Claims Specialist Jobs in Plano, TX

Empower the healthcare system as an Epic Application Analyst, implementing and enhancing applications to improve patient care. This role bridges technical proficiency with clinical knowledge for seaml...

Lead the charge in implementing complex benefit solutions for large clients, ensuring smooth onboarding and ongoing satisfaction through effective communication and project management. Collaborate wit...

Unlock potential by leading the management of captive insurance portfolios through strategic oversight and compliance, driving growth and fostering client relationships in a dynamic, team-oriented env...

Drive the evolution of intelligent workflow solutions in an AI-native environment, combining architectural expertise with innovative tools to enhance payment workflows, minimize technical debt, and fo...

Develop engaging technical content to empower customers and internal stakeholders. Collaborate with teams to create guidance on products while embracing new technologies and challenges in a dynamic en...

Reimagine managed care analysis by optimizing contracts within Epic's systems. Collaborate across teams to ensure accurate reimbursement and deliver data-driven insights that support organizational go...

Serve as a pivotal resource for regulatory legal guidance, ensuring compliance and strategic insight for health plan operations across diverse state environments, while addressing legal risks and faci...

Analyze regulatory changes and ensure compliance across HCSC’s national operations. Collaborate with legal and business teams to identify risks and build adaptive strategies that support growth and en...

Drive strategic client relationships in a fast-paced environment by delivering tailored insurance solutions, evaluating client needs, and managing key accounts to enhance business development and serv...

Seeking a skilled Clinical Quality Consultant NP to enhance documentation, coding, and risk adjustment processes. Collaborate with teams to refine care initiatives, ensuring accurate assessment and su...

Empower patient access by leading operations and compliance programs, ensuring effective onboarding and continuous improvement while driving team performance and collaboration across departments...

Engage key Oncology customers and drive product growth by delivering clinically focused selling messages. Foster partnerships within accounts while navigating complex market dynamics to achieve revenu...

Partner with us to enhance credit risk management by evaluating complex lending practices and guiding strategic improvements within the Risk Asset Review framework. Contribute to high-stakes assessmen...

Unlock growth in Rare Neurology by engaging key stakeholders, executing strategies, and delivering clinically focused messaging to enhance brand share and revenue while collaborating with cross-functi...

Transform operational processes and enhance service delivery as you lead a team of dental standards analysts. Drive strategy and collaboration across functions to optimize workflows and deliver best-i...

Elevate our dental standards through innovative process design, leading cross-functional initiatives that optimize workflows and enhance service delivery for stakeholders and clients, while ensuring c...

Join a mission-driven team to champion reimbursement solutions, educate healthcare providers, and ensure optimal patient access to specialty care while navigating complex insurance landscapes and deli...

Explore advanced insider threat investigations in cloud and AI technologies, leveraging analytics to mitigate risks. Collaborate with legal and cybersecurity teams to enhance operational security and...

Transform your career with a pivotal role leading client health benefit strategies, managing analyses, and guiding teams while leveraging innovative technology in a hybrid work environment to enhance...

Join a team that enhances procurement efficiency by administering the Coupa platform. Support user needs, execute system updates, and collaborate across teams to ensure effective operations within the...

Champion the integration of EHR systems in healthcare practices, optimizing workflows and training staff to enhance patient outcomes while leading multiple projects from initiation to successful imple...

Lead the North America Accounts Receivable function, optimizing the O2C process, enhancing collections performance, and mentoring a team to drive strategic growth and efficiency across the organizatio...

Elevate client relationships and drive retention by managing accounts, processing policies, and advising on coverage. Utilize your expertise in insurance to enhance service quality and support clients...

Join a team that's shaping the future of healthcare agreements by managing and negotiating complex contracts nationwide. Collaborate with attorneys and support business objectives through efficient le...

Lead the charge in enhancing pharmacy benefit strategies for health plans, delivering innovative solutions through client engagement, strategic project ownership, and collaboration with experts to nav...