Claims Specialist Jobs in Red Bank, NJ

Drive the evolution of AI-enabled products, shaping strategies and overseeing the entire product lifecycle. Collaborate with cross-functional teams to enhance user experiences and ensure innovative so...

Elevate business efficiency by analyzing requirements, collaborating with cross-functional teams, and driving enhancements in order-to-cash (O2C) processes through effective communication and document...

Join a dedicated sales team to drive demand for ZYNLONTA® in hematology. You'll educate healthcare professionals, manage key accounts, and execute strategic plans to achieve sales goals in a patient-f...

Shape the future of engineering by developing and maintaining the Open DEX platform. Collaborate on enterprise integrations, automation, and AI-assisted solutions while establishing coding standards a...

Transform your career by leading innovative actuarial teams in health services, enhancing client solutions with AI and automation while mentoring junior actuaries to redefine industry practices and ac...

Help us innovate as you underwrite professional and pollution liability for diverse clients in the construction sector. Collaborate with internal teams to enhance service delivery and drive business g...

Lead the charge in providing expert captive insurance consulting solutions, working collaboratively with clients across various industries to evaluate risk management strategies and enhance existing c...

Elevate your skills as a QA Test Engineer/Lead, driving quality processes and testing strategies for complex CRM applications to enhance customer experiences in the FinTech sector. Lead testing effort...

Lead the charge in overseeing complex accounting and reporting for alternative investments, managing staff and third-party vendors to ensure accurate financial outcomes and compliance with regulatory...

Transform community outreach and clinical excellence by collaborating with healthcare professionals. Drive awareness and engagement for comprehensive wound care programs, enhancing patient outcomes th...

Join a team that's driving accuracy in sales compensation programs. You’ll administer, validate, and report commission calculations while partnering with Finance, Sales, and HR to enhance processes an...

Optimize cross-functional development by building impactful solutions across frontend, backend, and AI systems. Take ownership from concept to production, collaborating closely with teams to tackle co...

Unlock operational excellence by driving performance initiatives across diverse functions including Claims, Enrollment, and Compliance. Collaborate with cross-functional teams to identify challenges...

Transform the landscape of financial resolutions by leading valuation strategies and risk assessments. Collaborate with diverse teams to enhance policy effectiveness, drive project initiatives, and en...

Advance healthcare risk management by identifying, evaluating, and mitigating loss exposures while enhancing patient safety and compliance through collaboration and education within diverse organizati...

Lead the charge in driving business development within the insurance sector, focusing on strategic partnerships and client engagement to achieve revenue growth and market presence. Foster long-term cl...

Optimize Risk Adjustment initiatives by leading complex data modeling projects, enhancing efficiencies and strategic vendor partnerships while aligning with enterprise goals to drive impactful outcome...

Reimagine corporate legal strategies while supporting diverse commercial agreements. Advise on compliance, governance, and product design, driving efficiencies within a fast-paced fintech environment...

Unlock potential by leading a team dedicated to enhancing client satisfaction in the Pharmacy Benefit Management sector, ensuring strategic execution, relationship-building, and continuous improvement...

Advance data governance excellence by operationalizing policies and standards. Collaborate with cross-functional teams to enhance data quality and compliance, while driving awareness and adoption of b...

Oversee the healthcare compliance program, ensuring adherence to regulations and policies while conducting investigations, training, and audits to mitigate risks and enhance transparency across client...

Join us to drive the successful launch of a groundbreaking cardiac therapy, establishing key relationships in a dynamic territory while leveraging your expertise to meet patient needs effectively and...

Shape the future of healthcare by ensuring accurate medical coding for claims. In this role, you'll review inpatient records to facilitate proper reimbursements and enhance operational efficiency in a...

Optimize client engagement by establishing impactful relationships and driving revenue growth in the U500 market. Leverage expertise in health solutions to meet diverse client needs and facilitate hea...

Advance client relationships and drive growth by strategizing sales solutions across medical, dental, pharmacy, and behavioral health products. Leverage market insights and consultative selling to exc...