Claims Specialist Remote Jobs

Lead the charge in optimizing revenue realization through effective backlog management, ensuring accurate forecasting and timely conversion while collaborating cross-functionally to enhance operationa...

Champion transformative backlog and revenue processes, ensuring seamless governance and optimized conversion through collaboration across multiple functions, delivering predictive insights that enhanc...

Contribute to enhancing member care by assessing services for medical necessity, compliance, and cost-effectiveness. Collaborate with multidisciplinary teams to optimize outcomes and adhere to clinica...

Drive adoption of an AI-powered breast cancer assay by partnering with oncologists, surgeons, and healthcare systems to enhance patient treatment strategies and optimize clinical workflows. Measure su...

Drive clinical excellence by fostering strong client relationships and delivering proactive pharmaceutical insights, collaborating effectively across teams to enhance service delivery and improve clin...

Partner with us to enhance methodologies in outpatient healthcare analytics. You will analyze healthcare data, collaborate with cross-functional teams, and contribute to payment and quality outcome sy...

Lead complex, multi-faceted projects, overseeing teams to achieve strategic goals. Utilize strong communication and organization skills to navigate challenges, deliver results, and mentor others withi...

Grow your career with a pivotal role overseeing remote clinical operations, coaching your team to excellence while collaborating with care providers. Manage performance and ensure quality client care...

Unlock effective care management as you lead interdisciplinary teams to engage high-risk populations, coordinate resources, and ensure holistic health solutions for individuals and families with compl...

Drive impactful decision-making by developing robust analytical tools and frameworks. Collaborate with senior leaders to address business needs through innovative solutions, while enhancing your exper...

Lead and manage complex commercial insurance programs, ensuring profitability and strategic alignment. Oversee underwriting, client relationships, and operational performance while driving growth and...

Lead the management of complex litigation cases while supervising outside counsel, ensuring adherence to corporate guidelines and professional responsibility codes. Collaborate with a dynamic legal te...

Lead and develop Actuarial Analysts to deliver high-quality pricing analyses. Collaborate with clients and stakeholders to enhance decision-making through insights while managing project timelines eff...

Unlock potential by leading a team to enhance patient access to therapies, optimizing regional strategies in collaboration with stakeholders, while driving team development and accountability in a dyn...

Unlock opportunities by educating healthcare providers on MI Clarity, an AI-driven assay for breast cancer. Collaborate with oncologists and clinical teams, driving adoption and enhancing patient care...

Tackle Medicare/Medicaid Program Integrity challenges by developing educational materials, ensuring compliance, and guiding stakeholders on fraud, waste, and abuse strategies to enhance the integrity...

Lead the charge in delivering exceptional client service in Investment Banking. Collaborate with clients through the transaction process, managing all phases from pitch to closing while mentoring a te...

Champion innovation and strategy in utilization management, leading product vision and development. Drive transformative solutions to enhance healthcare efficiency while collaborating with cross-funct...

Drive innovation and strategy in Life New Business and Underwriting solutions, leading cross-functional teams to develop and commercialize products that enhance growth and market influence in the Life...

Drive impactful healthcare solutions by leading project teams and mentoring juniors. Collaborate with clients to enhance clinical and financial performance through data analysis and innovative strateg...

Drive performance improvement in healthcare systems as a Senior Consultant, collaborating with team members to lead data analysis, client engagements, and solution development. Manage workstreams, pre...

Engage with independent agents to boost market share and drive sales growth by managing agency relationships, promoting insurance products, and leveraging market intel to achieve business goals...

Unlock your potential by consulting with clients to improve laboratory operations, driving compelling implementations and achieving high satisfaction. Collaborate and mentor on best practices while le...

Accelerate your career by driving enterprise sales for innovative Human Capital Management solutions, collaborating across teams to exceed revenue goals and foster strong client relationships. This ro...

Drive client success by leading pricing and portfolio optimization solutions, enhancing revenue through strategic consultative selling and collaboration across teams. Influence stakeholders and manage...