Claims Specialist Remote Jobs

Lead the charge in optimizing product specifications and aligning engineering with business goals. Drive the development of life sciences solutions through user stories, backlog management, and seamle...

Transform large-scale Facilities initiatives through strategic coordination, risk management, and resource planning. This role drives efficiency and alignment across projects, supporting enterprise go...

Drive operational excellence by strengthening risk practices and enabling data-driven decisions. Collaborate with business teams and provide strategic oversight while enhancing controls for compliance...

Manage client relationships, optimize clinical programs, and drive healthcare strategy. Utilize expertise in Medicare Part D to ensure seamless service delivery and collaboration across departments, e...

Optimize compliance initiatives and enhance regulatory frameworks to ensure adherence to SOX, PCI-DSS, and privacy standards. Lead cross-departmental collaboration to validate control effectiveness an...

Join a team that's committed to excellence in compliance management, ensuring regulatory adherence through proactive risk assessment, oversight, and reporting to support organizational integrity and s...

Elevate client engagement by expertly managing proposals and RFIs, collaborating with diverse teams, and delivering precise budgets to drive efficiency in the clinical trial process...

Build your expertise in a remote actuarial role where you enhance life insurance models, analyze results, and support strategic initiatives while collaborating across functions to drive innovation and...

Lead the charge in underwriting complex middle market risks while building broker relationships and managing a profitable book of business. Use your expertise in loss sensitive structures to deliver s...

Drive comprehensive care coordination for members with chronic needs, optimizing health outcomes through effective nursing assessments, collaboration, and education while maintaining a strong focus on...

Lead business oversight and project delivery for innovative IT products, integrating evolving technologies to meet business needs. Collaborate with stakeholders to drive product success and optimize s...

Drive awareness and adoption of an AI-powered oncological assay, collaborating with healthcare providers to integrate it into clinical practices. Leverage your oncology expertise to enhance patient ca...

Shape and execute a comprehensive network strategy, leading innovative value-based initiatives across Pharmacy, Retail, and Behavioral Health, while enhancing provider relationships and ensuring compl...

Shape the future of innovative insurance products! Collaborate with a dynamic team to analyze business trends, enhance product offerings, and drive growth in a fast-paced environment. Elevate your car...

Advance client relationships by leading project teams and fostering collaboration. Drive innovative solutions and mentor junior team members to enhance agency performance and deliver exceptional resul...

Take ownership of underwriting excellence while leading a dynamic team in managing contract surety portfolios. Drive operational efficiency and strategy while collaborating with internal and external...

Unlock potential by leading model validation efforts to mitigate risks, enhance processes, and collaborate with partners. Join a dynamic team in actuarial model risk management, driving innovation in...

Launch revenue growth by leading enterprise sales cycles, forming strategic client partnerships, and transforming challenges into actionable outcomes across a portfolio of high-value accounts...

Advance quality improvement initiatives while leading process enhancements and cross-collaboration with various teams to elevate healthcare standards and patient outcomes...

Shape the future of outpatient coding operations by leading a skilled remote team in audit management. Your expertise will drive strategic oversight, enhance performance, and ensure compliance with re...

Join a team that's dedicated to enhancing infrastructure reliability through strategic patching of critical systems. Play a key role in automating processes and ensuring seamless deployments while col...

Empower the defense of clients by managing complex lawsuits and providing strategic legal counsel. Collaborate with teams to ensure compliance with evolving laws, all while thriving in a balanced work...

Optimize data submission processes for risk adjustment, ensuring compliance with CMS guidelines. Collaborate with teams to enhance reporting, mentor peers, and drive strategic improvements in health c...

Lead data-driven strategies to enhance risk adjustment processes and optimize healthcare data submission compliance. Collaborate with partners and mentor juniors to improve quality outcomes and drive...

Shape risk adjustment strategies by optimizing data submissions and ensuring compliance with regulatory standards. Collaborate with cross-functional teams to enhance processes and provide guidance to...