Claims Specialist Remote Jobs

Engage with high-risk members to assess needs, develop care plans, and promote preventative health. Collaborate across multidisciplinary teams to ensure seamless transitions and optimal wellness outco...

Reimagine operational excellence by leading the General Liability program, ensuring alignment in client service, analytics, and strategic initiatives to drive high-quality claim outcomes and foster lo...

Lead and empower a team of regulatory compliance experts in supporting a ground-breaking healthcare platform, ensuring regulatory alignment and operational excellence within a complex, evolving enviro...

Analyze complex data and technical issues to deliver actionable insights. Collaborate with cross-functional teams to manage system integrations, enhance client relationships, and drive successful proj...

Shape the future by driving revenue growth and enhancing customer engagement in the healthcare sector. You'll manage strategic accounts, execute business plans, and collaborate across teams to optimiz...

Accelerate progress at a dynamic legal organization, managing complex litigation cases. Utilize your trial experience to deliver optimal outcomes while mentoring junior attorneys and enhancing client...

Manage complex litigation cases with a focus on delivering exceptional service and results. Utilize legal expertise to mentor junior attorneys while developing relationships with clients and stakehold...

Contribute to the development and execution of Payment Integrity programs, ensuring effective client implementations and exceptional onboarding experiences through strategic leadership and cross-funct...

Lead the charge in transforming claims technology for insurers, enhancing operational efficiency and customer experiences. Own product development and collaborate cross-functionally to deliver innovat...

Empower laboratory operations by assessing, configuring, and deploying Laboratory Information Management Systems to enhance efficiency, support users, and standardize processes across multiple locatio...

Join our team to drive the implementation and support of vital laboratory systems. Collaborate with various departments for seamless operations while traveling extensively to multiple lab sites, ensur...

Join a team that's dedicated to optimizing client clinical strategies and programs. This role focuses on delivering expert guidance and fostering strong relationships to enhance healthcare outcomes an...

Empower our team as a Senior Manager, leading risk analysis for privacy and security compliance. Drive operational readiness, support governance initiatives, and foster stakeholder relationships while...

Drive transformative automation in claims operations, enhancing efficiency and member experience. Lead cross-functional teams to design AI-driven workflows, optimize processes, and ensure operational...

Transform information security by architecting robust security solutions, guiding teams on best practices, and staying ahead of threats while ensuring compliance across diverse IT projects and initiat...

Grow your career with a dynamic role in clinical support, training professionals on product use and enhancing operational excellence. Collaborate with cross-functional teams to ensure quality and time...

Lead clinical operations and program management, enhancing quality outcomes and cost efficiency through strategic vendor collaboration and team development in a dynamic healthcare environment...

Shape the future of behavioral health by applying your clinical expertise and critical thinking to assess treatment plans, coordinate care, and improve member outcomes in a collaborative remote enviro...

Transform the future of application development by designing, implementing, and testing software solutions that empower users and optimize efficiency within the organization. Join a dynamic team focus...

Join a dynamic team to drive market success for innovative solutions, guiding strategies in digital transformation and collaborating with account teams to maximize opportunities and enhance customer e...

Shape the future of insurance products by leading development initiatives, ensuring regulatory compliance, and mentoring talent while driving cross-functional collaboration for market competitiveness...

Champion compliance with regulatory requirements while minimizing risk exposure. Collaborate with internal and external stakeholders to enhance Medicaid operations and ensure adherence to state and fe...

Lead the charge in ensuring compliance within Medicaid operations, analyzing regulations, providing expert guidance to teams, and maintaining oversight to mitigate risks across the enterprise. Be a ke...

Help us provide strategic consulting support across business areas, driving initiatives in strategy development, organizational design, and business transformation, while collaborating with cross-func...

Engage stakeholders by leading compliance initiatives and regulatory updates, ensuring successful implementation of standards across products. Drive collaboration among departments to navigate changes...