Claims Specialist Remote Jobs

Lead the accounting and financial reporting functions within a growing healthcare organization. Drive integrity across multiple entities, ensure compliance, and strategize cash management while suppor...

Reimagine the future of healthcare by providing legal expertise in PBM client contracting. Collaborate with diverse teams to negotiate agreements and navigate regulatory challenges, ensuring complianc...

Empower your career by driving commercial success as you engage healthcare providers, build relationships, and support innovative therapies in a dynamic, remote role focused on impactful patient outco...

Unlock potential by joining a dynamic team of actuaries focused on Fixed Indexed Annuities. Collaborate on product development, forecasting, and financial analysis to drive strategic decisions and enh...

Join us to drive commercial performance by engaging healthcare providers, building relationships, and supporting product launches. Your expertise will enhance patient access to innovative therapies an...

Join a dynamic team to drive profitability and enhance Workers’ Compensation strategies. Utilize your analytical skills to analyze state profitability, recommend rate changes, and support actuarial re...

Shape the future of healthcare revenue management by leading IDR processes, ensuring compliance, and driving data-informed improvements while mentoring a team of analysts to optimize workflows and enh...

Elevate compliance standards by leading oversight initiatives, managing complex projects, and collaborating across teams to ensure regulatory adherence and effective governance in a dynamic environmen...

Unlock potential by leading client service strategies that enhance relationships, drive satisfaction, and foster retention. Collaborate across teams to deliver tailored solutions for complex client ne...

Build a pivotal role in underwriting, enhancing large insurance case strategies while providing expert support to clients and advisors, ensuring quality assessments and maintaining strong relationship...

Transform premium accounting operations by leading teams, ensuring compliance, and driving process improvements through analytics and AI tools. Collaborate cross-functionally to enhance service levels...

Join a team that's redefining global benefits programs! Collaborate to design and implement innovative health, wellness, and retirement solutions across multiple regions, ensuring compliance and enhan...

Transform quality assurance processes by leveraging your expertise in Agile testing. Collaborate with cross-functional teams to deliver high-quality software solutions, ensuring effective testing and...

Lead the charge in developing competitive proposals and client services, enhancing operational excellence across clinical research programs. Collaborate with global teams to ensure high-quality submis...

Advance sales growth by leading a dynamic team, implementing strategic plans, and enhancing client relationships in a fast-paced environment. Drive performance through coaching and collaboration with...

Manage complex HEDIS audit workstreams and ensure compliance with regulations. Provide expert guidance on audit readiness, interpret regulatory requirements, and develop controls to support accurate s...

Champion the management and execution of complex e-discovery projects, collaborating with legal teams to ensure successful outcomes. Oversee multiple projects while mentoring a team, maintaining quali...

Shape the future of pharmacy benefit management by ensuring accurate formulary coding and providing exceptional client support. Collaborate with pharmacists and clients to maintain high service levels...

Analyze claims performance data to drive insights and improve operational efficiency. Collaborate with key partners to present findings and create impactful reporting for informed business decisions a...

Join a team that's driving commercial success by engaging healthcare providers, building relationships, and supporting innovative therapies. Your expertise will be crucial in executing business plans...

Join a team that's shaping innovative product offerings by driving product convergence and development. Collaborate with cross-functional teams to simplify business processes and implement new concept...

Shape the future of healthcare by driving risk adjustment solutions that enhance interoperability, improve documentation accuracy, and ensure compliance across Medicare, Medicaid, and ACA programs thr...

Join us to lead product strategy and development, driving innovation and performance in healthcare solutions. Collaborate cross-functionally to align business needs with customer expectations and ensu...

Join a team that's driving commercial success by engaging healthcare providers, building relationships, and supporting innovative therapies. Your expertise will be pivotal in executing business plans...

Help us shape the future of insurance claims by leading complex investigations, negotiating settlements, and ensuring compliance. Collaborate with clients to deliver exceptional service and drive effe...