Claims Specialist Remote Jobs

Accelerate progress at our organization by leading a high-performing team of Field Reimbursement Managers. Drive strategic partnerships, operational excellence, and reimbursement expertise to enhance...

Elevate member engagement by providing expert education and support in commercial insurance, facilitating risk management solutions, and fostering strong relationships with brokers and clients across...

Transform compliance oversight in the DME order-to-payment lifecycle. Lead audits, analyze data, and coordinate payer audits while developing practical controls and reporting to enhance revenue integr...

Optimize federal agency programs by leading strategic initiatives that enhance relationships with stakeholders, ensuring alignment with organizational priorities and driving advocacy efforts across mu...

Lead the charge in enhancing long-term care management strategies, ensuring high-quality, cost-effective healthcare outcomes while guiding a dedicated team to improve member and provider experiences a...

Unlock your potential by leading business and functional requirements for Medicaid financial management. Collaborate with diverse teams to enhance payment operations and ensure compliance while drivin...

Lead complex analyses and strategic initiatives to optimize revenue operations. Transform ambiguous challenges into actionable insights, mentor analysts, and drive high-quality execution from discover...

Drive team performance and enhance customer experience by overseeing policy administration and contact center operations. Collaborate on goals, manage staffing, and ensure compliance with regulations...

Lead the charge in operational excellence by overseeing performance across client accounts, ensuring effective communication and high-quality execution in revenue cycle management, while mentoring tea...

Lead the charge in building and scaling AI Data Operations, transforming emerging opportunities into commercially viable solutions. Drive strategy, partnerships, and operational excellence to support...

Lead the charge in developing and maintaining insurance policy forms and endorsements. Ensure compliance and quality assurance across multiple states while collaborating with cross-functional teams to...

Drive patient access by leveraging your expertise in reimbursement and market access. Collaborate with healthcare providers to navigate complex payer landscapes, ensuring timely access to therapies wh...

Empower compliance excellence by leveraging your expertise in GxP systems across Pharmacovigilance, Clinical, and Regulatory Affairs. Collaborate with cross-functional teams to ensure systems meet reg...

Take ownership of regulatory support for pharmaceutical programs, managing IND and NDA submissions, health authority interactions, and lifecycle maintenance. Collaborate with cross-functional teams to...

Join us to lead the sourcing and management of insurance and reinsurance capacity across our MGA programs. This senior role requires strong relationship management and negotiation skills to ensure sta...

Join a team that's dedicated to enhancing regional transit programs through analytical and program coordination skills. Collaborate with diverse stakeholders to support effective transit planning and...

Pioneer consumer protection initiatives by leading regulatory operations and policy functions. Collaborate with internal and external stakeholders to enhance market conduct practices and ensure compli...

Champion compliance excellence by leading innovative technology integration and regulatory strategies across Medicare Advantage and Part D channels, ensuring seamless operations and enhanced agent eff...

Shape innovative pricing strategies for P&C insurance products. Lead a dynamic team, ensuring compliance and driving profitability while collaborating with senior leadership to meet financial goals an...

Advance your career by leading clinical documentation improvement initiatives, overseeing staff training, and collaborating with healthcare teams to enhance documentation accuracy and compliance in in...

Take ownership of member assessments and care plans, ensuring quality and efficiency in service delivery while collaborating with multidisciplinary teams to enhance patient outcomes and resource utili...

Join a team that inspires growth and excellence in Life Underwriting, leading a high-performing group to deliver exceptional service, elegant risk assessment, and superior client experiences while nav...

Accelerate progress at the forefront of healthcare by driving commercial performance, building relationships with providers, and ensuring patient access to innovative therapies across a defined territ...

Lead the charge in ensuring compliance and integrity within federal healthcare programs through rigorous investigations, data analysis, and collaboration with key stakeholders to produce actionable fi...

Join our team to identify, assess, and report on enterprise risks while supporting sustainability initiatives. Collaborate across business units to enhance corporate ESG strategies and improve risk ma...