Claims Specialist Remote Jobs

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...

Drive advanced digital forensics and incident response initiatives while mentoring a skilled engineering team. Leverage deep technical knowledge to enhance operational capabilities and ensure exceptio...

Drive strategic initiatives in Medicare Advantage provider networks, analyzing data and collaborating with leadership to enhance performance and achieve goals. Lead complex projects from inception to...

Drive revenue growth by supporting cardiovascular product adoption through clinical education and procedural coverage. Collaborate with sales teams to enhance customer engagement and improve patient o...

Unlock your potential by leading branch operations, driving strategic initiatives, and enhancing team performance. Collaborate with stakeholders to achieve financial goals while fostering a culture of...

Lead the design and oversight of complex actuarial models to enhance pricing and risk strategies in health care. Collaborate on bid submissions and mentor junior staff while analyzing trends to drive...

Join a dynamic team as you lead the design and development of complex software systems. Drive technical direction, mentor peers, and ensure high-quality, scalable solutions that align with business go...

Engage with agents to foster relationships, drive profitable growth, and ensure compliance with company initiatives. Utilize strong communication and organizational skills to support agents in achievi...

Drive sales performance by launching a novel cardiac myosin inhibitor, building strategic relationships with healthcare providers, and delivering impactful solutions to meet patient needs in your terr...

Unlock potential by leading underwriting efforts, analyzing risks, and building strong relationships with agents and reinsurers. Drive marketing strategies and ensure profitable risk selection while m...

Drive the success of inpatient Payment Integrity programs by overseeing audits, ensuring compliance, and enhancing quality across teams and vendors. Collaborate with stakeholders to optimize processes...

Unlock potential by leading proposal efforts for strategic pursuits, collaborating with teams to develop winning strategies, and managing proposal deliverables. Drive quality and compliance while coac...

Empower your career by leading proposal efforts and collaborating with teams to secure new business. Drive strategy, manage projects, and enhance proposal quality while coaching junior members in a dy...

Unlock potential by conducting in-depth legal research and analysis to inform business decisions. Collaborate with cross-functional teams to enhance compliance and streamline legal operations, driving...

Drive sales and distribution of AEDs and related systems in the Education and Utility sectors. This high-impact role focuses on creating demand, building a pipeline, and closing complex opportunities...

Help us architect a robust regulatory framework that empowers GPs to thrive in complex financial markets. You will lead compliance initiatives, ensuring operational integrity and strategic alignment w...

Champion the defense of lawsuits for insureds, managing a team of attorneys while ensuring compliance with legal standards and enhancing office performance through strategic oversight and training...

Lead collections strategy for complex U.S. Enterprise accounts, ensuring timely payments while maintaining strong customer relationships. Collaborate with cross-functional teams to resolve issues and...

Drive impactful pharmacy coverage reviews, collaborating with healthcare providers to ensure timely access to benefits. Balance independent tasks with teamwork, enhancing member care through effective...