Claims Specialist Remote Jobs

Join a team that's driving HEDIS performance across all business lines, enhancing quality outcomes and operational effectiveness. Lead strategic initiatives, oversee cross-functional collaboration, an...

Lead the charge in shaping AI governance by operationalizing risk assessment processes, collaborating across departments, and driving ethical AI innovation while ensuring compliance and effective risk...

Join a team that's dedicated to delivering exceptional client service and operational excellence. As a Program Manager, you'll oversee program execution, account management, and financial oversight wh...

Shape the future of market operations by developing strategies, overseeing product management, and leading a team to enhance member and provider engagement while ensuring compliance and profitability...

Drive strategic leadership in underwriting, enhancing performance and scalability across lending channels. Collaborate with cross-functional teams to ensure sound credit decisions and regulatory compl...

Unlock the potential of data quality in a dynamic team, ensuring compliance and governance for a federal agency's analytics ecosystem. Collaborate with stakeholders to define metrics, monitor standard...

Join a team that's dedicated to advancing hematology care by educating healthcare providers and driving demand for innovative therapies. Leverage your expertise to foster relationships and ensure a po...

Elevate your career by leading a dynamic sales team, driving growth through strategic partnerships, and executing innovative healthcare solutions while achieving personal and team sales goals in a col...

Engage in broking new and renewal business, focusing on property & casualty lines. Manage placements from market selection to policy delivery, ensuring client needs are met and service standards achie...

Engage teams in revenue cycle operations to drive performance and efficiency. Lead strategic initiatives while managing day-to-day operations, ensuring optimal service delivery and financial outcomes...

Lead a team of General Liability Claim Handlers to resolve coverage, risk transfer, liability, and settlement issues, ensuring compliance with corporate guidelines while fostering staff development an...

Accelerate progress at the forefront of clinical research by ensuring effective oversight and management of clinical studies. Collaborate with teams to uphold quality standards and drive successful st...

Transform healthcare procurement by leading strategic sourcing and contract negotiations across high-spend clinical categories, ensuring value maximization and cost reduction through effective supplie...

Optimize subcontractor risk management by overseeing prequalification, analyzing financial statements, and enhancing the SDI program. Collaborate with operations to ensure compliance and support proje...

Elevate your career by leading regulatory implementations and compliance oversight. Collaborate across teams to ensure adherence to federal and state healthcare regulations while driving operational e...

Shape the future of compliance by leading a dynamic team, enhancing policies, and driving process improvements in a fast-paced insurance environment. Collaborate cross-functionally to ensure regulator...

Take ownership of IMP labeling processes, ensuring compliance with global regulations and quality standards while collaborating cross-functionally to support clinical trial timelines and enhance label...

Join us to oversee building consulting projects, perform site inspections, and deliver detailed construction specifications while mentoring new hires and enhancing client relationships in a collaborat...

Elevate healthcare delivery by leading a dedicated team in clinical evaluations, ensuring best practices while providing client-facing support and expertise in medical claims, regulations, and emergin...

Take ownership of the Deal Desk function, driving operational excellence and cross-functional collaboration to enhance revenue impact and team performance throughout the quote-to-cash lifecycle...

Join our team to oversee supplier activities, ensuring compliance with nuclear quality standards through effective monitoring, inspection, and evaluation. Contribute to project success by identifying...

Join a dynamic team to enhance partner relationships, drive operational excellence, and foster business growth through strategic onboarding and support initiatives. Leverage your insurance expertise t...

Champion the safety and dignity of vulnerable adults by conducting thorough investigations into allegations of abuse, neglect, and exploitation. Utilize critical thinking and problem-solving skills to...

Unlock potential by leading analytical projects and coordinating programs in transportation and land use. Collaborate with agencies, manage budgets, and ensure compliance while driving sustainable pla...

Provide oversight for insurance accounting and reporting, driving process improvements and leveraging technology to enhance financial operations. Collaborate with teams to ensure compliance and accura...