Claims Specialist Remote Jobs

Join a collaborative team responsible for managing ALM frameworks and capital strategy. Engage with senior actuaries and cross-functional leaders to drive analytics improvements, risk management, and...

Build strong client relationships by becoming a strategic partner in managing retirement solutions. Collaborate with advisors and sponsors to enhance engagement, drive growth, and ensure optimal plan...

Support the development and enhancement of analytic forecasting models while collaborating with business partners to deliver key insights for negotiations. Automate processes to improve efficiency and...

Elevate cyber security through proactive measures, incident response, and risk management strategies to safeguard systems and networks against evolving threats while collaborating with cross-functiona...

Shape the future of healthcare compliance by auditing claims and documentation. Collaborate with teams, develop methodologies, and deliver expert analyses to enhance compliance for providers and gover...

Deliver comprehensive case management support, assess member needs, and coordinate care to enhance overall wellness through clinical expertise and integrated planning within a fully remote environment...

Champion a dynamic customer service team by leading and mentoring Licensed Service Agents, driving performance improvements, and enhancing the customer experience through collaboration and innovative...

Drive impactful business analysis to enhance organizational efficiency, improving IT-business integration. Collaborate with stakeholders and leverage Agile principles to support project delivery and o...

Transform the future of oncology research by leading clinical development programs and collaborating with cross-functional teams to enhance study protocols and ensure regulatory compliance, driving ad...

Optimize procurement processes and lead supply chain initiatives, ensuring compliance with regulations while fostering supplier relationships. Manage contract lifecycle from development to execution...

Transform patient care by driving awareness and utilization of an AI-powered prognostic assay in oncology. Collaborate with healthcare professionals to enhance clinical workflows and ensure optimal tr...

Shape the future of healthcare by leading national account strategies and driving pivotal partnerships for product launch success, ensuring enhanced patient access and commercial viability in a dynami...

Unlock potential by providing critical analytical and operational support within the Medically Integrated Dispensing organization, enhancing account management effectiveness and facilitating collabora...

Empower our team by conducting quality control reviews of CTRs and alerts, ensuring compliance with BSA procedures while identifying trends to enhance processes and training in the ever-evolving field...

Transform healthcare solutions by leading product lifecycle initiatives, collaborating across teams, and driving market-driven product innovation to enhance service offerings for our clients and commu...

Join a dynamic team to enhance Revenue Cycle operations, leveraging your expertise in patient access and Epic systems. Lead transformations that improve financial performance and operational efficienc...

Unlock potential by guiding engineering teams to embed security from the ground up. Leverage your expertise in secure architecture and platform development to define best practices, foster collaborati...

Accelerate revenue growth by managing key accounts, executing strategies, and enhancing BD’s Specimen Management footprint in alternate site healthcare settings while thriving in a dynamic, high-impac...

Engage in complex inpatient medical coding audits to ensure accuracy in claims reimbursement. Utilize coding knowledge to analyze clinical data and provide support in a metrics-driven environment, imp...

Champion exceptional underwriting practices by leading a regional team, developing strategies, and ensuring compliance while fostering agency relationships to enhance profitability and growth in your...

Help us ensure compliance and ethical integrity by managing Corporate Compliance strategies, promoting ethical culture, overseeing investigations, and developing training programs to enhance complianc...

Join a dynamic team to enhance a top-tier compliance program, partner with cross-functional leaders, and cultivate a culture of integrity and accountability in the pharmaceutical industry. Drive compl...

Optimize procurement processes to enhance vendor relationships, conduct complex cost analyses, and support strategic negotiations, ensuring compliance with federal regulations and organizational polic...

Lead the charge in defining and evolving our payer strategy, translating complex narratives into cohesive messages that resonate with payers, stakeholders, and market leaders. Collaborate cross-functi...

Reimagine your career by leading strategic pricing initiatives within a dynamic team. Collaborate across departments to enhance models for Businessowners Policy and Commercial Package Policy, driving...