs. Play a pivotal role in data quality and financial forecasting, contributing to strategy and...

Drive adoption of an AI-powered breast cancer assay by partnering with oncologists, surgeons, and healthcare systems to enhance patient treatment strategies and optimize clinical workflows. Measure su...

Help us unlock potential by providing compliance guidance on U.S. regulations, collaborating with business teams, and ensuring regulatory readiness while managing compliance risks in a dynamic and sup...

Lead proposal development and support teams to deliver high-quality bid submissions. Collaborate with multidisciplinary teams while managing multiple deadlines and priorities for various response type...

Engage with clinical investigators to drive trial success through strategic partnerships. You will leverage your expertise to enhance patient enrollment and optimize study execution across diverse the...

Champion the development of innovative compensation strategies that attract, retain, and motivate talent. Engage with senior management and HR leaders, guiding project teams while delivering insights...

Lead billing operations for multiple retail partners; ensure accuracy, compliance, and efficiency in invoicing and month-end processes while collaborating with cross-functional teams to drive improvem...

Develop impactful clinical research monitoring strategies for participants, ensuring adherence to protocols and regulatory compliance. Collaborate with teams to maintain quality data integrity in a fa...

Join a team that's dedicated to enhancing client satisfaction through proactive relationship management, ensuring successful service experiences for financial advisors and plan clients while promoting...

Engage with key clients and financial advisors to ensure exceptional service, foster relationships, and drive retention while coordinating strategies that enhance client satisfaction and support busin...

Elevate quality assurance in a dynamic environment by leading automation testing efforts. Collaborate with cross-functional teams to develop and implement robust test strategies while mentoring junior...

Lead complex healthcare project initiatives, ensuring successful implementation and operational readiness while maintaining high standards of governance. Foster strong partnerships with clients, manag...

Join a team that analyzes public health data, develops recommendations, and presents findings to enhance infection surveillance and prevention practices, while collaborating with key stakeholders in a...

Lead enterprise architecture initiatives by defining technology visions, analyzing trends, and delivering scalable solutions that align with business strategies across various domains, fostering colla...

Drive the strategic pricing initiatives in a fast-paced environment. Leverage actuarial expertise to craft innovative pricing solutions, optimize business metrics, and ensure effective risk governance...

Engage with clinical sites by enhancing patient recruitment and retention strategies. Coordinate tailored approaches and support project teams to ensure successful enrollment and documentation of onco...

Lead the charge in crafting reliable backend systems using Python, Go, and Java to enhance the digital enrollment experience, while mentoring engineers and collaborating across teams to scale services...

Empower clients by delivering exceptional first-tier support for application users. Troubleshoot operational workflows, participate in testing, and act as a liaison to enhance user experience and ensu...

Take ownership of multistate regulatory filings for AI-driven models, ensuring compliance and approvals. Collaborate with clients and internal teams to navigate complex regulatory landscapes and scale...

Transform regulatory data governance by leading a global team to ensure trusted, high-quality data supports informed decision-making and strategic transformation efforts across regulatory affairs and...