Claims Specialist Jobs in Pleasanton, CA

Unlock value-driven healthcare by guiding payer engagement with scientific evidence, translating complex data into insights, and shaping payer narratives through collaboration across Medical Affairs a...

Drive underwriting excellence by leading our E&S Casualty team, enhancing broker relationships and crafting tailored solutions. Leverage your experience to assess risks, execute marketing strategies...

Lead the charge in engaging key Oncology customers, driving revenue growth for a new Multiple Myeloma product through strategic and compliant account management and collaborative partnerships with hea...

Transform national account operations and drive growth through strategic planning, relationship building, and performance monitoring, while collaborating across teams to enhance our market presence an...

Shape the future of clinical contracting by managing study agreements, budgets, and vendor negotiations. Collaborate with teams to ensure compliance and facilitate effective communication throughout t...

Drive exposure intelligence by leading a high-performing team to transform security signals into actionable insights, prioritizing true business risk over vulnerabilities through innovative, AI-powere...

Shape the future of healthcare contracting by negotiating impactful agreements. Leverage your expertise to communicate, analyze, and maintain provider contracts, influencing strategic decisions that o...

Shape the future of federal financial management by leading critical analysis, budget planning, and interagency collaboration, ensuring effective execution of financial strategies to meet USDA FPAC go...

Optimize strategic initiatives as an Associate Actuary, evaluating quality, affordability, and value-based care. Drive actionable insights through rigorous analysis and innovative methodologies, influ...

Unlock new opportunities by driving profitable business growth through innovative underwriting solutions in Cyber Liability and Technology E&O. Partner with brokers to optimize market share and achiev...

Join a team that assesses and manages telematics data to enhance fleet safety. Collaborate with partners to implement risk strategies and provide top-tier support while ensuring effective communicatio...

Empower a high-performing underwriting team while managing your own book of business. Drive growth, innovate processes, and optimize performance in a fast-paced environment, partnering with leadership...

Transform the future of Inland Marine underwriting by building a profitable portfolio from scratch. Leverage your expertise in Builders Risk and Contractors Equipment while creatively cultivating new...

Join a dynamic team as a key legal advisor in pharmacy benefit management, collaborating closely with executives to navigate complex regulations and drive business strategy while ensuring compliance a...

Lead the charge in compliance management, maintaining documentation, coordinating with teams, and ensuring adherence to government standards to foster a secure and trustworthy platform...

Engage in strategic health benefits consulting by managing projects, analyzing data, and guiding junior analysts. Collaborate with clients on effective strategies for well-being initiatives and plan o...

Drive operational excellence and service delivery improvements in Medicaid operations, collaborating with clients and leading a high-performing team to ensure regulatory compliance and innovate proces...

Transform clinical trial budgeting by coordinating analyses, negotiating with sponsors, and ensuring compliance. Support a collaborative team to refine administrative processes and mentor junior staff...

Accelerate progress at the intersection of science and sales, engaging key Oncology stakeholders to drive the adoption of innovative treatments while ensuring compliance and collaboration across diver...

Contribute to a high-performing clinical review team by supervising utilization management operations, resolving complex care issues, ensuring compliance with standards, and driving quality improvemen...

Manage reimbursement strategies supporting business goals across product areas. Collaborate with teams to guide product development, analyze landscapes, and educate stakeholders on reimbursement impac...

Empower healthcare quality as a remote Inpatient Auditing Specialist, driving compliance and coding excellence. Collaborate closely with coders to educate, audit, and ensure optimal outcomes in patien...

Drive new business development and client acquisition in Property & Casualty sectors by leveraging your sales expertise for successful client engagement and management...

Join a team that shapes the future of litigation by managing complex cases, mentoring junior attorneys, and advocating for clients with minimal oversight, all while working remotely and making impactf...

Champion excellence in litigation by leveraging extensive insurance defense expertise. Manage a diverse caseload independently and collaboratively, ensuring high-quality legal representation for clien...