Claims Specialist Jobs in Plano, TX

Advance our process efficiencies by documenting and enhancing Finance, Accounting, and Operations workflows. Collaborate with stakeholders to align procedures with compliance requirements and leverage...

Unlock potential by advising clients on innovative reimbursement strategies and financial sustainability within Medicaid and rural health markets, while leading teams to deliver impactful consulting e...

Transform healthcare reimbursement strategies by leveraging deep expertise, managing teams, and consulting with senior clients. Design sustainable financial solutions for Medicaid and rural health sec...

Empower clients by advising on reimbursement strategies and payment reforms across diverse healthcare markets. Drive engagements, build team capabilities, and deliver actionable insights to enhance fi...

Unlock potential by managing the execution of actuarial models and systems, delivering impactful presentations, and overseeing projects across various departments, leveraging your expertise in pricing...

Drive operational excellence by enhancing execution velocity of the Talent Solutions team. Oversee daily operations, resource planning, and process improvements. Collaborate with leadership to enable...

Drive operational excellence in Contract Administration for the Pharma sector, overseeing $82B in sales. Lead teams, ensure pricing accuracy, and implement process improvements while fostering relatio...

Inspire excellence by managing operational activities to uphold top-tier service. Take charge of client relations and strategic initiatives to enhance growth, while leading a team to ensure compliance...

Shape the future of underwriting by leading complex evaluations and fostering relationships to ensure profitable business within the National Accounts ancillary market for large group clients...

Lead and develop a recruitment team focused on community outreach, ensuring participant alignment with project needs through strategic pipeline management and performance enhancement...

Pioneer clinical excellence by supporting multiple studies, ensuring compliance with regulations, timelines, and SOPs. Collaborate cross-functionally to generate high-quality clinical evidence while m...

Elevate your career by managing and resolving complex liability claims, collaborating with stakeholders, and overseeing legal strategies to ensure effective risk management and compliance while handli...

Shape your career by supporting regulatory compliance for clinical investigations and product distribution worldwide. Contribute to approvals and quality standards in a collaborative environment while...

Engage with executive leadership to drive enterprise risk management, compliance, and strategic guidance. Oversee contract risk, insurance, and cross-functional initiatives, fostering a proactive cult...

Take ownership of the paralegal function, managing litigation matters from independent claims to oversight of outside counsel, while serving as a key liaison with internal teams and external partners...

Lead the renewals lifecycle in support of customer retention. Collaborate cross-functionally to achieve high retention rates, ensure accuracy in contracts, and mentor junior staff while driving strate...

Drive efficiency in project billing and workflow management by overseeing setup, ensuring data integrity, and facilitating vendor invoice processing in Certinia. Collaborate with finance and project t...

Join a team that's dedicated to optimizing healthcare for members with complex conditions. As a Telephonic Nurse Case Manager, you'll assess, implement, and evaluate care plans, ensuring seamless acce...

Support and coordinate patient care for individuals with complex health needs by developing tailored care plans. Monitor progress, collaborate with healthcare providers, and facilitate access to servi...

Drive efficiency and excellence in billing operations, leading a dynamic team to enhance accuracy, accelerate cash flow, and ensure compliance. Collaborate with cross-functional teams to implement str...

Unlock operational excellence by driving data integrity and billing accuracy within legal practices. Collaborate with cross-functional teams to enhance efficiency and ensure compliance in managing leg...

Pioneer innovative commercial legal solutions by structuring and negotiating agreements. Collaborate deeply with stakeholders to provide strategic counsel on diverse technology and procurement transac...

Transform the landscape of contract administration by leading operational activities that enhance efficiencies and accuracy for a key Pharma business unit. Engage across teams to drive process improve...

Join our Reinsurance team and shape complex treaty accounts, ensure timely recoverables, and enhance financial processes in a remote role supporting growth and accuracy...

Unlock potential by delivering advanced risk control services, conducting evaluations, and developing value-added recommendations to enhance safety and risk management strategies for specialized comme...