Claims Specialist Remote Jobs

Join our team to manage provider networks, ensuring seamless operations and exceptional service. You'll handle credentialing, provider relations, and data analysis, contributing to the integrity of ou...

Join us to drive exceptional customer service and relationship management for advisors and employers, enhancing client retention and business growth through proactive communication and tailored plan s...

Lead the charge in optimizing utilization management operations, enhancing efficiency, and driving performance improvements. Collaborate with clinical and operational teams to ensure timely reviews an...

Engage as a Sanctions Screening SME, driving system design, analysis, and validation. Collaborate with cross-functional teams to enhance screening processes and ensure compliance, while leveraging dee...

Lead the charge in managing comprehensive accounting functions for self-insurance groups, ensuring accurate financial reporting, compliance with regulations, and effective budget management while coll...

Champion innovative case management practices while leading teams and enhancing operational efficiencies. Leverage expert knowledge in healthcare to drive cost control and compliance within a collabor...

Elevate healthcare revenue integrity by leading client engagements focused on optimizing revenue cycles, enhancing compliance, and driving financial performance through strategic recommendations and d...

Transform claims operations as you empower clients by driving adoption of innovative solutions, optimizing processes, and enhancing business outcomes in the First Party Casualty landscape across vario...

Champion the successful delivery of projects and technology initiatives by coordinating cross-functional teams and managing risks, ensuring timely and high-quality outcomes that align with business ob...

Manage and maintain litigation calendars, ensuring compliance with court rules and deadlines. Collaborate with attorneys and staff to provide accurate docketing services while working remotely and sup...

Elevate your career as a Senior Litigation Docketing Specialist, providing expert calendaring services and mentorship within a dynamic legal environment. Collaborate with attorneys to ensure accuracy...

Join a team that's focused on ensuring a compliant contracting experience for public-sector clients. Lead the contract lifecycle, from negotiation to compliance monitoring, while collaborating across...

Unlock your potential as a Field Reimbursement Manager, driving patient access to therapies through collaboration with healthcare providers and stakeholders. Utilize your expertise to resolve reimburs...

Join our team to tackle patient access challenges, collaborating with healthcare providers and stakeholders to enhance medication accessibility through expert reimbursement support and education...

Unlock effective patient access by driving reimbursement initiatives and educational support for healthcare providers. Collaborate across teams to navigate payer complexities and facilitate timely the...

Drive the optimization and governance of clinical supplemental data sources, ensuring compliance with HEDIS and CMS standards. Collaborate across teams to enhance data quality and support strategic in...

Shape compliance strategies by managing risk, ensuring regulatory adherence, and fostering partnerships across business units. Drive effective compliance programs while leading teams to enhance operat...

Transform coding quality and efficiency as a senior expert in radiology coding. Collaborate with cross-functional teams to enhance processes, provide guidance, and drive best practices, ensuring excep...

Lead the charge in driving commercial performance by engaging healthcare providers, building relationships, and executing territory business plans to ensure patient access to innovative therapies and...

Optimize clinical research processes by leading compliance reviews and audits. Collaborate with executive leadership to ensure accurate billing practices and enhance regulatory oversight in clinical t...

Lead our actuarial team to innovate and enhance pricing strategies, integrating advanced data solutions. Collaborate with key partners to drive impactful business results and develop robust actuarial...

Join us to drive impactful data analysis that enhances product performance and operational effectiveness. Collaborate with cross-functional teams to uncover insights, develop KPIs, and translate compl...

Lead the development of a risk-based compliance framework for U.S. pharmaceutical commercialization, advising senior leaders and ensuring adherence to compliance standards while fostering ethical deci...

Drive the development of innovative reinsurance strategies and statutory capital optimization. Lead cross-functional teams to enhance corporate solvency and risk-adjusted returns while managing regula...

Join a team that's dedicated to enhancing AI governance and risk management. You'll implement frameworks, monitor compliance, and engage with key stakeholders to ensure effective policy adoption and m...