Claims Specialist Jobs in Philadelphia, PA

Advance your career by contributing to innovative legal calendaring solutions. Engage with legal professionals while maintaining and evolving rule sets that help ensure compliance and accuracy in crit...

Drive compliance initiatives as a HIPAA Privacy Analyst, conducting thorough investigations on privacy breaches and ensuring adherence to stringent healthcare regulations. Collaborate across departmen...

Optimize BI strategy and reporting by leading the development of dashboards, analytics, and secure reporting processes. Collaborate with stakeholders to enhance operational insights and decision-makin...

Partner with us to lead clinical excellence and quality outcomes in healthcare. Drive utilization management strategies, enhance provider engagement, and support population health initiatives as a tru...

Lead the charge in driving strategic growth and retention across complex healthcare clients, fostering executive partnerships, and delivering integrated solutions while guiding cross-functional teams...

Lead strategic territory management and client relationship development to achieve sales targets. Collaborate with stakeholders to identify growth opportunities and implement effective sales strategie...

Lead the charge in overseeing the Intake Coordination team, optimizing daily operations while fostering collaboration with business development and referral sources to enhance patient care and team ef...

Empower regulatory compliance within the 340B Program by interpreting complex regulations, advising internal teams, and ensuring operational readiness. Drive impactful educational initiatives and coll...

Champion innovation in cloud databases by leading the development of self-service tools. This senior role drives collaboration between platform engineering and database teams, ensuring reliability and...

Oversee the end-to-end Medicare Advantage product experience, driving member engagement and care delivery. Collaborate with cross-functional teams to create scalable solutions that meet unique Medicar...

Champion the PJM Capacity Market operations, managing $12B/year processes, executing auction clearance, financial analyses, and ensuring software solutions match evolving market rules in a dynamic ind...

Join a team that's delivering expert underwriting for the largest construction risks, collaborating with stakeholders to enhance portfolio strategies and ensuring consistent primary casualty coverage...

Provide expert technical underwriting in Large Construction, collaborating with leadership and frontline teams to guide decisions, evaluate portfolio performance, and drive underwriting excellence whi...

Build and lead US Payer Analytics to transform data into strategic insights, optimizing patient access. Collaborate with cross-functional partners to influence strategy and enhance commercial performa...

Join a team that's reshaping litigation support operations with strategic insights, ownership of key projects, and the ability to translate complex challenges into actionable solutions, driving growth...

Transform employee relations by guiding leaders and staff in navigating workplace issues, compliance, and investigations while promoting a positive culture aligned with business goals...

Join us to lead the revenue strategy engine, driving payor negotiations and optimizing cash flow. Manage multi-team operations while improving revenue cycle performance and analytics for strategic gro...

Drive quality assurance success by managing document control processes and ensuring compliance with regulatory standards. Collaborate across teams to maintain accuracy in quality systems while support...

Transform project management efficacy while collaborating with state and local governments. Leverage your accounting and auditing expertise to enhance operational performance through detailed analysis...

Lead reimbursement strategy and execution, focusing on public and private payers. Collaborate cross-functionally to enhance coverage outcomes and develop advocacy partnerships, all while aligning with...

Lead the charge in shaping labor relations strategy, guiding management, and ensuring effective administration of Collective Bargaining Agreements while fostering partnerships for a positive work envi...

Lead strategic initiatives in developing and executing companion diagnostic assays, ensuring integration into oncology programs while maintaining compliance and quality standards. Collaborate cross-fu...

Drive business growth by managing the entire sales cycle with government accounts. Build relationships, exceed sales goals, and treat your territory as your own business to achieve success and revenue...

Drive client satisfaction and revenue growth by managing relationships and sales for a diverse client base, ensuring effective communication and resource navigation for optimal service delivery and re...

Lead pharmacy strategy for a Medicare Advantage plan, driving PBM partnerships and ensuring financial performance. Shape enterprise strategy through collaboration with executives, optimizing formulary...